- Details
- Benefits
- Eligibility
- Application Process
- Documents Required
- Frequently Asked Questions
- Sources And References
- Feedback
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Goa
Deen Dayal Swasthya Seva Yojana
Cashless
Goa
Health Coverage
Insurance
Details
To facilitate and take medical services to the next level, the State of Goa envisaged the present scheme to provide its people with quality medical care and treatment of diseases, hospitalization, and surgery through government and private hospitals.
Benefits
The benefit under this scheme shall be provided on a cashless basis to the beneficiaries, up to the limit of their annual coverage, and shall be as under:
- The insurance cover shall be up to ₹2,50,000/- per annum for a family of three or fewer members and up to ₹4,00,000/- for a family of four or more members. Under no case, the claim would exceed ₹4,00,000/- annually.
- The insurance benefit can be availed of individually or collectively by members of the family.
- An individual is free to take higher coverage from the insurance company by paying higher premiums, without having any impact on Government policy and facilities.
- The facilities for 447 procedures shall be covered under the scheme.
Eligibility
- The applicant must be a resident of the state of Goa.
- The applicant must have resided in Goa continuously for a minimum of five years or more.
Application Process
Offline
Online
- The beneficiary may approach the Empanelled Health Care Provider (EHCP) as per the list provided on the website. After consulting the doctor, if the surgery is covered under the scheme and is available at the said EHCP, the patient can approach the DDSSY Sahayak at the hospital with the card, and the Sahayak will raise a request for pre-authorization with the ISA pre-authorization doctor. Or
- Alternatively, if the beneficiary is aware of what the procedure is, he/she can check the website to find out at which EHCP the required procedure is performed and visit the hospital of his/her choice as per the list of EHCPs empaneled for the said procedure.
Note: Officer to be contacted:
| Sr. No. | Name & address of the Nodal Officer | Designation | Contact No. |
| 1 | Dr. Yogesh Potdar, Directorate of Health Services, Campal Panaji | Medical Management & Quality Manager | 0832-2225646, Extn. 256, 7447797582 |
| 2 | Dr. Ralph Araujo, MD India Health Insurance TPA Pvt. Ltd., B-F/3, 1st Floor, Campal Trade Centre, Behind Military Hospital, Panaji | Sr. Manager | 9325963691 |
| 3 | Shri. Sagar Jaiwar, Goa Electronics Ltd., Ground Floor, Shrama Shakti Bhavan, Patto Plaza, EDC Complex, Panaji | Asst. Manager (IT), Goa Electronics Ltd. | 8411004910 |
Documents Required
- Aadhar Card/Enrolment Acknowledgement Slip of every family member above 5 years (Compulsory).
- Residence Proof of eligibility person: passport, residence certificate/Election card/Driving license issued a minimum of 5 years ago in Goa.
- For OBC of non-creamy layer: Caste Certificate issued by Deputy Collector along with income certificate showing income less than ₹6,00,000/- per annum.
- For SC/ST: Cast certificate issued by the Director of Tribal Welfare/ Deputy Collector.
- For Differently abled eligible person: Disability certificate issued by Medical board.
- Ration card to define family. In case of Ration card is not available all the below-mentioned documents are to be enclosed.
- For Spouse: Marriage Certificate.
- For dependent child: Birth certificate/school leaving certificate of dependent child or children of the eligible person.
- For the dependent parent: Declaration stating the dependent parent/(s) are not employed.
Frequently Asked Questions
What is the objective of the DDSSY scheme?
The objective of the DDSSY scheme is to provide quality medical care and treatment, including hospitalization and surgeries, to the residents of Goa through government and private hospitals on a cashless basis.
Who is eligible for the DDSSY scheme?
The scheme covers all residents of Goa who have lived in the state for five years or more.
What is the insurance coverage provided under DDSSY?
The insurance cover is up to ₹2,50,000/- per annum for a family of three or fewer members and up to ₹4,00,000/- for a family of four or more members. The maximum claim cannot exceed ₹4,00,000/- annually.
What documents are required to avail of the DDSSY scheme?
Required documents include an Aadhar Card or enrolment slip, proof of residence in Goa for five years, a ration card to define the family, and additional documents for specific categories like caste certificates or disability certificates.
How can a beneficiary avail of the benefits under the DDSSY scheme?
Beneficiaries can approach an Empanelled Health Care Provider (EHCP) listed on the DDSSY website. After consulting with a doctor, the hospital's DDSSY Sahayak will raise a pre-authorization request for the required procedure.
Can a beneficiary opt for higher insurance coverage?
Yes, individuals can opt for higher insurance coverage by paying an additional premium directly to the insurance company, without affecting the government-provided benefits.
How many medical procedures are covered under the DDSSY scheme?
The scheme covers 447 medical procedures.
What should a beneficiary do if they are aware of the required procedure?
If aware of the required procedure, beneficiaries can check the DDSSY website for a list of EHCPs performing that procedure and visit the hospital of their choice from the empanelled list.
Where can applications for the DDSSY scheme be submitted?
Applications can be submitted at Goa Electronics Ltd., Ground Floor, Shrama Shakti Bhavan, Patto Plaza, EDC Complex, Panaji, Goa.
Who should be contacted for more information about the DDSSY scheme?
For more information, beneficiaries can contact the DDSSY helpline at 0832-2438844 or email ddssydhs@gmail.com. The website ddssygoa.mdindia.com also provides detailed information.
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You have already submitted an application for this scheme. You may apply again only after 30 days i.e. after
It seems you have already initiated your application earlier.To know more please visit
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Check Eligibility
Goa
Deen Dayal Swasthya Seva Yojana
Cashless
Goa
Health Coverage
Insurance
Details
Benefits
Eligibility
Application Process
Documents Required
Frequently Asked Questions
To facilitate and take medical services to the next level, the State of Goa envisaged the present scheme to provide its people with quality medical care and treatment of diseases, hospitalization, and surgery through government and private hospitals.
Was this helpful?
Share
News and Updates
No new news and updates available
