'ModiCare gets Cabinet nod; likely to roll out by October
March 22, 2018  08:21
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The Union Cabinet approved the governments ambitious Modicare health insurance that targets nearly 11 crore poor families and will be a portable scheme which can be availed of anywhere in India. 

There will be no cap on family size and age while payments will be on package rates. The scheme, announced in the Budget earlier this year, will provide Rs 5 lakh insurance cover per family and is intended to be extended over time into a universal programme for all citizens.

Preexisting conditions will be covered and there will also be a defined transport allowance per hospitalisation. As the benefits of the scheme are portable, a beneficiary covered under the scheme will be allowed to take cashless benefits from public or private empanelled hospitals across the country.

According to an official release, the urban and rural inclusion criteria will look at deprivation and categories like families with no adult members between the ages of 16 and 59 years; female-headed households; SC, ST and landless labour; families without shelter; and destitutes.

Though no rollout date for Modicare has been announced, the scheme is expected to become effective latest by October. The premium amount to be paid by the Centre and states has not been stated either, though it was estimated at about Rs 1,200 per family. To control costs, payments for treatment will be done on package rate (to be defined by the government).
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