The Karnataka Cabinet approved the 'Sandhya Kiran' contributory cashless healthcare scheme on 13 August 2026.
It covers retired state government employees below 70, family pensioners and their eligible dependents.
The cover is ₹5 lakh per family per year on a floater basis for secondary, tertiary and emergency treatment.
Service pensioners contribute 1.25% of basic pension and family pensioners 0.75% of basic family pension.
The scheme runs under the Ayushman Bharat-Arogya Karnataka framework and is implemented by the Suvarna Arogya Suraksha Trust.
Three design features define this scheme. It is contributory — pensioners pay a fixed share of their pension rather than receiving a free entitlement, so about 70% of the cost sits with beneficiaries. It is a floater cover — the ₹5 lakh is a family pool that any eligible member can draw on within the year, rather than a per-person cap. And it is delivered in assurance or trust mode through the Suvarna Arogya Suraksha Trust, which settles claims directly with empanelled hospitals instead of routing them through an insurance company.
Simple Analogy: A floater cover is one shared tank of water for the household, not a separate bucket for each person.
Karnataka's State Health Agency; implements Ayushman Bharat-Arogya Karnataka in assurance mode, settling claims without an insurer
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A single insured amount shared by all eligible family members within a policy year
A scheme funded partly by beneficiary contributions rather than wholly by the government
Direct settlement of hospital claims by a government trust, without an insurance company in between
One-hundredth of a percentage point; five basis points equals 0.05 percentage points