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.
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.
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 Benefit||Max. Amount |
(per case) Rs.
|Private Hospital Room Charges||21,000.00||14 Days||1,500.00||150,000.00|
|Gov. Hospital Room Charges||5,000.00||10 Days||500.00|
|Gov. Surgical & Medical Treatment||50,000.00||-||-|
|Pvt Hospital Surgical &Medical Treatment||50,000.00||-||-|
|Heart Surgery Pkg bill for Family Member||75,000.00||-||-|
|Heart Surgery Detailed bill for Family Member||100,000.00||-||-|
|Cancer Insured Package||100,000.00||-||-|
|Total Knee Replacement Set||50,000.00||-||-|
|Total Hip Replacement Set||50,000.00||-||-|
|Spinal Fusion Set||50,000.00||-||-|
|Hearing Aids Digital||50,000.00||-||-|
|Bone Metal Stents Family||50,000.00||-||-|
|Gov. Hospital Childbirth *||2,500.00||5 Days||500.00||2,500.00|
|Pvt Hospital Childbirth- Normal *||5,000.00||5 Days||1,000.00||5,000.00|
|Pvt Hospital Childbirth- Cesarean *||40,000.00||5 Days||1,000.00||40,000.00|
|Permenent Total Disablement||600,000.00||-||-||600,000.00|
|Permenent Partial Disablement||300,000.00||-||-||300,000.00|
|Temprory Total Disablement||15,600.00||52 wks||300.00||15,600.00|
|Temprory Partial Disablement||10,400.00||52 wks||200.00||10,400.00|
|Natural Death Insured||100,000.00||-||-||100,000.00|
|Accidental Death Insured||600,000.00||-||-||600,000.00|
|Kidney Insured Package||100,000.00||-||-||100,000.00|
|Pvt. Hospital Bypass for Member||400,000.00||-||-||400,000.00|
|Bare Metal Stents- Member||120,000.00||-||-|
|Drug Eluting Stent- Member||290,000.00||-||-|
|Dilatation Catheter- Member||36,000.00||-||-|
|PTCA Balloon- Member||39,500.00||-||-|
|Guide Wire- Member||12,500.00||-||-|
|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||-||-|
|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.
Please click on the link to see the claim procedure of each category
Feel free to contact us regarding the new medical scheme.
Telephone : +94114873900-5
24 Hours Service
To download the necessary forms please click here
To check your claim details please click here