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Chief Minister’s Health Insurance Scheme - Nagaland

Launched on 16th October 2022, the scheme "Chief Minister Health Insurance Scheme (CMHIS)" is a Public Health Insurance Scheme by the Health and Family Welfare Department, Government of Nagaland. This scheme provides cashless treatment up to ₹20 lakhs for employees and pensioners and ₹5 lakhs.

Start date14 Oct 2022
Last verifiedToday

About This Scheme

Launched on 16th October 2022, the scheme "Chief Minister Health Insurance Scheme (CMHIS)" is a Public Health Insurance Scheme by the Health and Family Welfare Department, Government of Nagaland. This scheme provides cashless treatment up to ₹20 lakhs for employees and pensioners and ₹5 lakhs for the general category, covering inpatient and specific daycare procedures in empanelled hospitals across India. The applications are accepted through Primary Health Centres (PHCs), Community Health Centres (CHCs), District and Sub-division Treasury Offices, outreach camps, and designated private hospitals. The scheme is being implemented by the Department of Health and Family Welfare, Government of Nagaland.

Benefits

₹5.0 L · annual

All beneficiaries of the scheme are entitled to free and cashless hospitalization care for various ailments including pre-existing conditions/diseases, which can be availed from any empanelled hospital across the country. The treatment will include both surgical and medical procedures and limited day-care packages. However, OPD services and standalone diagnostics investigations will not be covered.

  1. CMHIS (GEN) beneficiaries will be entitled to more than 1950 medical and surgical packages across 27 major clinical specialties as well as entitlement to General Ward, similar to AB PM-JAY.
  2. CMHIS (EP) beneficiaries will be entitled similar to that available for central government employees under the Central Government Health Scheme (CGHS) as well as differential room entitlement as per their employee grade.

Annual Risk Cover/ Sum Insured per family:

  1. For CMHIS (GEN) beneficiary families, the Sum Insured is ₹ 5,00,000/- (Rupees Five Lakhs Only) per family per annum on a family floater basis, similar to AB PM-JAY.
  2. For CMHIS (EP) beneficiary families, the Sum Insured is ₹ 20,00,000/- (Rupees Twenty Lakhs Only) per family per annum on a family floater basis.
  3. Further, for Government employees, any additional expenses beyond the sum insured shall be reimbursed on a case-to-case basis by the State government on recommendation of the State Medical Board.

Eligibility

Note: You may be eligible based on the information shown. Please verify the official eligibility requirements before applying.

Required Documents

  • Mandatory KYC Document Required for CMHIS (GEN) category:
  • Valid Mobile Phone number.
  • Indigenous Inhabitant Certificate (IIC) or Permanent Residential Certificate (PRC) issued by the competent authority of the respective district Administration after 2016.
  • NB : Ration Card holders must get their eCards issued using their ration card in the BIS portal directly without registering in the CMHIS Portal (Ration Card data is already integrated with NHA BIS. Operators to go directly to the BIS URL).
  • Valid Mobile Phone number
  • Govt issued Photo ID card
  • Engagement/ Appointment Order.
  • Proof of continuity of being engaged (Letter from the controlling officer)
  • Filled and downloaded online registration form with household member details (FORM), countersigned by Village council Chairman/Ward Chairman.
  • Mandatory KYC Document Required under CMHIS (EP) category:
  • Valid Mobile Phone number.
  • First Three pages of the Pensioner’s PPO book indicating PPO number, last pay scale or designation of the post held or last pay is drawn prior to retirement.
  • Valid Mobile Phone number
  • PIMS code.
  • Document proving dependency for each dependent member to be added:
  • Proof of Relationship/DOB- Birth Certificate/Aadhaar/Class X Admit Card/voter‘s ID/Pancard or any other Govt. issued ID indicating the relationship with any one of the parents and Date of Birth.
  • Disability Certificate in case of PwD

✦ Required ◦ Optional

How to Apply

OOnline

Step 1: Visit the Official Website of the Chief Minister’s Health Insurance Scheme (CMHIS) Nagaland.

Step 2: Click on the Register. Read out the Registration instructions carefully.

Step 3: Fill in the application form with all the required details, including personal details, family details, income details, and medical history.

Step 4: Submit the completed application form along with the necessary documents to the nearest Common Service Center (CSC) in your area or the empanelled hospital.

Step 5: The CSC or the empanelled hospital will verify the application form and documents and upload the details to the online portal.

Step 6: The insurance provider will verify the application and approve or reject the application based on the eligibility criteria.

Note: For any query call us at 14555 or mail at nagaland.nhpm@gmail.com.
Apply here ↗

Quick Info

Level
State Government
Max benefit
₹5.0 L
Launched
14 Oct 2022