Kerala Niramaya Health Insurance Scheme Form PDF

The Kerala State Government has launched an affordable health insurance scheme for persons with disabilities under the National Trust Act 1999. The name of the scheme is “Kerala Niramaya Health Insurance Scheme 2022”. Through this scheme, beneficiaries can get insurance coverage of up to 1 lakh and it will be renewed every year.

Medicines for OPD treatment, facilities for pathology, diagnostic tests, etc., regular medical checkups for non-ill disabled, dental care, surgery to prevent further progression of disability, non-surgical / hospitalization, existing disability For corrective surgery, ongoing disability-related complications, treatment to reduce the effect of alternative medicine. To enroll in the scheme, the beneficiary should pay Rs 500 / – (for APL categories) and Rs 250 / – (for BPL categories) as the premium amount. To renew this premium they should pay Rs 250 / – and Rs 50 / – respectively.

Niramaya Health Insurance Form PDF

Name of the scheme Niramaya Health Insurance Scheme 2022
State Kerala
Initiated by Kerala State Government
Related Departments Kerala Social Justice Department
Benefits Health insurance of 1 lakh
 Beneficiary State Disabled
 Objective To provide health care to the disabled
 Official Website Click Here
 Niramaya Health Insurance Scheme Application Form PDF Download

Premium amount for Kerala Health Insurance Scheme

To enroll or renew the Niramaya Scheme, the beneficiary should pay an amount equal to the following-

APL Category (Actual Premium)   Rs. 500
BPL Category (Actual Premium)   Rs. 250
APL Category (Renewal Premium)   Rs. 250
BPL Category (Renewal Premium)   Rs. 50 

Niramaya Health Insurance 2022 Download form PDF 

Required Documents

The following table describes the application fee and the documents required for each category of persons with disabilities.

Category of Divyang Nomination Fee (Rupees) Required Documents
BPL 250 Disability certificate (self-attested) issued by the district hospital or appropriate government authority.

BPL card
proof of address
Proof of payment (if by challan)

Non-BPL  500  Disability certificate (self-attested) issued by the district hospital or appropriate government authority.

proof of address
Proof of payment (if by challan)

PwD who have legal guardians (excluding parents) free of cost  Disability certificate (self-attested) issued by the district hospital or appropriate government authority

proof of address
Legal guardianship certificate under National Trust 1999

Scheme Renewal Fees and Documents

Category of Persons with Disabilities Renewal Fee (Rs) Required Documents
BPL   50  Disability certificate (self-attested) issued by district hospital or appropriate government authority

BPL card
proof of address
Proof of payment (if by challan)

Non-BPL   250 District Hospital or Disability Certificate issued by an appropriate government authority (self-attested)

proof of address
Proof of payment (if by challan)

PwD who have a legal guardian (excluding parents)  free Disability issued by district hospital or appropriate government authority certificate (self-attested)

proof of address
Legal guardianship certificate under National Trust 1999

Download Kerala Nirmaya Health Insurance Scheme form 2022

If you want to download the Kerala Nirmaya Health Insurance Scheme application form, then for this you have to follow the steps given below.

  • First of all, you have to go to the official website of the Kerala Social Justice Department.
  • Here you have to click on the option of “Schemes” on the home page. A page will open in front of you on clicking.
  • On this page, you have to click on the link of “Niramaya Health Insurance Scheme”.
  • On clicking, another page will open in front of you. You will see links to application forms in the section of “Documents”.
  • Here you will get the links of the three forms of the plan application form, Application form for Renewal, and Insurance Claim form.
  • From here you can download the form as per your requirement. Or you can also download the form from the links given below.
Niramaya Health Insurance Enrollment form Click Here
Niramaya health insurance- Application for Renewal Click Here
Niramaya Health Insurance Claim form Click Here 
  • After downloading the form, you will have to fill in all the information asked in the form carefully.
  • After filling in all the information, you will have to attach your required document form.
  • After this, you have to submit the completed filled form to the concerned department. After submitting the form, after checking your application, you will be given benefits under the scheme.
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