Tripura Journalist Health Insurance Scheme

Description
A Health Insurance Scheme by the Directorate of Information & Culture Affairs, for Journalists who are permanent residents of the state of Tripura. The applicant must be an accredited journalist by the state government or PIB. The age must be in between 21-65 years. The applicant must not have been covered under the Ayushman Bharat Scheme or any other Health Insurance Scheme of the Central or State Government. The beneficiary will receive medical care facilities for all the diseases as listed by the State government after recommendation by the committee. The maximum coverage of benefits from all sources will be ₹3,00,000. The application shall be submitted to the Director, the Information and Cultural Affairs Department. The basic objective of the scheme is to financially protect the Journalists from monetary burdens and liabilities that are a result of unfortunate health-related situations and emergencies.

Exclusions
• is employed mainly in a managerial or administrative capacity, or
• being employed in a supervisory capacity, performs, either by the nature of the duties attached to his office or by reason of the powers vested in him, functions mainly of a managerial nature;

Definitions
Insurance
an arrangement by which the state undertakes to provide a guarantee of compensation or cost of medical care in return for payment of a specified premium.
(Source: https://thc.nic.in/Tripura%20State%20Lagislation%20Schemes/Journalist%20Health%20Insurance%20Scheme%20Tripura%20,2022.pdf)

Working journalist
a person whose principal avocation is that of a journalist and who is employed as such, either whole-time or part-time, in, or in relation to, one or more newspaper establishments or electronic/web media, etc. and includes an editor, a leader- writer, news editor, sub-editor, feature-writer, copy- tester, reporter, correspondent, cartoonist, news photographer, and proofreader, but does not include any such person who--
i. is employed mainly in a managerial or administrative capacity, or
ii. being employed in a supervisory capacity, performs, either by the nature of the duties attached to his office or by reason of the powers vested in him, functions mainly of a managerial nature;
(Source: https://thc.nic.in/Tripura%20State%20Lagislation%20Schemes/Journalist%20Health%20Insurance%20Scheme%20Tripura%20,2022.pdf)

Benefits
• The beneficiary will receive medical care facilities for all the diseases as listed by the State government after recommendation by the committee. The maximum coverage of benefits from all sources will be ₹3,00,000.

Eligibility Criteria
1. The applicant must be a permanent resident of the state of Tripura.
2. The applicant must be an accredited working journalist by the state government or by the Press Information Bureau (PIB).
3. The age of the applicant must be in between 21 years and 65 years.
4. The applicant must not have been covered under the Ayushman Bharat Scheme or any other Health Insurance Scheme of the Central or State Government.

Application Process
Step 1: The procedure of enrolment as a beneficiary under the scheme:
To be eligible under the scheme as a beneficiary, a working journalist must apply to the following address with all supporting documents-
The Director
Information and Cultural Affairs D…
Offline

The procedure of enrolment as a beneficiary under the scheme:
To be eligible under the scheme as a beneficiary, a working journalist must apply to the following address with all supporting documents-
The Director
Information and Cultural Affairs Department
Government of Tripura.
Gandhighat , Agartala ,Tripura - 799 001
Director, of Information & Cultural Affairs will verify all the eligibilities through the Sub-Divisional Magistrate and other concerned agencies.
After completion of verification the Director, Information & Cultural Affairs will place the application with all necessary documents to the "Tripura Journalist Health Insurance Scheme Recommendation Committee" (JHISRC).
By the recommendation of the Committee and followed by the approval of the State Government the applicant applicants will be enrolled as beneficiaries under the scheme.

Required Documents
• Proof of Age / DOB
• Proof of Residence
• Bank Details (Refer Source)
• Income Certificate
• Proof reg the health-related situations

Frequently Asked Questions
Q: Who are excluded from applying to this scheme?
A: The scheme is not open to such person who--
i. is employed mainly in a managerial or administrative capacity, or
ii. being employed in a supervisory capacity, performs, either by the nature of the duties attached to his office or by reason of the powers vested in him, functions mainly of a managerial nature;

Q: What is the Purpose of this Scheme?
A: With the aim of providing health care protection to the working Journalists of the State, the Government of Tripura has launched the Tripura Journalist Health Insurance Scheme. The basic objective of the scheme is to financially protect the Journalists from monetary burden and liabilities
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that are a result of unfortunate health-related situations and emergencies. Under this Scheme, the beneficiaries are eligible to receive coverage benefits upto Rs. 3 lakhs for a list of diseases that need hospitalization and others.

Q: Waht is the eligibility criteria for this scheme?
A: The basic eligibilities necessary to come under the purview of the scheme are-
The person covered under the scheme-
a. must be a Working Journalist.
b. must be a permanent resident of the State.
c. must be an accredited journalist by the state government or PIB.
d. age must be in between 21-65 years.
e. must not be covered under Ayusman Bharat Scheme or any other Health Insurance Scheme of Central or State Government.

Q: What Benefits are provided under this Scheme?
A: Under the Tripura Journalist Health Insurance Scheme, beneficiaries will get medical care facilities for all the disease as listed by the State government after recommendation by the committee. The maximum coverage of benefit from all sources will be Rs.3.0 Lakh.

Q: Who shall be the Implementing agencies for this scheme?
A: For the implementation of the Scheme, State Government shall invite EOI (Expression of Interest) from reputed Health insurance companies of India. (see Clause10). For a successful EOI process, separate criteria or eligibilities shall be fixed by the health experts of the State.

Q: Which diseases are covered under the health insurance?
A: 11. List of disease covers under the Scheme: The empanelled Insurance Company shall be bound to provide cashless health facilities for all the disease as listed by the state government or as directed by the competent authority after approval of the recommendation of the committee under the scheme.