Family Planning Indemnity Scheme

Section A: Death following sterilization (inclusive of death during sterilization operation) in hospital or within 7 days from discharge - ₹4,00,000/-.

Section B: Death following sterilization within 8-30 days from discharge - ₹1,00,000/-.

Section C: Failure of sterilization - ₹60,000/-.

Section D: Cost of treatment in hospital and up to 60 days arising out of complications following sterilization operation - Actual cost not exceeding ₹50,000/-.

> *Conditions*

_*The claimant must accept the compensation amount as full settlement with no further claim rights._

_*The claimant must warrant the truth of all particulars provided, with forfeiture of compensation for false statements._

_*The claimant must agree that the compensation covers all aspects of the claim with no additional benefits._

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##### *For Beneficiary (Person who underwent Sterilization)*

• The applicant must be a person who has undergone sterilization operation under family planning program.
• The applicant must have undergone sterilization operation at an authorized health facility.
• The applicant must be able to provide documentary evidence of the sterilization procedure.

##### *For Claimant (Family Member or Legal Representative)*

• The applicant must be a legal claimant or family member of the person who underwent sterilization (in case of death or incapacitation).
• The applicant should have legal authority to represent the beneficiary in case of death or inability to claim.

> *Conditions*

_*The applicant must report complications, failure, or death within the specified timeframes as per scheme guidelines._

_*The applicant must submit the claim through proper medical channels with certification from authorized medical officers._

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Step 1: *Initial Reporting and Documentation*

• Visit the health facility where sterilization was conducted and report the case of death, failure, or complication to the Medical Superintendent or Health Officer.
• Begin collecting all required documents including original sterilization certificates, case papers, identity documents, and bank details from relevant sources.

Step 2: *Form Completion and Medical Certification*

• Complete Part A of the Claim Form cum Medical Certificate with accurate personal details, sterilization operation information, and nature of claim.- Submit all medical records and completed Part A to the Chief Medical Officer or equivalent designated officer at district level for medical certification.

Step 3: *Application Submission*

• Collect the medically certified claim form (Part A and Part B completed) from the certifying officer.
• Submit the complete application with all required original documents and photocopies to the respective health facility where sterilization was performed.

Step 4: *Follow-up and Verification*

• Maintain regular contact with the health facility to track progress as the case moves through District Indemnity Scheme Committee review.
• Provide any additional information or documentation if requested during the committee verification process.

Step 5: *Payment Processing*

• The District Committee forwards the verified case to the state office (State Health Society) for final approval and processing.
• Upon state approval, compensation amount is disbursed directly to the beneficiary&#39;s bank account as specified in the claim form.

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