Abstract

The study aimed to find out the functioning of two community-based health insurance schemes through patients enrolled in them, at a tertiary care hospital in Karnataka, South India. Methodology: It was a cross sectional study, total of 384 patients was randomly selected from the whole lot of patients who were enrolled in the two selected community-based health insurance schemes. The study was carried out using a pretested semi structured questionnaire. About. 98% of the respondents said that they availed services 1–3 times from the scheme in 1 year; 89% of the respondents said that discount provided by the scheme was useful. Satisfaction levels of the card users were analyzed and out of 384 patients, 54.9% patients said that their scheme was good and 51.8 felt that admission and claim process was good. About 49.2% said that quality of treatment was good. It can be concluded that many users are satisfied with the health insurance they have opted and utilisation rate of the card is high.

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