AI SummaryBiju Swasthya Kalyan Yojana is a health coverage program launched by the Government of Odisha on 15 August 2018 to provide universal healthcare to its citizens. The scheme offers cashless treatment in government and empaneled private hospitals, with annual health cover of ₹5,00,000 per family and an extra ₹5,00,000 for women members.
In 2026, the scheme is being transitioned into Gopabandhu Jan Arogya Yojana (GJAY) by the state government. Existing BSKY Smart Health Cards remain valid during this transition phase, and eligible families can continue to get cashless treatment at empaneled hospitals within and outside Odisha.
Biju Swasthya Kalyan Yojana - Introduction
Biju Swasthya Kalyan Yojana serves as a major scheme by the Department of Health and Family Welfare, Government of Odisha, for universal health coverage. It focuses on protecting at-risk families and women by making sure they get accessible and quality health services.
The scheme works through two main parts:
- The State Government bears the full cost of all health services for every patient, regardless of income or status, in all government healthcare facilities ranging from sub-centers to district hospitals and medical college hospitals.
- The State Government covers healthcare costs in empaneled private hospitals for over 96.5 lakh economically at-risk families. This provides an annual health cover of ₹5,00,000 per family, with an additional ₹5,00,000 specially for women members after the initial limit is exhausted.
Families with the BSKY Smart Health Card can access cashless treatment at any empaneled hospital, both within and outside the state. Services include registration, consultation, medical tests, and surgery. The government also collects direct feedback from beneficiaries to maintain high standards of care. For any grievances, contact the helpline at 155369 between 6 AM and 10 PM, or call 104 available 24x7.
Key Information
| Detail | Information |
|---|---|
| Scheme Name | Biju Swasthya Kalyan Yojana |
| Level | State |
| Scheme For | Family |
| Beneficiary State | Odisha |
| Category | Health & Wellness |
| Target Beneficiaries | Family and Individual |
| Benefit Type | In Kind |
| DBT Scheme | Yes |
| Nodal Department | Health and Family Welfare Department |
| Implementing Agency | State Health Assurance Society (SHAS) |
| Launch Date | 15 August 2018 |
Transition to Gopabandhu Jan Arogya Yojana
The Odisha government is moving this scheme into Gopabandhu Jan Arogya Yojana (GJAY). The official BSKY portal now redirects to the GJAY website, and the scheme dashboard is available on the GJAY dashboard. BSKY Smart Health Cards stay valid during the change, so families can keep using their cards for cashless treatment.
For the latest updates and to check the scheme status, visit the official website at Gopabandhu Jan Arogya Yojana official website.
Benefits
Families holding a BSKY Smart Health Card, NFSA card, or SFSS card can access cashless inpatient (IPD) and day-care treatments. The scheme offers coverage of ₹5,00,000 per annum per family, plus an additional ₹5,00,000 for women members of the family.
The updated package list is available on the official portal at GJAY official portal.
1. Reserved Packages
These are exclusively for government facilities. They include treatments for minor ailments, malaria, typhoid, burns, and minor surgeries like hydrocele or cyst excision.
2. Referral Packages
These require an official referral from an authorized medical authority when a specific procedure is not available at a local government center.
3. Open Packages
Beneficiaries may directly visit any empaneled private hospital and proceed with treatment if the doctor deems the package suitable.
Eligibility
All holders of BSKY Smart Health Cards, National Food Security Act (NFSA) cards, or State Food Security Scheme (SFSS) cards are eligible.
Referral Criteria for Private Hospitals:
- Referrals occur if the required procedure is unavailable at the district government facility.
- Referrals are issued if the waiting time at a government facility is excessively long.
- Emergencies requiring immediate advanced care are referred automatically.
Referrals are authorized by the following officials:
- District Headquarter Hospital: Authorized by the CDM & PHO or District Medical Officer.
- Sub-divisional Hospital: Authorized by the Superintendent.
- Government Medical College: Authorized by the Superintendent or Department Heads.
Application Process
There is no complex application or registration process for Biju Swasthya Kalyan Yojana. All families covered under NFSA or SFSS in Odisha are automatically enrolled.
How to obtain your BSKY Smart Health Card:
- The Government distributes cards to eligible families.
- If you have not received yours, you can collect it from your nearest Mo Seva Kendra by presenting your valid NFSA or SFSS card.
For the latest updates and to verify your card status, visit the official website at GJAY official website.
Documents
For cashless IPD and day-care treatment, you should carry your BSKY Smart Health Card, NFSA card, or SFSS card.
For families without these, a valid income certificate proving an annual income below ₹50,000 in rural areas or ₹60,000 in urban areas is required at the hospital.
References
FAQ's
What is Biju Swasthya Kalyan Yojana?
Biju Swasthya Kalyan Yojana is a scheme designed to provide quality healthcare to all citizens of Odisha, with a focus on at-risk sections. It covers the cost of medical services in government hospitals and provides financial protection in private hospitals up to ₹5,00,000 per family, with an extra ₹5,00,000 for female family members.
Who is eligible?
All holders of BSKY Smart Health Cards and NFSA/SFSS cards are eligible. Families are automatically covered for treatment in government hospitals, and cardholders receive extended coverage at empaneled private hospitals.
Are there specific benefits for women?
Yes, women members of the family are entitled to an additional ₹5,00,000 in health coverage if the initial ₹5,00,000 limit of the family is exhausted.
How can I find empaneled hospitals?
You can check the list of hospitals within and outside the state by visiting the official portal at gjay.odisha.gov.in.
Can I get treatment without a card during an emergency?
Yes, you can receive emergency treatment at empaneled private hospitals. Simply present your BSKY Smart Card or proof of eligibility at the helpdesk within 72 hours of admission.
Is the scheme still running in 2026?
Yes, the scheme is being transitioned into Gopabandhu Jan Arogya Yojana (GJAY). Existing BSKY Smart Health Cards remain valid during the transition, and eligible families can continue using them for cashless treatment.
How is the annual coverage calculated?
The cover is ₹5,00,000 per family. For example, if a male family member uses ₹3,00,000 of the cover, the remaining ₹2,00,000 is available for others, while the female members have an additional reserve of ₹5,00,000 available to them if the first pool is depleted.
Is there a feedback system?
Yes, the government uses the Mo Sarkar system to collect direct feedback from patients. You can also share your experience by calling 14545.