Family Planning Indemnity Scheme
in Goa
Last updated:
Family Planning Indemnity Scheme in Goa
Family Planning Indemnity Scheme is a government scheme available to eligible residents of Goa.
Apply for Family Planning Indemnity Scheme in Goa
Scheme Overview
The scheme provides compensation ranging from ₹60,000/- for sterilization failure to ₹4,00,000/- for death following sterilization, along with coverage for treatment costs up to ₹50,000/- for complications arising within 60 days post-operation.
Eligibility Criteria
##### ***For Beneficiary (Person who underwent Sterilization)***
- The applicant must be a person who has undergone sterilization operation under family planning program.
- The applicant must have undergone sterilization operation at an authorized health facility.
- The applicant must be able to provide documentary evidence of the sterilization procedure.
##### ***For Claimant (Family Member or Legal Representative)***
- The applicant must be a legal claimant or family member of the person who underwent sterilization (in case of death or incapacitation).
- The applicant should have legal authority to represent the beneficiary in case of death or inability to claim.
> ***Conditions***
_*The applicant must report complications, failure, or death within the specified timeframes as per scheme guidelines._
_*The applicant must submit the claim through proper medical channels with certification from authorized medical officers._
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Benefits
Section A: Death following sterilization (inclusive of death during sterilization operation) in hospital or within 7 days from discharge - ₹4,00,000/-.
Section B: Death following sterilization within 8-30 days from discharge - ₹1,00,000/-.
Section C: Failure of sterilization - ₹60,000/-.
Section D: Cost of treatment in hospital and up to 60 days arising out of complications following sterilization operation - Actual cost not exceeding ₹50,000/-.
*The claimant must accept the compensation amount as full settlement with no further claim rights.
*The claimant must warrant the truth of all particulars provided, with forfeiture of compensation for false statements.
*The claimant must agree that the compensation covers all aspects of the claim with no additional benefits.
Required Documents
| # | Document |
|---|---|
| 1 | Failure of Sterilization Operation Documents with Original and One Set of Photocopy. |
| 2 | Claim Form (Claim Form cum Medical Certificate). |
| 3 | Consent Form cum Application Form for Sterilization Operation. |
| 4 | New Sterilization Certificate (in Original). |
| 5 | New Case Paper. |
| 6 | Admit Paper. |
| 7 | Discharge Card. |
| 8 | Old Case Paper. |
| 9 | Old Ligation Certificate (in Original). |
| 10 | Aadhaar Card and Election Card of Both Husband and Wife. |
| 11 | Birth Certificate of Both Children. |
| 12 | Bank Details with 2 Photocopies of Beneficiary. |
| 13 | Death Certificate (in Case of Death Claims). |
| 14 | Original Bills, Receipts, and Prescriptions (for Complication Treatment Costs). |
How to Apply in Goa
Step 1: Initial Reporting and Documentation
Offline Visit the health facility where sterilization was conducted and report the case of death, failure, or complication to the Medical Superintendent or Health Officer. Begin collecting all required documents including original sterilization certificates, case papers, identity documents, and bank details from relevant sources.
Step 2: Form Completion and Medical Certification
Offline Complete Part A of the Claim Form cum Medical Certificate with accurate personal details, sterilization operation information, and nature of claim. Submit all medical records and completed Part A to the Chief Medical Officer or equivalent designated officer at district level for medical certification.
Step 3: Application Submission
Offline Collect the medically certified claim form (Part A and Part B completed) from the certifying officer. Submit the complete application with all required original documents and photocopies to the respective health facility where sterilization was performed.
Step 4: Follow-up and Verification
Offline Maintain regular contact with the health facility to track progress as the case moves through District Indemnity Scheme Committee review. Provide any additional information or documentation if requested during the committee verification process.
Step 5: Payment Processing
Offline The District Committee forwards the verified case to the state office (State Health Society) for final approval and processing. Upon state approval, compensation amount is disbursed directly to the beneficiary's bank account as specified in the claim form.
Common questions in Goa
Who can apply for Family Planning Indemnity Scheme in Goa?
Eligible residents of Goa who meet the scheme’s overall criteria can apply for Family Planning Indemnity Scheme. Refer to the eligibility section above for the complete checklist.
What documents are required for Family Planning Indemnity Scheme in Goa?
Applicants in Goa typically need identity proof (Aadhaar), state residency proof, bank account details, and any scheme-specific documents listed in the documents section.
Frequently Asked Questions
If death occurs within 7 days from the date of discharge from hospital following sterilization, the compensation amount is ₹4,00,000/-. <br>