The Central Government of India funds the Tripura Health Assurance Scheme for Poor (THASP) to help impoverished Tripurans. The 2014 policy, which was revised, covers hospitalization, surgeries, treatments, and critical illnesses for qualified families earning less than Rs. 1.5 lakh.
THASP covers qualified beneficiaries up to Rs. 1.15 lakh per year with cashless privileges at empanelled hospitals. Central Government Health Scheme coverage rates apply to specified hospitals. For Tripura’s economically underprivileged, this healthcare project helps cover healthcare costs.
Benefits of the Scheme:
- Health Coverage: The scheme offers a family floater coverage with a maximum sum assured of ₹1.15 lakh per annum for treatment.
- Transportation Costs: The scheme covers transportation expenses incurred for traveling from Agartala to listed hospitals, with a coverage limit of ₹10,000.
- Cashless Treatment: Expenses for medical treatment up to ₹1.15 lakh are paid directly to empanelled hospitals under the scheme.
- Direct Reimbursement: Financial assistance for transportation is provided via bank draft or directly credited to the beneficiary’s bank account as per the scheme’s guidelines.
Eligibility:
- The annual family income must be less than ₹1.5 lakh.
- Up to five family members can be covered, including the policyholder’s legal spouse, parents, and unmarried children up to the age of 25 years.
- All family members must be listed on the family ration card issued by the Government of Tripura.
Exclusions:
- Government employees are not eligible for the scheme.
- Students who receive benefits under this scheme cannot avail themselves of benefits from any other scheme with similar objectives.
Application Process:
Offline Process:
- Step 1: Submit a duly filled application form to the Director of the State Illness Fund.
- Step 2: Once the application is received, the empanelled hospitals are notified through fax or email by the state’s health department to provide treatment. A referral letter is also given to the patient.
- Step 3: The empanelled hospital will verify whether the proposed treatment qualifies under the State Illness Fund and will notify the health department for coverage.
- Step 4: After treatment, the hospital will submit a bill for reimbursement to the health department, which includes treatment costs and other details.
- Step 5: The health department will verify the bill and reimburse the hospital for the medical expenses incurred, up to the maximum limit of ₹1.15 lakh.
Documents Required:
- Proof of age/date of birth (e.g., Birth Certificate).
- Proof of residence (e.g., Domicile Certificate).
- Bank account details.
- Income certificate (to verify eligibility).
- Medical documents (related to the patient’s health condition).
Frequently Asked Questions (FAQs):
- The Tripura Health Assurance Scheme for Poor (THASP)
Under the government project THASP, households in Tripura with an annual income less than ₹1.5 lakh get financial support for medical treatment. - The Tripura Health Assurance Scheme for Poor (THASP) covers what number of family members?
Coverage apply for up to five family members—including parents, spouses, unmarried children up to 25 years, and policyholder. - How one could apply under the Tripura Health Assurance Scheme for Poor (THASP)?
Applications can be turned in electronically via the official website or offline to the Director of the State Illness Fund. - Can those under the Tripura Health Assurance Scheme for Poor (THASP) benefit from any other scheme for the same aim?
No, recipients of THASP cannot use advantages from another scheme with like aims.
As mandated by the health administration, the beneficiary must provide medical certificates and other supporting documentation to be covered by the Tripura Health Assurance Scheme for Poor (THASP). -
How can I log in to the Tripura Health Assurance Scheme portal?
- Go to the official website of the Tripura Health Department.
- Click on the ‘Login’ option.
- Enter your registered mobile number or ID to access your profile.
- Once logged in, you can check your eligibility, claim status, and hospital network details.