Under the Sehat Sahulat Program (Healthcare Convenience Program), the Government of Pakistan has made the Qaumi Sehat Card (National Health Card) available to inhabitants of Khyber Pakhtunkhwa, Punjab, Balochistan, Gilgit Baltistan Azad Kashmir, and Tharparkar (Sindh). Millions of low-income people benefit from the program, which provides them with immediate and free inpatient healthcare without any financial responsibilities.
A Sehat Card entitles you to health services in a variety of public and private hospitals throughout the defined areas. You can use those facilities and receive treatment and care in the event of an accident or medical emergency, as well as for conditions such as diabetes, kidney disease, Hepatitis B and C, and other all types of cancers. Additionally, Sehat Cardholders are eligible for free COVID-19 treatment.
Who is Eligible for Sehat Card?
According to NADRA records, the program covers all permanent inhabitants of Khyber Pakhtunkhwa (including residents of merged districts from ex-FATA), Punjab, and Azad Jammu, and Kashmir (AJK), regardless of their wealth.
Note: Pakistan’s government is progressively spreading the program’s coverage across the country.
Health Cover Under Sehat Card
- Hospitalization, emergency treatment, in-patient services (all medical and surgical issues), fractures/injuries, referral transportation, maternity care, and free follow-up are all provided free of charge.
- Cardiovascular diseases, diabetes, burns and road traffic accidents, kidney diseases, chronic diseases (TB, Hepatitis A, B, and C, HIV, chronic liver disease), organ failure, oncology, and neurosurgical services are all covered under the priority cover package, in addition to secondary care services. The full list of diseases covered by the program can be found here.
- The cardholder is eligible for annual treatment of up to PKR 720,000. If necessary, this amount can be increased. If a cardholder or a family member has a serious illness, treatment will not be stopped owing to a lack of insurance funds; instead, the government can grant an additional PKR 360,000 per family each year to complete the treatment.
- If a patient passes away while undergoing treatment, funeral assistance of PKR 10,000 is provided.
The following two medication packages are now accessible to programme participants. The PM Health Program website is updated with information on available packages.
1. Secondary Care
Coverage in the starting PKR 60,000 per year per household
PKR 60,000 for additional coverage per family
- Prioritized Care
PKR 300,000 / family/year for the first year of coverage
Additional coverage of PKR 300,000 per household is available.
Allowance for transportation
In addition to medical institutions, the card also assists patients with transportation. This includes a one-time payment of PKR 1,000 per family per visit, with a maximum of three visits per year.
How to Check Eligibility and Use Sehat Card
- Verify your Eligibility: Send an SMS to 8500 with your National Identity Card number to verify your eligibility (9780 for KP). You can also use this online tool to see if you are eligible for a Sehat Card.
Note: If your name does not appear among the eligible persons, and you are sure this is due to an error, you can contact the official helpdesk at 0800-09009 or 0800-89898 for more information.
- Your Sehat Card is your CNIC: You can use your CNIC card as your default Sehat Card if you are eligible.
- Gather the necessary information and documents: For the Sehat Sahulat Program, select your preferred empaneled hospitals. When visiting a government or private hospital, bring your original CNIC with you.
Take their B-form together with one of their parents’ CNIC if they are under the age of 18.
- Get Medical Treatment with Your Sehat Card: Once you’ve arrived at the hospital, you can go to the Sehat Card Center.
These booklets in Urdu and Sindhi, as well as the Frequently Asked Questions section in English, contain additional information about the Sehat Sahulat Program. This online booklet in Urdu has thorough information about the Sehat Sahulat Program in Khyber Pakhtunkhwa.