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TPA / Insurance Schemes

TPA / Insurance Schemes

Government /social security /community health insurance schemes

  • Ayushman Bharath - Arogya Karnataka Scheme (AB-ARK) - 2161/2156

    Arogya Karnataka" was introduced by Government of Karnataka on 2.3.2018, with the goal of providing Universal Health Coverage to all residents of the State. The Government of India later introduced Ayushman Bharat. Since both Arogya Karnataka and Ayushman Bharat schemes have the same goal, scope and similar modalities, both the schemes were integrated under a co-branded name called "Ayushman Bharat-Arogya Karnataka" and is being implemented in an Assurance Mode from October 30, 2018

    Basic Sum Assured is Rs. 5,00,000/- per Family, per annum for "Eligible Households (BPL)" and RSBY enrolled beneficiaries.

    For those who do not come under the "Eligible Household" as defined under the NFSA 2013 or are not enrolled RSBY beneficiaries, the sum assured is 30% of the package rate up to Rs.1.5 lakh per family per annum on co-payment basis.

  • The Government of Kerala implemented the Karunya Arogya Suraksha Padhathi along with the Ayushman Bharat Pradhan Mantri - Jan Arogya Yojana (AB PM-JAY), providing treatment cover of Rs. 5,00,000 per household. The scheme is referred as the AB-PMJAY & KASP, providing an assurance cover of Rs.5, 00,000 on a family floater basis to Beneficiaries Family Units through a network of empanelled health care providers

    Beneficiaries are those who are holding PMJAY card.

  • For State Government Employees of Karnataka with KG Id Number.

  • For State Employees and Pensioners of Government of Kerala

  • For Employees of Kamataka State Police and their families.

  • For a member of a Co-operative society who completed a three months period.

  • Sampoorna suraksha scheme provides health insurance coverage under their tailor made group health insurance policy to the self help group members and their dependents of sampoorna suraksha scheme promoted by shree kshethra dharmasthala rural development project a registered NGO based out of Dharmasthala , operating in Karnataka state.

  • ESI is a social security scheme offered by the Government of India as per the Employees' State Insurance Act, 1948. The scheme provides protection to employees against disablement/death due to employment injury, sickness, and maternity. Employees must be subscribed for the scheme to get the medical care and other benefits.

    This is a self-financing scheme, where the employees and the employers make regular monthly contributions to the scheme at a certain percentage of their wages.

    The existing wage limit for coverage under the Act effective from 01.01.2017 is Rs.21,000/- per month (Rs.25,000/- per month in the case of Persons with Disability).

  • For the beneficiaries of Koraga Tribes.


Private Health Insurance Schemes - 2154

ACKO General Insurance Limited

Aditya Birla Health Insurance Co. Ltd.

Apollo Munich Health Insurance

Bajaj Allianz General Insurance

Bharti AXA General Insurance Company Ltd.

Cholamandalam MS General Insurance

Eastwest Assist

Future General Retail Policy

HDFC Ergo General Insurance

ICICI Lombard Health Insurance

Liberty General Insurance

May Fair

Medi Assist Health Insurance

Medi save Health Card

National Insurance Co.

Navi General insurance

Niva Bupa Health Insurance

Paramount Health Services & Insurance TPA Private Limited

Reliance General Insurance

Reliance Health Insurance

SBI General Insurance Company

Safeway TPA

Star Health and Allied Insurance

Tata AIG General Insurance Co. Ltd.

The New India Assurance Co.

The Oriental Insurance Co.

United India Insurance Co.

Universal Sompo General Insurance

Vidal Health Insurance