KASP Empanelled Hospitals in Thiruvananthapuram

The Karunya Arogya Suraksha Padhathi (KASP) is a significant health care initiative by the Government of Kerala, designed to provide substantial financial protection to its residents. The scheme offers a health cover of up to Rs. 5 lakhs per family per year, catering to secondary and tertiary care hospitalisation needs. It represents a major step towards universal health coverage in the state, ensuring that over 42 lakh poor and vulnerable families have access to necessary medical treatments without facing crippling expenses.

A key feature of KASP is its integrated approach. The State of Kerala converged several existing government-sponsored health schemes, most notably the national Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PM-JAY), into this single, comprehensive program. This consolidation simplifies the process for beneficiaries, who can now use one card and one set of rules to access a wide network of healthcare providers. The scheme is managed by the State Health Agency (SHA) of Kerala, which oversees its implementation and maintains the network of empanelled hospitals.

For residents of Thiruvananthapuram and its surrounding areas, the KASP scheme provides access to a broad network of both public and private hospitals. This allows beneficiaries to choose a facility based on their medical needs, convenience, and preference. This guide provides a detailed list of KASP-empanelled hospitals in the Thiruvananthapuram district and explains the process for availing cashless treatment, ensuring you can make full use of the benefits you are entitled to.

Empanelled Government Hospitals in Thiruvananthapuram

• General Hospital Thiruvananthapuram — Vanchiyoor
• Govt Medical College Hospital TVM — Medical College
• Regional Cancer Centre — Medical College Campus
• District Hospital Nedumangad — Nedumangad
• General Hospital Neyyattinkara — Alummoodu, Neyyattinkara
• District Model Hospital Peroorkada — Peroorkada
• Chest Diseases Hospital — Pulayanarkotta
• Community Health Centre Palode — Palode
• Community Health Centre Vizhinjam — Vizhinjam
• Community Health Center Poovar — Poovar

Empanelled Private Hospitals in Thiruvananthapuram

• Ahalia Foundation Eye Hospital — Near Ulloor Bridge, Medical College P.O
• Anupama Hospital — Kanjiramkulam
• Aradhana Eye Institute — Kuriathy, Manacaud
• Chaithanya Eye Hospital And Research Institute — Karamana
• Dr SMCSI Medical College And Hospital Karakonam — Karakonam
• Maria Nilayam Hospital — Adimalathura, Chowara
• Samad Ivf Hospitals — VV Road, Pattoor
• Saraswathy Hospital — Parassala
• Sp Multi Specialty Hospitals Pvt Ltd — Fort
• Sri Ramakrishna Ashrama Charitable Hospital — Sasthamangalam
• Sut Academy Of Medical Sciences — Vencode, Vattappara

Rates shown are as per the State Health Agency Kerala (2024) and are subject to periodic revision. Always verify the latest approved rates on the official source.

Understanding the KASP Scheme's Coverage

The Karunya Arogya Suraksha Padhathi (KASP) is designed to cover the costs associated with hospitalisation for secondary and tertiary level care. This means it covers treatments that require admission to a hospital, including surgeries and other complex medical procedures. The impressive annual coverage of Rs. 5 lakhs per family ensures that most major medical events can be managed without causing financial distress to the household.

The scheme covers a wide range of expenses related to hospitalisation. This includes room and board charges (as per specified package rates), nursing fees, surgeon and consultant charges, costs of medicines and diagnostic tests during the hospital stay, and even pre-hospitalisation expenses for up to 3 days and post-hospitalisation expenses for up to 15 days for the same ailment. The aim is to provide a truly cashless experience for all covered procedures at any empanelled hospital.

How to Avail Cashless Treatment at an Empanelled Hospital

Accessing cashless treatment under KASP is a straightforward process. Once you have identified an empanelled hospital for your treatment, you need to visit the dedicated 'KASP Desk' or helpdesk, which is present in every network hospital. The staff at this desk, known as Arogya Mitras, are trained to assist beneficiaries with the entire process.

You will need to provide your KASP ID card or your PM-JAY ID number, along with a valid government photo ID like an Aadhaar card. The hospital will verify your identity and eligibility through the scheme's portal. Following a doctor's diagnosis, the hospital will seek a pre-authorisation from the insurance company or trust managing the scheme for the estimated cost of the treatment. Once this approval is received, the hospital can proceed with the treatment without charging you for any of the covered expenses.

• Identify an empanelled hospital from the official KASP list.
• Visit the hospital’s KASP helpdesk with your KASP/PM-JAY card and Aadhaar card.
• The hospital verifies your eligibility and the treatment package.
• The hospital seeks and receives pre-authorisation for the procedure.
• Receive cashless treatment for the approved package.
• You do not pay for any covered services; the hospital settles the bill directly with the government.

Essential Documents for Hospital Admission under KASP

To ensure a smooth and quick admission process at an empanelled hospital, it is important to carry all the necessary documents. Having these papers ready will help the KASP desk verify your identity and process your request for cashless treatment without any delays. The primary document is your KASP card, but a valid photo ID is equally crucial for verification.

In addition to identification, you should also bring any medical documents relevant to your condition. This includes referral letters from your primary doctor, previous medical records, and any diagnostic reports like X-rays or blood tests. These documents help the hospital's medical team understand your case better and expedite the pre-authorisation process.

• KASP Card or Ayushman Bharat PM-JAY Card.
• Aadhaar Card (preferred for e-KYC) or another government-issued photo ID.
• A valid mobile number for communication and OTP verification.
• Referral letter from a doctor, if applicable.
• All recent medical reports and prescriptions related to the current ailment.

How to Verify if a Hospital is Currently Empanelled

The list of empanelled hospitals under the KASP scheme is dynamic. Hospitals may be added or removed from the network based on various factors, including quality audits and contract renewals. Therefore, it is essential to verify that a hospital is still part of the KASP network before you proceed there for treatment, even if it has been empanelled in the past.

The most reliable way to check the current status of a hospital is by visiting the official website of the State Health Agency (SHA), Kerala, at sha.kerala.gov.in. The website maintains an updated list of all public and private empanelled facilities. Additionally, you can call the hospital's reception or KASP desk directly to confirm if they are actively providing services under the scheme.

What to Do if a Network Hospital Denies Cashless Service

In the rare event that an empanelled hospital refuses to provide cashless treatment for a covered procedure, you have the right to seek recourse. Beneficiaries should not have to pay for services that are included in their KASP package. If you face such a situation, the first step is to contact the KASP helpline or the Arogya Mitra at the hospital for immediate assistance.

If the issue is not resolved at the hospital level, you should escalate it by contacting the district coordinator for KASP. You can find their contact details on the SHA Kerala website. When reporting the incident, be sure to provide specific details such as the name of the hospital, the date and time of the incident, the name of the person who denied the service, and the reason they provided. This information is crucial for the authorities to investigate the matter and take appropriate action.

Frequently Asked Questions

What is the Karunya Arogya Suraksha Padhathi (KASP)?

KASP is the government health insurance scheme of Kerala, providing a cover of Rs. 5 lakhs per family per year. It covers costs for secondary and tertiary care hospitalisation for over 42 lakh eligible families across the state.

Is KASP the same as Ayushman Bharat PM-JAY?

KASP is the state's implementation of Ayushman Bharat PM-JAY. Kerala has integrated PM-JAY with its own existing health schemes to create a single, unified program called KASP, offering benefits to a wider population.

Can I get treatment in a hospital outside Thiruvananthapuram or even outside Kerala?

Yes, one of the major benefits of the KASP scheme is portability. Beneficiaries can avail cashless treatment at any empanelled public or private hospital anywhere in India, not just within Kerala.

Do I have to pay anything at an empanelled hospital for a covered procedure?

No, the scheme is designed to be completely cashless for all covered treatments. The hospital should not charge you for any service that is part of the approved treatment package. The bill is settled directly between the hospital and the government.

Does the KASP scheme cover the cost of medicines after I am discharged?

Yes, the KASP treatment packages generally include post-hospitalisation expenses, which cover the cost of specified medicines for up to 15 days after discharge. The exact coverage depends on the specific medical package for the treatment you received.

What is not covered by the KASP scheme?

KASP primarily covers inpatient hospitalisation. It generally does not cover routine Out-Patient Department (OPD) consultations, cosmetic surgeries, or treatments that are not medically necessary. Always confirm if a specific procedure is covered before admission.

Related

• KASP in Kerala: eligibility and how to enrol
• Government hospital OPD appointment guides in Kerala
• Mukhyamantri Swasthya Bima Yojana: which state scheme is it?

Medical Disclaimer

The information provided in this article is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.