What you get
The benefit under this scheme shall be provided on a cashless basis to the beneficiaries, up to the limit of their annual coverage, and shall be as under: | - The insurance cover shall be up to ₹2,50,000/- per annum for a family of three or fewer members and up to ₹4,00,000/- for a family of four or more members. Under no case, the claim would exceed ₹4,00,000/- annually. | - The insurance benefit can be availed of individually or collectively by members of the family. | - An individual is free to take higher coverage from the insurance company by paying higher premiums, without having any impact on Government policy and facilities. | - The facilities for 447 procedures shall be covered under the scheme.
Who can apply
Required Paperwork
- Aadhaar Card
- PAN Card
- Income Certificate
- Residence Proof (Domicile)
Common Questions
What is the objective of the DDSSY scheme?
The objective of the DDSSY scheme is to provide quality medical care and treatment, including hospitalization and surgeries, to the residents of Goa through government and private hospitals on a cashless basis.
Who is eligible for the DDSSY scheme?
The scheme covers all residents of Goa who have lived in the state for five years or more.
What is the insurance coverage provided under DDSSY?
The insurance cover is up to [?]2,50,000/- per annum for a family of three or fewer members and up to [?]4,00,000/- for a family of four or more members. The maximum claim cannot exceed [?]4,00,000/- annually.
What documents are required to avail of the DDSSY scheme?
Required documents include an Aadhar Card or enrolment slip, proof of residence in Goa for five years, a ration card to define the family, and additional documents for specific categories like caste certificates or disability certificates.
How can a beneficiary avail of the benefits under the DDSSY scheme?
Beneficiaries can approach an Empanelled Health Care Provider (EHCP) listed on the DDSSY website. After consulting with a doctor, the hospital's DDSSY Sahayak will raise a pre-authorization request for the required procedure.
Can a beneficiary opt for higher insurance coverage?
Yes, individuals can opt for higher insurance coverage by paying an additional premium directly to the insurance company, without affecting the government-provided benefits.
How many medical procedures are covered under the DDSSY scheme?
The scheme covers 447 medical procedures.
What should a beneficiary do if they are aware of the required procedure?
If aware of the required procedure, beneficiaries can check the DDSSY website for a list of EHCPs performing that procedure and visit the hospital of their choice from the empanelled list.
Where can applications for the DDSSY scheme be submitted?
Applications can be submitted at Goa Electronics Ltd., Ground Floor, Shrama Shakti Bhavan, Patto Plaza, EDC Complex, Panaji, Goa.
Who should be contacted for more information about the DDSSY scheme?
For more information, beneficiaries can contact the DDSSY helpline at 0832-2438844 or email ddssydhs@gmail.com. The website ddssygoa.mdindia.com also provides detailed information.