The document discusses the Rashtriya Swasthya Bima Yojna (RSBY) health insurance scheme in India. It provides statistics on the program including that 17 million cards have been issued covering 62 million people across 26 states. In Chhattisgarh, the scheme has enrolled over 10.7 lakh people in the first round. Key features of the program discussed include empowering beneficiaries, utilizing an IT-based system, and expanding coverage beyond just Below Poverty Line populations. The document outlines the implementation process and also discusses issues like preventing moral hazards.

1. Rashtriya Swasthya Bima Yojna –
Introduction and experiences
State Nodal Agency DH&FW ,GOCG
2nd Floor Directorate of Health Services
Old Nursing Hostel, Raipur-492001
Tel: 0771-4255948 email: rsbycg@gmail.com
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2. Current Status of RSBY Implementation in India
 Cards issued – App. 17 Million
 People enrolled – App. 62
million
 No. of States which have started
the RSBY process – Twenty Six
 No. of States which have signed
MoU with Central Govt.-Twenty
five
 No. of States where enrolment
has started – Twenty three
 No. of States where Service
delivery has started – Twenty
three
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3. RSBY in CG
 All 18 district covered in two phases
 318 network hospitals
 Total 10.7 lakhs enrolled during 1st Round
 21500 beneficiaries have availed treatment under this
scheme worth 10.5 crs.
 Second round started in phase 1 districts
 Premium for Second round Rs 437.89 per family
 Insurance company- OIC Ltd.
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4. Main features
 Business Model for all Stakeholders
 Empowering the beneficiary
 Insurers
 Hospitals
 Government
 IT based
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5. Implementation
BPL Data as per GOI Guidelines
Selection of Insurance Company
Enrollment of Beneficiaries
-Empanelment of Hospitals
-Setting up of Support Services
-Utilization of Services
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6. www.rsby.in
4. Selection through tendering
Government State Nodal 9. Submission of data and bill Insurance
of India Company
Agency
10. Payment to Insurer
BPL Data
FKO
Health Care
Providers
8. Download of FKO
Data at DKM server
District Call
Kiosk Centre
6. Issuance of
BPL
FKO Card
Awareness Beneficiaries
Health
Camps
DKM
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7. Going Beyond BPL
 RSBY is being extended to other categories of
Unorganized sector workers who are non-BPL
 NREGA beneficiaries
 Building and Construction Workers
 Postman
 ASHA Workers/ Mitanin
 Anganwadi Workers
 Non-Government sectors
 In many of these categories people have agreed to pay
part or full premium by themselves
 Some other ministries are also contemplating to extend it
to their targeted beneficiaries
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8. Moral hazards
 At the time of enrollment
 At the time of empanelment
 For utilization of services
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9. What RSBY will you do in District
plan?
 Plan for quality services
 Making your block/district cataract free
 Increasing Institutional deliveries
 Increasing utilization of family planning
services.
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