Citizens who have been residing in Goa for 15 years or more and have an annual income of less than Rs.1.5 lakh, can opt for the Goa medical scheme. The Goa Mediclaim Scheme offers financial health insurance coverage of Rs.1.5 lakh for illness and various other super specialities which are even sometimes not available in State Government hospitals.
The scheme offers coverage for medical expenses in the case of hospitalisation and even post-hospital expenses. With the Goa Mediclaim certificate, the resident of Goa can receive medical treatment at any of the listed hospitals in the state and some located outside the state of Goa as well. Listed below are the coverages of the Goa Mediclaim scheme as well as the documents that are required to avail the coverage at the time of treatment or hospitalisation.
Listed below are some of the coverages of the Goa Mediclaim scheme:
In order to avail the sum assured for the coverage of medical expenses of hospitalisation and treatments, the policyholder will have to submit the below-listed documents:
Mentioned below are some of the listed hospitals under the Goa mediclaim scheme:
City/District | Hospital |
Vasco | Salgaonker Medical Research Centre |
Bambolim | Saida MRI Scan Centre |
Margao | Apollo Victor Hospital |
Dona Paula | Goa Manipal Cancer & General Hospital & research Centre |
Margao | Grace Intensive Cardiac Care Centre |
Chicalim | Vivus SMRC Heart Centre |
Miraj | Swasthya Pratisthan Fracture & Orthopaedic Hospital |
Bengaluru | Wockhardt Hospital |
Mumbai | Bombay Hospital & Medical Research Centre |
Chennai | Shankara Nethralaya Hospital |
Based on the terms and conditions of the Goa mediclaim scheme, if the insured person is receiving treatment outside the state of Goa, and does not have the mediclaim scheme certificate, then a recommendation letter from Director of Health, Goa, will suffice.
Under the scheme, the insured person is insured up to a maximum of Rs.3 lakh in the case of an open heart surgery, up to Rs.5 lakh in the case of cancer, Rs.8 lakh in the case of a bone marrow transplant, and up to Rs.3 lakh in the of a kidney transplant and neurosurgery.
In addition, if the insured person is receiving treatment at the Goa medical college for cases such as cancer, hip replacement, or knee replacement surgeries, the cost of chemotherapy as well as the cost of medicines will be reimbursed by the Goa mediclaim scheme up to 60% of the cost.
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