Lok Sabha Question No. 4581 (UNSTARRED), answered on 2016-08-12
Subject: Rashtriya Swasthya Bima Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ABHISHEK SINGH, SUNIL KUMAR SINGH, NEELAM SONKER

## LOK SABHA UNSTARRED  QUESTION NO. 4581 TO BE ANSWERED ON 12 TH AUGUST, 2016

## RASHTRIYA SWASTHYA B IMA YOJANA

## 4581. SHRI ABHISHEK SINGH: SHRI SUNIL KUMAR SINGH: SHRIMATI NEELAM SONKER:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) the details of the hospitals registered under the Rashtriya Swasthya Bima Yojana (RSBY) during the last three years, State/ UT - wis ;

(b)  whether the  Government  has empanelled  various  Insurance  companies under  the  said programme;

(c) if so, the details thereof along with the amount of insurance cover provided by them during the said period, State/UT - wise;

(d) whether the Government is aware that RSBY centres in many districts are non-functional, if so, details thereof, State/ UT - wise, including Jharkhand along with the reasons therefor; and

(e)  whether  the  Government  has  taken note  of  irregularities  in  the  above  scheme being implemented in the in terest of weavers in the country, if so, the details thereof and the action taken thereon along with the steps taken by the Government to increase its coverageparticularly in tribal areas?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

(a): The list containing State/UT wise details of hospitals empanelled under RSBY duri the last three years is at Annexure.

(b) & (c): The Government of India prescribes qualifying criteria for deciding the el igibility of  insurance  companies  for  bidding  in  the  tenders  floated  by  the  State  Governments implementing RSBY.

Under RSBY, health insurance coverage of Rs.30,000/ - is provided to BPL families (a unit of five) and 11 other defined categories namely  B uilding & Other Construction Workers, licensed  Railway  porters,  Street  Vendors,  MGNREGA  workers  (who  have  worked  for  more than fifteen days during preceding financial year), Beedi workers, Domestic workers, Sani Workers, Mine Workers, Rickshaw puller s, Rag pickers and Auto/Taxi drivers, who are enrolled under RSBY. In addition to this, Senior Citizens Health Insurance Scheme (SCHIS) as top up over existing RSBY scheme has been implemented from 01.04.2016 for senior citizens aged 6 years and above. SCHIS provides enhanced coverage of Rs. 30,000 per senior citizen in family eligible f or coverage under RSBY.

(d):  There  are  no  RSBY  centres  in  any  of  the  States/UTs  implementing  RSBY.  RSBY  is implemented by State Nodal agencies (SNA) through Insurance Companies and not through RSBY centres.

(e):No irregularity has been noticed in respect of handloom weavers.

## RSBY Scheme:Statewise Empanelled Hospitals for financial year 2013-14

| S.No.   | State             | Total No. of Private Hospitals   | Total No. of Public Hospitals   |
|---------|-------------------|----------------------------------|---------------------------------|
| 1       | Andhra Pradesh    | 3                                | 4                               |
| 2       | Arunachal Pradesh | -                                | 11                              |
| 3       | Assam             | 28                               | 134                             |
| 4       | Bihar             | 865                              | 100                             |
| 5       | Chandigarh        | 4                                | 4                               |
| 6       | Chhattisgarh      | 349                              | 279                             |
| 7       | Delhi             | 35                               | -                               |
| 8       | Gujarat           | 937                              | 487                             |
| 9       | Haryana           | 429                              | 33                              |
| 10      | Himachal Pradesh  | 23                               | 171                             |
| 11      | Jammu and Kashmir | 5                                | 15                              |
| 12      | Jharkhand         | 217                              | 220                             |
| 13      | Karnataka         | 546                              | 328                             |
| 14      | Kerala            | 146                              | 161                             |
| 15      | Madhya Pradesh    | 76                               | 44                              |
| 16      | Manipur           | 6                                | -                               |
| 17      | Meghalaya         | 10                               | 188                             |
| 18      | Mizoram           | 15                               | 78                              |
| 19      | Nagaland          | 6                                | 1                               |
| 20      | Orissa            | 137                              | 408                             |
| 21      | Pondicherry       | 4                                | -                               |
| 22      | Punjab            | 175                              | 161                             |
| 23      | Rajasthan         | 229                              | 453                             |
| 24      | Tripura           | 1                                | 53                              |
| 25      | Uttar Pradesh     | 1254                             | 729                             |
| 26      | Uttarakhand       | 49                               | 94                              |
| 27      | West Bengal       | 544                              | 62                              |
|         | Grand Total       | 6093                             | 4218                            |

## RSBY Scheme:Statewise Empanelled Hospitals for financial year 2014-15

| S.No.   | State             | Total No. of Private Hospitals   | Total No. of Public Hospitals   |
|---------|-------------------|----------------------------------|---------------------------------|
| 1       | Andhra Pradesh    | 3                                | 4                               |
| 2       | Arunachal Pradesh | -                                | 11                              |
| 3       | Assam             | 28                               | 134                             |
| 4       | Bihar             | 865                              | 100                             |
| 5       | Chandigarh        | 4                                | 4                               |
| 6       | Chhattisgarh      | 349                              | 279                             |
| 7       | Delhi             | 35                               | -                               |
| 8       | Gujarat           | 937                              | 487                             |
| 9       | Haryana           | 429                              | 33                              |
| 10      | Himachal Pradesh  | 23                               | 171                             |
| 11      | Jammu and Kashmir | 5                                | 15                              |
| 12      | Jharkhand         | 217                              | 220                             |
| 13      | Karnataka         | 546                              | 328                             |
| 14      | Kerala            | 146                              | 161                             |
| 15      | Madhya Pradesh    | 76                               | 44                              |
| 16      | Manipur           | 6                                | -                               |
| 17      | Meghalaya         | 10                               | 188                             |
| 18      | Mizoram           | 15                               | 78                              |
| 19      | Nagaland          | 6                                | 1                               |
| 20      | Orissa            | 137                              | 408                             |
| 21      | Pondicherry       | 4                                | -                               |
| 22      | Punjab            | 175                              | 161                             |
| 23      | Rajasthan         | 229                              | 453                             |
| 24      | Tripura           | 1                                | 53                              |
| 25      | Uttar Pradesh     | 1254                             | 729                             |
| 26      | Uttarakhand       | 49                               | 94                              |
| 27      | West Bengal       | 544                              | 62                              |
|         | Grand Total       | 6093                             | 4218                            |

## RSBY Scheme:Statewise Empanelled Hospitals for financial year 2015-16

| S.No.   | State            |   Total No. of Private Hospitals | Total No. of Public Hospitals   |
|---------|------------------|----------------------------------|---------------------------------|
| 1       | Assam            |                               40 | 132                             |
| 2       | Bihar            |                              930 | 135                             |
| 3       | Chhattisgarh     |                              578 | 365                             |
| 4       | Gujarat          |                             1083 | 483                             |
| 5       | Haryana          |                              420 | 33                              |
| 6       | Himachal Pradesh |                               21 | 153                             |
| 7       | Jharkhand        |                              287 | 173                             |
| 8       | Karnataka        |                              512 | 268                             |
| 9       | Kerala           |                              178 | 209                             |
| 10      | Manipur          |                                7 | -                               |
| 11      | Meghalaya        |                               15 | 167                             |
| 12      | Mizoram          |                               19 | 79                              |
| 13      | Orissa           |                              173 | 408                             |
| 14      | Punjab           |                              142 | 162                             |
| 15      | Rajasthan        |                              306 | 420                             |
| 16      | Tripura          |                                2 | 77                              |
| 17      | Uttar Pradesh    |                              784 | 611                             |
| 18      | Uttarakhand      |                               67 | 94                              |
| 19      | West Bengal      |                              733 | 459                             |
|         | Total            |                             6297 | 4428                            |