Professional Documents
Culture Documents
Presented by
Jaswanth Singh G
Insurance Domain Consultant and Adjunct Faculty for Insurance Studies.
jasshu7@gmail.com +91 9449049107 & +91 8310765785
About the Scheme
• Affordable Health Insurance to Divyangjan.
• Health insurance cover of up to Rs. 1.0 lakh.
• Facility for OPD treatment including the medicines, pathology, diagnostic
tests, etc., Regular Medical checkup for non-ailing disabled, Dental
Preventive Dentistry, Surgery to prevent further aggravation of disability,
Non- Surgical/ Hospitalization, Corrective Surgeries for existing Disability
including congenital disability, Ongoing Therapies to reduce impact of
disability and disability related complications, Alternative Medicine.
• Transportation costs.
• No pre-insurance medical tests required.
• The scheme will be available in the entire country except J&K.
Scheme Description
The scheme envisages delivering comprehensive cover which will
• Have a single premium across age band
• Provide same coverage irrespective of the type of disability covered under
the National Trust Act
• Insurance cover upto Rs.1.0 lakh , on reimbursement basis only.
• All persons with disabilities under the National Trust Act with valid
disability certificate will be
eligible and included.
• No pre-insurance medical tests
• Treatment can be taken from any hospital.
• Niramaya’s Health Insurance Scheme Revised Benefit Chart (on
Reimbursement Basis only w.e.f. April, 2015)
NIRAMAYA' HEALTH INSURANCE SCHEME REVISED BENEFIT CHART ON
REIMBURSEMENT BASIS ONLY (W.E.F. APRIL, 2015)
SECTION SUB- SECTION DETAIL SUB LIMIT OVER ALL LIMIT OF SECTION
I Over all Limit of Hospitalization INR 70,000
A Corrective Surgeries for INR 40,000
existing Disability including
congenital disability
III Ongoing Therapies to reduce impact of disability and disability related complications INR 10,000
Enrolment Form
Claim settlement
Claim Form
Contact persons of Raksha TPA (Oriental Insurance Co.)
Mr. Ravi Seth 9810413456
Non BPL Rs. 250/- •Disability certificate issued from the District Hospital or
appropriate Government authority (self attested)
•Address Proof
•Income certificate of (self attested) the parent/guardian
competent authority as issued by the State
Divyangjan with Legal Guardian (Other than Free •Disability certificate(self attested) issued from the District
natural parents) Hospital or appropriate Government authority.
•Legal Guardian Certificate issued from the Local Level
Committee constituted under section 13 of The National
Trust Act, 1999
•Address Proof
STEP 3.After receipt of payment, the RO/beneficiary will be notified of the renewal for another year through the website.
Enrolment and Renewal Fee
The enrolment / renewal fee is for one year i.e. upto 31st March of next year. This means, every year the renewal of policy
has to be done online through www.thenationaltrust.gov.in by beneficiary or NGO and the fee has to be paid as per the
applicable rate (fixed by National trust) directly in the Bank.
Renewal Application Form
Grievance Redressal
• In case the RO or the Divyangjan faces any issues with regard to the
scheme, the RO or the Divyangjan can either login the issue in the
Grievance redressal system in the website or can contact the
concerned official or CEO of National Trust on the office phone
number.
CHHATTISGARH GOVERNMENT ADOPTS CENTRE'S 'NIRAMAYA'
HEALTH INSURANCE SCHEME FOR MENTALLY ILL AND DIVYANG
Concerned for the 1.64 lakh suffering from autism, mental retardation, cerebral
palsy, and multiple disabilities (Divyang), the government of Chhattisgarh has
adopted centre's 'Niramaya' health insurance scheme. Under it, a lump sum of ₹1
lakh is offered as the cover, while the state government pays the premium.
The scheme will offer same coverage regardless of the disability type under the
National Trust Act. Services offered under the scheme range from routine medical
check-ups to hospitalisation and corrective surgery costs at any hospital.
To avail the service, an individual must have a valid disability certificate. The state
government will pay ₹250 for Below Poverty Line (BPL) families and ₹500 for
remaining families as premium for Niramaya that is valid in all Indian states except
Jammu & Kashmir.
Eligible individuals can apply for enrolment through the national trust website.
Upon approval, a health card will be issued along with an e-card on the website. A
nominal processing fee needs to be paid to the national trust during the process.
The applicant will require all the necessary documents including disability
certificate, income certificate, BPL card, address proof and others for claim
settlement. All queries can be referred at the National Trust website.
Contact for any assistance on below
• Enrolment Form
• Renewal Application Form
• Claim Form
• https://www.rakshatpa.com/getbBranchAddress.jsp
Thank You