Swasthya Sathi Form Pdf – Free Download

Swasthya Sathi is a state-sponsored health insurance scheme introduced by the Government of West Bengal to provide free healthcare services to the residents of the state. The scheme covers a wide range of medical expenses, including hospitalization, surgery, medicines, and diagnostics. To avail the benefits of Swasthya Sathi, eligible individuals need to enroll themselves in the scheme and obtain a Swasthya Sathi card.

Eligibility Criteria for Swasthya Sathi

To be eligible for Swasthya Sathi, individuals must fulfill the following criteria:

  • Resident of West Bengal: The individual must be a permanent resident of West Bengal.
  • Income Criteria: The annual family income of the individual should not exceed Rs. 1.5 lakh for the rural population and Rs. 2 lakh for the urban population.
  • Social Categories: The scheme is open to all social categories, including Scheduled Castes (SCs), Scheduled Tribes (STs), Other Backward Classes (OBCs), and General Category (GEN).
  • Age Limit: There is no upper age limit for availing the benefits of Swasthya Sathi. However, children below 3 months of age are not eligible for enrollment.

Enrollment Process for Swasthya Sathi

The enrollment process for Swasthya Sathi is simple and can be done online or offline.

Online Enrollment:

  1. Visit the official Swasthya Sathi website (https://swasthyasathi.gov.in/).
  2. Click on the “Enrollment” button.
  3. Enter your personal details, including name, date of birth, address, and contact information.
  4. Select your family members and provide their details.
  5. Upload the required documents, such as income certificate and Aadhaar card.
  6. Submit the application form.

Offline Enrollment:

  1. Visit your nearest Swasthya Sathi camp or Block Development Office (BDO).
  2. Collect the enrollment form.
  3. Fill in the form with your personal details and family members’ details.
  4. Attach the required documents.
  5. Submit the form to the designated authority.

Swasthya Sathi Card

Upon successful enrollment, you will receive a Swasthya Sathi card. The card is valid for one year and should be renewed annually. The card contains your personal details, family members’ details, and a unique Swasthya Sathi number.

Benefits of Swasthya Sathi

Swasthya Sathi covers a wide range of medical expenses, including:

  • Hospitalization: The scheme covers all hospitalization expenses, including bed charges, doctor’s fees, medicines, and diagnostic tests.
  • Surgery: The scheme covers all surgical procedures, including major and minor surgeries.
  • Medicines: The scheme covers a wide range of medicines, both generic and branded.
  • Diagnostics: The scheme covers all diagnostic tests, including X-rays, CT scans, and MRI scans.

How to Claim Benefits under Swasthya Sathi

To claim benefits under Swasthya Sathi, follow these steps:

  1. Visit an empaneled Swasthya Sathi hospital or healthcare provider.
  2. Show your Swasthya Sathi card to the hospital authorities.
  3. The hospital will submit your medical bills to the Swasthya Sathi department for reimbursement.
  4. You will not be required to pay any charges at the hospital.

Swasthya Sathi Form Pdf

The Swasthya Sathi forms are available in PDF format on the official Swasthya Sathi website. You can download the forms and fill them in offline before submitting them to the designated authority.



Swasthya Sathi is a comprehensive health insurance scheme that has significantly improved access to healthcare services for the residents of West Bengal. The scheme has made it possible for people from all social and economic backgrounds to receive quality medical care without any financial burden. If you are eligible for Swasthya Sathi, we encourage you to enroll in the scheme and avail its benefits.

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