EKAM goes 1 on 1 with the rural community members to guide them to the most appropriate and best accessible tertiary healthcare. At times, where the clock is ticking against a life saving situation, a direct referral to a high end hospital is made to revive the scenario without unnecessary spill out on time. Each child that is identified to have a health need is given an EKAM card that allows the child to access health care at several of the hospitals or providers that are affiliated with EKAM, either free of charge, or at a subsidized cost that is billed to EKAM. So the child gets immediate and necessary treatment. The providers see the child for free and the hospitals work well with EKAM, providing at-cost surgeries, etc., sometimes even as a loan to be paid later.