Target group and eligibility criteria

The Transgender persons will be selected as per criteria indicated below:-

• The beneficiary should be a Transgender person as notified by Government of India holding a Transgender Certificate & Identity Card issued by the National Portal for Transgender Persons.
• The beneficiary should not be availing similar benefits from any other schemes of Centre or state government.

Scope

• Health insurance in the form of Ayushman Bharat TG Plus shall be available for Transgender persons inclusive of gender reaafirmation surgery in the health benefit package under Ayushman Bharat Yojana. Each transgender person shall receive an insurance cover of Rs. 5 Lakh per year under the scheme.
• The Comprehensive Package would cover all aspects of transition related healthcare for Transgender persons. It shall also (not exhaustive) provide coverage for hormone therapy, Sex Re-assignment surgery inclusive of post operation formalities which can be redeemed at all private and government healthcare facilities.
• Those Transgender persons who have already received their certificates from the National portal for Transgender persons would be automatically eligible to receive the insurance.

Implementation protocol

Transgender person certificate issued by the portal is a mandatory document to avail the health insurance package.

• The beneficiary possessing the registration ID/Transgender person’s certificate serial number from the National Portal for Transgender persons would be authorised to access and avail the benefits of the composite medical health package.
• The Transgender beneficiary/applicant possessing the Transgender certificate from the National Portal can visit the empanelled hospital/CSE and get their details entered/verified on a real time basis following the current BIS procedure of PMJAY beneficiaries.
• Such Transgender persons not having a transgender certificate issued by the National portal shall be redirected to the website to obtain the certificate so as to become eligible for the Ayushman Transgender health package.
• After the verification process of the Transgender certificate, the eligible applicant will be issued with the Ayushman Transgender Health card.