Status Check, Procedures, Facilities

Organization : Ministry of Labour & Employment
Service Name : RSBY Central Grievance Redressal Management System
Applicable States/UT: All India

Website : http://rsby.gov.in/tempsites/cgrs/

RSBY Grievance Redressal Management System

Central Grievance Redressal Management System (CGRMS) is system that ensures that the grievance relating to RSBY is disposed by the use of ICT which automatically tracks and pursues the status.

Related : RSBY Online Hospital Empanelment Request : www.statusin.in/25625.html

CGRMS is system that ensures that the grievance relating to RSBY is disposed by the use of ICT which automatically tracks and pursues the status.

CGRMS stands for Central Grievance Redressal Management System.The purpose of the application is to help the beneficiaries and other stakeholders of RSBY scheme to register any complaint related to RSBY and get it redressed.

RSBY Scheme :
Social Security and healthcare assurance for all has been the motto of Government of India, and it has taken various steps in this regard. One of the most important policy milestones is the Unorganized Workers Social Security Act (2008) enacted by the Central Government to provide for the social security and welfare of the unorganized workers.

This act recommends that the Central Government provide social security schemes to mitigate risks due to disability, health shocks, maternity and old age which all unorganized workers get exposed to and are likely to suffer from.

In India more than two thirs of expenditure on health is through Out of Pocket (OOP) which is the most ineficient and least accountable way of spending on health.

Supply side financing on health alone has not been found to be successful in reducing OOP expenditure on health substantially and therefore, to test the demand side financing approach, Government of India, decided to introduce Rashtriya Swasthya Bima Yojana (RSBY) a Health Insurance Scheme for the Below Poverty Line families with the objectives to reduce OOP expenditure on health and increase access to health care.

FAQ On RSBY Grievance Redressal Management System

How to Register the complaint?:
Complaint can be registered either Online or through phone call to the DKM office

How can one track the complaint details?:
Once registereda unique Token Number UCN will be alloted to the complainant by referring which the comaplaint status can be tracked.In the Home page one can enter the UCN number and view the status.

How to register a complaint through email?:
Complaint details can be sent to the email id grievance.rsby@nic.in

How to view the matrix details?:
Escalation Matrix defines the Action Taking Authorities and Escalating Authorities as per the complaint type.All these authorities are supposed to take redressal action within a defined standrad action taking hour.

What is the mechanism of complaint redressal?:
Once registeredthe complaint details will be forwarded automatically through the system to the ACTION TAKING AUTHORITYas defined in Escalation Matrix.

What is Escalation Matrix ?:
Escalation Matrix defines the Action Taking Authorities and Escalating Authorities as per the complaint type.All these authorities are supposed to take redressal action within a defined standrad action taking hour.

What will happen if the Action Taking Authority does not redress the complaint
System will automatically escalate the complaint details to the next higher Action Taking Authorityknow as Escalation Authority.

Who is the Nodal Agency?
Ministry of Labour and Employment MoLE

Who will be benifitted from the application?
All the RSBY Beneficiaries and stake holders like Insurance CompaniesIcsThird party AgenciesTPAsEmpannelled HospitalsDistrict Key ManagerDKMstate Nodal AgencySNA and National Nodal Officer NNO

Benefits of RSBY Scheme

The Rashtriya Swasthya Bima Yojana (RSBY) is a health insurance scheme for below poverty line (BPL) families in India. The scheme was launched by the Ministry of Labour and Employment in 2008.

The main objective of the RSBY scheme is to provide financial assistance to BPL families for hospitalization expenses. The scheme covers a wide range of expenses, including:

** Room rent
** Nursing charges
** Medicines
** Diagnostic tests
** Operation theater charges
** Ambulance charges

The maximum amount that is covered by the RSBY scheme is Rs. 30,000. The premium for the RSBY scheme is subsidized by the government. The beneficiaries of the scheme have to pay a premium of only Rs. 300 per year.