Oommen Chandy Health Insurance Scheme Kerala — ₹25 Lakh Family Coverage
Kerala UDF government's Oommen Chandy Health Insurance Scheme provides ₹25 lakh health coverage to families. Check eligibility, hospitals covered, how to apply, and difference from existing Karunya/KVBHIS schemes.
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Oommen Chandy Health Insurance Scheme — Kerala UDF Government ₹25 Lakh Health Coverage
The Oommen Chandy Health Insurance Scheme is a flagship welfare initiative of the Kerala United Democratic Front (UDF) government that came to power in the 2026 assembly elections, winning a historic 102-seat mandate — the alliance's best performance since 1977.
Named in memory of former Chief Minister Oommen Chandy, the scheme provides ₹25 lakh health insurance coverage per family to eligible residents of Kerala, significantly expanding on existing health coverage programmes.
Key Features
| Feature | Details |
|---|---|
| Coverage | ₹25 lakh per family per year |
| Type | Cashless treatment at empanelled hospitals |
| Target | Economically weaker families of Kerala |
| Named after | Former CM Oommen Chandy |
What the ₹25 Lakh Covers
- Major surgeries and hospitalisation
- Cancer treatment
- Organ transplants
- Critical illnesses
- ICU / specialist care
- Accident-related treatment
- Dialysis for kidney patients
Note: Exact list of covered procedures and empanelled hospitals will be published in the official scheme notification at arogyakeralam.gov.in.
Eligibility Criteria
- Kerala resident with valid residence proof
- Family below or at the income threshold specified in the scheme notification
- Priority for families with no existing health coverage (not already under ESIC or government employee health scheme)
- Ration card holders (especially priority/non-priority ration card categories) get preference
Documents Required
- Ration card (to establish family unit)
- Aadhaar cards of all family members
- Kerala residence proof (voter ID, utility bill)
- Income certificate from Village Officer (if income limit applies)
- Passport-size photographs
How to Apply
Step 1: Collect the Form
- Visit your nearest Akshaya Centre, Village Office, or Taluk Office
- Or download the application form from arogyakeralam.gov.in when published
Step 2: Submit Documents
- Fill the form with all family member details
- Attach self-attested photocopies of documents listed above
- Submit at the Village Office or designated enrolment centre
Step 3: Get the Health Card
- Upon verification, a health card is issued to the family
- The card is used to avail cashless treatment at empanelled hospitals
Using the Scheme for Treatment
- Show the health card at any empanelled hospital
- Hospital directly processes the claim with the insurer
- No upfront payment needed for covered treatments
How This Compares to Existing Kerala Health Schemes
| Scheme | Coverage | Target |
|---|---|---|
| Oommen Chandy Health Insurance | ₹25 lakh | Economically weaker families |
| Karunya Arogya Suraksha Padhathi (KASP) | ₹5 lakh | BPL + near-BPL |
| Ayushman Bharat (central) | ₹5 lakh | BPL families |
| KVBHIS (Vishwakarma) | ₹1 lakh | Artisan families |
The Oommen Chandy scheme significantly enhances coverage — families that previously had ₹5 lakh coverage may get ₹25 lakh under this new scheme.
Other Key UDF 2026 Schemes
Alongside the health insurance scheme, the UDF government announced:
- Free KSRTC travel for women — all women can travel free on Kerala State Road Transport Corporation buses
- Social welfare pension raised to ₹3,000/month — benefiting elderly, widows, and disabled
- Youth business loan ₹5 lakh — interest-free loans for youth starting businesses
- Indira Canteen expansion — low-cost meals at ₹1-₹5 across urban Kerala
- Monthly college student assistance ₹1,000 — for college students' daily expenses
Frequently Asked Questions
Q: Is this separate from Ayushman Bharat? A: Yes. Oommen Chandy Health Insurance is a Kerala state scheme with a ₹25 lakh limit, separate from Ayushman Bharat (₹5 lakh, central government). Eligible families may use both — state scheme for higher-cost treatments.
Q: If I already have KASP card, do I need to apply again? A: Likely yes — the new scheme is a separate programme with different coverage limits. Check with your village office for the transition process.
Q: Which hospitals are empanelled? A: Empanelled hospital list will be published at arogyakeralam.gov.in. Government hospitals, medical colleges, and selected private hospitals are expected to be included.
Q: When will the scheme be fully operational? A: The scheme was announced post-election (May 2026). Full operational rollout is expected within 3–6 months. Check arogyakeralam.gov.in for the official launch date.
Official Links
- Kerala Government: kerala.gov.in
- Arogya Kerala (Health Department): arogyakeralam.gov.in
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