GUIDELINES FOR IMPLEMENTATION OF NEW HEALTH INSURANCE SCHEME, 2026 FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS
G.Os of Finance Department - New Health Insurance Scheme, 2026 – Provision of Health Care Assistance to the Pensioners (including spouse) / Family Pensioners through the United India Insurance Company Limited, Chennai
FINANCE [Health Insurance] DEPARTMENT
G.O.Ms.No.123, Dated 24th June, 2026.
(Parabhava, Aani-10, Thiruvalluvar Aandu 2057)
ABSTRACT
MEDICAL AID – New Health Insurance Scheme, 2026 for Pensioners (including spouse) / Family Pensioners – Provision of Health Care Assistance to the Pensioners (including spouse) / Family Pensioners through the United India Insurance Company Limited, Chennai –
Implementation – Orders – Issued. Read:-
1. G.O.Ms.No.462, Finance (Pension) Department, dated: 27-12-2013.
2. G.O.Ms.No.171, Finance (Pension) Department, dated: 26-06-2014.
3. G.O.Ms.No.222, Finance (Pension) Department, dated: 30-06-2018.
4. G.O.Ms.No.204, Finance (Health Insurance) Department, dated: 30-06-2022.
5. G.O.Ms.No.58, Finance (Health Insurance) Department, dated: 05-03-2026
ORDER:
In the Government Order first read above, orders were issued for launching a New Health Insurance Scheme, 2014 replacing the Tamil Nadu Government Pensioners Health Fund Scheme, 1995 to provide health care assistance up to Rupees two lakh to the Pensioners (including spouse) / Family Pensioners on a cashless basis for a block period of four years and to implement the scheme through the Director of Treasuries and Accounts, Chennai after selection of a suitable Public Sector Health Insurance Company through National Competitive Bidding.
2. In the Government Order second read above, orders were issued for the implementation of the “New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners” on cashless basis with provision of assistance up to Rupees Two Lakh for a block period of four years from 01-07-2014 to 30-06-2018 through the United India Insurance Company Limited
3. In the Government Order third read above, orders were issued for implementation of New Health Insurance Scheme, 2018 to provide health care assistance on a cashless basis for Pensioners (including spouse)/Family Pensioners with a provision to avail assistance up to the limit of Rupees Four lakh for a block period of four years from 01.07.2018 to 30.06.2022 for the accredited treatments /surgeries in the hospitals approved by the United India Insurance Company Limited. 4. In the Government Order fourth read above, orders were issued for implementation of New Health Insurance Scheme, 2022 to provide health care assistance on a cashless basis for Pensioners (including spouse)/Family Pensioners with a provision to avail assistance up to the limit of Rupees Five lakh for a block period of four years from 01.07.2022 to 30.06.2026 for the accredited treatments /surgeries in the hospitals approved by the United India Insurance Company Limited.
5. The Government has examined the need for continuation of Health Insurance Scheme for Pensioners (including spouse)/ Family Pensioners and decided to continue the same after selection of a suitable Public Sector Health Insurance Company through National Competitive Bidding. Accordingly, in the Government Order fifth read above, orders have been issued for the implementation of the New Health Insurance Scheme, 2026 for Pensioners (including spouse)/Family Pensioners beyond 30-06-2026.
6. Based on the Government orders issued in reference fifth read above, the Notice Inviting Tender has been published through the e-tender portal https://tntenders.gov.in on 07-03-2026. The Tender Scrutinizing Committee, after invoking due procedure as per the Tamil Nadu Transparency in Tenders Act, 1998 and the Tamil Nadu Transparency in Tenders Rules, 2000, submitted its report on 11-06-2026 to select the United India Insurance Company Limited, Chennai for implementing the New Health Insurance Scheme, 2026 for the Pensioners (including spouse)/Family Pensioners.
7. The recommendation of the Tender Scrutinizing Committee has been considered and the tender has been awarded to the United India Insurance Company Limited, Chennai. The said Company shall execute an agreement with the Government of Tamil Nadu for the implementation of the New Health Insurance Scheme, 2026 for Pensioners (including spouse)/ Family Pensioners.
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