Cancer is high on the list of surgeries that beneficiaries of the state health insurance scheme floated for people earning below Rs 1 lakh a year, and to meet health expenditure of beneficiaries, the government has spent Rs 606 crore for 2.30 lakh surgeries, reveals data.
Two years since the state government launched the Rajiv Gandhi Jeevandayi Arogya Yojana to provide cashless hospitalisation and treatment of beneficiaries of the scheme, health officials said there has been an increase in cancer, kidney and cardiac surgeries.
Cancer surgeries are high under the scheme, says Piyush Singh who is in charge of the health scheme.
As many as 43,000 surgeries have been performed for cancer at both private and government hospitals followed by kidney surgery (40,000) and cardiac operations (33,600) in the two-year span. The other procedures that saw an increase are treatment of genito-urinary tract problems and polytrauma. At least 11,000 children have undergone various procedures under the scheme, and there were 93,987 women. Till date, 5,412 deaths have been registered.
Mumbai hospitals have been largely sought after for majority of surgeries including Tata Memorial Centre and government hospitals KEM, Grant medical college, Nair and Sion hospital. In other districts, a major chunk of surgeries is done at Ashwini Rural Hospital, Solapur, Sevenhills Hospital, Mumbai, Kamalnayan Bajaj Hospital, Aurangabad, Saibaba Hospital, Shirdi and Lalbaug Raja Hospital, Mumbai.
In Pune, Sassoon General Hospital became an empanelled hospital in November last year along with 32 other hospitals and since then 5000 surgeries have been performed. A total of 972 procedures have been identified along with 121 follow-up packages in 30 specialized categories. The scheme that commenced phase-wise in July 2012 is functional in all 35 districts, State Health Minister Suresh Shetty said. According to Singh, there are 457 empanelled hospitals for the health insurance scheme.
In a relief to beneficiaries, the state decided that date of issue of ration cards no longer needs to be considered. The ration card of BPL/APL families along with supporting documents are valid for benefits under the scheme. Claims of several patients who sought benefits under the scheme were rejected by National Insurance Company Limited due to anomalies in ration card and other documents. Arogya mitras have been appointed at hospitals to guide the beneficiaries.
27 June 2014
by: Anuradha Mascarenhas