Support for Marginalized Individuals for Livelihood and Enterprise (SMILE): Composite Medical Health for Transgender Persons
State: Central
Ministry: Ministry Of Social Justice and Empowerment
Department: Department of Social Justice & Empowerment
Category: Social welfare & Empowerment, Health & Wellness
Beneficiary Type: null

The scheme aims to provide health Insurance coverage to all Transgender persons living in India to improve their health condition through proper treatment including sex re-assignment surgeries as well as medical support. The scheme provides health insurance in the form of Ayushman Bharat Plus.

Benefits:
- Health insurance cover of ₹5,00,000/- (Five Lakh Rupees) per year.
- Coverage is provided in the form of Ayushman Bharat Plus health insurance.
- Coverage is inclusive of gender reaffirmation surgery within the health benefit package under Ayushman Bharat Yojana.
- The comprehensive package covers all aspects of transition related healthcare for Transgender persons.
- Coverage specifically includes hormone therapy and Sex Re-assignment surgery inclusive of post operation formalities.
- Treatment for the beneficiary shall be cashless. The Government of India provides for 100% of the approved expenditure.

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Eligibility:
- The applicant should be Transgender.
- The applicant should not be availing similar benefits from any other schemes of the Central Government or State Government.

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Application Process:
[Online]
Step 1: Ensure Possession of Mandatory Identification
The applicant must possess the Transgender Certificate issued by the "National Portal for Transgender Persons", as this document is mandatory to avail the health insurance package.
Beneficiaries who have already received their certificates from the National Portal are automatically eligible to receive the insurance.
Step 2: Access the Benefits at an Empanelled Facility or Service Centre
The Transgender beneficiary or applicant possessing the Transgender Certificate should visit an empanelled hospital or a Common Service Centre (CSE). 
These empanelled hospitals are identified from the list of institutions already approved under the Ayushman Bharat Scheme.
Step 3: Verification of Certificate Details on the System
The applicant is required to present their registration Identification/Transgender person’s certificate serial number from the National Portal to the staff at the facility or centre.
The beneficiary's details will then be entered and verified on a real-time basis, adhering to the current Beneficiary Identification System procedure utilized for Pradhan Mantri Jan Arogya Yojana beneficiaries.
Step 4: Obtain the Ayushman Transgender Health Card
If an individual does not possess the mandatory Transgender Certificate, they shall be redirected to the National Portal website to obtain the required document.
After successful verification of the Transgender Certificate, the eligible applicant will subsequently be issued the specific Ayushman Transgender Health card.
Contact Us
For General Queries: 011-20893988, mahimanisd@gmail.com
For Technical Queries: +91 79 23268279, tghelp@mail.inflibnet.ac.in
Working Hours: 10:00 AM to 17:00 PM, Monday to Friday

Documents Required:
Transgender Certificate And Identity Card Issued By The National Portal For Transgender Persons (Mandatory Document To Avail Health Insurance Package).
Registration Identification/Transgender Person’s Certificate Serial Number (Required From The National Portal For Transgender Persons To Access Benefits).