INSURANCE SCHEMES IN INDIA
Submitted to : Presented By :
• The National Health Insurance scheme in INDIA is a growing segment in
the economy. Policies and schemes are available that offer both individual
and family cover by the government. Launched in 1986 the segment has
grown due to liberalization and general awareness but despite this fact
only around 21.6 crore people i.e less than one-fifth of India's population
are covered under health insurance.
• Apart from this around 15.5 crore people are covered under the three
Central government-funded health schemes - Central Government Health
Scheme, Employees' State Insurance Scheme and Rashtriya Swasthya Bima
NO. SCHEME OBJECTIVE LAUNCH
1) Rashtiya Swasthiya
Health insurance to poor (BPL), Domestic
workers, MGNERGA workers etc. with no age
limit. It had been launched by Ministry of
Labour and Employment, but now transferred
to ministry of Ministry of Health and family
welfare from April 1, 2015
1 April 2008
2) Employment State
It’s main aim is to provide socio-economic
protection to worker population and their
dependants. . Dependants of insured persons
who die in industrial accidents or because of
employment injury are entitled to a monthly
pension called the dependants benefit.
This scheme provides comprehensive health
care facilities for the Central Govt. employee
and pensioners and their dependents. It
includes dispensary services, Hospitalization,
Health Education to beneficiaries.
NO SCHEME OBJECTIVE LAUNCH
4) Aam Aadmi Bima
Scheme extends the benefit of life insurance
coverage as well as coverage of partial and
permanent disability to the head of the family or
an earning member of the family of rural landless
households and educational assistance to their
children studying from 9th to 12th standard as an
5) Janashree Bima
It provides life insurance protection to people who
are below poverty line or marginally above poverty
line. . Persons between aged 18 years and 59 years
and who are the members of the identified 45
occupational groups are eligible to be covered
under the Scheme.
6) Universal Health
The Universal Health Insurance Scheme (UHIS) has
been redesigned targeting only the BPL families.
The premium subsidy has been enhanced from
Rs.100 to Rs.200 for an individual, Rs.300 for a
family of five and Rs.400 for a family of seven,
without any reduction in benefits.
NO SCHEME OBJECTIVE LAUNCH
7) Pradhan Mantri
Accidental Insurance with a premium of Rs. 12 per
year. All savings bank account holders in the age 18
to 70 years are entitled to join.
8) Pradhan Mantri
Jeevan Jyoti Bima
Life insurance of Rs. 2 lakh with a premium of Rs.
330 per year. All savings bank account holders in
the age 18 to 50 years are entitled to join.
• The Budget allocation for the health ministry went up from Rs 33,765 crore in
2015-16 to Rs 38,892 crore. The budget for the current financial year (2016-
17) is Rs 35,534 crore. This is apart from Rs 1,326.20 crore for AYUSH that
brought the total sectoral allocation to Rs 38,892.
• Catastrophic health events are the single most important cause of unforeseen
out-of-pocket expenditure which pushes lakhs of households below the
poverty line every year….In order to help such families, the government will
launch a new health protection scheme which will provide health cover up to
Rs 1 lakh per family. For senior citizens…an additional top-up package up to
Rs 30,000 will be provided.
• With the introduction of health cover of Rs 1 lakh per family to a national
dialysis programme, the sector gets a helping hand.
OVERVIEW ON HEALTH CARE
AS PER 2016 UNION BUDGET
To conclude it can be said
• The schemes and the budget assigned by the Government focus the BPL
families, low class of the society with age limit or saving bank accounts being
mandatory to exercise the scheme.
• No such specific scheme that focus the middle class of the society and
benefits the non- government working section of the country.
2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17