Tender Notice Dt - Department of Health , J&K

TENDER DOCUMENTGOVERNMENT OF J&KRASHTRIYA SWASTHYA BIMA YOJANAA number of studies have revealed that risk owing to low level ofhealth security is endemic for informal sector workers. The vulnerability ofthe poor informal worker increases when they have to pay fully for theirmedical care with no subsidy or support. On the one hand, such a workerdoes not have the financial resources to bear the cost of medical treatment,on the other; the public owned health infrastructure leaves a lot to bedesired. Large numbers of people, especially those below poverty line,borrow money or sell assets to pay for the treatment in private hospitals.Thus, Health Insurance could be a way of overcoming financial handicaps,improving access to quality medical care and providing financial protectionagainst high medical expenses. The “Rashtriya Swasthya Bima Yojana”announced by the Central Government attempts to address such issues.Government of J&K is inviting tenders for 2 districts namelyJammu and Srinagar of State of J&K.For effective operation of the scheme, partnership is envisagedbetween the Insurance Company, public and the private sector hospitalsand the State agencies. State Government / Nodal Agency will assist theInsurance Company in networking with the Government / Private hospitals,fixing of treatment protocol and costs, treatment authorization, so that thecost of administering the scheme is kept at the lowest, while making full useof the resources available in the Government / Private health systems.Public hospitals, including ESI hospitals and such private hospitals fulfillingminimum qualifications in terms of availability of inpatient medical beds,laboratory, equipments, operation theatres, smart card reader etc. and atrack record in the treatment of the diseases can be enlisted for providingtreatment to the identified families under the scheme.The companies which are in agreement with scheme and its clauses,only need to participate in the bidding and any disagreement in this regardmay invite disqualification / rejection of bid at technical level. Hence all thecompanies are requested to go through the scheme carefully and submittheir agreement in specific format given in the bid.3