The State Government on 20 September 2011 signed a Memorandum of Understanding with ICICI Lombard which is the implementing agency for the new health insurance cover. About 3.2 lakh families in the state would be entitled to be in the purview of the scheme.
The novel and unique cash less health insurance scheme provides for meeting expenses of hospitalization for medical and/or surgical procedure including maternity benefit to the enrolled families upto 60000 rupees per family per year subject to limits in any of the government and private hospitals and nursing homes.
The benefit to the family will be on floater basis and a sum insured of 60000 rupees can be availed individually or collectively by members of the family per year. Under the scheme, pre existing conditions/diseases are to be covered from day one. The scheme covers family comprising of household head, spouse and upto three dependents resident of Goa for over five years. A beneficiary will have to pay 100 rupees to the insurance company at the time of enrollment.