Tamil Nadu Chief Minister Comprehensive Health Insurance Scheme (CMCHIS)

Tamil Nadu Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS), popularly known among many beneficiaries as Kalaignar Kaappittu Thittam, Maruthuva Kaappittu Thittam, or simply CM Kaappittu Thittam, is a flagship healthcare initiative of the Tamil Nadu Government that provides cashless treatment to eligible families through a network of empanelled government and private hospitals across the state. Originally launched on 23 July 2009 and later revamped as CMCHIS in 2012, the scheme aims to ensure that financially vulnerable families can access quality medical care without facing a heavy treatment burden.

Tamil Nadu Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS) Highlights
Popular NamesCMCHIS, Kalaignar Kaappittu Thittam, Maruthuva Kaappittu Thittam, CM Kaappittu Thittam
Scheme NameTamil Nadu Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS)
Date of Launch23 July 2009 (Revamped and expanded as CMCHIS in 2012)
Current CoverageRs. 5,00,000 per family per year
Announced Revised CoverageRs. 25,00,000 per family per year – announced on 19 August 2026, pending official implementation
Beneficiary FamiliesApproximately 1.48 crore families across Tamil Nadu
Income EligibilityAnnual family income below Rs. 1.20 lakh (as per G.O.(Ms) No. 560, dated 16.12.2021)
Implementing InsurerUnited India Insurance Company (implementation period: January 2022 to January 2027)
Implementing AgencyTamil Nadu Health Systems Project (TNHSP)
Eligible BeneficiariesLow-income Tamil Nadu families with a valid ration card, along with specified special categories covered without income limits
Coverage TypeCashless inpatient treatment, surgeries, diagnostics, and follow-up care at empanelled hospitals
Pre-Existing DiseasesCovered from Day One without any waiting period
Hospitals CoveredEmpanelled Government and Private Hospitals across Tamil Nadu
Application ModeOnline pre-enrollment and offline enrollment through designated centres with mandatory biometric verification
Required IdentificationFamily Ration Card, Aadhaar, Income Certificate, and biometric authentication
Official Portalcmchistn.com
Responsible AgencyTamil Nadu Health Systems Project (TNHSP)
How to ApplySubmit details online or visit a CMCHIS enrollment centre and complete document verification and biometric enrollment
Toll-Free Helpline1800 425 3993 (24×7)
Popular Search TermsKapitu Thittam, Kapitu Thittam Card, Kapitu Thittam Card Download, Maruthuva Kapitu Thittam, Kalaignar Kapitu Thittam, CM Kapitu Thittam

Introduction of Tamil Nadu Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS): A Brief Insight

The Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS) is one of the flagship healthcare initiatives of the Tamil Nadu Government, designed to ensure that financially vulnerable families can access quality medical treatment without facing a heavy financial burden. The scheme was originally launched as Kalaignar Kapitu Thittam in July 2009 and was subsequently expanded and restructured as CMCHIS in 2012 to provide broader coverage, improved benefits, and access to a larger network of hospitals across the state.

The scheme is implemented through the Tamil Nadu Health Systems Project (TNHSP), which oversees the delivery and monitoring of healthcare services under the programme. Through a structured enrollment and verification system, the scheme aims to ensure that eligible families receive timely access to quality healthcare while maintaining transparency in beneficiary identification and claim settlement.

Currently administered by United India Insurance Company, CMCHIS covers approximately 1.48 crore families across Tamil Nadu and will continue its present implementation framework up to 2027. Over the years, the scheme has emerged as one of the largest state-funded health insurance programmes in India, providing cashless treatment through an extensive network of empanelled government and private hospitals located across urban, semi-urban, and rural areas of the state.

Under the existing framework, eligible families can avail health insurance coverage of up to Rs. 25,00,000 per family per year on a floater basis. The scheme covers a wide range of medical services, including hospitalisation, major and life-saving surgeries, diagnostic investigations, specialist treatments, follow-up procedures, and several high-cost healthcare interventions. One of the most significant features of CMCHIS is that pre-existing diseases are covered from the very first day of enrollment, eliminating the waiting periods commonly associated with many insurance schemes. In emergency situations, empanelled hospitals are also required to begin treatment immediately without delay.

In a major healthcare announcement made in the Tamil Nadu Legislative Assembly on 19 August 2026, Chief Minister C. Joseph Vijay announced that the annual coverage under CMCHIS would be enhanced fivefold, increasing from Rs. 5 lakh to Rs. 25 lakh per family per year. Once implemented, this would significantly strengthen financial protection for families requiring expensive medical treatment. However, as of now, this remains an announced enhancement. The official CMCHIS portal continues to reflect the existing Rs. 5 lakh coverage limit, and the Government is yet to issue a formal Government Order specifying the effective date, revised package structure, implementation mechanism, and operational guidelines.

Along with the proposed increase in insurance coverage, the Tamil Nadu Government also announced several major healthcare initiatives aimed at improving specialised treatment facilities across the state. These include the expansion of gender-affirming medical and surgical care for transgender persons at seven Government Medical College Hospitals, namely Stanley Medical College Hospital (Chennai), and medical college hospitals at Tirunelveli, Thoothukudi, Chengalpattu, Tiruvarur, Dharmapuri, and Kanniyakumari.

To ensure that the benefits reach deserving families, CMCHIS primarily targets low-income households possessing a valid Family Ration Card and fulfilling the prescribed eligibility conditions. Enrollment is completed through designated enrollment centres where biometric verification, including fingerprint and photograph capture, is carried out to ensure accuracy, transparency, and prevention of duplicate registrations.

The Kalaignar Kapitu Thittam also extends coverage to several special categories notified by the Government, including differently abled persons, Sri Lankan refugees, transgender persons, recognised press and media personnel, interstate migrant workers, State Pensioners, orphaned children, old-age home inmates, and other vulnerable groups, subject to the applicable eligibility norms and supporting documentation.

At the national level, the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PM-JAY) operates on a similar cashless healthcare model and works in convergence with CMCHIS for claim-sharing and healthcare financing. However, beneficiaries enrolled under CMCHIS continue to receive benefits as per the coverage limits and package structure prescribed under the Tamil Nadu Government’s scheme.

On the social welfare front, Tamil Nadu has also introduced several complementary initiatives such as the Magalir Urimai Thogai Scheme, which focuses on providing direct financial assistance to eligible women beneficiaries. While CMCHIS addresses healthcare security, welfare schemes such as Magalir Urimai Thogai support household financial stability and women’s economic empowerment.

Residents looking to explore more welfare, healthcare, education, livelihood, housing, and social security programmes launched by the state government can visit the Complete List of Tamil Nadu Government Schemes, where detailed information about various Tamil Nadu Government initiatives is available in one place.

Benefits Provided to Eligible Beneficiaries

Under the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS), eligible families receive free and cashless medical treatment for serious illnesses and high-cost procedures through empanelled government and private hospitals across Tamil Nadu.

  • Health insurance coverage of up to Rs. 25,00,000 per family per year on a floater basis.
  • Completely cashless treatment at empanelled government and private hospitals.
  • Pre-existing diseases covered from day one, without any waiting period.
  • Coverage for more than 1000 approved medical procedures, including several complex and life-saving treatments.
  • Benefits include hospitalisation expenses, diagnostic investigations, surgeries, and follow-up treatment.
  • Emergency medical cases receive immediate treatment without unnecessary delay.
  • Beneficiaries are not required to make payments at the hospital, as treatment costs are settled directly under the scheme.
  • Treatment can be availed at any empanelled hospital across Tamil Nadu, irrespective of the beneficiary’s home district.

Diseases and Treatments Covered under CMCHIS

The scheme provides financial protection against a wide range of serious diseases and medical conditions by covering numerous specialised treatments and surgical procedures.

  • Coverage for 1000+ medical and surgical procedures notified under CMCHIS.
  • Major treatments such as cardiac surgeries, cancer treatment, kidney-related procedures, and neurological surgeries are included.
  • Orthopaedic surgeries, accident-related trauma care, and emergency interventions are covered.
  • Advanced diagnostic investigations, including MRI, CT Scan, and other specialised tests, form part of approved treatment packages.
  • Post-hospitalisation and follow-up treatment benefits are available for eligible procedures.
  • Paediatric treatments and surgeries for children are also covered under notified packages.
  • The government is expanding access to gender-affirming medical and surgical care for transgender persons through seven Government Medical College Hospitals located at Stanley Medical College (Chennai), Tirunelveli, Thoothukudi, Chengalpattu, Tiruvarur, Dharmapuri, and Kanniyakumari.

What is NOT Covered under CMCHIS

Although CMCHIS offers extensive health protection, certain services and procedures remain outside the scope of coverage.

  • Outpatient (OPD) consultations and treatments that do not require hospital admission.
  • Treatment received at non-empanelled hospitals.
  • Medical procedures and therapies that are not included in the approved CMCHIS package list.
  • Cosmetic, aesthetic, or non-essential medical procedures that are not medically necessary.

Eligibility Conditions Required to be Fulfilled

Families must fulfil the following eligibility conditions to avail benefits under the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS) of the Government of Tamil Nadu:

  • The family must be a resident of Tamil Nadu.
  • Annual family income should be below Rs. 1,20,000.
  • The applicant’s name must be included in the Family Ration Card.
  • A valid Income Certificate issued by the Village Administrative Officer (VAO) or the Revenue Authority is required.
  • Aadhaar details of all family members must be available at the time of enrollment.
  • Eligible family members include the legal spouse, children, and dependent parents of the applicant, provided their names are recorded in the Family Ration Card.

However, as per government norms, the following categories are covered under CMCHIS even without any income ceiling:

  • Differently Abled Persons (PwD) and their family members registered under the Differently Abled Welfare Board.
  • Sri Lankan Refugees residing in Tamil Nadu, both within refugee camps and outside camps.
  • Orphan and Rescued Children from registered or unregistered institutions, including children orphaned during the COVID-19 pandemic.
  • Interstate Migrant Workers residing and working in Tamil Nadu for the prescribed period.
  • Recognised Press and Media Persons, Transgender Persons, Old Age Home Inmates, IMH Inhabitants, Handloom and Handloom Silk Weaving Workers, and State Pensioners (Old Age Pension and Widow Pension beneficiaries), subject to submission of category-specific documents.

Important Conditions You Must Know

Applicants and beneficiaries should keep the following important conditions in mind while enrolling under the scheme and availing treatment benefits:

  • The scheme primarily covers inpatient treatment where hospital admission is required.
  • Cashless treatment can be availed only at CMCHIS empanelled hospitals.
  • Biometric verification is mandatory during enrollment and beneficiary identification.
  • The insurance coverage is provided on a family floater basis, meaning the total coverage amount is shared among all eligible family members.
  • Pre-existing diseases are covered from the very first day of enrollment under the scheme.
  • In emergencies, empanelled hospitals must provide treatment immediately without unnecessary delay.

Documents Required to be Attached

Applicants must carry and submit the following documents at the time of enrollment under the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS) of the Government of Tamil Nadu:

  • Family Ration Card – mandatory for identification and verification of family details.
  • Income Certificate issued by the Village Administrative Officer (VAO) or the Revenue Authority – confirming annual family income below Rs. 1.20 lakh, as prescribed under G.O.(Ms) No. 560, Health and Family Welfare Department, dated 16.12.2021.
  • Aadhaar Card of all family members proposed to be enrolled under the scheme.
  • Self-declaration from the head of the family confirming eligibility under CMCHIS.
  • Passport-sized photographs of each family member.

Applicants belonging to special categories must also submit the following additional documents, wherever applicable:

  • Sri Lankan Refugees – ID Card issued by the Commissionerate of Rehabilitation and Welfare of Non-Resident Tamils. Camp refugees must submit their Refugee Camp ID Card, while refugees residing outside camps must provide a registration certificate issued by the concerned local police station.
  • Differently Abled Persons – Disability ID Card issued by the Differently Abled Welfare Board.
  • Transgender Persons – Identity Card or official letter issued by the Social Welfare and Women Empowerment Department.
  • Recognised Press and Media Persons – Identity Card issued by the Tamil Nadu Information and Public Relations Department, with the applicant’s name included in the government-approved journalists’ list.
  • Handloom and Handloom Silk Weaving Workers – Identity Card issued by the Labour Officer under the respective Welfare Board.
  • Old Age Home Inmates, Orphans, and COVID Orphans – Identity Card or certification letter issued by the competent authority of the Social Welfare and Women Empowerment Department, including the District Child Protection Officer or District Child Protection Unit, as applicable.
  • State Pensioners (Old Age Pension and Widow Pension Beneficiaries) – Identity Card or official letter issued by the Revenue Department.

Recent Update: On 19 August 2026, Chief Minister C. Joseph Vijay announced in the Tamil Nadu Legislative Assembly that the annual insurance coverage under CMCHIS will be enhanced fivefold, from Rs. 5 lakh to Rs. 25 lakh per family. This is a major expansion of the scheme aimed at strengthening financial protection for families against high medical expenses. Until the revised operational guidelines come into force, applicants should continue submitting documents as per the existing CMCHIS enrollment requirements and maintain all records in updated and valid condition.

How Beneficiaries Can Apply to Avail the Benefit of this Scheme

The Tamil Nadu Government allows eligible families to enrol under the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS) through both online and offline methods. However, completing biometric verification at an authorised enrollment centre is mandatory before enrollment is finalised. The process is simple and can be completed by following the steps below.

Online Application / Pre-Enrollment Process

If you wish to save time at the enrollment centre, you can first submit your details online and then complete verification in person.

Step 1: Open the official CMCHIS portal by visiting www.cmchistn.com.

Step 2: Locate the enrollment or registration section available on the website.

Step 3: Enter all required details carefully, including your family ration card information, Aadhaar details, family member details, and other information requested in the application form.

Step 4: Review all information before submission and ensure that the details match your official documents.

Step 5: Submit the online application and save or note down the acknowledgement number, application reference number, or registration details generated by the system.

Step 6: Gather all original documents and visit the nearest authorised CMCHIS enrollment centre for physical verification.

Step 7: Present your documents to the enrollment officer for scrutiny and verification.

Step 8: Complete the mandatory biometric process, including fingerprint capture, photograph, and eye scan wherever applicable.

Step 9: After successful verification, your enrollment is processed and approved under the scheme.

Step 10: Once enrollment is completed, you receive the CMCHIS smart card/e-card, which can later be used to avail cashless treatment at empanelled hospitals.

Offline Enrollment Process

Applicants who prefer not to use the online facility can directly visit an enrollment centre and complete the entire process offline.

Step 1: Obtain a valid Income Certificate from the Village Administrative Officer (VAO) or the competent Revenue Authority confirming your eligibility under the scheme.

Step 2: Collect all required documents, including the Family Ration Card, Aadhaar Cards of family members, Income Certificate, photographs, and category-specific documents wherever applicable.

Step 3: Visit the nearest CMCHIS enrollment centre operating in government hospitals, district offices, or other designated locations.

Step 4: Request the enrollment form from the enrollment counter if required and provide all necessary details.

Step 5: Submit the completed form along with supporting documents to the enrollment officer.

Step 6: The enrollment officer verifies the submitted documents and confirms eligibility under the scheme.

Step 7: Complete biometric verification, including fingerprint authentication, photograph capture, and eye scan as required by the enrollment system.

Step 8: The enrollment centre generates your CMCHIS beneficiary record after successful verification.

Step 9: Receive confirmation of enrollment and collect the smart card/e-card details issued under the scheme.

Step 10: Preserve the card carefully, as it will be required whenever you seek cashless treatment at an empanelled hospital.

Important Note

Even if you complete the online application process, enrollment is not considered complete until biometric verification is successfully finished at an authorised CMCHIS enrollment centre. Applicants should never pay any agent, broker, or intermediary for enrollment assistance, as registration under CMCHIS is completely free of cost.

Important: The recently announced enhancement of coverage from Rs. 5 lakh to Rs. 25 lakh does not require any separate application as of now. Beneficiaries should continue following the existing enrollment process until the Tamil Nadu Government issues a formal Government Order and implementation guidelines.

How to Download Kapitu Thittam Card Online

Beneficiaries who have already enrolled under the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS) can download their CMCHIS e-card, popularly known as the Kapitu Thittam Card, through the official portal once the enrollment details are verified in the system.

The downloaded card can be used for beneficiary verification at empanelled hospitals while availing cashless treatment under the scheme.

How to Avail Cashless Treatment under CMCHIS

After successful enrollment, beneficiaries can receive completely cashless treatment at empanelled government and private hospitals across Tamil Nadu. The process is designed to be simple, especially during medical emergencies.

Step 1: Visit any hospital that is empanelled under the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS).

Step 2: Inform the hospital help desk or insurance desk that you are a CMCHIS beneficiary.

Step 3: Produce your CMCHIS smart card for verification. If the card is unavailable, you may provide your Aadhaar Card, Family Ration Card, or other approved identification documents for beneficiary verification.

Step 4: The hospital verifies your eligibility through the official CMCHIS online system.

Step 5: Once eligibility is confirmed, the treating doctor examines your medical condition and determines whether the required treatment falls under the approved CMCHIS package list.

Step 6: The hospital submits a pre-authorisation request electronically to the scheme authority for approval of the proposed treatment.

Step 7: After approval is granted, the hospital proceeds with admission and treatment without asking the beneficiary to make any payment for covered procedures.

Step 8: Receive the required medical treatment, surgery, investigations, hospitalisation, and other covered services completely cashless.

Step 9: If follow-up treatment is included within the approved package, the beneficiary can continue receiving those services as per scheme guidelines.

Step 10: The treatment cost is settled directly between the hospital and the scheme authority, eliminating the need for reimbursement claims by the beneficiary.

Emergency Cases: In life-threatening emergencies, hospitals must begin treatment immediately without delay. The required authorisation process is completed subsequently, generally within the prescribed timeframe under scheme guidelines.

What the Rs. 25 Lakh Announcement Means for You – Explained Simply

On 19 August 2026, the Chief Minister announced in the Tamil Nadu Legislative Assembly that the annual health insurance coverage under CMCHIS will increase from Rs. 5 lakh to Rs. 25 lakh per family per year. This means the total amount available for eligible treatments is proposed to become five times higher than the current limit.

However, beneficiaries should understand that this enhancement has only been announced so far. The official CMCHIS portal, enrollment centres, and empanelled hospitals currently continue to operate under the existing Rs. 5 lakh annual floater coverage.

This is because an Assembly announcement must be followed by a formal Government Order (G.O.), operational guidelines, revised treatment packages, hospital instructions, and system updates before the enhanced coverage becomes effective.

Therefore, if you are enrolling under CMCHIS today or seeking treatment today, you should continue following the current process exactly as described above. The existing eligibility conditions, income limit of Rs. 1.20 lakh, enrollment procedure, document requirements, and empanelled hospital network remain unchanged until official implementation takes place.

Once the Government issues the formal notification, beneficiaries will know:

  • The exact date from which the Rs. 25 lakh coverage becomes operational
  • Whether any fresh verification or card update is required
  • Whether additional treatment packages are being introduced
  • Whether any coverage limits or package conditions are revised
  • Whether any eligibility criteria are modified

Until then, beneficiaries should continue checking the official CMCHIS portal at www.cmchistn.com or contact their nearest enrollment centre for the latest updates regarding implementation of the enhanced coverage.

Important Links Available of the Scheme

Contact Details in Case of Help Needed

If beneficiaries face any issue related to enrollment, eligibility, or treatment under the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS), they can contact the official support channels given below:

  • Toll-Free Helpline: 1800 425 3993 (24×7 support available)
  • Additional Helpline Numbers: 9384020947, 9384020948 (Monday to Saturday, 10 AM to 6 PM)
  • Email: tnhealthinsurance@gmail.com
  • CMCHIS Project Office: No. 226, Om Sakthi Towers, Kilpauk Garden Road, Kilpauk, Chennai – 600010
  • Tamil Nadu Health Systems Project (TNHSP): 3rd Floor, DMS Annex New Building, 259 Anna Salai, Teynampet, Chennai – 600006
  • Additional Contact Numbers: 044-24345992, 044-24335993
  • District Support: Beneficiaries can visit the District Enrollment Centre or the government hospital in their area for assistance

Frequently Asked Questions (FAQs)

Q. What is the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS)?

Ans. The Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS) is a flagship health insurance programme of the Tamil Nadu Government that provides free and cashless treatment for eligible families at empanelled government and private hospitals across the state. On 19 August 2026, the Tamil Nadu Government announced an increase in coverage to Rs. 25,00,000 per family per year, although the enhancement is yet to become operational.

Q. What is Kapitu Thittam?

Ans. Kapitu Thittam is the commonly used Tamil name for the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS), a health insurance programme of the Tamil Nadu Government that provides cashless treatment to eligible families.

Q. How can I download my Kapitu Thittam Card?

Ans. Beneficiaries can download their CMCHIS e-card (Kapitu Thittam Card) through the official CMCHIS portal after successful enrollment and verification.

Q. How much health coverage is available under CMCHIS?

Ans. At present, eligible families can avail health coverage of up to Rs. 5 lakh per year on a floater basis, meaning the coverage is shared among all enrolled family members. The Tamil Nadu Government has announced an enhancement to Rs. 25 lakh per family per year, but the revised limit will apply only after the issuance of a formal Government Order and implementation guidelines.

Q. Who is eligible to enroll under CMCHIS?

Ans. Families residing in Tamil Nadu with an annual family income below Rs. 1,20,000, a valid Family Ration Card, and a valid Income Certificate issued by the competent authority are generally eligible. Certain special categories, including differently abled persons, Sri Lankan refugees, transgender persons, recognised press and media persons, orphans, old age home inmates, interstate migrant workers, and State Pensioners, are covered under specific government provisions.

Q. Is treatment under CMCHIS completely cashless?

Ans. Yes. Eligible beneficiaries receive completely cashless treatment at empanelled hospitals. The treatment cost is settled directly between the hospital and the scheme authority, eliminating the need for beneficiaries to pay for covered procedures.

Q. Can I apply for CMCHIS online?

Ans. Yes. Applicants can complete the pre-enrollment process online through the official CMCHIS portal. However, final enrollment is completed only after document verification and mandatory biometric authentication at an authorized enrollment centre.

Q. What documents are required for enrollment under CMCHIS?

Ans. Applicants generally need a Family Ration Card, Aadhaar Cards of family members, an Income Certificate, self-declaration form, and passport-sized photographs. Special-category beneficiaries may be required to submit additional category-specific documents prescribed by the government.

Q. Are pre-existing diseases covered under the scheme?

Ans. Yes. One of the major benefits of CMCHIS is that pre-existing diseases are covered from the very first day of enrollment, without any waiting period.

Q. Can I take treatment at any hospital in Tamil Nadu?

Ans. Treatment can be availed only at hospitals empanelled under CMCHIS. Beneficiaries are free to choose any empanelled government or private hospital across Tamil Nadu and are not restricted to hospitals located in their home district.

Q. What should I do if I do not have my CMCHIS card during hospitalisation?

Ans. Beneficiaries can still undergo verification using their Family Ration Card, Aadhaar Card, or Aadhaar number, subject to successful authentication through the CMCHIS system.

Q. Does CMCHIS cover outpatient (OPD) treatment?

Ans. No. CMCHIS primarily covers inpatient treatments and procedures that require hospital admission. Routine outpatient consultations without hospitalisation are generally not covered under the scheme.

Q. Is there any fee or charge for CMCHIS enrollment?

Ans. No. Enrollment under CMCHIS is completely free of cost. Applicants should avoid paying money to agents, brokers, or intermediaries claiming to facilitate enrollment or approval under the scheme.

Q. Can beneficiaries avail treatment outside their home district?

Ans. Yes. Beneficiaries can avail cashless treatment at any empanelled hospital anywhere in Tamil Nadu, irrespective of the district where they originally enrolled.

Q. Does CMCHIS combine with Ayushman Bharat PM-JAY to provide Rs. 10 lakh coverage?

Ans. No. CMCHIS is implemented in convergence with PM-JAY for administrative and claim-sharing purposes between the Central and State Governments. However, beneficiaries do not receive separate coverage under both schemes. The total annual coverage remains Rs. 5 lakh per family under the current framework, with the announced enhancement to Rs. 25 lakh awaiting implementation.

Q. Up to what age are children covered under CMCHIS?

Ans. Children included in the eligible family are generally covered up to 25 years of age, or until they become employed or get married, whichever occurs earlier.

Q. Are dependent parents covered under CMCHIS?

Ans. Yes. Dependent parents of the applicant are eligible for coverage under the scheme, provided their names are included in the Family Ration Card and they satisfy the applicable enrollment conditions.

Q. Are emergency medical treatments covered under CMCHIS?

Ans. Yes. Empanelled hospitals are required to provide immediate treatment in emergency situations. The necessary authorisation and claim formalities are completed subsequently as per scheme guidelines.

Q. How many medical procedures are covered under CMCHIS?

Ans. The scheme covers more than 1,000 approved medical procedures, including cardiac surgeries, cancer treatment, neurological procedures, orthopaedic surgeries, diagnostic investigations, pediatric treatments, and various other specialised healthcare services.

Q. Has the announced Rs. 25 lakh coverage become effective?

Ans. No. As of now, the enhanced coverage of Rs. 25 lakh per family per year has only been announced in the Tamil Nadu Legislative Assembly. The official CMCHIS portal continues to reflect the existing Rs. 5 lakh coverage limit, and the Government is yet to issue a formal notification detailing the effective date, revised package list, operational guidelines, and implementation framework.

Q. Will existing beneficiaries need to reapply to receive the Rs. 25 lakh coverage?

Ans. The Tamil Nadu Government has not yet issued detailed implementation guidelines regarding the enhanced coverage. Beneficiaries should continue following the existing enrollment process and wait for the official Government Order to know whether any additional verification or card update will be required.

Q. Where can I get help regarding CMCHIS enrollment or treatment?

Ans. Beneficiaries can contact their nearest CMCHIS enrollment centre, district health authorities, government hospitals, or empanelled hospitals for assistance. They can also visit the official CMCHIS portal for enrollment details, hospital lists, package information, and scheme updates.

Leave a Comment