1. 1 1 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Rashtriya Swasthya Bima Yojana (RSBY) State Nodal Agency (SNA) Commissionerate of H & FW, MS & ME Gandhinagar

2. 2 2 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Claim Status upto 12.2.16 (Policy Period 2013- 16) S. No. Insurance CompanyDistrictCluster Premium per family in Rs. No. of Claims Total Claim Amount till Date (in Rs.) Claim Ratio 1TATA AIGBharuch C1374 13,1225,34,48,13893.05 2TATA AIGDahod1,7531,63,54,05822.07 3TATA AIGNarmada14,8555,53,97,264106.69 4TATA AIGPanchmahal6,0505,52,71,40250.38 5TATA AIGVadodra19,3169,10,92,02964.37 Total of Cluster155,09627,15,62,89162.47 6TATA AIGBanaskantha C3640 18,87113,13,66,85775.35 7TATA AIGGandhinagar5,2733,34,97,89562.11 8TATA AIGMehsana22,67912,81,58,29099.21 9TATA AIGPatan13,5538,74,26,89682.66 10TATA AIGSabarkantha15,6158,86,28,29659.89 Total of Cluster375,99146,90,78,23476.75 Total of Cluster 1 & 31,31,08774,06,41,12570.81

3. 3 3 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Claim Status upto 12.2.16 (Policy Period 2013- 16) S. No. Insurance CompanyDistrictCluster Premium per family in Rs. No. of Claims Total Claim Amount till Date (in Rs.) Claim Ratio 11Oriental Insurance companyAhmedabad C2403 10,6797,94,92,50868.59 12Oriental Insurance companyAnand6,4313,20,33,33044.47 13Oriental Insurance companyKheda10,1586,49,35,92664.88 14Oriental Insurance companySurendranagar5,2353,31,19,08447.03 Total of Cluster232,50320,95,80,84858.47 15Oriental Insurance companyJamnagar C5373 4,5732,63,94,34065.36 16Oriental Insurance companyKutch2,5791,75,05,73740.54 17Oriental Insurance companyPorbandar3,7592,02,84,19081.73 18Oriental Insurance companyRajkot18,1799,70,47,147104.88 Total of Cluster529,09016,12,31,41480.25 Total of Cluster 2 & 561,59337,08,12,26266.29

4. 4 4 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Claim Status upto 12.2.16 (Policy Period 2013-16) S. No. Insurance CompanyDistrictCluster Premium per family in Rs. No. of Claims Total Claim Amount till Date (in Rs.) Claim Ratio 19Star HealthDang C4342 10,8161,72,92,54966.80 20Star HealthNavsari8,3582,59,42,86557.49 21Star HealthSurat5,9872,54,25,34637.79 22Star HealthTapi12,9974,63,76,49180.99 23Star HealthValsad6,6741,90,92,86729.23 Total of Cluster444,83213,41,30,11851.41 24National Ins.Amreli C6459 8,7445,34,43,556 25National Ins.Bhavnagar10,2777,81,85,453104.15 26National Ins.Junagadh12,1377,27,85,02467.91 Total of Cluster631,15820,44,14,03389.43 Total2,68,670144,99,97,53869.22

5. 5 5 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Year Wise Claim Status(Policy Period 2013- 16) srnoDistrict Clust ers Premium per family in Rs. Enrolled Familes 2013-142014-152015-16 (upto 15.2.16) ClaimsClaim AmtPremium Claim Ratio ClaimsClaim AmtMonthsPremium Claim Ratio ClaimsClaim AmtPremium Claim Ratio 1BharuchC1 374 61,3295551207729812293704690.574152177863399.5 15245367.25116.67 3025130798761604775581.51 2DahodC1 374 79,11575363732032958901021.5423824321439.5 19666670.4212.37 337363387520701758.3317.55 3NarmadaC1 374 55,4374799169748252073343881.874129145455549.5 13780714.25105.55 2991115560931450601579.66 4PanchmahalC1 374 1,17,1292196181570874380624641.451676163224669.5 29116317.2556.06 1079110512113064875536.06 5VadodaraC1 374 1,51,1049107441378725651289678.106564289518549.5 37561936.0077.08 4807232098713953888058.70 4,64,11422,40610,64,15,96817,35,78,63661.311675980038356 115371005.1769.37 1223962530926121443163.351.49 6AhmedabadC2 403 1,12,3204329306798634526496067.7837542883926210 32104800.0089.83 2876208556743210480064.96 7AnandC2 403 69,8152836149381162813544553.0925281116620010 19955454.1755.96 1557718948919955454.1736.03 8KhedaC2 403 96,9934491256307223908817965.5722831508980910 27723832.5054.43 13701041957827723832.537.58 9SurendranagarC2 403 68,2542049125849932750636245.751296702671010 19509268.3336.02 705426851519509268.3321.88 3,47,38213,7058,38,33,69413,99,94,94659.88986162121981 99293355.0062.56 6508427332569929335543.04

6. 6 6 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Year Wise Claim Status(Policy Period 2013- 16) srnoDistrict Clust ers Premium per family in Rs. Enrolled Families 2013-142014-152015-16 (upto 15.2.16) ClaimsClaim AmtPremium Claim Ratio ClaimsClaim AmtMonthsPremium Claim Ratio ClaimsClaim AmtPremium Claim Ratio 10BanaskanthaC3 640 1,03,8314953337887606645184050.856788430564749.5 47675734.1790.31 45603308723450184983.3365.93 11GandhinagarC3 640 32,1212046132280732055744064.351496103401999.5 14748892.5070.11 115482834481552515053.36 12MehsanaC3 640 76,92997155304190049234560107.737743440607139.5 35323232.50124.74 5351305636263718235082.20 13PatanC3 640 62,9855510382200754031040094.816111403649979.5 28920612.50139.57 4147286994593044275094.27 14SabarkanthaC3 640 88,1346733425149725640576075.375325329980219.5 40468195.0081.54 4318241010144259810056.58 3,64,00028,95718,07,93,78023,29,60,00077.6127463170820404 167136666.67102.2019530124734781175933333.370.90 15DangsC4 342 28,57547045421200977265055.472936418400012 8058150.0051.92 20833172625671512547.25 16NavsariC4 342 49,8114367143343401703536284.143001948321112 14046702.0067.51 246683078871170558570.97 17SuratC4 342 78,327221992034002678783434.361523742105510 18406845.0040.32 115951142301840684527.78 18TapiC4 342 64,8896223217184292219203897.8740051499763711 16773806.5089.41 239785716251524891556.21 19ValsadC4 342 76,037278379618052600465430.622655742795010 17868695.0041.57 154042382001786869523.72 2,97,63920,2965,86,39,17410,17,92,53857.611412043513853 75154198.5057.909645294045676994516542.04

7. 7 7 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Year Wise Claim Status(Policy Period 2013- 16) srnoDistrictClusters Premiu m per family in Rs. Enrolled Families 2013-142014-152015-16 (upto 15.2.16) ClaimsClaim AmtPremium Claim Ratio ClaimsClaim Amt Mont hs Premium Claim Ratio ClaimsClaim AmtPremium Claim Ratio 20JamnagarC5 373 42,650160586165921590845054.161461788494910 11124541.6770.88 850494739311124541.6744.47 21KutchC5 373 45,60491957478111701029233.79734538612810 11895043.3345.28 501317795011895043.3326.72 22PorbandarC5 373 25,50914897403712951485777.81951482779311 7318957.2565.96 57827313126653597.541.05 23RajkotC5 373 97,73186114173800936453663114.5077534322701210 25491502.50169.57 44512714842525491502.5106.50 2,11,49412,6246,35,06,1247,88,87,26280.501089961325882 55830044.75109.84 6380380050805516468568.89 24AmreliC6 459 38,9163043170245841786244495.3126131615475610 12939570.00124.85 20561320883512939570102.08 25BhavnagarC6 459 63,05946903613752028944081124.8530782261089610 20967117.50107.84 25462024944420967117.596.58 26JunagadhC6 459 90,0244113241172234132101658.3734502128689710 29932980.0071.12 2132143906792993298048.08 1,91,99911,8467,72,79,3278,81,27,54187.69914160052549 63839667.5094.07 67344784895863839667.574.95 Total >> 18,76,6281,09,83457,04,68,06781,53,40,92369.9788243477873025 576624937.682.8761036345257568585619369.258.96

8. 8 8 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Claim & Hospital Summary as on 12.2.16 Private HospitalsPublic HospitalsTotal Empanelled Hospital 9434371380 Number of Claims 2,19,90248,768268670 Total Claim Amount (in Rs.) 128.33 Cr.16.66 Cr. 144.99 Cr.

9. 9 9 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Empanelled Hospitals Status upto 16.2.16 Sr. No. Name of Clusters District Total Empanelled Hospitals Private Hospitals Empanelled Public Hospitals Empanelled 12456 1 Cluster 1 Vadodara897118 2 Dahod402317 3 Panchmahal281513 4 Narmada23185 5 Choota Udaipur211011 Mahisagar25196 6 7 Bharuch463412 TOTAL27219082 6 Cluster 2 Ahmedabad956827 7 Kheda623527 8 Anand593722 9 Surendranagar382414 TOTAL25416490

10. 10 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Empanelled Hospitals Status upto 16.2.16 Sr. No. Name of Clusters District Private Hospitals Empanelled Public Hospitals Empanelled Total Empanelled Hospital 12456 10 Cluster 3 Gandhinagar312011 Sabarkantha513714 12Patan604119 13Mehsana1028022 14Banaskantha766412 15Aravalli46388 Total36628086 16 Cluster 4 NAVSARI321913 17SURAT543420 18Dang927 19VALSAD241113 20Tapi18108 Total1377661

11. 11 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Empanelled Hospitals Status upto 16.2.16 Sr. No. Name of Cluster District Private Hospitals Empanelled Public Hospitals Empanelled Total Empanelled Hospital 12345 23 Cluster 5 Porbandar16106 24Rajkot644618 25Jamnagar17107 26Kutch442519 27Morvi1477 28Dev bhoomi Dwarka1376 Total16810563 29 Cluster 6 Amreli412417 30 Junagadh503515 31 Gir Somnath1183 32 Bhavnagar685216 33 Botad1394 Total18312855 GRAND TOTAL 1380943437

12. 12 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Age >58 Sr.NoDistrict Name Enrolled Families having >58 age Member 1 Kutch1347327848 2 Banaskantha1670321149 3 Patan1250716055 4 Mehsana1842822372 5 Sabarkantha1635120022 6 Gandhinagar78349265 7 Ahmedabad5631197274 8 Surendranagar2012938932 9 Rajkot2072927849 10 Jamnagar1098014870 11 Porbandar746713013 12 Junagadh2374533448 13 Bhavnagar2336055592 Sr.NoDistrict Name Enrolled Families having >58 age Member 14 Anand2456044962 15 Kheda3542568649 16 Panchmahal2661334973 17 Dahod1785825262 18 Vadodara4791771993 19 Narmada2050842141 20 Bharuch2038940227 21 Surat1220914502 22 Dangs40625293 23 Navsari1082113014 24 Valsad1346716289 25 Tapi1188814618 Grand Total493734789612

13. 13 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Target Families as per 33 Districts Sr.NoDistrict NameTotal Data Enrolled Families as per DKMA 1 Ahmedabad39267099719 2 Amreli11127934754 3 Anand20061667856 4 Aravalli7988140186 5 Banaskantha312236103793 6 Bharuch13953258562 7 Bhavnagar12285954111 8 Botad3735515669 9 Chhotaudepur13655064391 10 Dahod27547078988 11 Dangs6924128575 12 Devbhoomi Dwarka3903816001 13 Gandhinagar6671332121 14 Gir Somnath8419237154 15 Jamnagar9343125792 16 Junagadh10701052869 Sr.NoDistrict NameTotal Data Enrolled Families as per DKMA 17Kheda17635576742 18Kutch12697142609 19Mahisagar11087461964 20Mehsana14360476929 21Morbi6292526792 22Narmada9568454696 23Navsari8658149806 24Panchmahal17624868314 25Patan16459862985 26Porbandar2332912171 27Rajkot19553169930 28Sabarkantha13195646974 29Surat17716978169 30Surendranagar16152760258 31Tapi9358864889 32Vadodara20241884443 33Valsad14898576035 45464161824247

14. 14 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in AGENDA Agenda1.1 : As per government of India the health Insurance scheme for senior citizen to be implemented as top up scheme on the RSBY platform, which is highlighted as under: The health insurance insurance scheme for senior citizens will cover all who are of age 60 years and above, belonging to approved categories under RSBY.Additional health coverage of Rs. 30,000 per senior citizen per year will be provided over and above RSBY benefit package.This additional package will only be available for senior citizens of the family. The extra health insurance coverage of Rs. 30,000/-per senior citizen would be on cashless basis.

15. 15 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in AGENDA Conti… The approved premium for the scheme is Rs. 500/- per family per year. Agenda 1.2 : Empanelment of Insurance companies at National Level: a)The central empanelment of insurance companies to be discontinued. b)The new eligibility criteria for insurance companies will be released by MoHFW by 20 February,which would be incorporated in the order document.

16. 16 Health & Family Welfare Dept, Govt of Gujaratwww.gujhealth.gov.in Thank You www.rsbygujarat.org newrsbygujarat@gmail.com RSBY-Toll free no. 1800 233 1021