Vahan Aksmat Sahay Scheme

Benefits

Medical Treatment Packages
Comprehensive treatment packages ranging from ₹1,000/- to ₹45,000/- covering various types of injuries:

Package-wise Benefits
Simple Injury-I (Package 1): ₹1,000/- for treating simple wounds, injection Tetanus Vaccination, analgesic, antibiotics, general conditions check, cleaning, suturing and dressing
Simple Injury-II (Package 2): ₹2,500/- including face and scalp wounds, change of soiled cloth with disposable dress, intravenous line, multiple lacerated wounds suturing
Deglove Injury of Extremities (Package 3): ₹12,000/- for wound debridement in operation theatre under anaesthesia, intravenous line, intravenous antibiotics, remaining wounds suturing and inpatient treatment
Simple Fracture Without Anaesthesia (Package 4): ₹1,500/- for closed reduction, cleaning, suturing, dressing of wounds, fracture stabilization with splint
Closed Fracture Reduction Under Anaesthesia for First Fracture (Package 5): ₹4,000/- including closed fracture reduction under short general anaesthesia with plastering and inpatient treatment
Closed Fracture Reduction Under Anaesthesia for Additional Fracture (Package 6): ₹5,500/- for additional fractures with similar treatment as Package 5
Dislocation Reduction Under Anaesthesia (Package 7): ₹8,000/- for joint dislocation reduction under general anaesthesia and inpatient treatment
Open Reduction Internal Fixation-Small Bone (Package 8): ₹17,250/- including internal/external fixation of fracture in compound fractures, flap cover and inpatient treatment
Open Reduction Internal Fixation-Large Bone (Package 9): ₹40,250/- for large bone fractures with similar treatment as Package 8
Inter Costal Drainage One Side (Package 10): ₹8,000/- including intercostal drainage and inpatient treatment
Inter Costal Drainage Bilateral (Package 11): ₹11,000/- for bilateral intercostal drainage with inpatient treatment
Inter Costal Drainage Bilateral with Intensive Care Unit (Package 12): ₹12,000/- with Intensive Care Unit stay
Inter Costal Drainage Bilateral with Intensive Care Unit and Ventilator (Package 13): ₹14,000/- including ventilator support
Blunt Injury Abdomen (Package 14): ₹10,000/- for suspected blunt injury abdomen with stabilization as inpatient
Blunt Injury Abdomen with Intensive Care Unit Stay (Package 15): ₹12,000/- including Intensive Care Unit stay
Supra Pubic Cystostomy (Package 16): ₹5,000/- including supra pubic cystectomy and inpatient treatment
Immobilization for Suspected Spine Injury (Package 17): ₹5,000/- for non-operative management using spinal brace/collar
Cervical Spine Injury-Skeletal Tong Traction (Package 17): ₹25,000/- with tong traction
Spine Injuries with Computed Tomography/Magnetic Resonance Imaging (Package 18): ₹7,000/- including Computed Tomography scan/Magnetic Resonance Imaging
Tracheostomy (Package 19): ₹5,000/- for tracheostomy procedure
Head Injury with Intensive Care Unit Stay Conservative (Package 20): ₹7,000/- for non-operative management with Intensive Care Unit stay
Head Injury with Intensive Care Unit Stay with Ventilator (Package 21): ₹15,000/- including ventilator support
Head Injury with Intensive Care Unit Surgical Intervention (Package 22): ₹25,000/- for operative management including burr hole surgery
Blood Transfusion (Package 23): ₹1,500/- per unit (maximum admissible 3 units)
Road Traffic Accident Injuries Associated with Burns Conservative Management (Package 24): ₹4,000/- for conservative management of burns
Intensive Care Unit Stay Other than Head Injury (Package 25): ₹4,000/- for non-head injury Intensive Care Unit care
Pelvic Injury-Conservative Management (Package 26): ₹20,000/- for non-operative management with pelvic belt and traction
Pelvic Injury-External Fixation with Implant (Package 27): ₹45,000/- for stabilization with external fixation and haemodynamic stabilization

Mode of Disbursement
Cashless Treatment: Treatment provided at empanelled hospitals without upfront payment.

Application Process

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Step 1: Emergency Treatment at Empanelled Hospital
In case of a road traffic accident, the victim should be immediately taken to the nearest empanelled hospital under the Vahan Aksmat Sahay Scheme for emergency medical treatment. The hospital will provide immediate medical care as per the severity of injuries.
Step 2: Medico Legal Case Registration
The hospital authorities will ensure that a Medico Legal Case is registered with the local police station as it is mandatory for all road traffic accident cases. The hospital will coordinate with the police for proper documentation of the accident and injuries.
Step 3: Treatment Package Assessment
The treating doctor will assess the nature and severity of injuries and determine the appropriate treatment package from the 27 available packages under the scheme. The treatment will be provided as per the standardized protocols defined for each package.
Step 4: Documentation Collection
The hospital staff will collect all required documents including Medico Legal Case register details, police intimation copy, pre and post-treatment photographs, medical records, investigation reports, and hospital bills as specified for the respective treatment package.
Step 5: Cashless Treatment Provision
The empanelled hospital will provide cashless treatment to the accident victim as per the approved package amount. No upfront payment is required from the patient or family members for the covered treatment under the scheme.
Step 6: Claim Processing and Settlement
The hospital will submit the claim along with all required documents to the scheme authorities for processing and settlement. The payment will be directly settled between the government and the empanelled hospital.
Step 7: Discharge and Follow-up Care
Upon completion of treatment, the patient will be discharged with proper discharge summary and follow-up instructions. Patients are advised to retain copies of all medical records and treatment documents for future reference and any follow-up care requirements.

Frequently Asked Questions

References & Official Links

• Guidelines

Scheme Details