Chief Minister’s Health Insurance Scheme - Nagaland

Chief Minister’s Health Insurance Scheme - Nagaland क्या है?

Launched on 16th October 2022, the scheme "Chief Minister Health Insurance Scheme (CMHIS)" is a Public Health Insurance Scheme by the Health and Family Welfare Department, Government of Nagaland. This scheme provides cashless treatment up to ₹20 lakhs for employees and pensioners and ₹5 lakhs.

लाभ

All beneficiaries of the scheme are entitled to free and cashless hospitalization care for various ailments including pre-existing conditions/diseases, which can be availed from any empanelled hospital across the country. The treatment will include both surgical and medical procedures and limited day-care packages. However, OPD services and standalone diagnostics investigations will not be covered. 1. CMHIS (GEN) beneficiaries will be entitled to more than 1950 medical and surgical packages across 27 major clinical specialties as well as entitlement to General Ward, similar to AB PM-JAY. 1. CMHIS (EP) beneficiaries will be entitled similar to that available for central government employees under the Central Government Health Scheme (CGHS) as well as differential room entitlement as per their employee grade. <br> **Annual Risk Cover/ Sum Insured per family:** 1. For CMHIS (GEN) beneficiary families, the Sum Insured is ₹ 5,00,000/- (Rupees Five Lakhs Only) per family per annum on a family floater basis, similar to AB PM-JAY. 1. For CMHIS (EP) beneficiary families, the Sum Insured is ₹ 20,00,000/- (Rupees Twenty Lakhs Only) per family per annum on a family floater basis. 1. Further, for Government employees, any additional expenses beyond the sum insured shall be reimbursed on a case-to-case basis by the State government on recommendation of the State Medical Board.

स्तर

State — Nagaland

मंत्रालय / विभाग

Health and Family Welfare Department, Nagaland

लाभ का प्रकार

cash

मुख्य पात्रता

**Eligibility** The Chief Minister Health Insurance Scheme is available to all permanent and indigenous residents of Nagaland. They are divided into two categories: **1. For CMHIS (EP):** - The applicant should be a government employee, pensioner, or dependent family member. - The applicant should p

अंतिम सत्यापन

Recently

Benefits

All beneficiaries of the scheme are entitled to free and cashless hospitalization care for various ailments including pre-existing conditions/diseases, which can be availed from any empanelled hospital across the country. The treatment will include both surgical and medical procedures and limited day-care packages. However, OPD services and standalone diagnostics investigations will not be covered. 1. CMHIS (GEN) beneficiaries will be entitled to more than 1950 medical and surgical packages across 27 major clinical specialties as well as entitlement to General Ward, similar to AB PM-JAY. 1. CMHIS (EP) beneficiaries will be entitled similar to that available for central government employees under the Central Government Health Scheme (CGHS) as well as differential room entitlement as per their employee grade. <br> **Annual Risk Cover/ Sum Insured per family:** 1. For CMHIS (GEN) beneficiary families, the Sum Insured is ₹ 5,00,000/- (Rupees Five Lakhs Only) per family per annum on a family floater basis, similar to AB PM-JAY. 1. For CMHIS (EP) beneficiary families, the Sum Insured is ₹ 20,00,000/- (Rupees Twenty Lakhs Only) per family per annum on a family floater basis. 1. Further, for Government employees, any additional expenses beyond the sum insured shall be reimbursed on a case-to-case basis by the State government on recommendation of the State Medical Board.

Eligibility

Documents Required

How to Apply

1. Step 1: Online application — step 1

   Step 1: Visit the Official Website of the Chief Minister’s Health Insurance Scheme (CMHIS) Nagaland .

2. Step 2: Online application — step 2

   Step 2: Click on the Register. Read out the R egistration instructions carefully.

3. Step 3: Online application — step 3

   Step 3: Fill in the application form with all the required details, including personal details, family details, income details, and medical history.

4. Step 4: Online application — step 4

   Step 4: Submit the completed application form along with the necessary documents to the nearest Common Service Center (CSC) in your area or the empanelled hospital.

5. Step 5: Online application — step 5

   Step 5: The CSC or the empanelled hospital will verify the application form and documents and upload the details to the online portal.

6. Step 6: Online application — step 6

   Step 6: The insurance provider will verify the application and approve or reject the application based on the eligibility criteria.

7. Step 7: Online application — step 8

   Note: For any query call us at 14555 or mail at [email protected].

Sources & References

• Official scheme website ↗
• Source record ↗
• Information is summarised from official government sources. Verify all details on the official website before applying.