Tripura Swasthya Sathi Health Scheme 2026 — ₹5 Lakh Cashless Health Insurance for Families | health.tripura.gov.in

What is Tripura Swasthya Sathi Health Scheme?

Tripura Swasthya Sathi (TSS) is Tripura Government's state health insurance scheme providing cashless hospitalisation up to ₹5 lakh per family per year, complementing the AB-PMJAY coverage for BPL families. The scheme targets families above the PMJAY income threshold — particularly lower-middle-class and tribal families in Tripura's interior areas who lack access to quality healthcare. It covers inpatient hospitalisation, surgeries, maternity, neonatal care, and critical illness treatment at empanelled government hospitals across Tripura. The scheme is administered by the Health & Family Welfare Department under the State Health Agency of Tripura.

Under this scheme, eligible beneficiaries receive ₹5 lakh per family per year cashless treatment — lower-middle-class and tribal families — hospitalisation, surgery, maternity — Tripura empanelled hospitals. The scheme was launched in 2022 and is implemented by the Government of Tripura.

Who is Eligible for Tripura Swasthya Sathi Health Scheme?

• ✓ Tripura domicile / permanent resident
• ✓ Families above PMJAY income threshold (not covered under AB-PMJAY)
• ✓ Tripura tribal communities (TT/PT certificate holders) — priority
• ✓ Annual family income limit per state-updated guidelines
• ✓ Aadhaar-linked bank account

Documents Required for Tripura Swasthya Sathi Health Scheme

How to Apply for Tripura Swasthya Sathi Health Scheme Online?

1. 1health.tripura.gov.in-এ যান অথবা নিকটবর্তী Primary Health Centre বা District Hospital-এ যান
2. 2Swasthya Sathi enrollment form পূরণ করুন
3. 3Domicile cert + Aadhaar + income cert + caste cert জমা দিন
4. 4State Health Agency verification
5. 5Swasthya Sathi card জারি হবে
6. 6Hospital-এ ভর্তি হলে card + Aadhaar TPA desk-এ দিন → cashless চিকিৎসা

Frequently Asked Questions — Tripura Swasthya Sathi Health Scheme