How much is covered for critical illness (cancer, kidney) treatment?
✓ Verified: 2026-07-11
- Up to Rs. 1,000,000 in total over the service period — cancer, kidney disease, heart surgery, stroke, Parkinson's, Alzheimer's, spinal/head injury, thalassemia, etc.
- Eligibility: at least 24 months of regular contributions within the last 28
- Diagnosis costs up to Rs. 100,000; foreign hospital up to Rs. 700,000 on Medical Board recommendation; post-discharge follow-up tests up to Rs. 200,000
📜 Official sources
- सामाजिक सुरक्षा योजना सञ्चालन कार्यविधि, २०७५ (५औँ संशोधनसहित) (मूल २०७५।०८।०६; ५औँ संशोधन २०८१।०९।१०, लागू २०८२।०१।०१)
For legal purposes always consult the original documents and latest amendments. Rates and limits can change through amendments.