Odisha State Treatment Fund

Odisha State Treatment Fund provides essential financial support to low-income individuals battling life-threatening illnesses. This scheme ensures that eligible patients receive life-saving medical care by directing funds straight to government or empanelled private hospitals, reducing the financial burden on families during critical health crises.

Odisha State Treatment Fund - Introduction

Odisha State Treatment Fund offers vital financial assistance for the treatment of underprivileged patients suffering from life-threatening disorders and diseases. This scheme ensures that funds reach the medical institutions directly where you or your loved ones receive care.

Managed by the autonomous Odisha State Treatment Fund Society and governed by the Health and Family Welfare Department, this initiative helps individuals cover costs for major health ailments. If you are eligible, this scheme covers treatments for specific life-threatening conditions. Please refer to the official guidelines for the detailed list of medical conditions.

Key Information

Benefits

This scheme acts as a supportive top-up to the Rashtriya Swasthya Bima Yojana (RSBY). If your medical expenses exceed the RSBY coverage limit, this scheme covers the additional costs to ensure you receive uninterrupted treatment.

Please note that for expenses exceeding ₹3.00 Lakh, special approval from the Hon'ble Chief Minister of Odisha is required.

Eligibility

You are eligible for support under this scheme if you fall under the below-poverty-line category, or if your annual family income is ₹40,000 or less in rural areas and ₹60,000 or less in urban areas. You may provide a valid BPL card, AAY card, or an income certificate issued by your local Tahasildar.

Examples of eligibility include:

• Ramesh: A rural resident with an income certificate of ₹35,000 yearly.
• Sunita: An RSBY cardholder needing surgery.
• Unknown accident victims: Emergency cases and patients referred from orphanages or mental asylums.

Coverage is primarily for in-patients in government or empanelled private hospitals. Exceptions include cancer patients visiting government day-care centers and kidney transplant recipients needing post-operative care within 6 months of discharge.

Exclusions

Please be aware of the following conditions where support is not provided:

• Central, State, or PSU government employees are not eligible.
• You cannot claim reimbursement for expenses already paid out of your own pocket.
• Application for assistance should be submitted while you are still undergoing treatment.
• Common ailments or diseases already covered by other free government health programs are excluded.
• Patients already covered by ESI or CGHS schemes are not eligible for this fund.
• Financial aid is strictly once per financial year per person. Repeat assistance for the same ailment is generally not permitted, except for specific chronic conditions like cancer or renal failure.

Application Process

Offline Application Process

Treatment at Government Medical Colleges & Hospitals:

You should submit your application in the prescribed format to the Nodal Officer of the respective hospital department. Once your application is scrutinized and approved by the committee, your treatment will be provided at no cost, up to the approved limit. for amounts exceeding ₹1.00 Lakh, further approvals from the Revenue Divisional Commissioner or the Executive Committee are obtained.

Treatment at District/Capital Hospitals:

Submit your application along with necessary documents to the Nodal Officer. The hospital committee may sanction up to ₹30,000, while the CDMO can approve up to ₹50,000 with the collector's support. for higher amounts, cases are referred to the DMET.

Treatment at Private Hospitals:

You must generally be referred by a government medical college or CDMO to access empanelled private hospitals. in emergency cases like a heart attack or road accident, you may get admitted directly, provided the hospital notifies the DMET within 24 hours. The cost is settled directly with the hospital by the government based on applicable CGHS rates.

Documents

Ensure you have the following documents ready for your application:

• Aadhar Card
• Voter ID
• BPL Card
• Antyodaya Anna Yojana (AAY) Ration Card
• Rashtriya Swasthya Bima Yojana (RSBY) Card
• Annual Family Income Certificate issued by the Tahasildar

References

Read the Official Guidelines

FAQ's

Who are the beneficiaries?

Individuals living below the poverty line or those with an annual family income of up to ₹40,000 in rural areas and ₹60,000 in urban areas are eligible. You can prove your status via a BPL card, AAY card, or income certificate.

Are RSBY cardholders eligible?

Yes, if you hold an RSBY card, you are eligible to leverage this scheme as an additional source of support.

Who else can receive support under this scheme?

Unknown accident victims, and patients referred from orphanages, mental asylums, or registered destitute homes are eligible for assistance.

Where can I get treatment?

Assistance is available at all State Government Hospitals, Medical Colleges, and empanelled private hospitals.

What diseases are covered?

The scheme provides assistance for a range of specific life-threatening diseases.

Is there a set amount of assistance?

Yes, financial assistance is determined by project costs and committee approvals, with clear limits defined for different hospital levels.

Does this scheme act as a top-up to RSBY?

Yes, if your medical expenses exceed your RSBY coverage, this scheme provides the remaining balance to assist with your treatment.

What is the maximum limit for assistance?

The standard treatment cost is approved up to ₹3.00 Lakh. Anything above this threshold requires special approval from the Chief Minister of Odisha.