Agrahara Insurance

Agrahara

Agrahara Insurance scheme was introduced by the Ministry of Public Administration Circular No: 5 /1997 and this scheme was under National Insurance Trust Fund from 1st of January 2006. Early stages we had a large number of claims, received from Sri Lanka Insurance and by now we have cleared the arrears and running smoothly.

The main idea of this "Agrahara" medical insurance scheme is to uplift the living standards of the public service and provincial public service and their families. Therefore we have taken steps to expedite all claims received by us as early as possible.

We have implemented a new system to expedite the claims as early as possible. If we receive any claim with all the necessary requirements arrangements have being made to Pay these Claims immediately.

To Whom

The NITF cater to nearly Seven Hundred Thousand public servants and their dependents. We pay for all Medical(Hospitalizations, Childbirth, Various Operations, Bypass Operations, Spectacles and etc) , Accidents and Death claims submitted to us by them.

Beneficiaries :-

  • Married Employees - Member, Spouse and Children (only if they are unmarried, unemployed and below 21years old)
  • Unmarried Employees - Member, Parents (only if the parents below 70 years old)


Benefits

Benefits are as per the circular published by Ministry of Public Administration and Home Affairs. Download the Circular

Also you can visit the Ministry of Public Administration and Home Affairs website by www.pubad.gov.lk

The list of benefits provided by Agrahara.


Type of BenefitMax. Amount
(per case) Rs.
DurationRate
Rs.
Limit(Per Year)
Rs.
Private Hospital Room Charges21,000.0014 Days1,500.00 150,000.00
Gov. Hospital Room Charges5,000.0010 Days500.00
Gov. Surgical & Medical Treatment50,000.00--
Pvt Hospital Surgical &Medical Treatment50,000.00--
Consultation Fee15,000.00--
Medical Test20,000.00--
Cataract Operation20,000.00--
Paralysis Package100,000.00--
Heart Surgery Pkg bill for Family Member75,000.00--
Heart Surgery Detailed bill for Family Member100,000.00--
Cancer Insured Package100,000.00--
Total Knee Replacement Set50,000.00--
Total Hip Replacement Set50,000.00--
Spinal Fusion Set50,000.00--
Hearing Aids Digital50,000.00--
Bone Metal Stents Family50,000.00--
Gov. Hospital Childbirth *2,500.005 Days500.00 2,500.00
Pvt Hospital Childbirth- Normal *5,000.005 Days1,000.005,000.00
Pvt Hospital Childbirth- Cesarean *40,000.005 Days1,000.0040,000.00
Spectacles **3,500.00--3,500.00
Permenent Total Disablement600,000.00--600,000.00
Permenent Partial Disablement300,000.00--300,000.00
Temprory Total Disablement15,600.0052 wks300.0015,600.00
Temprory Partial Disablement10,400.0052 wks200.0010,400.00
Natural Death Insured100,000.00--100,000.00
Accidental Death Insured600,000.00--600,000.00
Kidney Insured Package100,000.00--100,000.00
Pvt. Hospital Bypass for Member400,000.00--400,000.00
Bare Metal Stents- Member120,000.00--
Drug Eluting Stent- Member290,000.00--
Dilatation Catheter- Member36,000.00--
PTCA Balloon- Member39,500.00--
Guide Wire- Member12,500.00--
Patent Ductus Arterious (PDA)145,000.00--
Atrial Spetal Defect (ASD)293,000.00--
Ventricular Spetal Defect (VSD)293,000.00--
Pace Maker (Singal)136,000.00--
Pace Maker (Dual)272,000.00--
PFO Occluder293,000.00--
Implantable Cardiovetor Defibrillator (ICD)300,000.00--
Radio Frequency Ablation (RF Ablation)200,000.00--200,000.00

*   Childbirth Claims can be made maximum 2 occurances in lifetime.

** Spectacle Claims can be made once in three years only.


Claim Procedure

Please click on the link to see the claim procedure of each category

  • Accidental Death
  • Accidents
  • Birth_Child
  • Cancer
  • Cardiac Guarantee
  • Cardiac
  • Death
  • Kidney
  • Paralysis
  • Spectacle

  • More Information

    Feel free to contact us regarding the new medical scheme.

    Telephone : +94114873900-5
    email : anura@nitf.lk
    Fax : +94112323006


    Partner Hospitals

  • Lanka Hospitals
  • Nawaloka Hospitals
  • Hemas Hospitals

  • Downloads

    To download the necessary forms please click here


    Check your claim

    To check your claim details please click here