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Health & Social ProtectionOfficial Info Verified
Swasthya Sathi
Cashless and paperless health protection for eligible families in West Bengal with up to ₹5 lakh cover per year.
Department: Department of Health & Family Welfare, Government of West Bengal
Annual Health Cover
Up to ₹5 Lakh
Per family per year
Treatment Mode
Cashless & Paperless
At empanelled hospitals
Beneficiary Premium
Zero Premium
Borne by State Government
Family Coverage
No Family Cap
Parents & dependents included
Language:
Scheme Overview
What is Swasthya Sathi?
Swasthya Sathi is a Government of West Bengal health protection scheme providing basic health cover for secondary and tertiary care up to ₹5 lakh per family per year. Officially launched on 30 December 2016 and expanded across West Bengal, the scheme operates through a smart-card based system to ensure cashless hospitalisation.
Primary Purpose:To provide basic health cover for secondary and tertiary care up to ₹5 lakh per family per year on a cashless and paperless basis.
Key Scheme Objectives
- Provide comprehensive financial protection against catastrophic health expenses up to ₹5 lakh per family per year.
- Enable 100% cashless and paperless treatment at empanelled government and private hospitals.
- Cover pre-existing conditions and all family members with zero cap on family size.
- Deliver smart-card based biometric identification with the entire premium borne by the State Government.
Financial Framework
Health Cover & Key Features
Swasthya Sathi provides basic health cover for secondary and tertiary medical care up to ₹5 lakh per family per year. This is health-treatment coverage for hospitalisation at empanelled healthcare providers, not a direct cash grant.
Annual Family Limit
Up to ₹5 Lakh
Treatment Type
Cashless
Scheme Premium
100% Free
Pre-Existing Diseases
Covered
Comprehensive Family Coverage Without Cap
There is no cap on family size under Swasthya Sathi. Parents from both spouses (husband and wife) are included according to official scheme guidelines, and dependent physically challenged persons in the family are also covered.
Pre-Existing Disease Coverage:
All pre-existing diseases are covered under official scheme information, subject to applicable package and hospitalisation guidelines.
Where Can I Use Swasthya Sathi?
Treatment is available through empanelled government and private hospitals across West Bengal under the scheme. Always check the official portal for current hospital empanelment status before planned admission.
Eligibility Guidelines
Who is Eligible to Apply?
Review standard qualifying conditions, income limits, and applicable waiver categories. Read our guide on understanding eligibility
Standard Eligibility Requirements
- Permanent resident family of West Bengal
- Universal coverage for residents not covered under specified institutional/government schemes
- Issued Swasthya Sathi Smart Card with active Unique Registration Number (URN)
Not Eligible:
- Families receiving benefits under the West Bengal Health Scheme (WBHS), 2008.
- Persons covered under Central Government Health Scheme (CGHS).
- Employees covered under the Employees’ State Insurance Scheme (ESI).
- Employees of specified public-sector/local/statutory bodies receiving mandatory group medical insurance.
- Government employees receiving regular medical allowance according to state rules.
Official Forms & Corrections
Bangla Sahayata Kendra Forms Repository
Official Enrollment and Modification Forms
Bangla Sahayata Kendra lists standard Swasthya Sathi forms: Form A (Name addition under existing card), Form B (New family enrollment), Form C (Name correction after card issuance), and Form D (Name deletion).
Form A: Application for name addition under Swasthya Sathi
Form B: Application for new enrollment under Swasthya Sathi
Form C: Application for name correction after receiving smart card
Form D: Application for name deletion from active smart card
Empanelled Hospitals & Services
Empanelled Hospital Search & URN Verification
The official Swasthya Sathi portal provides digital facilities including empanelled hospital directory, package details, hospital facility queries, and beneficiary URN verification.
Required Documentation
Commonly Required Documents
Exact document requirements can depend on the application type and applicant circumstances. View our common documents checklist
Standard
Form B (Enrollment Form)
Completed Form B containing family member details, relationship, and head of household.
Standard
Aadhaar Cards of Family Members
Aadhaar card copies for all family members to be enrolled for biometric authentication.
Standard
Ration Card / Proof of Residency
Digital Ration Card / Khadya Sathi card / residential certificate in West Bengal.
Guidance: Ensure the applicant’s bank account is active and matches the beneficiary name exactly before institutional submission.
Application Process
How to Apply for Swasthya Sathi
Step-by-step application and verification procedure based on official guidelines. Read our official portals guide
1
Submit Form B for Enrollment
Collect and submit Form B for Swasthya Sathi enrollment at Duare Sarkar camps, BDO office, or Municipality.
2
Verification by Designated Nodal Officer
Application details, family records, and residency proofs are verified by the designated Nodal Officer / BDO / Municipality.
3
Upload to Swasthya Sathi Portal
Verified family and biometric data is uploaded into the official Swasthya Sathi management portal.
4
URN Generation via De-Duplication
A Unique Registration Number (URN) is generated for the family after the official de-duplication verification.
5
Smart Card Issuance & Distribution
The Swasthya Sathi Smart Card is printed and distributed to the female head of the family at camp or enrolment centre.
Payment Method
100% Cashless treatment directly settled between the State Health Protection Society / TPA and empanelled healthcare providers.
Official Portal & Tracking
Access the official Government portal for online services, guidelines, and application tracking.
Visit Official PortalScheme Operational Window:Active year-round across empanelled network hospitals in West Bengal.
Important to Know
Coverage is up to ₹5 lakh per family per year for secondary and tertiary care hospitalisation, not a cash handout.
Treatment is strictly cashless and paperless at empanelled government and private hospitals.
There is no cap on family size; parents of both spouses and dependent challenged persons are covered.
Pre-existing diseases are covered from the date of enrollment under official scheme guidelines.
The State Government bears the entire scheme premium; beneficiaries pay zero premium.
Always verify hospital empanelment status and package availability on the official portal before planned admission.
Official Helpdesk & Support
Need Official Assistance?
Official 24×7 Swasthya Sathi Call Centre for hospital assistance, pre-authorisation queries, and grievance redressal.
Frequently Asked Questions
Swasthya Sathi Frequently Asked Questions
Common questions and answers regarding eligibility, benefits, documents, and application process for Swasthya Sathi.
Swasthya Sathi is a Government of West Bengal universal health protection scheme providing basic health cover for secondary and tertiary medical care.
Sources Checked
All factual information on this page has been compiled and verified against official government portals, gazettes, and departmental guidelines.
Last Verified: 2026-08-18T00:00:00Z
Independent Platform Notice:
WBScheme is an independent information platform and is not the Government of West Bengal. Health coverage, eligibility, hospital empanelment, enrollment procedures and applicable packages can change. Always verify important information through the official Swasthya Sathi portal or Government of West Bengal sources before relying on it.
Healthcare & Medical Cover
