The Himachal Health Care Scheme, also known as the Himcare Scheme, is a medical insurance initiative by the Himachal Pradesh government. It aims to provide quality healthcare and timely cashless treatment for the underprivileged who face barriers to essential medical services.
Eligibility Criteria:
Families are identified under Ayushman Bharat, based on SECC, 2011, and RSBY, ensuring targeted assistance to those in need.
Cashless Treatment on Co-payment Basis:
Needy and economically disadvantaged individuals in Himachal Pradesh receive cashless treatment insurance with a co-payment arrangement.
Implementation Date:
Officially launched on January 1, 2019, by the Government of Himachal Pradesh.
Coverage Amount:
Cashless treatment coverage of ₹5 Lakhs per year per family provided on a family floater basis, with a maximum of five members per family unit.
Family Size Extension:
Families exceeding five members can enrol the remaining members as a separate unit, with each additional unit capped at five members.
Treatment at Empanelled Hospitals:
Treatment under the Himcare yojna is based on pre-defined package rates in empanelled hospitals, ensuring standardised and affordable healthcare services.
The following category of people are eligible for the Himcare health scheme:
BPL Category people
Registered Street Vendors
Ekal Naaris
More than 40% of disabled
Senior Citizens above the age of 70 years
Anganwari Workers/Helpers
ASHA workers
Mid-Day meal workers
Contractual Employees
Daily Wage Worker
Part-time Workers
Beneficiaries under HP Universal Health Protection Scheme
Beneficiaries not included in the above categories/non–government servants and their dependents
To apply for the Himcare scheme online, follow these steps:
Visit the official website of the Himcare scheme
Click on 'Online Himcare Enrolment’
Upload proof of the mentioned category and both sides of your ration card
Enter dependent details
Complete the captcha and submit the application
Receive a Unique Reference Number (URN) for tracking the scheme status
Upon receiving the URN, make an online payment to finalise the Himcare online registration
After registering on the Himcare website, follow these steps to check the enrolment status:
Visit the Himcare scheme website
Click on 'Himcare Enrollment' and select 'Himcare Enrollment Status’
Enter your Unique Reference Number (URN) or ration card number
Track the status of your enrolment
Once the enrolment process is confirmed and verified by the back-end team, the applicant or beneficiary will receive an SMS notification. Subsequently, they can download/generate the Himcare card under the scheme.To obtain the Himcare health card online, follow these steps:
Visit the website and click on 'Himcare Enrolment’
Choose the option 'Get my Himcare Health Card’
Enter either the Unique Reference Number, ration card number, or Aadhaar card number
Alternatively, individuals can also generate and obtain the Himcare health card directly at the hospital level. This provides flexibility in accessing the health card through multiple channels.
During enrolment, the Common Services Center (CSC)/ Lok Mitra Kendra (LMK) in Himachal Pradesh will collect ₹50 per family from beneficiaries for the enrolment process and document uploading. Upon approval, beneficiaries can print their cards from the respective CSC/LMK, utilising the initial user fee paid.
The Himcare card renewal process occurs within a three-month window each year, specifically from January to March, to mitigate adverse selection issues. Here's a step-by-step guide for renewal:
1. Notification:
15 days before the policy expiration, beneficiaries receive an SMS notification on their registered mobile number, including the policy renewal link for convenient renewal.
2. Renewal Steps:
Visit the official website of the Himcare scheme
Navigate to the homepage and click on 'Himcare Enrolment’
Select 'Renewal of Card’
Enter your Unique Reference Number (URN) or Himcare number to complete the renewal process
To access the comprehensive list of empanelled hospitals, follow these steps:
Visit the official website of the Himcare scheme
Click on 'Search Hospital’
Enter the District and Speciality details
View the list of hospitals empanelled under the Himcare scheme
Explore all the hospitals under the Himcare health yojana in your vicinity
In summary, these steps provide a quick guide to navigating the Himcare scheme's official website and accessing the list of empanelled hospitals. If you are aware of someone eligible for this initiative, encourage them to enrol to avail the benefits of health insurance for themselves and their family members.
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FAQs on Himachal Health Care Scheme
When was the Himcare scheme launched?
The Himcare scheme was launched by the Government of Himachal Pradesh on January 1st, 2019.
What if there is no network hospital in my vicinity?
If there is no network hospital nearby, you can receive treatment at a local hospital, pay the bills at discharge, and later claim reimbursement from the insurer.
Does the Himcare scheme provide cashless treatment?
Yes, the Himcare scheme offers cashless treatment through the Himcare health card at a network of hospitals in Himachal Pradesh.
What are the required documents for the Himcare Health card?
To avail of the Himcare scheme, you need an Aadhaar card, Ration Card, and Proof of Category.
Where can I view the Himcare scheme list of hospitals?
You can access the official website of the Himcare scheme and search for the list of hospitals by entering your district and speciality.
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