Goa - Apply for Family Planning Indemnity Scheme (FPIS)

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Procedure

Apply In Person:

1. To Apply for Family Planning Indemnity Scheme (FPIS), the applicant has to approach the Ministry of Health and Family Welfare link
2. An application form will be provided to the applicant by the concerned officer or it can be downloaded from the following link check the form from page no 33.
3. The applicant has to fill in all the necessary details in the application form. (Incomplete applications are not accepted)
4. Make sure that the applicant has attached all the necessary documents that are mentioned in the “Required Documents” section of this page.
5. Submit all the documents with the completed form to the concerned officer.
6. After submitting the application form, the applicant will receive a confirmation message with a reference number.
7. The concerned authority will check the submitted application and document set. If all are in place, the application will be accepted.
8. There is no fee for Family Planning Indemnity Scheme (FPIS).
9. An acknowledgment receipt will be provided. Please save it for future reference.
10. Then the application will be processed further.
11. Once the application got approved, the applicant will receive a call or notification through SMS.
12. Once the process gets completed, the concerned officer will issue a certificate of coverage.
13. This entire process can be completed within 30-40 days or as per the timeline advised by the respective department authority.

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Required Documents

• Application form link check the form from page no 33.
• Proof of age (Birth certificate, TC certificate)
• ID proof (Aadhar card, Voter ID, Passport)
• Address proof – (Driving license, passbook, utility bill, etc)
• Discharge summary or certificate from the hospital or clinic where the sterilization procedure was performed.
• Sterilization consent form
• Sterilization operation report
• Any other document requested by the concerned officer

Office Locations & Contacts

Department of Health, Medical and Family Welfare – Goa
Address: Address: FRW9+XQ4, Panaji, Goa 403001
Phone: 0832 222 5540
Email: [email protected]
Contact link

MINISTRY OF HEALTH AND FAMILY WELFARE
Address: Room No. 348; ‘A’ Wing, Nirman Bhavan, New Delhi-110011
Phone: 011-23063024, 011-23063513, 011-23061661
Fax: 011-23062358
Mail ID: [email protected] (For Letters on Policies, Issues, Suggestions and Grievances )
Mail ID: [email protected] (For seeking Appointments with HFM)
Contact link

Eligibility

• The applicant must have Indian citizenship.
• The applicant must have undergone a sterilization procedure in a government-approved hospital or clinic.
• The applicant must be between the age of 18 to 60 years.
• The applicant must not have any pre-existing medical conditions that may lead to complications after the sterilization procedure.

Fees

• There is no fee for Family Planning Indemnity Scheme (FPIS).

Validity

Explain the time until which the certificate/document is valid.
e.g. Birth Certificate Valid Forever

Documents to Use

• Application form link check the form from page no 33.

Sample Documents

Please attach sample completed documents that would help other people.

Processing Time

• This entire process can be completed within 30-40 days or as per the timeline advised by the respective department authority.

Related Videos

Videos explaining the procedure or to fill the applications.
Attach videos using the following tag <&video type='website'>video ID|width|height<&/video&> from external websites.
Please remove the '&' inside the tags during implementation.
Website = allocine, blip, dailymotion, facebook, gametrailers, googlevideo, html5, metacafe, myspace, revver,
sevenload, viddler, vimeo, youku, youtube
width = 560, height = 340, Video ID = Can be obtained from the URL of webpage where the video is displayed.
e.g In the following url 'http://www.youtube.com/watch?v=Y0US7oR_t3M' Video ID is 'Y0US7oR_t3M'.

Instructions

• Applicants must complete the application form before submitting it. Incomplete applications will not be accepted.
• Applicants must provide genuine information while applying for this procedure.

Required Information

• Personal details
• Contact details
• Date of Sterilization Operation
• Nature of sterilization operation
• Certificate of license
• Medical details
• Aadhar card number
• PAN number
• Address
• Hospital name
• Email ID
• Age
• Spouse’s name
• Spouse’s contact number
• Declaration
• Date
• Signature

Need for the Document

• India is the first country that launched a National Family Planning Programme in 1952, emphasizing fertility regulation for reducing birth rates to the extent necessary to stabilize the population at a level consistent with socioeconomic development and environmental protection.
• Since then the demographic and health profiles of India have steadily improved.
• The Family Planning Indemnity Scheme (FPIS) is a scheme launched by the Government of India to provide financial assistance to individuals who have undergone sterilization procedures in government-approved hospitals or clinics.
• The scheme aims to promote family planning and reduce the burden of healthcare expenses on individuals who may face complications after sterilization procedures.

Information which might help

• Individuals who have undergone sterilization procedures are provided with financial assistance in case of any complications arising from the procedure.
• The scheme covers the cost of treatment and hospitalization, including expenses for follow-up treatment and investigations.
• The scheme is available to all eligible individuals irrespective of their gender or marital status.

Other uses of the Document/Certificate

Please explain what are other uses of obtaining this document/certificate.
e.g. Birth Certificate can be used as proof of identity.

External Links

• For more information link

Others

• The Family Planning Indemnity Scheme is a step towards promoting family planning and reducing the financial burden on individuals who may require medical treatment after sterilization procedures.