What you get
- 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.
Who can apply
Required Paperwork
- Aadhaar Card
- PAN Card
- Income Certificate
- Residence Proof (Domicile)
Common Questions
What is the coverage amount provided by HIMCARE?
HIMCARE provides cashless treatment coverage of up to Rs. 5.00 lakh per year per family in empanelled hospitals.
Who is eligible to apply for HIMCARE?
Eligibility criteria vary based on categories, including BPL families, registered street vendors, MNREGA workers, senior citizens above 70 years, children in orphanages, and more. Refer to the scheme's guidelines for specific eligibility details.
Can government servants and pensioners apply for HIMCARE?
No, government servants, pensioners, and their dependent family members are not eligible for HIMCARE coverage.
How can I apply for HIMCARE?
You can apply for HIMCARE online through the official website (www.hpsbys.in) or visit Lok Mitra Kendra/Common Service Centers for assistance with the enrollment process.
What documents are required for enrollment?
The required documents vary based on the category. They may include BPL certificates, registration certificates, job cards, age proof, disability certificates, and certificates issued by relevant authorities. Refer to the scheme's documentation requirements for specific details.
Is there an enrollment fee for HIMCARE?
Yes, if you apply through Lok Mitra Kendra/Common Service Centers, you may be required to pay an enrollment fee of Rs. 50 per family unit of up to five members.
Can I avail treatment at hospitals outside Himachal Pradesh under HIMCARE?
Generally, the scheme covers treatment at empanelled hospitals within Himachal Pradesh. However, beneficiaries can also receive treatment at PGIMER Chandigarh and GMCH Sector 32 Chandigarh.
Can I change my category or update my information after enrollment?
It is important to apply under the relevant category and provide accurate information during the enrollment process. Changes or updates after enrollment may not be allowed, so it's advisable to double-check the information before submitting the application.