Key Directives to Empanelled Hospitals

• Pre-Hospitalisation Coverage: Expenditure incurred by beneficiary for consultation, diagnostics, and medications up to 3 days before admission is included in the package cost. Applicable only to expenses made in the same hospital where treatment is initiated.
• Post-Hospitalisation Coverage: Expenses from date of discharge up to 15 days for consultation, medicines, diagnostics, and post-operative care are covered in the package cost.
• Medication Provision: Hospitals must procure required medications and provide them to the beneficiary free of cost.
• Follow-up Visits: If diagnostics evaluation and follow-up visits are needed within 15 days post-discharge, they must be done free of cost by the hospitals.
• No Charging: The beneficiary should not be charged for any pre and post-hospital expenses covered under the package.
• Surgery Complications: In case of surgery, post-operative complications and readmission linked to the treatment are to be covered under the earlier package cost.
• Strict Compliance: Any deviation from these guidelines will be taken seriously by SHAS and the Health & Family Welfare Department.