Agrahara Insurance


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).

  • Agrahara members monthly remittance list format.

  •   DOWNLOAD FROM HERE

  • 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 Benefit Max Amount
    (per case) Rs.
    Duration Rate (per case)
    Rs.
    Limit (Per Year)
    Rs.
    Private hospital room charges
      30,000.00
      10 days
      3000.00
      150,000.00
    Gov. Hospital Room Charges
      5,000.00
      10 Days
      500.00
      150,000.00
    Pvt Hospital Surgical &Medical Treatment
      50,000.00
      -
      -
      150,000.00
    Consultation Fee
      20,000.00
      -
      -
      150,000.00
    Medical Test
      20,000.00
      -
      -
      150,000.00
    Cataract Operation
      20,000.00
      -
      -
      150,000.00
    Paralysis Package
      100,000.00
      -
      -
      150,000.00
    Heart Surgery Pkg bill for Family Member
      100,000.00
      -
      -
      150,000.00
    Heart Surgery Detailed bill for Family Member
      100,000.00
      -
      -
      150,000.00
    Cancer Insured Package
      120,000.00
      -
      -
      200,000.00
    Total Knee Replacement Set
      50,000.00
      -
      -
      150,000.00
    Total Hip Replacement Set
      50,000.00
      -
      -
      150,000.00
    Spinal Fusion Set
      50,000.00
      -
      -
      150,000.00
    Bone Metal Stents Family
      50,000.00
      -
      -
      150,000.00
    Gov. Hospital Childbirth *
      2,500.00
      5 Days
      500.00
      2,500.00
    Pvt Hospital Childbirth- Normal *
      10,000.00
      5 Days
      2,000.00
      10,000.00
    Pvt Hospital Childbirth- Cesarean *
      40,000.00
      -
      -
      40,000.00
    Spectacles **
      3,500.00
      -
      -
      3,500.00
    Permenent Total Disablement
      600,000.00
      -
      -
      600,000.00
    Permenent Partial Disablement
      300,000.00
      -
      -
      300,000.00
    Temprory Partial Disablement
      26,000.00
      52 wks
      500.00
      26,000.00
    Natural Death Insured
      150,000.00
      -
      -
      150,000.00
    Accidental Death Insured
      600,000.00
      -
      -
      600,000.00
    Kidney Insured Package
      200,000.00
      -
      -
      200,000.00
    Pvt. Hospital Bypass for Member
      500,000.00
      -
      -
      500,000.00
    Bare Metal Stents- Member
      120,000.00
      -
      -
      500,000.00
    Drug Eluting Stent- Member
      290,000.00
      -
      -
      500,000.00
    Dilatation Catheter- Member
      36,000.00
      -
      -
      500,000.00
    PTCA Balloon- Member
      39,500.00
      -
      -
      500,000.00
    Guide Wire- Member
      12,500.00
      -
      -
      500,000.00
    Patent Ductus Arterious (PDA)
      145,000.00
      -
      -
      500,000.00
    Atrial Spetal Defect (ASD)
      293,000.00
      -
      -
      500,000.00
    Ventricular Spetal Defect (VSD)
      293,000.00
      -
      -
      500,000.00
    Pace Maker (Singal)
      136,000.00
      -
      -
      500,000.00
    Pace Maker (Dual)
      272,000.00
      -
      -
      500,000.00
    PFO Occluder
      293,000.00
      -
      -
      500,000.00
    Implantable Cardiovetor Defibrillator (ICD)
      300,000.00
      -
      -
      500,000.00
    Radio Frequency Ablation (RF Ablation)
      225,000.00
      -
      -
      225,000.00

    *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
  • Accidential Death
  • Accidents
  • Birth_Child
  • Cancer
  • Cardiac Guarantee
  • Cardiac
  • Death
  • Kidney
  • Paralysis
  • Spectacle

  • Agrahara Gold & Silver Package

    Benefits:

  • Benefits are as per the circular published by Ministry of Public Administration and Home Affairs.  DOWNLOAD THE CIRCULAR
  •   DOWNLOAD THE REGISTRATION FORM (SINHALA)
  •   DOWNLOAD THE CLAIM APPLICATION FORM

    • Benefits entitled to the members and dependent family members(for the family unit)
      Maximum claim value (SILVER)
      Benefits entitled to the members and dependent family members(for the family unit)
      Maximum claim value (GOLD)
      Hospitalization in a private hospital
      (Rs. 160,000 maximum for a single event)
      For room charges Rs.5000.00(per day)
      For medicine, operation theatre charges Rs. 60,000.00
      For Doctor's fees Rs.35,000.00
      For medical tests Rs.30,000.00
      250,000.00
      (per annum)
      Hospitalization in a private hospital
      (Rs. 200,000 maximum for a single event)
      For room charges Rs.8000.00(per day)
      For medicine, operation theatre charges Rs. 80,000.00
      For Doctor's fees Rs.50,000.00
      For medical tests Rs.40,000.00
      350,000.00
      ( per annum )
      For obtaining in-house treatment in a private Ayurvedic hospital subjective to above categories
      (private Ayurvedic hospital should be a registered entity under local subjective Ministry.)
      160,000.00
      ( per annum )
      For obtaining in-house treatment in a private Ayurvedic hospital subjective to above categories
      (private Ayurvedic hospital should be a registered entity under local subjective Ministry.)
      200,000.00
      (per annum )
      Hospitalization in a Government hospital
      For residing charges Rs.1000.00 (per day)
      For medicine Rs.60,000.00(only for the period hospitalized under specialist consultant's recommendation)
      For medical tests Rs.30,000.00(only for the period hospitalized under specialist consultant's recommendation)
      10,000.00
      (for maximum
      10 days)
      Hospitalization in a Government hospital
      For residing charges Rs.3000.00 (per day)
      For medicine Rs.80,000.00(only for the period hospitalized under specialist consultant's recommendation)
      For medical tests Rs.40,000.00(only for the period hospitalized under specialist consultant's recommendation)
      30,000.00
      (for maximum 10 days)
      Hospitalization in a government Ayurvedic hospital
      For residing charges Rs.1000.00 (per day)
      10,000.00
      (for maximum
      10 days)
      Hospitalization in a government Ayurvedic hospital
      For residing charges Rs.3000.00 (per day)
      30,000.00
      (for maximum 10 days)
      [Child births]
      Hospitalization in a private hospital
      Child birth with a cesarean surgery(only for the member/spouse)
      Natural child birth

      Hospitalization in a Government hospital
      Chid birth with a cesarean surgery ( 5 maximum days for a single hospitalization event)
      Natural child birth ( 5 maximum days for a single hospitalization event)
      Still-child birth & Miscarriage ( 5 maximum days for a single hospitalization event)


      60,000.00
      25,000.00


      1500.00
      (per day)
      1500.00
      (per day)
      1500.00
      (per day)
      [Child births]
      Hospitalization in a private hospital
      Child birth with a cesarean surgery(only for the member/spouse)
      Natural child birth

      Hospitalization in a Government hospital
      Chid birth with a cesarean surgery ( 5 maximum days for a single hospitalization event)
      Natural child birth ( 5 maximum days for a single hospitalization event)
      Still-child birth & Miscarriage ( 5 maximum days for a single hospitalization event)


      100,000.00
      50,000.00


      3000.00
      (per day)
      3000.00
      (per day)
      3000.00
      (per day)
      Heart related surgeries of family members
      150,000.00
      Heart related surgeries of family members
      200,000.00

      Benefits entitled only to members for major surgeries
      Maximum claim value (SILVER)
      Maximum claim value (GOLD)
      For Heart surgeries
      For RF Ablation
      800,000.00
      350,000.00
      1,000,000.00
      500,000.00
      For Kidney transplantations
      800,000.00
      1,200,000.00
      For Brain surgeries
      800,000.00
      1,200,000.00
      For Cancer diseases
      400,000.00
      600,000.00
      For implantation of knees
      150,000.00
      250,000.00
      For implantation of hip bones
      150,000.00
      250,000.00
      For Hearing aids
      75,000.00
      100,000.00
      For Spectacles
      3500.00
      5000.00
      Personal accidents & Natural Death claims cover
      For Deaths caused by Accidents
      For Natural Deaths

      1,000,000.00
      400,000.00

      2,000,000.00
      700,000.00
      Personal Accident cover
      1,000,000.00
      1,500,000.00

    Click for more details about Gold & Silver Package >>

    Agrahara Protection Insurance Proposal Scheme (Pensioners)

    Benefits:

  • Benefits are as per the circular published by Department of Pensions   DOWNLOAD THE CIRCULAR
  •   DOWNLOAD THE CLAIM APPLICATION FORM

  • Partner Hospitals

    Benefits of partner hospitals
    1. Special surgical packages
      • Offer surgical packages to Agrahara Beneficiaries at a special rate.
    2. In Patient Discount on
    3. No Deposit on admission will be applicable for to Agrahara Beneficiaries.
      • Room charges
      • Laboratory investigations
      • Radiology investigation
    4. Out Patient Discount on
      • Laboratory investigations
      • Radiology investigation
    Hemas
    Hemas
    hospital
    Nawaloka
    Nawaloka
    hospital
    Lanka
    Lanka
    hospital
    NewPhilip
    NewPhilip hospital
    northern
    Northern hospital
    Jaffna
    singhe
    Singhe hospital
    Ratnapura
    osro
    Osro hospital
    Mawanella
    coop
    Cooperative hospital Galle
    balasooriya
    Balasooriya hospital
    Prabhodha hospital
    Prabhodha hospital
    Asiri-Central
    Asiri Central hospital
    Asiri Surgical
    Asiri Surgical hospital
    Asiri Medical
    Asiri Medical hospital
    Asiri hospital Matara
    Asiri hospital Matara
    Santa Dora
    Santa Dora hospital
    Durdans
    Ceylon Hospital
    ruhunu
    Ruhunu Hospital

    Downloads

    To download the necessary forms please click HERE

    Check your Agrahara Claim

    To check your claim details please click HERE

    Check your Agrahara Membership Status

    To check your Agrahara Membership Status please click HERE

    Check Agrahara Gold / Silver registration

    To check your Agrahara Gold / Silver registration details please click HERE

    Check your Claim - Agrahara Protection Insurance Proposal Scheme (Pensioners)

    To check your claim details please click HERE

    Check Medical Membership details (For Hospitals)

    To check Medical membership details please click HERE


    More Information

    Telephone : +94 112 026 600
    24 Hours Service

    email : anura@nitf.lk
    Fax : +94112323006

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