Government is working on a cashless health insurance scheme for senior citizens which may be announced in the upcoming Union Budget 2016-17.

Around Rs 10,000 crore – lying unclaimed in banks and insurance companies, EPFO and small savings schemes — would be utilised for providing the health insurance cover to the elderly, sources said.

Senior citizens are often dependent on their children or extended families for healthcare, they said, adding that the proposed scheme will help in meeting secondary and tertiary health care needs.

The quantum of insurance cover would be more than Rs 50,000 for person over 60 years.

Finance Minister Arun Jaitley will present the central budget for the next financial year on February 29.

The proposed scheme will be administered by the Department of Financial Services under the Finance Ministry.

The government proposes to link this scheme to bank accounts of beneficiaries to directly transfer the subsidised amount to the accounts. As per the proposal, the government would subsidise the premium for those below poverty line by up to 90 per cent through cash transfers to their bank accounts.

It’s not that the government will forfeit these unclaimed funds, sources said, adding that if claimants come forward they will be paid because the fund would be revolving in nature, sources said.

Health insurance scheme for senior citizen would be a logical extension of the ongoing low premium life insurance (Pradhan Mantri Jeevan Jyoti Bima Yojana), general insurance (Pradhan Mantri Suraksha Bima Yojana) and pension plan (Atal Pension Yojana) of the government, sources said.

The Pradhan Mantri Jeevan Jyoti Bima Yojana offers a renewable one-year life cover of Rs 2 lakh to all savings bank account holders in the age group of 18-50 years, covering death due to any reason, for a premium of Rs 330 per annum.

The Pradhan Mantri Suraksha Bima Yojana offers a renewable one-year accidental death-cum-disability cover of Rs 2 lakh for partial/permanent disability to all savings bank account holders in the age group of 18-70 years for a premium of Rs 12 per annum per subscriber.

The Atal Pension Yojana focuses on the unorganised sector and provide subscribers a fixed minimum pension of Rs 1,000, Rs 2,000, Rs 3,000, Rs 4,000 or Rs 5,000 per month, starting at the age of 60 years, depending on the contribution option exercised on entering at an age between 18 and 40 years.

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The government has also issued directions to the effect that member enrolment forms regarding this should be submitted till November 30 to the concerned DDOs so that the employees could avail benefits under the scheme.

Disclosing this here today, an official spokesperson said that as per the Punjab Government employees and Pensioner Health Insurance Scheme (PGIPHIS), all the employees and pensioners would get the annual cashless insurance facility up to Rs 3 lakh from January 1, 2016.

The spokesperson further said this scheme will be mandatory for employees presently in service, pensioners, new employees after the expiry of enrolment period and Pensioners (In special circumstances) whereas it would be optional for all India service officers (presently serving).

Under this scheme, Punjab government has made arrangements for the Indoor medical treatment and care for pre-decided diseases and hazardous diseases.

This scheme would be applied equally to the persons availing old pension scheme and new pension scheme.

According to the spokesperson, PGIPHIS provides the facility of cashless treatment concerning those diseases under State service rule-1940 which include day care (those cases which require a patient to be admitted in the hospital for at least 24 hours) and those on which the OPD medical expenditure accrued is less then Rs 3 lakh per family per year.

Besides this, the medicines for the chronic diseases would also be provided at the designated hospitals and medical stores in each district and block under the cashless scheme.

The spokesperson said under the scheme all the registered beneficiaries can avail the treatment facilities from the hospitals designated by the state government in Punjab, Chandigarh and NCR regions.

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