How to Apply for A Health Card in Pakistan? Easy Steps

How to Apply for A Health Card in Pakistan? Easy Steps

Punjab Health Initiative Management Company has been mandated by the Specialized Health Care and Medical Education Department for the implementation of Sehat Sahulat Programme on its behalf in Punjab.

The program’s objective is to improve the access of poor people to quality medical services through a health insurance scheme. Sehat Sahulat program is a big step towards the social welfare reforms, and it ensures access to the medical healthcare of Pakistanis.

The process is aimed at running in a dignified manner without having any financial hurdles. The cardholders will get a comprehensive financial cover.

A cardholder will be able to enjoy free-of-cost hospitalization, emergency services, in-patient services, referral transportation, maternity services, and free consultancy.

In addition to the secondary care services, the health card covers eight other major diseases, including cardiovascular diseases, diabetes mellitus, burns and road traffic accidents, chronic diseases, large stage renal diseases, organ failure, neurological services, and oncology.

The best thing about this program is that it includes services from both public and private healthcare institutions. Before this scheme was announced, the poor couldn’t imaging getting treatment from private hospitals.

Features of The Health Card Pakistan

The salient features of the program for Punjab are as follows:

Beneficiaries are provided with a health insurance card.

This program offers two distinct packages:

  • Secondary care coverage for hospitalization up to PKR 60,000 per family per year is offered.
  • Coverage for eight priority diseases up to 300 000 per family per year
  • The services are executed through the insurance company.
  • As a beneficiary gets enrolled, he/she will be able to go to an empaneled hospital across the country.
  • There’s no capping on the family size.
  • It covers pre-existing diseases.
  • It ensures coverage on a yearly basis to all age groups.
  • Public and private healthcare facilities are licensed by Punjab Healthcare Commission are entitled to empanelment in the scheme.
  • Availability of inter-district portability is ensured.
  • One-day pre and Five-day post-hospitalization expenses, including the medicine, are covered for the beneficiary holding the health card.
  • The transportation cost equal to PKR 1000/- per trip for three trips a year is also provided.

The unprivileged segments of the population in all the Punjab districts can enjoy dependable quality healthcare services without any financial barriers as the program expanded to entire Punjab. The program is designed to cover all populations of Punjab till the end of this year.

Why Is a Health Card Important?

The Sehat Sahulat program is a good step towards a social welfare reform that is aimed at ensuring that the identified Pakistani citizens enjoy entitled medical healthcare in a swift and dignified manner without having any financial obligations.

The program’s objective is to improve the access of the population to good quality medical services through the health insurance scheme. Around 7.2 million families that collectively consist of 32 million people below the poverty line will be initially benefiting from the scheme.

Anyone who earns less than PKR 300 per day will be entitled to benefit. The scheme covers approximately 30 percent of the population of Punjab ay present with the scope to cover the whole population.

Benefits of Health Card

  • The sehat card covers comprehensive services for beneficiaries, and the cardholders will be entitled to free-of-cost hospitalization, emergency services, in-patient services, injuries, maternity services, and free follow-ups.
  • In addition to the secondary care services, other eight major diseases are covered by the package.
  • A cardholder will be able to a treatment worth up to PKR 720,000 annually. The Rs. 720,000 can be further topped up if required.
  • If a cardholder or any of family members have a disease that is expensive, the treatment won’t be stopped due to the insurance amount exhaustion. However, the government can provide a further PKR of 360,000 per family per annum and get the treatment completed.
  • Along with the medical facilities, the card also offers support in transportation. The transportation cost, PKR 1,000, will be paid to the family per visit.
  • Another benefit of health card is the provision of burial support. If a patient dies while being admitted, burial support of PKR 10,000 will be paid to the grieved family.
  • The inclusion of both private and public hospitals has made everything possible for poor people in Pakistan.

Treatment Packages

The treatment packages covered with the health card are explained below:

Secondary Care:

  • The initial coverage PKR 60,000 per family per year
  • In-patient services (All medical and surgical procedures)
  • Emergency Treatment requiring admissions.
  • Maternity services including normal delivery and C-section.
  • Maternity consultancy and antenatal check-ups (4 times before delivery and one follow up after delivery)
  • Maternal consultancy for immunization, nutrition and family planning.
  • Fractures and injuries are covered.
  • Local transportation cost of PKR 1,000 is covered thrice per year.
  • Transport service to tertiary care hospitals.

Priority Treatment

  • It’s an initial coverage PKR 300,000 per family per year.
  • Additional Coverage PKR 300,000 per family.
  • In patient services (all medical and surgical procedures).
  • Heart diseases (Angioplasty/bypass).
  • Diabetes Mellitus Completion
  • Burns and RTA (Life, Limb Saving Treatment, implants, prosthesis).
  • End-stage kidney disease/ dialysis.
  • Chronic Infections like Hepatitis and HIV.
  • Organ failure like treatments (Liver, kidney, heart, lungs).
  • Cancer (Chemo, Radio, Surgery).
  • Neurosurgical Procedure.

How to Apply for A Health Card in Pakistan?

Let’s take a look at how to apply for a health card in Pakistan and benefit from the healthcare services provided by the government.

Step 1:

Check your eligibility by sending an SMS having your National Identity Card Number to 8500 and check your eligibility in the program.

Step 2:

Get your sehat insaf card in case you have been declared eligible. You can receive your sehat insaf card from the card distribution center developed in your particular district.

Step 3:

  • Gather information and the documents you need for the application.
  • Determine the empaneled hospitals for Sehat Sahulat Program.
  • Take the following documents when you visit the empaneled government and private hospitals:
  • Sehat Insaf card / Qaumi Sehat Card
  • Original CNIC
  • B-Form

Step 4:

  • Use your Sehat Insaf Card to get the treatment.
  • After reaching the hospital, you can approach the dedicated SSP representative counter for further help.
  • SSP staff will verify your Sehat Insaf card and guide you to the relevant hospital department for treatment.

Step 5:

  • Get the treatment free of cost.
  • The cost of treatment after the patient gets admitted to the hospital will be charged from Sehat Card.
  • Note: This facility is applicable only in the case of patients that need to be admitted to the hospital.

Step 6:

  • Provide feedback.
  • Call 0800-09009 for your feedback. Also, you will receive a call from SSP staff from taking your feedback for experience and treatment received.

Frequently Asked Questions

1. Which People Are Eligible for SSP?

People living below poverty and earning less than PKR 300 a day in Punjab, KPK, AJK, GB, and 100% population for the newly merged district are covered. Also, disabled persons and Pakistanis from the transgender community registered in NADRA having special CNIC are also covered.

2. I Believe that I’m Eligible for Support. how Can I Become a Beneficiary?

Currently, only those people earning less than around PKR 300 a day are considered beneficiaries of this program. However, a new Khushali survey is conducted to identify the poverty status of the families.

3. How Do I Know if I Need to Be Admitted to A Hospital?

In case of an illness, contact the nearest doctor, and he will examine completely to determine the type of illness and suggest if you need to be admitted to a hospital.

4. How Many Times Can I Use the Card?

One eligible family can use the card up to 300,000 PKR for priority healthcare services. The family can benefit from the card till the cash limit is available. Additional limits can be allocated only to families in life-threatening conditions or in maternity cases.

5. What Diseases Can the Sehat Card Be Used For?

The use of sehat card is applicable for any disease that requires a patient to be admitted to the hospital.

6. Will a Child Born in Registered Family Be Eligible?

Yes, a child born I a family registered for a health card will be eligible if he/she is born in a non-empaneled hospital. Such a child will be eligible after submission of the Child Registration Certificate or B form from NADRA.

7. Will I Be Eligible for The Transport Facility to Visit a Hospital?

In case of indoor treatment, the patient will be given PKR 1,000 as transport fare while during the time of discharge. You can avail this facility three times a year.

8. How to Enroll Myself in Health Card?

Enrolment of eligible beneficiaries in the sehat sahulat program will be done through beneficiary enrolment centers that are developed in all the districts of Pakistan. If your district doesn’t have a beneficiary enrolment center or it’s too far away for you to visit, the enrolment can be done electronically too. Also, you can check your beneficiary status by texting your CNIC to 8500 so that you know if you are eligible for the health card in Pakistan.

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