The document discusses the Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, which aims to provide universal health coverage to low-income families. It was launched in 2012 to benefit 1.34 crore families. The scheme provides annual coverage of Rs. 1 lakh per family for four years to cover over 1,000 medical procedures. It is available to families with an annual income of Rs. 72,000 or less. The scheme aims to ensure availability of advanced healthcare for the poor by allowing treatment in empaneled private and government hospitals.

1. CHIEF MINISTER'S COMPREHENSIVE HEALTH
INSURANCE SCHEME
SOLOMON JENIFER RAJ
FINAL YEAR MSW
ST. XAVIER’S COLLEGE, PALAYAMKOTTAI

2. INTRODUCTION
Quality healthcare comes at a cost that is unaffordable for the
economically weaker sections of society. One way to address this is to
provide free healthcare in Government hospitals. But sometimes
treatment is not possible at district and sub-district hospitals.
Furthermore, the demand for advanced healthcare leads to long
waitlists for emergency and lifesaving surgeries. To address these
challenges and ensure availability of advanced healthcare, the
Government of Tamilnadu introduced a scheme called the “Chief
Minister Kalaignar Insurance Scheme for life saving treatments” on 23rd
July 2009. This scheme is for the poorest of the poor/low
income/unorganised groups who cannot afford costly treatment, as a
supplementary facility for getting free treatment in empanelled
Government and private hospitals for such serious ailments.

3. CHIEF MINISTER'S COMPREHENSIVE HEALTH
INSURANCE SCHEME
▪ On January 11, 2012, the Chief Minister's Comprehensive
Health Insurance Scheme aimed at benefiting 1.34 crore
families was launched.

4. ELIGIBILITY
Any family whose annual income is Rs.72,000/- or
less, members of unorganised labour welfare boards,
and the spouse, children and dependent parents of
such members in urban and rural areas are eligible.
All Government servants, civil pensioners, ESI
beneficiaries and families having an annual income of
more than Rs. 72,000 /- but not members of any
unorganised sectors welfare boards are not eligible
under this scheme.

5. NEEDS COVERED
▪ Under the scheme, the sum assured for each family would be Rs.1
lakh every year for a total period of four years and for a total value of
Rs. 4 lakh. In the case of certain procedures, the ceiling would be
raised to Rs.1.5 lakh per annum. No fewer than 250 hospitals would
be empanelled under the scheme. At least six hospitals in each district
would be covered. There would be more hospitals in cities such as
Chennai, Coimbatore and Madurai.
▪ The scheme would cover 1,016 procedures, 113 follow up procedures
and 23 diagnostic procedures. The cost of tests required for treatment
would also be part of the insurance cover.

6. ANNEXURE 7 (IPHS)
JOB RESPONSIBILITIES OF MEDICAL OFFICER AND
OTHER
STAFF AT PHC

7. DUTIES OF MEDICAL OFFICER, PRIMARY
HEALTH CENTRE
The Medical Officer of Primary Health Centre (PHC) is
responsible for implementing all activities grouped
under Health and Family Welfare delivery system in
PHC area. He/she is responsible in his individual
capacity, and as over all in charge. It is not possible to
enumerate all his tasks. However, by virtue of his
designation, it is implied that he will be solely
responsible for the proper functioning of the PHC,
and activities in relation to RCH, NRHM and other
National Programs.

8. CURATIVE WORK
▪ He/she will provide guidance to the Health Assistants,
Health Workers, Health Guides and School Teachers in the
treatment of minor ailments.
▪ He/she will cooperate and coordinate with other
institutions providing medical care services in his/ her area.

9. PREVENTIVE AND PROMOTIVE WORK
▪ The Medical Officer will ensure that all the members of
his/her Health Team are fully conversant with the various
National Health & Family Welfare Programs including NRHM
to be implemented in the area allotted to each Health
functionary. He/she will further supervise their work
periodically both in the clinics and in the community setting
to give them the necessary guidance and direction.
▪ He/she will keep close liaison with Block Development
Officer and his/her staff, community leaders and various
social welfare agencies in his/her area and involve them to
the best advantage in the promotion of health programmes
in the area.

10. REFERENCE
▪ For more details, please visit http://www.cmchistn.com/

11. WEBSITE VISIT
http://www.cmchistn.com/

12. THANK YOU