Swasthya Sathi Scheme: Benefits, Eligibility, Card & Apply Online

Swasthya Sathi Scheme: Everything You Need to Know

Healthcare costs in India can be high as well as unexpected. Getting affordable health insurance is essential for everyone, especially in a country like India. This is because the cost of medical services is going up every day. Many people can’t even afford to get the required treatment done due to these high costs, but the Government of West Bengal has launched the Swasthya Sathi scheme to help people manage these expenses and get medical treatment without any delay.

Swasthya Sathi scheme is specially designed to provide a cashless medical treatment facility to West Bengal residents, thereby reducing the substantial healthcare costs incurred by individuals. The scheme addresses the escalating expenses associated with secondary and tertiary care.

Swasthya Sathi offers health insurance coverage of up to Rs. 5 Lakhs per family per year, cashless hospitalisation, and premium-free coverage. In addition, the scheme covers pre-existing diseases from day one and allows families of any size to be included.

In this article, we will discuss Swasthya Sathi in detail, its key features, benefits, eligibility, application process, and ways to check your card status. You can also complete your swasthya sathi registration easily through the official portal.

What is Swasthya Sathi?

The Swasthya Sathi scheme is a state government health insurance programme. It was launched by the Chief Minister of West Bengal on 30th December 2016. The main objective behind this scheme is that it offers cashless medical treatment for residents of West Bengal and provides coverage for secondary and tertiary care hospitalisation expenses, making healthcare more accessible and affordable. Under this scheme, beneficiaries receive a Swasthya Sathi card, which allows them to avail of cashless treatment at empanelled hospitals across the state.

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Key Features of Swasthya Sathi:

• Individuals get a cashless treatment facility up to a specified coverage limit.
• It provides coverage for the entire family.
• There is no cap on family size.
• All types of pre-existing diseases are covered from day one.

Swasthya Sathi Scheme at a Glance

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Key Features of Swasthya Sathi

1. No Family Size Limit: There is no limit on the size of the family covered. The entire family is eligible to get the coverage.  
2. Coverage for Pre-existing Conditions: Under the Swasthya Sathi scheme, all pre-existing conditions are covered from day one of the enrolment.
3. Free Health Insurance Benefits: The eligible beneficiaries do not have to pay the entire premium amount upfront; the government of West Bengal handles it.​
4. Smart Card Transactions: The Swasthya Sathi Scheme operates using the Swasthya card. This card enables cashless transactions and is automatically renewed each year.​
5. Paperless and Hassle-free Platform: It works on a digital system that makes the entire process easy and smooth for beneficiaries.​
6. Adequate Health Coverage: The Swasthya Sathi Scheme offers comprehensive health insurance coverage to the local residents. This helps them to get the treatment without any financial worry.
7. Quick Pre-authorisation: Under the Swasthya Sathi Scheme, all medical treatments are pre-authorised within 24 hours. This ensures the eligible beneficiaries get the treatment on time without any delay.
8. Cashless Hospitalisation: The Swasthya Sathi scheme provides a cashless treatment facility for a wide range of medical services. This includes consultations, diagnostics, medicines, and post-discharge medicines for the same ailments.
9. Mobile App Support: This scheme also provides a mobile application that helps beneficiaries with queries, information sharing, and a one-touch feature for a 24x7 helpline. It gives easy access to support and information.

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What is a Swasthya Sathi Card?

The Swasthya Sathi card is provided by the Government of West Bengal, and it is an essential part of the Swasthya Sathi scheme. With this card, the eligible beneficiaries can receive cashless treatment, meaning they don’t have to pay upfront.

Key aspects of the Swasthya Sathi card are as follows:

• Cashless Treatment: Get cashless medical treatment at empanelled hospitals.
• Smart Card Facility: The card works on a paperless and digital system
• Automatic Renewal: The card is automatically renewed every year.
• Online Application: The Swasthya Sathi card online application can be done on the official website of Swasthya Sathi.

What is the Eligibility for the Swasthya Sathi Card?

The Swasthya Sathi Card eligibility criteria generally include:

• The applicant must be a resident of West Bengal.
• The applicant or families should not be covered under any other government-sponsored health insurance scheme.
• All family members can be included in a policy without any restriction on size.

How to Apply for the Swasthya Sathi Card?

To begin the Swasthya Sathi card application process, follow these steps:

Through Online Application:

You can complete the swasthya sathi card apply online process by visiting the official portal. Many users also prefer the swasthya sathi online apply option for a more convenient and hassle-free experience.

Step 1: You need to visit the official Swasthya Sathi portal.

Step 2: Fill out the Swasthya Sathi application form. Select your district, block and category ( such as OBC, SC, ST, Others).

Step 3: Enter the applicant's name and residential address, along with the PIN code. Make sure all the information you have entered is correct and matches your Aadhaar card.

Step 4: Add the details of other family members, and also add their Aadhaar number, ration card number, employment status, and mobile number.

Step 5: Now, upload all the required documents

Step 6: At the end, submit the form and note the application reference number.

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Through Offline Application:

Step 1: Visit the government hospital, ward office, or Panchayat, whichever is nearest to your house, and collect Form-B.

Step 2: Fill the form with the required details such as family member names, mobile number, etc.

Step 3: Once you have filled the form, submit it at the submission centres along with relevant documents.

Step 4: You will receive an SMS with your URN, district code, and serial number.

Step 5: The Swasthya Sathi card will be delivered at the given address within 5-7 working days from the date of submission.

Through Authorised Agents

If you don’t want to apply for a Swasthya Sathi card online or offline, you also have the option to go through authorised agents. These agents are usually located at ward offices, Grama Panchayats, etc. These agents will help you in filling out the form and submitting it on your behalf.

Documents Required for Swasthya Sathi Card

To apply for the Swasthya Sathi card under the Swasthya Sathi, you need to submit the following documents:

• Aadhaar Card
• Photo ID Card
• Domicile Proof
• Ration Card
• Recent Passport-size Photographs
• Active Mobile Number

How to Download Swasthya Sathi Card

Once you have completed the registration process, you can use the Swasthya Sathi Card download option on the official website to access your card whenever required.

Once you have completed the process, you can use the swasthya sathi card download option on the official website to access your card easily.

Here is a step-by-step guide to download:

1. Visit the official portal of Swasthya Sathi.
2. Enter your registered details such as name, mobile number, gender, etc.
3. Verify your identity
4. Now, you can easily download the Swasthya Sathi card.

How to Check Swasthya Sathi Status Online?

You can use the swasthya sathi status check feature to track your application. Additionally, you can perform a swasthya sathi card status check online using your URN or Aadhaar details.

Steps to Check Swasthya Sathi Status Online

1. Visit the official Swasthya Sathi website.
2. Click on Apply Online.
3. Select to check your registration status.
4. Choose your district from the list.
5. Select a search option, such as Family ID, URN, or Aadhaar Number.
6. Enter the required details.
7. Click on the submit option.
8. Now, your registration status will be displayed on the screen.

Check Status Through the Mobile App

1. Download the Swasthya Sathi mobile app from your mobile phone.
2. Log in using your registered mobile number.
3. Go to the Status Check section.
4. View your application status and related details.

Final Words

Swasthya Sathi scheme provides health care coverage for a larger section of the society in the State with the aim of universal health protection for every resident of West Bengal.​

In today’s time, the cost of healthcare is constantly rising, and having access to schemes like Swasthya Sathi ensures financial security and peace of mind for families. Swasthya Sathi scheme plays a vital role in bridging this gap by ensuring that families receive timely and affordable treatment.