The Governor of Meghalaya has approved the CM Care+ Scheme, an enhanced financial assistance mechanism to be implemented by the Health & Family Welfare Department in order to provide additional financial healthcare assistance to beneficiaries and families facing financial hardship due to medical expenses.
A notification was issued today specifically for high-end tertiary and critical care treatments and other treatments which are not covered in the Megha Health Insurance Scheme (MHIS) packages or the cost of packages which are not sufficient for those seeking assistance.
The scheme will be implemented in alignment with the MHIS financial guidelines and its existing infrastructure. Under the scheme a beneficiary will receive financial assistance beyond the MHIS-PMJAY coverage limit of Rs 5.30 lakhs per policy year to be funded through the MHIS State Corpus Fund, comprising refunded MHIS funds generated by public hospitals and additional budgetary support as and when required.
The scheme shall benefit individuals who have exhausted their MHIS-PMJAY coverage or require financial support for treatments not covered under existing packages.
Central and State government employees and their eligible dependents shall be excluded from availing benefits under the scheme.
A Committee headed by the Deputy Commissioner shall approve cases up to Rs 2 lakhs while a High-Level Committee chaired by the Chief Executive Officer as the State Nodal Agency, shall approve cases above Rs 2 lakhs and up to Rs 5 lakhs.
All the cases shall be approved through the E-Proposal System for which the Chief Minister’s office shall accord the necessary approval based on recommendation of the committees at District and State level.
The implementation of the scheme shall be monitored by the department to ensure transparency, efficiency, and equitable distribution of funds. The funds shall be provided directly to the institution providing treatment against the cost of treatment.
