Description

“Goa Mediclaim Scheme” was launched by the Health Services Department, Government of Goa. It objective is to provide financial assistance for super-speciality treatments like dialysis, ICU care, angiography, open-heart surgery, and cancer treatments that are not available in Government Hospitals of Goa.

Benefits (Permitted Ceiling Limits)

• Continuous Ambulatory Peritoneal Dialysis (CAPD): ₹15,000 per month
• Dialysis: ₹15,600 per month (@ ₹1,300 per dialysis for 12 dialysis)
• Plastic Surgery: ₹1,50,000
• ICU/NICU/PICU/Trauma Care: ₹1,50,000
• Coronary Artery Bypass Grafting (CABG) / PTCA: ₹1,50,000
• Open Heart Surgery (Valve replacement, VSD, ASD): ₹3,00,000
• Kidney Transplantation: ₹3,00,000
• Neuro Surgery: ₹3,00,000
• Radiotherapy / Chemotherapy (Cancer): ₹5,00,000
• Cochlear Implant: ₹1,50,000
• Spastic Child, Cerebral Palsy, Skeletal Deformities: ₹1,50,000
• Bone Marrow Transplant: ₹8,00,000

Note: Benefit is the least of the Permitted Ceiling or Actual Expense.

Eligibility

• Permanent resident of Goa (15 years residency).
• Name must be in voters’ list and must hold a permanent ration card.
• Annual family income less than ₹1,50,000 (relaxed for retired state govt employees).
• Treatment must be unavailable in Government Hospitals of Goa (except for NICU and Dialysis).

Application Process

Offline
Apply to the Director of Health Services, Panaji, Goa in the prescribed form. For queries, contact: Joint Director of Accounts (Health), Ph: 0832-2225646, Ext-214. Applications are submitted at the Mediclaim Cell, Second Floor, Directorate of Health Services, Campal, Panaji.

Documents Required

• Medical Certificate from treating doctor (GMC, Hospicio, or Asilo).
• Income Certificate (Form B) or PPO for retired employees.
• Residence Certificate.
• Mediclaim Certificate from GMC Medical Superintendent.
• Passport Size Photograph.
• Declaration Form.
• Photocopy of Election Card / Ration Card.
• Aadhaar Card.