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2010 RSBY Guidebook
Table of ContentsThe Concept of Health Insurance ................................................................. 1Rashtriya Swasthya Bima Yojna ................................................................... 3RSBY Coverage ............................................................................................. 5Expenses not covered under RSBY ............................................................... 7RSBY Processes ............................................................................................. 9Enrollment ................................................................................................... 9Use of Smart Card ...................................................................................... 11Role of TPA’s District Kiosks ....................................................................... 13Role of TPA’s District Kiosks ....................................................................... 13Utilisation of Benefits ................................................................................. 15Who to call when there is a question ........................................................... 17Glossary of Terms ....................................................................................... 19Annex I: Indicative List of Package Rates under RSBY ............................. 23Annex II: Indicative List of Day Care/Procedures under RSBY ................. 25Annex III: List of Empanelled Hospitals under RSBY in NCT .................... 27Annex IV: Important Contact Information ................................................. 36Annex V: List & Contact information about TPA’s District Kiosks ........... 36Annex VI: References .................................................................................. 36Annex VII: Photo Credits ............................................................................ 362010 RSBY Guidebook Page i
Page 1: Rashtriya SwasthyaBima Yojna2010 Gu
Page 5 and 6: The Concept of Health InsuranceHeal
Page 7 and 8: Rashtriya Swasthya Bima YojnaHouseh
Page 9 and 10: RSBY COVERAGEWho is eligible?• BP
Page 11 and 12: EXPENSES NOT COVERED UNDER RSBY•
Page 13 and 14: RSBY ProcessesENROLLMENTEnrollment
Page 15 and 16: USE OF SMART CARD• The smart card
Page 17 and 18: ROLE OF TPA’S DISTRICT KIOSKSDist
Page 19 and 20: UTILISATION OF BENEFITSHospitalisat
Page 21 and 22: WHO TO CALL WHEN THERE IS A QUESTIO
Page 23 and 24: Glossary of Terms• Beneficiary/In
Page 25 and 26: • Out-patient Diagnostic - labora
Page 27 and 28: Annex I: Indicative List of Package
Page 29 and 30: Annex II: Indicative List of Day Ca
Page 31 and 32: Annex III: List of Empanelled Hospi
Page 33 and 34: 89Sai Nursing Home &Charitable Disp
Page 35 and 36: 9 Sant HospitalMain Burari Road, Sa
Page 37 and 38: List of Empanelled Hospitals - Sout
Page 39 and 40: List of Empanelled Hospitals - West
Page 41 and 42: 16Rao Raghubir Hospital &Maternity
Page 43 and 44: Annex IV: Important Contact Informa
Page 45 and 46: Annex V: List & Contact information
Page 47 and 48: Annex VI: References1. Fundamentals
Page 49: Annex VII: Photo Credits1. Page 1 -

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