Table 4.
Type of reimbursement and its share to total cost of treatment at TMC.
| Type of reimbursement | N (%) | Reimbursement (in ₹) |
TC of treatment (in ₹) |
Reimbursement as share of TC |
||
|---|---|---|---|---|---|---|
| Mean | 95% CI | Mean | 95% CI | % Share | ||
| No reimbursement | 110 (25.6) | NA | NA | 335,152 | (289,330, 380,975) | NA |
| Social health insurance | 142 (33.1) | 59,088 | (50,582, 67,594) | 147,249 | (130,563, 163,935) | 40.1 |
| PM-JAY/& trusta | 11 (2.6) | 71,968 | (42,690, 101,247) | 249,360 | (156,910, 341,810) | 28.9 |
| MJPJAY only | 74 (17.2) | 36,386 | (29,724, 43,499) | 113,867 | (96,257, 131,478) | 32.0 |
| MJPJAY, trust & ESISb | 50 (11.7) | 82,649 | (65,715, 99,582) | 154,399 | (128,589, 180,208) | 53.5 |
| Swasthya Sathi (WB)c | 7 (1.6) | 110,542 | (53,695, 167,390) | 288,618 | (187,659, 389,577) | 38.3 |
| Employee health insurance | 22 (5.1) | 196,632 | (117,595, 275,669) | 336,048 | (238,931, 433,166) | 58.5 |
| Private health insurance | 19 (4.4) | 308,152 | (207,099, 409,205) | 539,710 | (351,655, 727,765) | 57.1 |
| Charitable trust/s only | 127 (29.6) | 89,594 | (75,652, 103,535) | 260,799 | (234,177, 287,421) | 34.4 |
| Othersd | 9 (2.1) | 110,542 | (53,695, 167,390) | 241,950 | (124,592, 359,308) | 45.7 |
| Total | 429 | 71,724 | (61,747, 81,701) | 258,095 | (238,255, 277,934) | 27.8 |
Note: PM-JAY: Pradhan Mantri Jan Arogya Yojana; MJPJAY: Mahatma Jyotirao Phule Jan Arogya Yojana; ESIS: Employee State Insurance Scheme, Charitable Funds includes financial help from all philanthropic sources.
1 US$ = ₹73.1 at 2020 prices.
a
Contains 5 cases where patients got reimbursement from ABY and Trust.
b
There were 2 cases of patients where they got reimbursement from ESIS & Trust along with MJPJAY, respectively.
c
Contains 4 cases where patients got reimbursement from Swasthya Sathi as well as Trust.
d
Others contain unspecified sources.