Initiated by the Directorate of Information & Culture Affairs, Government of Tripura, the Tripura Journalist Health Insurance Scheme is a specialist health insurance scheme. Designed to provide certified reporters complete medical coverage, the program seeks to reduce the financial load linked with diseases and health-related events. With significant coverage, the program guarantees that reporters get prompt and high-quality medical treatment free from the burden of heavy out-of-pocket costs.
Key Benefits
- Comprehensive Medical Coverage:
- Up to ₹3,00,000 in total benefits per annum.
- Coverage includes all diseases as listed by the State Government, subject to committee recommendations.
- Cashless Treatment:
- Beneficiaries can avail of cashless medical treatment at empanelled hospitals across India.
- Inclusive Coverage:
- Covers inpatient and specific daycare procedures.
- Pre-existing conditions are included, ensuring broader medical support.
- Surgical and Medical Procedures:
- Includes both surgical and medical treatments as per the approved list.
Eligibility
- Residency:
- Must be a permanent resident of the state of Tripura.
- Accreditation:
- Must be an accredited journalist recognized by the State Government or the Press Information Bureau (PIB).
- Age Criteria:
- 21 to 65 years of age at the time of application.
- Insurance Status:
- Must not be covered under the Ayushman Bharat Scheme or any other Central/State Government Health Insurance Scheme.
Exclusions
The scheme does not cover individuals who:
- Are employed primarily in a managerial or administrative capacity.
- Perform managerial functions or have supervisory duties.
- Are engaged in roles that are managerial in nature either by duty or by the powers vested in them.
Application Process (Offline)
- Prepare Documentation:
- Gather all necessary documents as listed under Documents Required.
- Submit Application:
- Submit the completed application form along with supporting documents to the following address:
- Verification Process:
- The Director of Information & Cultural Affairs will verify eligibility through the Sub-Divisional Magistrate and other concerned agencies.
- Committee Recommendation:
- Post verification, the application along with all documents will be forwarded to the Tripura Journalist Health Insurance Scheme Recommendation Committee (JHISRC).
- Final Approval:
- Upon the committee’s recommendation and subsequent approval by the State Government, the applicant will be enrolled as a beneficiary under the scheme.
Documents Required
- Proof of Age/DOB:
- Birth Certificate, Aadhaar Card, or Voter ID.
- Proof of Residence:
- Aadhaar Card, Ration Card, or Utility Bills.
- Bank Details:
- Copy of Bank Passbook or Bank Account Statement.
- Income Certificate:
- As required by the scheme.
- Proof of Health-Related Situations:
- Medical reports or certificates, if applicable.
- Accreditation Proof:
- Certificate verifying status as an accredited journalist by the State Government or PIB.
- Exclusion Proof:
- Documents proving non-involvement in managerial or supervisory roles, if applicable.
- Additional Documents:
- Any other documents as specified by the scheme guidelines.
Frequently Asked Questions (FAQs)
1. Who should not be applying to this program?
Those working mostly in administrative or management tasks, or those fulfilling supervisory responsibilities, are not qualified for the plan.
2. For what aim is this program designed?
The program seeks to financially shield reporters from the obligations and expenses resulting from diseases and events connected to their health.
3. Under what qualifying standards this program falls?
Candidates must be Tripura residents, accredited reporters identified by the State Government or PIB, between 21 and 65 years old, not covered under any other government health insurance program.
4. Under this approach, what advantages are given?
With maximum coverage of ₹3,00,000 year, beneficiaries get medical treatment services for all recognized ailments. At empanelled hospitals, this covers both surgical and medical treatments.
5. For this system, who will be the implementing bodies?
Under cooperation with the Tripura Journalist Health Insurance Scheme Recommendation Committee (JHISRC), the Directorate of Information & Culture Affairs, Government of Tripura, runs the scheme.
6. The health insurance covers which diseases?
The policy covers all ailments stated by the State Government and advised by the JHISRC.
7. Could I apply many times for the scheme?
Indeed, qualified reporters may apply many times as long as each time they satisfy the qualifying requirements.
8. Under the plan can I cover every member of my family?
The initiative is mostly for the journalist. Depending on the policies of the program, dependents might be covered provided they satisfy the dependence requirements.
9. How can I find out my scheme eligibility?
For eligibility confirmation, visit the Chhattisgarh Labour Department’s official website or call the Directorate of Information & Culture Affairs.
10. Applications for the Chief Minister’s Health Insurance Scheme call for what paperwork?
Among the vital records are the Aadhaar Card, Proof of Age, Proof of Residence, Bank Passbook, Income Certificate, and Accreditation Proof.