Su-Swastha Yojana

Cashless Convenience: Cashless admission and discharge across network hospitals eliminate the burden of arranging funds during hospitalization.

Access to Top-Tier Healthcare: Beneficiaries gain access to best-in-class healthcare by leveraging a network of top-tier hospitals and institutes across India.

Quality Assurance: The Su-Swastha Facilitation Center ensures quality of care by overseeing medical services provided to beneficiaries.

Transparent Billing: Standardized tariffs with hospitals based on infrastructure and quality of care promote transparency in billing.

Patient-Centric Approach: Communication with patients and their families is maintained throughout the care journey.

Wide Network Coverage: Beneficiaries can avail of the scheme's benefits at over 400+ empanelled hospitals within the Su-Swastha Yojna network.

Comprehensive Coverage:

Base Cover - 10 lacs base cover.

Critical Care Coverage - 10 lacs additional critical care coverage for the entire family, regardless of the number of dependents.

In-Patient Treatment: Covers hospitalization expenses exceeding 24 hours.

₹3.5K · annual

Road Ambulance Assistance: Covers road ambulance expenses up to ₹3500 per hospitalization, with a maximum of 3 claims per year.

Pre-existing Disease Coverage: Covers all pre-existing diseases from the first day of enrollment.

Post-Hospitalization Care: Covers medical expenses incurred within 30 days of hospital discharge.

Specialized Coverage: Includes coverage for special conditions, treatments, implants, vehicular accidents, and trauma.

₹50.0K

Maternity Benefits: Covers delivery expenses up to ₹50,000, including newborn baby cover.

Dental and Ophthalmic Care: Covers daycare dental and ophthalmic treatments, including implants.

Organ Donor Expenses: Covers expenses incurred for organ transplantation from a donor to a Su-Swastha beneficiary, subject to claim eligibility criteria.