APPENDIX C
Yeshasvini Co-operative Farmers Health Care Scheme, Karnataka
Table C.1 Yeshasvini: Summary Matrix Indicators/name of scheme Launch year Geographical area Target/eligible population Number of beneficiaries Enrolment unit Benefits package Maximum insurance coverage Hospital empanelment criteria
Number of empaneled hospitals (government and private) Sources of funds Total expenditure in 2009–10 Premium price, 2009–10 Provider payment mechanism
Yeshasvini Co-operative Farmers Health Care Scheme (Karnataka) 2003 Entire state of Karnataka, but mainly rural areas Members of rural cooperative societies regardless of poverty status 3 million Individual All hospitalizations for more than 1,200 notified surgeries; certain specified exclusions (e.g., implants) Rs. 200,000 per person ceiling Minimum of 25 inpatient beds, 3 intensive-care-unit (ICU) beds, and specialist doctors and equipment specific to the specialty 543 hospitals (including 30 public hospitals) Contributions by beneficiaries 58 percent; state government contribution 42 percent in 2009–10 Approximately Rs. 550 millions (Rs. 55 crores) Rs. 150 per person per year, including Rs. 10 paid to cooperative societies as incentive, 2010–11. Predefined package rates
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