Sehat Card Plus Treatment Packages

Sehat Card Plus KP

Understanding Sehat Card Plus Treatment Packages

Sehat Card Plus Treatment Packages are designed to provide beneficiaries with access to different levels of covered healthcare services. The programme includes treatment packages for secondary and tertiary care, with applicable coverage limits and additional coverage provisions for specific medical needs.
The available packages help beneficiaries understand the type of treatment and healthcare services that may be covered under the programme. Coverage is subject to the applicable programme rules, package limits, and the availability of funds. Beneficiaries should also follow the required admission and treatment procedures at designated panel hospitals.

SECONDARY CARE

INITIAL COVERAGE “PKR 40,000” / FAMILY MEMBER

TERTIARY CARE

INITIAL COVERAGE “PKR 400,000” / FAMILY
ADDITIONAL COVERAGE “PKR 400,000” / FAMILY

Both Secondary Care and Tertiary Care packages are renewed annually, on July 1^st of each year.

NOTE: Additional Coverage (Reserve Funds) is available only for Dialysis, Cancer, Cardiac, and ICU patients, and is subject to the availability of funds.

Sehat Card Plus KP

Surgical & Non-Surgical Treatment Packages

Treatment packages under Sehat Card Plus define the services and procedures required to manage specific clinical or pathological conditions. Depending on the type of treatment, packages may include admission, consultations, nursing care, investigations, medicines, surgical procedures, anesthesia services, consumables, and post-discharge follow-up care.

Surgical Package Non-Surgical Package

Surgical package. Each type of surgery has different package like Appendicectomy package, Hernia package, cholecystectomy package etc.

– Admissions
– Consultations
– Nursing care
– All required investigations
– Surgical Procedures
– OT/ Anesthesia Services

– Consumables/disposables
– Medicines (inpatient)
– Oral Post Discharge Medicines are covered
– One free post-discharge follow-up visit
– Three antenatal & one post-natal (under maternity)

A Non-Surgical package (number of nights patient stayed in the hospital) inclusive of items listed below:

– Admission
– Consultation(s)
– Nursing Care
– All required inestigations

– Administrative facilitation
– Medicine (inpatient)
– Five days post-discharge Medicines
– One free post-discharge follow-up visit

Sehat Card Plus KP

Documents Required for Admission

Eligible beneficiaries can visit an empaneled hospital for covered medical or surgical treatment. The Sehat Card Plus Programme, implemented in collaboration with State Life Insurance Corporation of Pakistan, follows a cashless treatment process at empaneled hospitals, subject to the beneficiary’s available coverage and applicable programme rules. To complete the admission process, the patient or accompanying family member must bring the required identification documents:

– Original CNICs of the patient or head in case of maternity

– Form B, in case the patient is a child

Admission Process

Cashless Scheme

– Once admitted, no fee will be charged unless balance is available in beneficiarie’s account

– Pre-Admission fee would be reimbursed at the time of discharge

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Treatments Packages