Vahan Aksmat Sahay Scheme

Medical Treatment Packages

Comprehensive treatment packages ranging from ₹1,000/- to ₹45,000/- covering various types of injuries:



Package-wise Benefits

Simple Injury-I (Package 1): ₹1,000/- for treating simple wounds, injection Tetanus Vaccination, analgesic, antibiotics, general conditions check, cleaning, suturing and dressing

Simple Injury-II (Package 2): ₹2,500/- including face and scalp wounds, change of soiled cloth with disposable dress, intravenous line, multiple lacerated wounds suturing

Deglove Injury of Extremities (Package 3): ₹12,000/- for wound debridement in operation theatre under anaesthesia, intravenous line, intravenous antibiotics, remaining wounds suturing and inpatient treatment

Simple Fracture Without Anaesthesia (Package 4): ₹1,500/- for closed reduction, cleaning, suturing, dressing of wounds, fracture stabilization with splint

Closed Fracture Reduction Under Anaesthesia for First Fracture (Package 5): ₹4,000/- including closed fracture reduction under short general anaesthesia with plastering and inpatient treatment

Closed Fracture Reduction Under Anaesthesia for Additional Fracture (Package 6): ₹5,500/- for additional fractures with similar treatment as Package 5

Dislocation Reduction Under Anaesthesia (Package 7): ₹8,000/- for joint dislocation reduction under general anaesthesia and inpatient treatment

Open Reduction Internal Fixation-Small Bone (Package 8): ₹17,250/- including internal/external fixation of fracture in compound fractures, flap cover and inpatient treatment

Open Reduction Internal Fixation-Large Bone (Package 9): ₹40,250/- for large bone fractures with similar treatment as Package 8

Inter Costal Drainage One Side (Package 10): ₹8,000/- including intercostal drainage and inpatient treatment

Inter Costal Drainage Bilateral (Package 11): ₹11,000/- for bilateral intercostal drainage with inpatient treatment

Inter Costal Drainage Bilateral with Intensive Care Unit (Package 12): ₹12,000/- with Intensive Care Unit stay

Inter Costal Drainage Bilateral with Intensive Care Unit and Ventilator (Package 13): ₹14,000/- including ventilator support

Blunt Injury Abdomen (Package 14): ₹10,000/- for suspected blunt injury abdomen with stabilization as inpatient

Blunt Injury Abdomen with Intensive Care Unit Stay (Package 15): ₹12,000/- including Intensive Care Unit stay

Supra Pubic Cystostomy (Package 16): ₹5,000/- including supra pubic cystectomy and inpatient treatment

Immobilization for Suspected Spine Injury (Package 17): ₹5,000/- for non-operative management using spinal brace/collar

Cervical Spine Injury-Skeletal Tong Traction (Package 17): ₹25,000/- with tong traction

Spine Injuries with Computed Tomography/Magnetic Resonance Imaging (Package 18): ₹7,000/- including Computed Tomography scan/Magnetic Resonance Imaging

Tracheostomy (Package 19): ₹5,000/- for tracheostomy procedure

Head Injury with Intensive Care Unit Stay Conservative (Package 20): ₹7,000/- for non-operative management with Intensive Care Unit stay

Head Injury with Intensive Care Unit Stay with Ventilator (Package 21): ₹15,000/- including ventilator support

Head Injury with Intensive Care Unit Surgical Intervention (Package 22): ₹25,000/- for operative management including burr hole surgery

Blood Transfusion (Package 23): ₹1,500/- per unit (maximum admissible 3 units)

Road Traffic Accident Injuries Associated with Burns Conservative Management (Package 24): ₹4,000/- for conservative management of burns

Intensive Care Unit Stay Other than Head Injury (Package 25): ₹4,000/- for non-head injury Intensive Care Unit care

Pelvic Injury-Conservative Management (Package 26): ₹20,000/- for non-operative management with pelvic belt and traction

Pelvic Injury-External Fixation with Implant (Package 27): ₹45,000/- for stabilization with external fixation and haemodynamic stabilization



Mode of Disbursement

Cashless Treatment: Treatment provided at empanelled hospitals without upfront payment.

The applicant must be a victim of road traffic accident.

The applicant must require immediate medical treatment for injuries sustained in the accident.

The applicant must receive treatment at hospitals empanelled under the Vahan Aksmat Sahay Scheme.

The applicant must have Medico Legal Case registered for the accident.

The applicant must have police intimation with acknowledgment for the road traffic accident.

Offline

Step 1: Emergency Treatment at Empanelled Hospital

In case of a road traffic accident, the victim should be immediately taken to the nearest empanelled hospital under the Vahan Aksmat Sahay Scheme for emergency medical treatment. The hospital will provide immediate medical care as per the severity of injuries.

Step 2: Medico Legal Case Registration

The hospital authorities will ensure that a Medico Legal Case is registered with the local police station as it is mandatory for all road traffic accident cases. The hospital will coordinate with the police for proper documentation of the accident and injuries.

Step 3: Treatment Package Assessment

The treating doctor will assess the nature and severity of injuries and determine the appropriate treatment package from the 27 available packages under the scheme. The treatment will be provided as per the standardized protocols defined for each package.

Step 4: Documentation Collection

The hospital staff will collect all required documents including Medico Legal Case register details, police intimation copy, pre and post-treatment photographs, medical records, investigation reports, and hospital bills as specified for the respective treatment package.

Step 5: Cashless Treatment Provision

The empanelled hospital will provide cashless treatment to the accident victim as per the approved package amount. No upfront payment is required from the patient or family members for the covered treatment under the scheme.

Step 6: Claim Processing and Settlement

The hospital will submit the claim along with all required documents to the scheme authorities for processing and settlement. The payment will be directly settled between the government and the empanelled hospital.

Step 7: Discharge and Follow-up Care

Upon completion of treatment, the patient will be discharged with proper discharge summary and follow-up instructions. Patients are advised to retain copies of all medical records and treatment documents for future reference and any follow-up care requirements.

At Time of Treatment

Scanned Copy of Medico Legal Case Register Showing the Details of Injury

Police Intimation Copy with Police Acknowledgment

Two Photos Showing the Wound Before and After Treatment with Patient Face Clearly Along with the Treating Doctor (Includes Patient Photo for Identity)

Out-Patient Record/Case Sheet Details Showing the Treatment Given (Including Operation Theatre Notes If Any)

Investigation Done Report

Hospital Bill

Package-Specific Additional Documents

For Fracture Cases: X-Rays To Rule Out Fracture, X-Ray Showing the Fracture Before and After Stabilization

For Chest Injuries: Chest X-Ray Before and After Intercostal Drainage

For Abdominal Injuries: Blood Investigation, Chest X-Ray and X-Ray of Erect Abdomen, Ultrasound, Computed Tomography Scan Report (If Required), Electrocardiogram with Report (If Required)

For Spine Injuries: X-Ray Spine Anterior Posterior/Lateral, Computed Tomography/Magnetic Resonance Imaging

For Head Injuries: Computed Tomography Scan Report, Other Relevant Investigations