Age limit in universal health insurance scheme is –
Correct Answer: 1 – 65 years
Description: Universal Health Insurance Scheme
Sponsored by Govt of India for economically weaker sections of people
This is an ideal health scheme for panchayats, NGOs engaged in rural development, various unorganized sectors, groups of self employed persons, traders, craftsman, artisans etc
The policy provides medical reimbursement, personal accident cover, and disability cover.
Benefits
1. Medical Reimbursements
The policy provides reimbursement of hospitalization expenses up to Rs.30000/- to an individual/family subject to the following sublimit
Stay: Bed including boarding expenses- up to Rs. 150/- per day; in case of ICU Rs.300/- per day
Fees of surgeon, anesthetist, consultant, specialist, nursing etc. up to Rs.4500/- per illness/injury
Anesthesia, blood, oxygen, operation theatre, x-ray, all laboratory test, dialysis, radiotherapy, chemotherapy, medicines, pacemaker, artificial limb - up to Rs.4,500/- per illness/injury
Total expenses incurred for anyone illness up to Rs. 15000/
2. Personal Accident Cover: Rs. 25000/- for earning Head of the family in case of death due to accident.
3. Disability Cover: Rs. 50/- per day of hospitalization for earning Head of the family up to 15 days but excluding first 3 days in hospital.
Age limit: 3 months to 65 years.
Family: Head, spouse, dependent children up to three and dependant parents.
Floater facility: The benefit of family will operate on floater basis. Total amount of Rs.30000/- may be spent on individual or collectively by members of the family.
Premium Subsidy For PL Families: Govt will pay Rs. 100/- for each family towards premium for families living Below Poverty Line
Category:
Social & Preventive Medicine
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