Financial Assistance For Cancer Patients in India - Government Programs

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Financial Assistance For Cancer

Patients in India: Government


Programs
DIGNITE CANCER CARE
INFO.DIGNITE@GMAIL.COM
WEBSITE: HTTPS://DIGNITE.IN/
Content
Click on the below links to understand more about the program..

 Ayushman Bharat - PM Jan Arogya Yojana (AB-  State Government Support: Karnataka
PMJAY)
 State Government Support: West Bengal
 Health Minister’s Discretionary Grant (HMDG)
 State Government Support: Bihar
 Mukhyamantri Amrutum (MA) Yojana &
Mukhyamantri Amrutam Vatsalya Yojana  State Government Support: Madhya Pradesh

 Central Government Health Scheme (CGHS)  State Government Support: Odisha

 Health Minister's Cancer Patient Fund (HMCPF) of  State Government Support: Punjab
Rashtriya Arogya Nidhi (RAN)  State Government Support: Rajasthan
 Mahatma Phule Jan Arogya Yojana (MPJAY) formerly  State Government Support: Kerala
'Rajiv Gandhi Jeevandayee Arogya Yojana' (RGJAY)
 State Government Support: Maharashtra
 Employee State Insurance Corporation (ESIC)
 State Government Support: Gujarat
 Prime Minister’s National Relief Fund (PMNRF)
 State Government Support: Assam
 State Government Support: Andhra Pradesh
 State Government Support: Manipur
 State Government Support: Telangana
 State Government Support: Tamil Nadu  Cancer Patients Concession for Travel by Air India

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Ayushman Bharat - PM Jan Arogya Yojana
(AB-PMJAY)
 Pradhan Mantri Jan Arogya Yojana (PM-JAY) provides financial protection (Swasthya Suraksha) to 10.74 crore poor, deprived rural families and
identified occupational categories of urban workers’ families (as per the latest Socio-Economic Caste Census (SECC) data) providing health
benefits to approx. 50 crore beneficiaries

 List of Hospitals can be found here & for additional information click here

Eligibility Benefits Application Process

• Families who are identified by the • Funding amount of Rs. 500,000 per • There is no application process
government on the basis of family, per year (on a family floater
deprivation and occupational basis)
criteria using the SECC database, • Coverage of medical and
both in rural and urban areas, are hospitalization expenses for almost all
entitled for AB-NHPM secondary care and most tertiary care
procedures
• Additionally, families with an active
• PM-JAY has defined 1,350 medical
RSBY cards as of 28 February 2018 packages (incl. surgery, medical, day
will covered care treatments ,medicines, diagnostics
• Check eligibility on and transport
https://www.abnhpm.gov.in/ and • If multiple surgeries are necessary, the
click on the Am I Eligible section highest package cost is paid first,
followed by a 50% waiver for 2nd
second and 25% discount for 3rd

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Health Minister’s Discretionary Grant
(HMDG)
 Health Minister’s Discretionary Grant (HMDG) has been set up for providing financial assistance to poor indigent patients, for life threatening
diseases covered under Rashtriya Arogya Nidhi in cases where free medical facilities are not available

 For additional information click here

Eligibility Benefits Application Process

• Individuals with annual family • Financial assistance up to a maximum • Proforma application filled by the
income up to INR 125,000 of INR 125,000 to defray a part of the treating Doctor/ HOD,countersigned
• Central and State Govt. employees expenditure on hospitalization/ by the Medical Superintendent of the
treatment treating Hospital to be submitted to
are not eligible for grant the Ministry of Health & Family
• Financial limits for grants are as
• Grant is only permissible if - follows: Welfare
– Treatment is in a Govt. hospital – Rs.75,000 if the estimated cost of • An original Certificate from the BDO/
– Treatment is expensive and not treatment is upto Rs.125,000 Tehsildar/Collector /SDM (quoting full
available for free (e.g. T.B.) – Rs.100,000 if the estimated cost of name, designation, telephone no. and
– Expenditure has not yet been treatment is above Rs.125,000 and official address of the certificate
incurred upto Rs.175,000 issuing authority) regarding
– Expenditure is not recurring and occupation and income of the
– Rs.125,000 if the estimated cost of
does not involve prolonged applicant and his/her family from all
treatment is above Rs.175,000
treatment sources

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Mukhyamantri Amrutum (MA) Yojana &
Mukhyamantri Amrutam Vatsalya Yojana
 Mukhyamantri Amrutum Yojana is a health care plan developed by the Government of Gujarat to help poor families in their major adversities.
In August 2014, this program was extended to the Lower Middle-Class families in the form of Mukhyamantri Amrutam Vatsalya Yojana

 For additional information click here and obtain answers to frequently asked questions here

Eligibility Benefits Application Process

• Beneficiaries from Below Poverty • Tertiary medical coverage up to • The following documents should be
Line (BPL) identified by the State Rs.300,000/- for a family of five on a provided at the enrollment station
Govt. rural development dept. floater basis – Proof of residence (ration card)
• In addition, the following • Transplant procedures involving – Identification proof
kidney, liver, kidney + pancreas are
beneficiaries are covered under MA – BPL certificate
covered up to Rs. 500,000
Vatsalya Yojana – Income certificate
• Knee and Hip replacement procedures
– All families with annual income up to are covered with cap of Rs. 40,000 per
Rs. 300,000 one replacement. Additional cost will
– All urban and rural ASHAs be borne by the beneficiary
– Accredited reporters • Rs.300 is paid to the beneficiary as
– Fix pay employees of Class-3&4 transportation charges for every
appointed by state govt. instance of availing treatment from
– U-win card holders the empaneled hospital
– Senior citisens of families with
annual income upto Rs. 600,000

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Central Government Health Scheme (CGHS)

 Central Government Health Scheme provides comprehensive medical care to Central Government employees and pensioners enrolled under
the scheme

 For additional information click here or refer to frequently asked questions here

Eligibility Benefits Application Process

• Central Government employees & • OPD treatment incl. medicines • Serving employees: Submit the forms
pensioners and their dependent family • Specialist consultation at Polyclinic/Govt. in prescribed format enclosing photos
members Hospitals. of eligible family members and submit
• Beneficiaries across all four pillars of • Indoor Treatment & investigations at to the Ministry/ Department/ Office,
democratic set up in India are covered, Govt. and Empaneled Hospitals/ diagnostic where he/ she is employed
namely Legislature, Judiciary, Executive centers • Pensioners: CGHS card can be made
and Press • Cashless facility in empaneled hospitals & from the office of Additional Director
• Find out more about the eligibility for diagnostic centers of the City. Forms can be downloaded
joining CGHS here • Reimbursement of expenses for treatment from CGHS Website. They are also
in Govt. /Pvt. Hospitals under emergency available in the office of Additional
• Reimbursement of expenses incurred for Director of city
purchase of hearing aids, artificial • List of documents are mentioned in
limbs,etc. as specified Q15 of this document
• Family Welfare, Maternity and Child Health
Services.
• Medical consultation and dispensing of
medicines in AYUSH

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Health Minister's Cancer Patient Fund
(HMCPF) of Rashtriya Arogya Nidhi (RAN)
 Health Minister’s Cancer Patient Fund (HMCPF) has been set up for providing financial assistance to the poor patients suffering from cancer. A
Corpus Fund of Rs. 100 crore has been set up, which has been placed in fixed deposit. Interest accrued thereon is utilized to provide the
financial assistance

 For additional information click here

Eligibility Benefits Application Process

• Patients suffering from cancer and • Revolving Funds have been set up in • To avail financial assistance under
living below poverty line 27 RCCs and funds upto 50 lakhs are HMCPF, the patient is required to
placed at their disposal for submit :
providing treatment upto Rs. 2 lakh – Application form in prescribed
in each case. proforma duly signed by the
treating doctor and countersigned
• Cases involving treatment beyond 2 by the Medical Superintendent of
lakh are referred to Ministry of the Government
Health & Family Welfare, hospital/institute/Regional Cancer
Government of India for providing Centre.
funds – Copy of the income certificate.
– Copy of the ration card

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Mahatma Phule Jan Arogya Yojana (MPJAY)
formerly 'Rajiv Gandhi Jeevandayee Arogya Yojana' (RGJAY)

 This is a universal healthcare scheme run by the Government of Maharashtra for the poor people of the state of Maharashtra who hold one of
the four cards issued by the Government (Antyodaya card, Annapurna card, yellow ration card or orange ration card)

 For additional information click here

Eligibility Benefits Application Process

• Families belonging to any of the 36 • Coverage for meeting all expenses • No enrollment process
districts of Maharashtra and holding relating to hospitalization of beneficiary • Valid ration card Orange/Yellow/White
Yellow Ration Card, Antyodaya Anna up to Rs. 1,50,000 per family per year Ration Card with a photo id proof (e.g.
Yojana Card (AAY), Annapurna Card in any of the empaneled hospitals PAN Card, Aadhar Card, Driving
and Orange Ration Card subject to package rates on cashless license, voter id, etc.) is required
• Farmers from 14 agriculturally basis through valid ration card
distressed districts of Maharashtra • Benefit shall be available to each
(Amravati, Akola, Aurangabad, member of the family on floater basis I
Buldhana, Beed, Hingoli, Jalna, Nanded, • In case of renal transplant surgery,
Latur, Osmanabad, Parbhani, Wardha, upper ceiling is Rs 2,50,000 per
Washim and Yavatmal). operation as an exceptional package
• Family means members as listed on the exclusively for this procedure
valid card and White ration card holder
with 7/12 from 14 agriculturally
distressed districts

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Employee State Insurance Corporation (ESIC)

 Full medical care is provided to an Insured person and his/her family members from the day he/she enters insurable employment. There is no ceiling on
expenditure on the treatment of an Insured Person or their family member. Medical care is also provided to retired and permanently disabled insured
persons and their spouses on payment of a token annual premium

 For additional information click here

Eligibility Benefits Application Process

• Employees of establishments • Under ESIC, the following six social • No application process
employing 10* or more persons security benefits are provided: • Employee must be registered with
(*20 Employees in Maharashtra and – Medical benefit ESI by the employer
Chandigarh) – Sickness benefit
• The existing wage limit for coverage – Disablement benefit
under the Act effective from – Dependants benefit
01/01/2017 is Rs.21,000/- per – Other benefits – Funeral/
month [Rs. 25,000/- per month in confinement expenses
the case of persons with disability • For the complete list and details of
benefits click here

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Prime Minister’s National Relief Fund
(PMNRF)
 The resources of the PMNRF are utilized primarily to render immediate relief to families of those killed in natural calamities like floods, cyclones and earthquakes,
etc. and to the victims of the major accidents and riots. Assistance from PMNRF is also rendered, to partially defray the expenses for medical treatment like heart
surgeries, kidney transplantation, cancer treatment and acid attack etc.

 For additional information click here

Eligibility Benefits Application Process

• The disbursement out of the fund is • Funding amount is based on the • Applicants can apply for grant of
made at the discretion of the Prime discretion of the Prime Minister financial assistance through an
Minister, and in accordance with the application form
Prime Minister's directions (https://pmnrf.gov.in/en/download
s) addressed to the Prime Minister
• Following documents are required:
– 2 passport size photographs of
patient
– copy of residence proof
– original medical certificate
incorporating the type of disease
and estimated cost of expenditure
– copy of income certificate

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State Government Support: Andhra Pradesh

 Dr.YSR Aarogyasri Scheme is a unique health scheme being implemented by State Government of Andhra Pradesh through Dr.YSR Aarogyasri Health Care Trust. The
scheme provides financial assistance to BPL families to meet the catastrophic health needs

 For additional information click here

Eligibility Benefits Application Process

• All the BPL families identified by BPL • Coverage for the services to the • There is no separate enrollment, all
ration card issued by Civil Supplies beneficiaries up to Rs.2.50 lakh per the BPL families holding valid white
Department are eligible. family per annum on floater basis ration card are automatically
• All the people whose photo and • Free screening and outpatient covered from the day of
name appear on Health Card / BPL consultation both in health camps/ implementation of the scheme
network hospitals
(White, Annapurna and Anthyodaya
Anna Yojana) ration card and • Coverage for the 1044 “Listed Therapies”
for identified diseases in the 29
suffering from identified diseases categories listed here
are eligible for availing treatment
• End-to-end cashless service till 10 days
under the scheme post discharge, including complications if
any up to 30 days post-discharge
• All the pre-existing cases under listed
therapies are covered under the scheme.
• Food and Transportation.

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State Government Support: Telangana

 Government of Telangana provides free health facilities to families below poverty line through Aarogyasri, a unique health scheme being implemented through
Aarogyasri Health Care Trust. This Health Scheme enables the poor families to avail quality medical treatment for serious ailments in a cashless manner, using
medical infrastructure in both the private and public hospitals

 For additional information click here

Eligibility Benefits Application Process

• All the BPL families identified by BPL • Coverage up to 2.0 lakhs for each • There is no separate enrollment, all
ration card issued by Civil Supplies family per year. the BPL families holding valid white
Department are eligible. – Rs.1.50 lakhs financial coverage on ration card are automatically
• All the people whose photo and family floater basis covered from the day of
name appear on Health Card / BPL – Plus an additional sum of Rs.50,000 implementation of the scheme
(White, Annapurna and Anthyodaya buffer on recommendation of
Anna Yojana) ration card and technical committee constituted by
suffering from identified diseases the Trust for deserving cases on an
are eligible for availing treatment individual / family basis.
under the scheme

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State Government Support: Tamil Nadu

 Chief Ministers Comprehensive Health Insurance Scheme launched by the Government of Tamil Nadu through United India Insurance Company Ltd provides quality health
care to the eligible persons through empanelled Government and Private hospitals and to reduce the financial hardship to the enrolled families and move towards
universal health coverage by effectively linking with public health system

 For additional information click here

Eligibility Benefits Application Process

• Every member of a family Village • Coverage up to Rs.5,00,000 per • Following steps to be followed for
Administrative Officer year per family, for the ailments enrollment:
and procedures covered under the – Obtain income certificate for the
scheme family from the VAO
• For list of treatments covered click – Carry the original ration card with
here Xerox copy along with income
certificate to the district kiosk
– The DK operator, after verification
of documents, will enroll the
member by capturing the
demographic and bio metric details.
– After capturing the member’s
photograph, ecard will be issued to
the beneficiary.

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State Government Support: Karnataka

 Chief Minister’s Relief Fund be used for the relief of distress of persons at the discretion of the Chief Minister, for sickness among other circumstances

 For additional information click here

Eligibility Benefits Application Process

• The Chief Minister’s decision as to • Funding amount is based on the • Manual Application on plain paper
the eligibility of any person for discretion of the Chief Minister addressed to Chief Minister
assistance from the fund will be – Applications should be supported
final by reports of Medical and Revenue
Officers respectively. The Chief
Minister’s satisfaction as regards
the adequacy of proof in any case
will be final.
– Beneficiary has to produce proof of
utilization of the aid from the
intended purpose. Cases in which
such proof is necessary shall be
decided by the Chief Minister

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State Government Support: West Bengal

 Chief Minister’s Relief Fund be used for medical assistance

 For additional information click here

Eligibility Benefits Application Process

• Permanent residents of West Bengal • Funding amount is based on the • Manual Application on plain paper
• Distressed patients who are discretion of the Chief Minister addressed to Chief Minister
undergone treatment in the • Patients can avail the assistance • For complete list of documents
Govt./Non Govt. only once for the same case in one click here
Hospitals/Institutions and also are financial year
unable to bear the cost of
treatment
• Patients who are not eligible to get
benefit of ESIC/any other insurance
scheme or get reimbursement from
employer/organization

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State Government Support: Bihar

 Chief Minister’s Relief Fund be used for medical assistance

 For additional information click here

Eligibility Benefits Application Process

• Permanent residents of Bihar • For treatment costing up to Rs. One • Manual application to Chielf
• Annual income should be below Rs. lakh in India, the quantum of Minister’s Office
100,000 assistance would be limited to a • Application Form should
maximum of Rs. 30,000/- and for accompany the following
those over Rs. One Lakh it would documents:
be limited to a maximum of – Recommendation of eminent
Rs.50,000/- persons which include M.L.A.
• (For handicapped person requiring /M.L.C. of the State of Bihar to the
artificial limbs etc. maximum Chief Minister of Govt of Bihar
ceiling for limbs, cycling and other
aids would be Rs. 50,000/- subject
again to a fixed proportion of the
cost of the item

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State Government Support: Madhya Pradesh

 Chief Minister’s Relief Fund be used for medical assistance

 For additional information click here

Eligibility Benefits Application Process

• Domicile of Madhya Pradesh • Only once, to one member of a • Manual application to Collector of
• Should belong to below povery line family living below poverty line the District in the name of Director
• The disease should be from the 20 • From Rs.25,000 to maximum Public Health & FW
listed diseases Rs.2,00,000. The State Illness Fund • Application Form should
assistance amount cheque is accompany the following
provided directly to the documents:
Hospital/Institution where the – Certificate of below poverty line
approved case (patient) is referred – Estimate of the health institution
(economy class)
• For additional information click
here

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State Government Support: Odisha

 Chief Minister’s Relief Fund be used for medical assistance

 For additional information click here

Eligibility Benefits Application Process

• The person should be a resident of • Assistance sanctioned will be • Online application. For more
Odisha limited to 1/3 rd of the estimated information and documents click
• Annual income not exceeding cost here
Rs.40,000/- in rural areas and • In case of (1) renal transplant, (2)
Rs.60,000/- for urban areas will be cardiac surgery and (3) cancer, the
considered maximum ceiling of assistance shall
• Either BPL card or Annual income be Rs. 50,000/- for treatment
certificate may be accepted as the within the state. Rs. 25,000 -
eligibility criteria subject to 2,00,000
verification of BPL card.

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State Government Support: Punjab

 Mukh Mantri Punjab Cancer Raahat Kosh is to be used for cancer treatment

 For additional information click here

Eligibility Benefits Application Process

• Families belonging to Below Poverty • MukhMantri Punjab Cancer • For application form and list of
Line inder State Illness Fund through RaahatKosh Society treatment of documents click here
Punjab Nirogi Society. all cancer patients an amount of
• Every cancer patient except govt. upto 1.50 lakhs is made available
employees and those having health for treatment of every cancer
insurance cover patient except Govt. employees
and those having health insurance
cover.
• School children suffering from
cancer are provided free treatment
by Health Department

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State Government Support: Rajasthan

 Chief Minister’s Relief Fund be used for medical assistance

 For additional information click here

Eligibility Benefits Application Process

• Permanent residents of Rajasthan • For Treatment in Government • For online application click here
• Annual income should be below Rs. Hospitals 40% of Expenditure or a
100,000 maximum of 100000
• For treatment in Private Hospitals
30% of Expenditure or a maximum
of 60000

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State Government Support: Kerala

 Chief Minister’s Distress Relief Fund to be used for medical assistance

 For additional information click here

Eligibility Benefits Application Process

• Permanent residents of Kerala • Funding amount is based on the • Manual application in the
• Annual income should be below Rs. discretion of the Chief Minister. It prescribed format. For details click
100,000 varies depending on the disease, here
condition of the patient. Minimum • Application Form should
of Rs. 10000 to above 1lac as case accompany the following
by case basis documents:
– Medical certificate taken within a
period of six months

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State Government Support: Maharashtra

 Chief Minister’s Relief Fund to be used for medical assistance

 For additional information click here

Eligibility Benefits Application Process

• Permanent residents of • Funding amount is based on the • For online application click here
Maharashtra discretion of the Chief Minister
• Annual income should be below Rs.
100,000

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State Government Support: Gujarat

 Chief Minister’s Relief Fund be used for medical assistance

 For additional information click here

Eligibility Benefits Application Process

• Permanent residents of Gujarat • Funding amount is based on the • To download the application form
• Annual income should be below Rs. discretion of the Chief Minister click here
100,000

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State Government Support: Assam

 The “Assam Arogya Nidhi” scheme provides financial assistance to BPL families and families having a monthly income of less than Rs. 10,000 (Rupees Ten Thousand) for
treatment of certain diseases

 For additional information click here

Eligibility Benefits Application Process

• Permanent residents of Assam • Financial assistance of up to Rs. 1.5 • Manual application to AAN Cell at
• Patients belonging to family living lakh in individual cases NRHM Directorate or Medical
Below Poverty Line or monthly • In case the quantum is likely to College & Hospitals
income below Rs. 10,000. However, exceed Rs. 1.5 lakh, the case will be • To get a copy of the application
preference will be given to BPL forwarded to Rashtriya Arogya form click here
families Nidhi
• For treatment at government & • Assistance for investigations at
empaneled hospitals under Assam medical colleges up to Rs. 5000
Arogya Nidhi

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State Government Support: Manipur

 Manipur State Illness Assistance Fund (MSIAF) is a fund, which provides financial assistance to the poor patients who are suffering from life threatening disorders &
diseases, for treatment in Government Hospitals of Manipur

 For additional information click here

Eligibility Benefits Application Process

• Permanent residents of Manipur • One time assistance on • Manual applications should be


• Patient should belong to a family reimbursement basis, not submitted to the Director of Health
living Below Poverty Line exceeding Rs. 100,000 Services, Manipur, in the
• Govt. employees are not eligible. prescribed format
However, retired Govt. employees
are eligible subject to fulfilling
income criteria
• Treatment should be from JNIMS),
Imphal; RIMS, Imphal; or other
Government Hospitals
• The patient should be suffering
from a major ailment as described

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Cancer Patients Concession for Travel by Air
India
 The Government of India, through their airline Air India, helps patients suffering from cancer by giving them concessions to travel for treatment

 For additional information click here

Eligibility Benefits Application Process

• Only for those persons who are • 50% of basic fare of select booking • An application from the passenger
– Resident of India and class in Economy cabin for Air stating that he/she is proceeding
– suffering from cancer and travel between place of residence for treatment supported by a
– are travelling for the purpose of and the place of treatment where certificate issued by Cancer
medical check-up/treatment the cancer hospital/ Cancer hospital or an Institute
Institute is located
• Travel permitted within India as
well as on India - Nepal sectors.
• Ticket validity: 1 year from date of
purchase
• Ticket to be purchased 7 days
before departure

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Reach out to us - info.dignite@gmail.com

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