Odisha State Treatment Fund

Description
The Department of Health and Family Welfare, Government of Odisha introduced a scheme named The " Odisha State Treatment Fund" scheme which aims to provide financial assistance to the poor patients who are suffering from life threatening disorders & diseases, for treatment of their major ailments. The fund is managed by an autonomous society known as “Odisha State Treatment Fund Society”. The Society is registered under the Societies Registration Act, 1860. The financial assistance will be released to the Medical Institutions in which treatment has been/is being given to the patients. The eligible patients will be provided assistance for treatment in specific life threatening diseases as mentioned at Annexure – D in the detailed guidelines .

Exclusions
• The Central Government / State Government / PSU employees are not eligible.
• Assistance will not be available for reimbursing the expenditure incurred by the applicant. The date of application seeking financial assistance should be during the course of treatment.
• Re-imbursement of medical expenditure already incurred for treatment / operation shall not be permissible.
• Diseases of common nature and disease for which treatment is available free of cost under other health programmes / schemes will not be covered.
• Assistance will normally not be provided where medical coverage under ESI, CGHS or any other scheme is available or where there is a provision for reimbursement of cost of medicine.
• Any person shall be assisted once in a financial year. Repeat assistance for the same ailment shall not be allowed in any case. However, this will not be a bar for receiving the treatment assistance in phased manner for diseases like Cancer, Collagen disease, Renal failure etc.

Benefits
• OSTF will be a top up to RSBY. The patient will be covered under RSBY at the first assistance and where the amount of assistance required exceeds the limit of RSBY, the patient will be provided assistance under OSTF.
• Treatment cost so approved shall be within the upper limit of Rs.3.00 lakh (Rupees three lakh only).
• The sanction of District Head Quarters Hospitals shall be limited to Rs.30,000/- per case. Where the quantum of assistance exceeds Rs.30,000/- CDMO with the approval of the Collector-cum-District Magistrate concerned can sanction up to Rs.50,000/-.
• For assistance over and above Rs.3.00 lakh, approval of the Hon’ble Chief Minister, Odisha needs to be obtained.

Eligibility Criteria
1. It is applicable to persons below the poverty line, person with annual family income not exceeding Rs.40,000/- in rural area and Rs.60,000/- in urban areas. Either BPL card / AAY card or annual income certificate issued by concerned Tahasildar will be accepted for determining the eligibility.
2. Rastriya Swasthya Bima Yojana (RSBY) card holder is also eligible under this scheme.
3. An unknown accident victim, patients duly referred from registered destitute home / orphanage / mental asylum / Child care Institutions are also eligible for assistance under the scheme subject to citing sufficient reason thereof for recommending the patient under the scheme.
4. Assistance will be available only to patients undergoing treatment as in-patient in any of the Govt./Empanelled private hospitals. However this will not restrict : Cancer patients from getting chemo in Govt. Day Care Centre without being formally admitted & Patients who have undergone kidney transplantation at Govt. Hospitals from getting post-operative care including supply of free medicines and investigation up to 6 months from the date discharge.

Required Documents
• Aadhar Card.
• Voter Card.
• BPL card.
• Antyodaya Anna Yojana (AAY) ration card.
• Rastriya Swasthya Bima Yojana (RSBY) card.
• Annual family income certificate issued by concerned Tahasildar.
• Any other document desired by the department and mentioned on the website: https://health.odisha.gov.in/citizen-e-services/odisha-state-treatment-fund-ostf

Frequently Asked Questions
Q: Who are the beneficiaries?
A: The persons below the poverty line, person with annual family income not exceeding Rs.40,000/- in rural area and Rs.60,000/- in urban areas. Either BPL card/AAY card or annual income certificate issued by concerned Tahasildar will be accepted for determining the eligibility.

Q: Is RSBY card holders are also eligible under this scheme?
A: Yes.

Q: Is any other conditions are also eligible under this scheme?
A: An unknown accident victim, patients duly referred from registered destitute home / orphanage / mental asylum/Child care Institutions are also eligible for assistance under the scheme
subject to citing sufficient reason thereof for recommending the patient under the scheme.

Q: Wher The assistance will be available for treatment?
A: In all State Government Hospitals including the three Govt. Medical College & Hospitals, SVPPGIP (SishuBhawan), Cuttack and AHRCC, Cuttack. And The assistance will be available in empaneled private hospitals List are enclosed in Guidelines.

Q: What are the DISEASES COVERED under this scheme?
A: The eligible patients will be provided assistance for treatment in specific life threatening diseases.

Q: Is there any QUANTUM OF ASSISTANCE?
A: Yes.

Q: Is OSTF will be a top up to RSBY?
A: The patient will be covered under RSBY at the first assistance and where the amount of assistance required exceeds the limit of RSBY, the patient will be provided assistance under OSTF.

Q: QUANTUM OF ASSISTANCE upto what Limit?
A: Treatment cost so approved shall be within the upper limit of Rs.3.00 lakh (Rupees three lakh only).

Q: If assistance over and above Rs.3.00 lakh?
A: For assistance over and above Rs.3.00 lakh, approval of the Hon'ble Chief Minister, Odisha needs to be obtained.