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5783 patients avail benefit of APCMUHIS

Sentinel Digital DeskBy : Sentinel Digital Desk

  |  11 Jun 2015 12:00 AM GMT

our correspondent

Itagar, June 10: A total of 5783 patients have so far availed the benefits and 2,25,128 families have been enrolled under Aruchal Pradesh Chief Minister’s Universal Health Insurance Scheme (APCMUHIS) since its inception in the state, according to an official release.

At present there are about 64 empanelled Hospitals across the country besides state Govt. Hospitals. Both the New India Assurance Company, which is the insurance provider, and the Dedicated Health Care Services which is the third party administrator are responsible for the process of enrollment and settlement of claims.

The implementation of the scheme is being reviewed time to time by the State Government on the basis of feedback from DMO’s.

While reacting to the reports of technical fault with the APCMUHIS cards and that they are being rejected as cards have expired in some places, the authorities clarified that the card activation has been done from 16th September 2014 and it will be effective continuously till further notification.

Further, since the scheme is meant to be implemented in cashless manner hence beneficiaries need not pay up to the insured sum of Rs.2 lakhs to the empanelled hospital. Filly, the card user must see the billing by the hospital to avoid instances of wrong billing, or high billing and any other ture of moral hazard to ensure optimum utilisation of the scheme for the people of the state, the release said.

Timely premium payment have been made to the insurer and there is no delay in payments, the release further said adding for future payment necessary funds have been deposited in bank escrow account in order to ensure there is no delay or uncertainty in payment.

The People may dial toll free number 1800 2090 201 to clear their doubts if any and also visit departmental website www.aruchalhealth.com for all relevant information posted from time to time, the release added.


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