Tamil Nadu CM Health Insurance Scheme — ₹5 Lakh Free
TN Chief Minister's Comprehensive Health Insurance gives ₹5 lakh/year cashless treatment at govt and private hospitals. Check eligibility with your family card.
Official Links
What is Tamil Nadu CM Health Insurance Scheme?
The Chief Minister's Comprehensive Health Insurance Scheme (CMCHIS) is Tamil Nadu government's flagship health insurance programme that provides ₹5 lakh cashless treatment per year to families with an annual income of ₹72,000 or less. The scheme covers tertiary and secondary care at over 1,000 government and empanelled private hospitals across Tamil Nadu.
Key Benefits
| Feature | Details |
|---|---|
| Annual coverage | ₹5,00,000 per family per year |
| Premium | Free (government pays 100%) |
| Cashless | Yes — no advance payment at empanelled hospitals |
| Pre-existing diseases | Covered from Day 1 |
| Family unit | Entire family (husband, wife, dependent children, dependent parents) |
| Hospital network | 1,100+ government and private hospitals in TN |
Who is Eligible?
You ARE eligible if:
- You have an annual family income ≤ ₹72,000 (check current limit at cmchistn.com)
- You have a Tamil Nadu government-issued Smart Family Card (ration card) — the family card must show income below the threshold
The scheme auto-enrolls families based on the Family Card database. The eligibility check is done through your Smart Family Card (ration card) number.
Documents Required
- Smart Family Card (Tamil Nadu ration card) — mandatory proof
- Aadhaar Card — for identity verification
- Hospital admission documents (at the time of hospitalization)
How to Use the Scheme at a Hospital
Step 1 — Visit Empanelled Hospital
Go to any CMCHIS-empanelled hospital (government or private). Look for the "CM Health Insurance Scheme" board.
Step 2 — Go to the CMCHIS Help Desk
In the hospital, find the CMCHIS Help Desk (all empanelled hospitals must have one). Show:
- Your Tamil Nadu Smart Family Card
- Aadhaar card
Step 3 — Eligibility Verification
The help desk verifies your family's eligibility in real-time using the Family Card number.
Step 4 — Cashless Admission
If eligible, you are admitted cashlessly for covered procedures. No deposit required. The hospital claims from the government directly.
Procedures Covered
CMCHIS covers 1,027+ medical and surgical procedures including:
- Open heart surgery, angioplasty
- Cancer treatment (chemo, radio, surgery)
- Kidney transplant, dialysis
- Brain surgery, spine surgery
- Bone marrow transplant
- Burn treatment
- Hip/knee replacement
- Cataract surgery
- Neonatal ICU (newborn intensive care)
Find Empanelled Hospitals
Visit www.cmchistn.com → Hospital Directory → Search by district and specialty.
Frequently Asked Questions
1. I have a TN ration card but my income is ₹1 lakh/year. Am I eligible?
Current income threshold is ₹72,000/year for CMCHIS. If your income exceeds this, you may not be eligible. However, TN is expanding the scheme in phases — check cmchistn.com for current limits.
2. I need dialysis 3 times a week. Is it covered?
Yes. Kidney dialysis is covered under CMCHIS. Ongoing treatments may require periodic renewal authorizations at the empanelled hospital's help desk.
3. Can I use this scheme in another state (e.g., Apollo Chennai vs Apollo Delhi)?
CMCHIS is valid only at hospitals in Tamil Nadu. Hospitals outside TN are not in the network.
4. My family card has 6 members. Is there a per-person limit?
The ₹5 lakh limit is per family per year — shared across all members. If one member uses ₹3 lakh, the remaining family has ₹2 lakh for the year.
5. My husband died last year. Am I still covered under the family card?
The widow and dependent children continue to be eligible under the same family card. Contact your nearest CMCHIS facilitation centre if any updates are needed in the system.
Official Links
| Purpose | Link |
|---|---|
| CMCHIS official portal | cmchistn.com |
| Tamil Nadu Health Dept | tnhealth.org |
| Helpline | 1800-425-3993 (toll-free) |
| Empanelled hospital list | cmchistn.com → Hospitals |
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