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Sikkim · Health / Insurance / Family

Arogya Sikkim — State Health Insurance Scheme

Also known as: Arogya Sikkim · Arogya Sikkim Yojana · आरोग्य सिक्किम — राज्य स्वास्थ्य बीमा योजना

Sikkim Health & Family Welfare Dept. / Arogya Sikkim Health Insurance Scheme
Benefit
Universal health coverage for Sikkim Subject holders — key benefits: cashless hospitalisation cover of ₹5 lakh per family per year at empanelled government and private hospitals across Sikkim and referral hospitals in Siliguri, Kolkata, and Delhi; covers pre-existing conditions from Day 1 (no waiting period for Sikkim beneficiaries); free diagnostics, medicines, and follow-up consultations at government health facilities under Chief Minister's Free Drug Scheme; ₹5,000 transport reimbursement per major illness requiring inter-district or out-of-state referral; dedicated health desk at each CHC (Community Health Centre) to assist with claims and referrals; special enhanced cover of ₹10 lakh for cancer, kidney failure, cardiac surgery, and organ transplants; covers all family members enrolled under a single Arogya Sikkim card; integrates with Ayushman Bharat PM-JAY for seamless nationwide coverage; all 4 districts covered with 24/7 helpline support

At a glance

SchemeArogya Sikkim — State Health Insurance Scheme
ForHealth / Insurance / Family
WhereSikkim
DepartmentSikkim Health & Family Welfare Dept. / Arogya Sikkim Health Insurance Scheme
How to applyAt office / CSC

Who Can Apply

In short — check the official website for the full rules.

Required Documents

How to Apply

Get the official application route from your district / department office or the nearest CSC (Common Service Centre).

Open in YojanaSahay App & Check Eligibility → or browse all schemes Visit Official Government Website ↗

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Frequently asked questions

Who can apply for Arogya Sikkim — State Health Insurance Scheme?

Resident of Sikkim.

What is the benefit of Arogya Sikkim — State Health Insurance Scheme?

Universal health coverage for Sikkim Subject holders — key benefits: cashless hospitalisation cover of ₹5 lakh per family per year at empanelled government and private hospitals across Sikkim and referral hospitals in Siliguri, Kolkata, and Delhi; covers pre-existing conditions from Day 1 (no waiting period for Sikkim beneficiaries); free diagnostics, medicines, and follow-up consultations at government health facilities under Chief Minister's Free Drug Scheme; ₹5,000 transport reimbursement per major illness requiring inter-district or out-of-state referral; dedicated health desk at each CHC (Community Health Centre) to assist with claims and referrals; special enhanced cover of ₹10 lakh for cancer, kidney failure, cardiac surgery, and organ transplants; covers all family members enrolled under a single Arogya Sikkim card; integrates with Ayushman Bharat PM-JAY for seamless nationwide coverage; all 4 districts covered with 24/7 helpline support

What documents are needed for Arogya Sikkim — State Health Insurance Scheme?

Aadhaar Card (all family members), Sikkim Subject Certificate, Residence / Domicile Certificate (Sikkim), Family Ration Card / BPL Card (if applicable), Bank Account (Aadhaar-linked), Passport Photos (all adult members), Existing health card (for renewal / migration).

How do I apply for Arogya Sikkim — State Health Insurance Scheme?

Apply online on the official website: https://sikkimhealth.gov.in/

How can I check if I am eligible for Arogya Sikkim — State Health Insurance Scheme?

Answer a few simple questions on YojanaSahay — it tells you free of cost which schemes you qualify for, with the documents for each.

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