Tripura Health Assurance Scheme

An initiative by the government of Tripura and supported by the Central Government of India, the Tripura Health Assurance Scheme for Poor (THASP) was launched to financially support those in the state that are below the poverty line. All families in the state of Tripura that have an annual income less than Rs.1.5 lakh are eligible for the scheme. Launched in the year 2014, the Tripura Health Assurance Scheme for Poor (THASP) was amended a year later, and offers financial support to the poor in the country in the case of hospitalisation, to cover the cost of treatment of surgeries, therapies, critical illnesses and so on.

Through the Tripura Health Assurance Scheme for Poor (THASP), each family is granted a health cover up to Rs.1.15 lakh p.a. At all empanelled hospitals, beneficiaries under the scheme can make use of the cashless facility to cover the cost of hospitalisation or treatment. All listed hospitals under the scheme will offer coverage according to the rate set by the Central Government Health Scheme.

Eligibility criteria for the Tripura Health Assurance Scheme for Poor (THASP):

In order to be covered under the Tripura Health Assurance Scheme for Poor (THASP), families have to meet the conditions as listed below:

  • The annual income of the family has to be less than Rs.1.5 lakh.
  • The Tripura Health Assurance Scheme for Poor (THASP) covers up to 5 family members. They may include the legal spouse, parents of the policyholder, and unmarried children only up to the age of 25 years.
  • In order to be covered by the Tripura Health Assurance Scheme for Poor (THASP), all the names of the family members have to be mentioned on the family ration card that is issued by the Government of Tripura.

Objective of the Tripura Health Assurance Scheme for Poor (THASP):

With soaring medical costs for treatments and hospitalisation sighted as one of the main reasons behind financial instability, the Tripura Health Assurance Scheme for Poor (THASP) aims to offer financial support to those in the state that are below the poverty line. With the sum assured of Rs.1.15 lakh, the scheme aims to reduce the out-of-pocket expense of the families and individuals when receiving treatment at any empanelled hospital in the state. The Tripura Health Assurance Scheme for Poor (THASP) covers the cost of treatments, hospitalisation, critical care, and surgeries up to the ceiling limit.

Benefits of the Tripura Health Assurance Scheme for Poor (THASP):

Listed below are some of the key features and benefits of the Tripura Health Assurance Scheme for Poor (THASP):

  • The Tripura Health Assurance Scheme for Poor (THASP) is offered on a family floater basis.
  • The maximum sum assured is Rs.1.15 lakh. If the treatment at the listed hospital crosses the ceiling limit, then the patient will have to bear the additional expenses.
  • The scheme includes coverage of transportation expenses from Agartala to the listed hospital and back. The maximum coverage of the transportation expenses is Rs.10,000.
  • The expenses for the treatment up to Rs.1.15 lakh will be paid directly to the listed hospital.
  • With regard to financial assistance for transportation, the amount will be advanced from the scheme either via a bank draft or directly to the account of the beneficiary.

How Families will Receive Health Cover Under the Tripura Health Assurance Scheme for Poor (THASP):

Listed below is the procedure that ensures that those eligible for the coverage of the Tripura Health Assurance Scheme for Poor (THASP) will receive the cashless benefit from the empanelled hospital:

  • As soon as the application for coverage of medical expenses is received, the empanelled hospital will receive a fax or an email from the state officials of the health department of Tripura referring the patient for treatment. A copy of the referral letter will be given to the patient as well.
  • On receiving the referral letter, the hospital will examine whether the treatment can be covered, based on the terms and conditions of the scheme.
  • The facilities for the treatment will then be covered depending on whether the treatment is listed under those that are covered under the State Illness Fund.
  • If the treatment is given a green signal, then the State Government will offer coverage up to Rs.1.15 lakh. The empanelled hospital will inform the health department of Tripura on the cost of expenses and raise a bill for the coverage.
  • Along with the bill for the coverage of medical expenses, the empanelled hospital will send details of the healthcare facilities that have been provided to the patient to the director of the Tripura Health Assurance Scheme for Poor (THASP). The Director will then verify the bill and health department of Tripura will reimburse the amount to cover the medical expenses up to the ceiling limit of the scheme, which is Rs.1.15 lakh.

What needs to be submitted by the beneficiary to receive coverage from the Tripura Health Assurance Scheme for Poor (THASP):

  • The head of the family has to submit his/her name, current job designation, and contact details such as telephone number, mobile number, and email address.
  • The head of the family has to also submit his/her bank details and IFSC code of the bank.

What is covered by the Tripura Health Assurance Scheme for Poor (THASP):

Listed below are some of the main treatments, surgeries, and diseases that are covered by the Tripura Health Assurance Scheme for Poor (THASP):

  • Treatment for cancer
  • Cardiovascular surgeries
  • All renal and neo-natal diseases
  • Treatment for polytrauma
  • Expenses for eye surgeries
  • Medical cover for neuro surgeries

Based on the treatments and diseases that are covered under the Tripura Health Assurance Scheme for Poor (THASP), as set by the Family and Welfare Department of Tripura, only 7 critical diseases will be covered under the scheme. The treatment cost will be subject to the limit as per the Central Government health scheme.

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Tripura Health Assurance Scheme Reviews

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  • Star Health Health Insurance
    "Good policy "
    0.5 3.0/5 "Satisfactory"
    I taken a health insurance from STAR HEALTH on last 6 months back which was taken via online. It covers my whole family of 3 members for the total amount of 5. The premium amount need to pay of 12K. The tenure period of 1 year. I have not used this card much. I haven't done any claim yet.
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  • Bajaj Allianz
    Bajaj Allianz Health Insurance
    "Good policy "
    0.5 4.0/5 "Great!"
    I have taken a health insurance policy from Bajaj Allianz which was taken for my mother. Policy coverage value was Rs. 1L and the premium its a one time payment, i got a offer because i am maintain CREDIT SCORE good. Still there is a no claim and i paid 3 years back, during renewal time i am not getting any calls from insurance company. This policy covers 200 hospital 30-50% in all hospital can get a claim.
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    , bangalore
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  • Religare Health Insurance
    "Good insurance company "
    0.5 5.0/5 "Blown Away!"
    My personal need I taken health insurance from RELIGARE on 2 years back. Actually my previous company taken health insurance got lapse, hence for better option I continued with same need to pay the premium of 5K. It covers up to myself. The coverage amount of 5L, since there is no claim yet I got bonus of 10% so as of now 5.5L. They tied up with many hospitals and cash less treatment is applicable.
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    , bangalore
    Reviewed on Mar 19, 2020
  • Max Bupa Health Insurance
    "Good policy"
    0.5 4.0/5 "Great!"
    This is an individual policy, cover fro myself and this is from Max Bupa. Yearly i am paying premium of Rs. 3000 and the coverage value of Rs. 5L and still there is a no claim. Every year i am getting 5% no claim bonus and this is a life long policy. Its a tax benefit plan for major and listed hospitals can avail a cash less, if non listed have to pay then we can reimburse.
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    , chennai
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  • Royal Sundaram Health Insurance
    "Good insurer"
    0.5 4.0/5 "Great!"
    My employer has given me a health insurance policy from ROYAL SUNDARAM and they have provided me a coverage amount of Rs. 3L. It covers myself and my spouse are covered in this policy.The premium amount need to pay of 7.5K on yearly basis. They have a cashless facility with many hospital.
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    , chennai
    Reviewed on Mar 19, 2020
  • Star Health Health Insurance
    "Excellent service"
    0.5 5.0/5 "Blown Away!"
    I have taken health insurance from STAR HEALTH on last year for my personal use, it covers my whole family of 4 members. The sum average value is 5L. I am renewing the policy by paying the premium amount of 14K on yearly. Many hospitals are tied with them and they provide cashless treatment as well.
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    , rajahmundry
    Reviewed on Mar 18, 2020
  • Star Health Health Insurance
    "Average "
    0.5 3.0/5 "Satisfactory"
    For my personal purpose, I have taken a health insurance from TATA AIG on 3 years back. On yearly, I use to renew the policy which I need to pay the premium amount of 20K via online. It covers up to myself. The sum assured amount is 2.4L. They tied up with limited hospitals only and there is no cashless treatment.
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    , bangalore
    Reviewed on Mar 18, 2020
  • Oriental Insurance Health Insurance
    "Good policy "
    0.5 5.0/5 "Blown Away!"
    My company provides me a health policy from ORIENTAL insurance and this is a group insurance. Annual premium i am paying Rs. 4840 and still there is no claim and the coverage value is Rs. 2 lakhs. During the renewal time, i use to get reminder call from the support team.
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    , kolkata
    Reviewed on Mar 16, 2020
  • review Health Insurance
    "Need online service "
    0.5 5.0/5 "Blown Away!"
    I am paying about Rs. 20k yearly for health insurance to PARAMOUNT. This is group policy and the coverage of Rs. 10L since 5 years i am using this health insurance. I went for a claim which was reimbursed. The main factor is they are asking lots of documents which they need to make it simple.
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    , thane
    Reviewed on Mar 15, 2020
  • Bajaj Allianz Health Insurance
    "Okay"
    0.5 4.0/5 "Great!"
    I have received the Bajaj Allianz mediclaim policy from Bajaj Finserv on EMI basis. Cashless facility is available and am paying Rs.640 for a month. This policy is not available in the market. I wish if their executive were more polite and helpful. Its a self policy which covers 5L. Am renewing this policy from last 3years.
    Was this review helpful? 1
    , kochi
    Reviewed on Mar 15, 2020
  • Star Health Health Insurance
    "Good "
    0.5 5.0/5 "Blown Away!"
    Health insurance policy which i have taken from STAR HEALTH and this is a family floater policy. I am using since 4 years still there is no claim and this insurance will cover all types of critical illness. Annually i am paying premium Rs. 13000 and its a Tax benefit policy.
    Was this review helpful? 1
    , bangalore
    Reviewed on Mar 14, 2020
  • ICICI Lombard Health Insurance
    "Good policy"
    0.5 4.0/5 "Great!"
    ICICI offered me a health insurance and this is a group policy which covered for Rs. 4L. This insurance will cover all types of critical illness and day care treatment, still there is no claim with ICICI Lombard. I can avail cashless treatment with the listed hospitals.
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    , hyderabad
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  • United India Health Insurance
    "Best policy "
    0.5 5.0/5 "Blown Away!"
    From United India Insurance, i have taken a health insurance. This is a group insurance and i am paying premium per annum Rs. 4900. This policy covers all critical illness and there is a no age criteria, I can use this policy for life long. It covers Tax benefit under sec 80D also network of hospitals are good.
    Was this review helpful? 0
    , kolkata
    Reviewed on Mar 13, 2020
  • United India Health Insurance
    "Good"
    0.5 4.0/5 "Great!"
    This is a group health policy which was taken through TATA AIG and the coverage value of Rs. 3L. I am paying premium yearly Rs. 6000. Its been one year and still there is no claim and this policy covers day care treatment and this can be used till life long.
    Was this review helpful? 0
    , bangalore
    Reviewed on Mar 13, 2020
  • Apollo Munich Health Insurance
    "OKAY"
    0.5 5.0/5 "Blown Away!"
    From Apollo Munich, i have taken a health insurance and this is a joint policy. The policy coverage value is Rs. 5L for a life long. I am paying the premium yearly Rs. 16k and still there is no claim on this policy. It covers all network of hospitals.
    Was this review helpful? 0
    , indore
    Reviewed on Mar 13, 2020
  • Star Health Health Insurance
    "WORST and WORST"
    0.5 0.5/5 "Unacceptable"
    Star health and Allied insurance cheaters don't go with this policy they are looting people worst and worst there are corporate beggars- frauds ,corporate beggars- frauds ,corporate beggars- frauds ,corporate beggars- frauds ,corporate beggars- frauds
    Was this review helpful? 0
    , bangalore
    Reviewed on Mar 12, 2020
  • Star Health Health Insurance
    "Nice Policy"
    0.5 4.0/5 "Great!"
    From my company side, they have provided me a health insurance from TATA AIG. I can do a cashless treatment facility in a network hospital hence i have fixed the appointment also. This policy covers only for myself. They have given me a coverage value of Rs. 3 lakhs. I don't have any claim experience till now.
    Was this review helpful? 0
    , chennai
    Reviewed on Mar 12, 2020
  • Star Health Health Insurance
    "Good products at affordable right pricing"
    0.5 4.0/5 "Great!"
    I love the way they communicate everything. Inclusions and exclusions were explained in a right way to help me choose right product at right pricing. i got a healthcare for my whole family without burning a hole in my pocket. recommended to all
    Was this review helpful? 0
    , mumbai
    Reviewed on Mar 11, 2020
  • Star Health Health Insurance
    "Good "
    0.5 4.0/5 "Great!"
    My friend has suggested to apply health insurance, so for my personal need I had taken a health insurance from STAR HEALTH on 10 months before. They tied up with many hospitals and it covers all city. There is cash less treatment and the policy includes 4 family members, need to pay the premium amount of 12K on yearly basis.
    Was this review helpful? 1
    , chennai
    Reviewed on Mar 10, 2020
  • review Health Insurance
    "Good"
    0.5 5.0/5 "Blown Away!"
    My health insurance policy is running with Aditya Birla Health Insurance. This is a family floater policy and i am paying premium around Rs. 14k yearly. Still there is no claim and this insurance covers all network of hospitals. This policy has some TAX benefits.
    Was this review helpful? 0
    , lucknow
    Reviewed on Mar 09, 2020
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