- विवरण
- फ़ायदे
- पात्रता
- अपवाद
- आवेदन प्रक्रिया
- आवश्यक दस्तावेज़
- अधिकतर पूछे जाने वाले सवाल
- स्रोत और संदर्भ
- प्रतिपुष्टि
कुछ गलत हो गया। कृपया बाद में पुन: प्रयास करें
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आवेदन करें
योजनाओं के लिए आवेदन करने से पहले आपको साइन इन करना होगा
कुछ गलत हो गया। कृपया बाद में पुन: प्रयास करें
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आवेदन करें
पात्रता की जाँच करें
Andhra Pradesh
Dr. YSR Aarogyasri Health Insurance Scheme
विवरण
- To provide free quality hospital care and equity of access to BPL families by purchase of quality medical services from identified network of health care providers through a self-funded reimbursement mechanism (serviced by Trust).
- To provide financial security against the catastrophic health expenditures.
- To strengthen the Government Hospitals through demand side financing.
- To provide universal coverage of health for both urban and rural poor of the State of Andhra Pradesh.
फ़ायदे
- Hospital Care: When hospitalisation is needed, the system covers in-patient treatment for all of the aforementioned illnesses.
- Out-Patient Care: These treatments are provided as part of the scheme's cashless services by health camps and network hospitals.
- Cashless Services: When registered family members and beneficiaries demand it, an annual coverage of ₹5,00,000 per family is provided.
- Pre-Existing Disease Coverage: This plan has an unusual characteristic in that it covers ailments that the recipient was already suffering from before enrolling in the scheme.
- Follow-Up: The Dr. YSR Aarogyasri program also pays for post-hospitalization operations that can be rather expensive on their own.
- Affordable Family Health Insurance: Family health insurance allows the complete family to use the covered amount without the requirement for separate policies for each family member.
- Free Admission.
- Doctor Consultation. (Every Day).
- Nursing Services. (Per Day).
- Necessary Medical Tests.
- Necessary Medicines.
- Surgery (Operation) or Treament.
- Breakfast, Lunch. (Two Meals).
- Medicine for 10 Days after Discharge.
- Necessary Charges for Going Home after Discharge.
पात्रता
- Less than 12.00 Acres of wet land
- Less than 35.00 Acres of dry land
- Total less than 35.00 Acres (Wet & Dry)
- All households whose annual income is less than or upto Rs.5.00 Lakhs (Salary certificate evidence)
- Income Tax Payers: Families who are filing Income Tax Returns for annual income up to Rs.5.00 Lakhs are eligible (Income Tax Return evidence).
अपवाद
- Knee replacement surgeries
- Gamma-knife procedures in neurosurgery
- Medical treatment related to bone marrow
- Leprosy
- Filaria
- Assisted devices for cardiac failures
- Cardiac and liver transplantations
- Malaria
- HIV/AIDS
- Tuberculosis
- Infectious diseases
- Gastroenteritis
- Jaundice
आवेदन प्रक्रिया
आवश्यक दस्तावेज़
- Aadhaar Card
- Address Proof
- Income Certificate
- BPL Certificate
अधिकतर पूछे जाने वाले सवाल
What Is Dr.YSR Aarogyasri Scheme?
Dr.YSR Aarogyasri Scheme is a unique health scheme being implemented by State Government of Andhra Pradesh through Dr.YSR Aarogyasri Health Care Trust. The scheme provides financial assistance to BPL families to meet the catastrophic health needs.
How Much Of Financial Coverage Is Provided Under The Scheme?
The scheme provides coverage up to 5 lakhs for each family per year.
Who Are The Beneficiaries Under The Scheme?
All the BPL families identified by BPL ration card issued by Civil Supplies Department are eligible. All the people whose photo and name appear on Health Card / BPL (White, Annapurna and Anthyodaya Anna Yojana, RAP and TAP) ration card and suffering from identified diseases are eligible for availing treatment under the scheme.
What Are The Ailments Identified For Which I Can Get Treatment Under Dr.YSR Aarogyasri Scheme?
Serious diseases affecting Heart, Kidney, Cancer, Brain, Burns and accident cases etc., are covered under the scheme. A total of 2434 Surgeries / Therapies in 30 systems are covered under the Dr.YSR Aarogyasri Scheme. The list of these Surgeries / Therapies is available with PHC Doctors and Network Hospitals.
How To Know That I Am Suffering From These Diseases?
The common symptoms are enlisted in the Brochure on Dr.YSR Aarogyasri provided to all the BPL families. You may approach any of the PHC or Government Hospital near to you to know about your disease. You may contact ArogyaMithra at these hospitals for facilitation. You may also approach a Health Camp conducted by the Network Hospital. The 24 hour call centre with toll free number 104 also will guide you in this regard.
What About Coverage For Other Diseases?
The existing Government Medical Infrastructure from PHC, CHC, Area Hospital, District Hospital and Specialty Hospitals can effectively provide free Treatment for other diseases.
What Will Be The Role Of Government Hospitals?
Government Hospitals will continue to play a vital role in delivering free health care in other sectors such as Preventive Medicine, Primary health care, Secondary Health Care and tertiary care for the disease other than those in Dr.YSR Aarogyasri. They can also get empaneled to treat Dr.YSR Aarogyasri Cases wherever facilities are available and can plough back money from the scheme for their development. The PHC's and Area Hospital also act as referral points for the patients.
Who Is Implementing The Programme?
State Government through Dr.YSR Aarogyasri Health Care Trust is implementing the Programme.
Who Is Paying The Premium?
The entire premium is paid by the Government of AP on behalf of the BPL families
Is There Any Enrollment To Be Done To Avail The Benefits?
No. There is no separate enrollment, all the BPL families holding valid white ration card are automatically covered from the day of implementation of the scheme.
Can All The Hospitals In The State Provide Treatment Under The Scheme?
Cashless treatment under the scheme is provided to beneficiary in a Network Hospital. Trust after due verification of Infrastructure will empanel the hospital as a Network Hospital under the scheme. This is done to ensure quality treatment for the patient. The list of network hospitals with the specialties is available with ArogyaMithra. You can also avail this information by calling toll free number 104.
Is There Any Person Who Will Help Me In The Hospitals?
Yes. A facilitator called ArogyaMithra will be available in all these hospitals to register, facilitate the treatment and guide you for all the services. ArogyaMithras are also available in PHC / CHC / Area Hospital / District Hospital and other government hospitals and in the Health camps to facilitate examination, screening and referral. ArogyaMithras are also placed at network hospital to guide and facilitate cashless treatment in the network hospital.
How Can I Recognize ArogyaMithra?
ArogyaMithras are provided with uniform apron for easy identification and placed at Dr.YSR Aarogyasri kiosk, a special help desk situated at reception in the hospital. The ArogyaMithras in PHC / CHC will be available in the PHC / CHC during OP hours.
What Are The Other Services Provided By ArogyaMithra?
He / She receives you in the network hospital, counsels you, verifies your health card, takes the digital photograph of you, facilitates you for consultation with doctor and admission in the hospital. Facilitates the hospital to send proper pre-authorization for your surgery / treatment. He works in coordination with MEDCO for the above services. ArogyaMithra will also counsel and follow-up the patient on the need of follow-up and available package for the same at the time of discharge.
How Can I Avail The Benefits Under The Scheme?
You can avail the benefits of the scheme by approaching any PHC / CHC / Area Hospital / District Hospital or any of the government hospitals nearer to you or any health camp being conducted near your village with the White card / Health Card and medical reports if any. You can also approach the any of the network hospital directly in case of Emergency.
समाचार और अपडेट
कोई नई खबर और अपडेट उपलब्ध नहीं है
शेयर
कुछ गलत हो गया। कृपया बाद में पुन: प्रयास करें
योजनाओं के लिए आवेदन करने से पहले आपको साइन इन करना होगा
कुछ गलत हो गया। कृपया बाद में पुन: प्रयास करें
ऐसा लगता है कि आपने अपना आवेदन पहले ही शुरू कर दिया है।externalApplyDes
आवेदन करें
योजनाओं के लिए आवेदन करने से पहले आपको साइन इन करना होगा
कुछ गलत हो गया। कृपया बाद में पुन: प्रयास करें
ऐसा लगता है कि आपने अपना आवेदन पहले ही शुरू कर दिया है।externalApplyDes
आवेदन करें
पात्रता की जाँच करें
Andhra Pradesh
Dr. YSR Aarogyasri Health Insurance Scheme
- To provide free quality hospital care and equity of access to BPL families by purchase of quality medical services from identified network of health care providers through a self-funded reimbursement mechanism (serviced by Trust).
- To provide financial security against the catastrophic health expenditures.
- To strengthen the Government Hospitals through demand side financing.
- To provide universal coverage of health for both urban and rural poor of the State of Andhra Pradesh.
शेयर
समाचार और अपडेट
कोई नई खबर और अपडेट उपलब्ध नहीं है
