Objectives

• To reduce the financial hardship on people in the state due to disease and hospitalization.
• To equitably ensure assured access to quality health care for all bonafide citizens of the state.
• To provide quality health care benefits for state government employees and their dependents.
• To make the public health system efficient, effective, and self-reliant by receipt of claim refunds into the individual government hospital accounts.
• To fulfill the secondary and tertiary health care gap in the state.

• Registration Charges, Bed Charges (General Ward), Nursing and Boarding Charges, Surgeons, Anaesthetists, Medical Practitioners, Consultants Fees, etc..
• Anaesthesia, Blood Transfusion, Oxygen, Operating Theatre (OT) Charges, Cost of Surgical Appliances, etc., Medicines and Drugs, Cost of Prosthetic Devices, Implants, etc., Pathology and Radiology Tests: Radiology to Include but Not Be Limited to X-ray, Magnetic Resonance Imaging (MRI), Computed Tomography (CT) Scan, etc., Diagnosis and Tests, etc., Food for the Patient.

• The applicant should belong to one of the tribal communities that are recognized by the state of Arunachal Pradesh.
• The applicant should be legally residing in the Changlang, Lohit, or Namsai Districts of Arunachal Pradesh.
• The applicant should be a member of one of the backward communities.
• The people who are enrolled in the Arunachal Pradesh Scheduled Tribe (APST) are directly eligible.
• In the case the applicant has employment with the state government, the insurance program’s benefits are also available to their dependents.

Conditions That Do Not Require Hospitalization

• Hospitalization primarily for evaluation / diagnostic purposes
• Any dental treatment or surgery which is corrective, cosmetic or of aesthetic procedure, filling of cavity, root canal including wear and tear etc. unless arising from disease, illness or injury and which requires hospitalization for treatment.
• Congenital external diseases
• Fertility related procedures
• Drugs and Alcohol Induced illness
• Vaccination
• Suicide
• Persistent Vegetative State

• Aadhaar Card.
• Birth Certificate in case of children under 5 years.
• Ration Card.
• For APST (Arunachal Pradesh Scheduled Tribe) - An APST Certificate is mandatory.
• For Non-APST - A Resident Certificate is mandatory.
• For Government Employees - A Government ID Card is mandatory.
• Permanent Land Holding Documents.
• Approved Enrollment Form.