Mukhya Mantri Himachal Health Care Scheme-HIMCARE

Cashless Treatment: The scheme provides cashless treatment coverage, allowing beneficiaries to receive medical services without upfront payment at empanelled hospitals.

Comprehensive Coverage: HIMCARE offers coverage up to ₹5,00,000/- per year per family, ensuring that families have access to quality healthcare services without financial burden.

Inclusion of Previously Uncovered Families: The scheme targets families who were not covered under the Ayushman Bharat scheme, extending health insurance benefits to a broader population.

Categorization for Differential Premium Rates: Beneficiaries are categorized into different groups based on their occupation or socioeconomic status, with corresponding premium rates to make healthcare more affordable for all eligible individuals.

Wide Range of Eligible Beneficiaries: The scheme covers various groups such as BPL families, registered street vendors, MNREGA workers, senior citizens above 70 years, children living in orphanages, disabled individuals, Anganwari workers, ASHA workers, and more.

Easy Enrollment Process: Enrollment can be done online through the official website or at Lok Mitra Kendra/Common Service Centers, making it convenient for beneficiaries to apply and upload necessary documents.

Empanelled Hospital Network: Beneficiaries can receive cashless treatment in empanelled hospitals within Himachal Pradesh, including prestigious institutions like PGIMER Chandigarh and GMCH Sector 32 Chandigarh, ensuring access to quality healthcare facilities.

The applicant must be a permanent resident of Himachal Pradesh.

Families not covered under the Ayushman Bharat Yojana (Pradhan Mantri Jan Arogya Yojana) are eligible to apply for the HIMCARE scheme.

Applicant should be HIMCARE card holder.

The scheme is available to Below Poverty Line (BPL) families, Above Poverty Line (APL) families, Senior citizens and daily wage earners, widows, single women, and persons with disabilities.

Online - Via CSCs

Online

Locate the nearest Lok Mitra Kendra (LMK) or Common Service Center (CSC).

Visit the LMK or CSC and inform them about your intention to apply for HIMCARE.

Provide the necessary information and documents to the staff at the center.

VLEs will assist you in filling out the application form and uploading the required documents online.

If you are applying through Lok Mitra Kendra/Common Service Centers, you may be required to pay an enrollment fee of ₹50/- per family unit of up to five members.

Once the application is submitted, it will be processed for verification. The concerned authorities will review the application and documents provided for authenticity and eligibility.

If the application is approved, an E-card will be issued to the eligible family.

The E-card will serve as proof of enrollment and will be used for availing cashless treatment under the scheme.

The following documents are mandatory for enrollment under HIMCARE:

Category Documents required for authentication

BPL Copy of BPL certificate attested by the Panchayat Secretary within previous one month.

Registered Street Vendors Registration Certificate attested by the Executive Officer, MC/NP/NAC within previous one month.

MNREGA Worker MNREGA Job Card and Online MIS Report indicating 50 days work under MNREGA in previous or current financial year duly attested by concerned Panchayat Secretary/BDO.

Ekal Naaris Certificate to be issued by Child Development Program Officer (CDPO) of the concerned area and shall include Widows/Divorced/Legally Separated /Unmarried more than 40 years.

Disabled >40% Medical Disability Certificate showing permanent disability.

Mid-Day meal workers Certificate from Block Elementary Education Officer of the concerned area.

Contractual Employees Certification from concerned Department.

Daily Wage Worker Certification from concerned Department.

Part Time Workers Certification from concerned Department.

Outsource Employees Certification from concerned Department.