How to get Admitted with Sehat Card Plus KP
The admission process under Sehat Card Plus KP, is designed to be straightforward and hassle-free. Eligible beneficiaries can visit any empaneled hospital, to avail free treatment.
– In case of accidents or any ailment contact the nearby empaneled hospital by State Life’s or dial 0800-89898 for information for the nearest empaneled hospital.
– All panel hospitals have a Sehat Card Plus Counter. The purpose of the counter is to facilitate the visiting patients regarding treatment and admissions. There are HFOs (Health Facilitation Officers) available at Sehat Card Plus Counter at our empaneled hospital and are authorized admissions. HFO is the first point of contact for the beneficiaries. The patient would approach the Sehat Card Plus Counter and present his/her (and patients) CNIC. In case of family members under 18 years, form B would be required for identification.
– The HFO enter data of beneficiaries admitted for treatment in the hospital.
– It is the responsibility of the HFO to make the identification in the first instance therefore he can ask for additional documentation before the referral letter could be issued.
– In case of any missing or incomplete document, the HFO will guide the head of the family or any member of the family to produce the missing document OR guide procedure of registration in NADRA for newly-weds, widow, divorce and orphans.
– HFO would check the availability of the balance amount for treatment before issuance of referral letter.
– It is important to mention the treatment expenses will be deducted from the Sehat Card Plus after the patient has been admitted in the hospital.
– The HFO can even refer the case to project office for confirmation of the family tree, the project office needs to respond within 30 minutes of the request at the most, after which the patient would be admitted on the basis of identification made by the HFO.
– After the identification has been made a referral letter would be generated by HFO through the system and the patient would be sent to the consultant for diagnosis.
– At the time of handing the referral letter it would be clarified to the patient that only inpatient care is covered under the scheme. In case of OPD all expenses related to consultation and diagnostics would have to be paid by the patient himself.
– All patients are entitled for the General ward of the hospital.
– The consultant if declares the case OPD, the patient would be returned his CNIC and any other belongings. The case would be marked as OPD in the system.
– If the patient is diagnosed as inpatient case, the HFO would call the concerned DMO (District Medical Officer) for pre authorization. If the pre authorization needs to be received within 30 minutes maximum, otherwise the patient would be admitted without the pre authorization.
– The patient would be admitted and case sheet would be generated.
– If the treatment is not available in hospital, a referral letter would be generated and the patient would be sent to the nearest hospital/district for treatment. The HFO would refer the patient in consultation with DMO. The HFO & DMO would sign the referral letter before it could be considered as authentic referral letter document.
– The hospital would return any consultation or fee for diagnostic tests to the patient (if charged) and nothing would be charged from the patient for the treatment.
– The DMO concerned would visit the patient within 24 hours of the admission for reconfirmation of the identity and recording any feedback.
– A discharge letter would be generated from the system and a feedback Performa would be completed by the patient.
– Patient would be returned his/her CNIC, Health Card and any other documentation he has submitted at the time of admission.
NOTE: Ancillary charges are finished with effect from 1st July 2022 including Transport Funeral and Maternity Charges.