Wednesday, 2 April 2014

Analysis of Pre-auth and Claims of VAS by KSHSRC

The Analysis of Preauth and Claims of VAS done in a phased manner by Karnataka State Health Resource Centre is attached.  The members of Trust Board is requested to kindly offer your valuable feedback.

Click here to download the Analysis Report 1 

Click here to download the Analysis Report 2 

Wednesday, 26 March 2014

About SAST


Government of Karnataka has taken the initiative to provide Health protection to families living below poverty line for the treatment of major ailments, requiring hospitalization and surgery. In order to bridge the gap in provision of Tertiary care facility and the specialist pool of doctors to meet the statewide requirement for the treatment of such diseases particularly in rural areas of Karnataka. Health assurance could be a way of removing the finiancial barriers and improving accessibility to quality medical care by the poor. Government of Karnataka intends to implement Health assurance Scheme by name Vajpayee Arogyashree for the BPL families of Karnataka.

Objectives :
To improve access of BPL families towards quality tertiary medical care for treatment of identified diseases involving hospitalization, surgery and therapies through an identified network of health care providers.
(i) To Cover Catastrophic Illness.
(ii) Universal Coverage of BPL (Rural + Urban).
(iii)Catastrophic illnesses can wipe out decades of savings of BPL families.
(iv)To protect life time savings of BPL families which would be wiped out in case of catastrophic illness.

Special Features of the Scheme :
(i) To For availment of the benefit of the scheme there is no age limit.
(ii) Pre-existing disease is no bar.
(iii) The tariff fixed for the procedure is inclusive of Investigations, Procedures Implants, Transport, Food and Medicine for the patient.
(iv) Each NWH is provided with the services of one Arogaymitra to guide the NWH & beneficiary & to ensure that the benefit of the scheme reaches the beneficiary.
(v) The treatment provided to the beneficiary is totally free. 
(vi) No premium is collected from the beneficiary. 
(vii) The entire expenditure towards treatment is met by the Government.
(viii) Follow up treatment in selected 50 procedures is provided for a period of one year.

Suvarna Arogya Suraksha Trust (SAST) :
Suvarna Arogya Surakha Trust has been established and registered as a separate body under the aegis of Health and Family Welfare Department under the Indian Trust Act, 1882 in order to implement Suvarna Arogya Suraksha Scheme (now Vajpayee Arogya Shree scheme) vide GO No. HFW  216 CGE 2008, Bangalore dated 20th February 2009.  The Trust has started functioning since April 2009.  Initially the scheme has been taken up in all the districts of Gulbarga & Belgaum Division and extended to Bangalore & Mysore Division during July 2012 providing cashless high end Medical Care & Surgeries in the Empanelled Super Specialty Hospitals.