Dr Ysr Aarogyasri Health Scheme by Govt Of AP: Eligibility, Coverage & Benefits

The state of Andhra Pradesh is situated in the country's southeastern region. Tirupati Temple is one of this coastal state's most popular tourist attractions. It has a mixed demographic of rich and poor; however, most families fall into low-income groups. One of the major challenges here is access to quality healthcare services. To combat this situation, the state government has introduced one of the most successful health plans – Dr. YSR Aarogyasri. It mainly caters to the medical needs of families that are not financially well-equipped.

Contents

• The Highlights of the Dr. YSR Aarogyasri Scheme
  • Government Initiative
• Eligibility Criteria for Dr. YSR Aarogyasri Health Scheme
• List of Treatments the Scheme Covers
• Treatments Not Covered in YSR Aarogyasri Health Scheme
• Key Entities Associated With The Successful Functioning Of The Scheme
• How to Register for the Scheme
  • Offline Enrollment Process for Dr. YSR Aarogyasri Health Care Trust
  • Using the App
• Dr.YSR Aarogyasri Health Care Trust Hospital List:
•  
• Inclusion Of New Procedures At Government General Hospitals
• Dr.YSR Aarogyasri Health Care Trust Toll-Free/Helpline Number And Address:
  • Aarogyasri Helpline Number:
  • Contact Number:
  • Dr.YSR Aarogyasri Address:
  • Latest News for Dr YSR Aarogyasri
• Impact of the Scheme on Healthcare
• Conclusion
• Frequently Asked Questions
• News related to Dr YSR Aarogyasri Health Scheme
• Enhancing Family Protection: The Role of Life Insurance 

The Highlights of the Dr. YSR Aarogyasri Scheme

Universal Healthcare Access

The scheme aims to provide universal healthcare access to all eligible residents of Andhra Pradesh. It ensures that individuals and families can receive quality medical care regardless of their socio-economic background.

Comprehensive Coverage

Dr. YSR Aarogyasri offers comprehensive coverage for a wide range of medical treatments, surgeries, diagnostic tests, and healthcare services. It includes treatments for critical illnesses, surgeries, maternity care, and more.

Cashless Healthcare

Beneficiaries can access cashless healthcare services at empanelled network hospitals. This means they do not need to make upfront payments for covered medical treatments, ensuring immediate care, especially in emergencies.

Protection Against Catastrophic Expenses

The scheme provides financial protection to beneficiaries by covering the costs of expensive medical treatments and surgeries. It safeguards them from facing catastrophic healthcare-related expenses that could lead to financial hardship.

Focus on Preventive Care

Dr. YSR Aarogyasri promotes preventive care by including coverage for health check-ups and screenings. This encourages early diagnosis and treatment, reducing the burden of advanced disease management.

 Specialised Healthcare

Beneficiaries have access to specialised medical care, including surgeries, organ transplants, cancer treatments, and cardiac interventions, ensuring they receive the best available treatments for serious medical conditions.

Rehabilitation Services

The scheme recognises the importance of post-treatment rehabilitation and covers services such as physical therapy, occupational therapy, and speech therapy to support beneficiaries' recovery.

Financial Relief

By covering medical expenses, the scheme provides significant financial relief to individuals and families. This helps alleviate the burden of healthcare costs and allows them to focus on recovery.

Support for Families

Dr. YSR Aarogyasri supports the families of beneficiaries by covering expenses like accommodation and transportation, ensuring that they can be with their loved ones during medical treatment.

Prompt Medical Attention

In emergencies, beneficiaries can receive immediate medical attention without delay, as the scheme facilitates rapid admission and treatment.

Transparent Billing

The scheme promotes billing and treatment cost transparency, preventing beneficiaries from being overcharged for medical services.

Continuity of Care

It ensures continuity of care throughout the healthcare journey, from diagnosis to treatment, recovery, and rehabilitation.

Peace of Mind

Dr. YSR Aarogyasri offers peace of mind to beneficiaries, knowing they can access quality healthcare services and financial support during health crises.

Government Initiative

The scheme is a government-backed initiative, making it credible and reliable. It reflects the commitment of the government to the well-being of its citizens.

Efficiency and Accessibility:The scheme's online and offline enrolment processes are designed for efficiency and accessibility, ensuring that eligible individuals can easily enrol and access healthcare services.

Protection Against Serious Illnesses: It also emphasises the importance of early diagnosis and treatment, alongside comprehensive coverage for critical conditions like cancer, heart disease, neurological disorders, and kidney diseases, ensuring timely and effective care for life-threatening illnesses

Also Explore: Travel Medical Insurance

Eligibility Criteria for Dr. YSR Aarogyasri Health Scheme

1. Residency: Must be a resident of Andhra Pradesh or Telangana.

2. Income Limit: Annual family income should be less than ₹5 lakhs.

3. Ration Card: Must possess a White Ration Card.

4. Land Ownership:

• Wetland: Less than 12 acres.

• Dry land: Less than 35 acres or a combination of both.

5. Property Ownership:

• Property area must be less than 3000 sq. ft.

• Must be a Municipal Property Tax-paying family.

6. Vehicle Ownership: Can own only one car.

7. Employment Status:

• Private sector employees and honorary remuneration employees are eligible.

• Families filing income tax up to ₹5 lakhs are eligible
  
  Documents Required to Apply for the YSR Aarogyasri Scheme in Andhra Pradesh

1. Aadhaar Card: Mandatory for identity verification.

2. Address Proof: Utility bill or ration card to confirm residence.

3. Income Certificate: To verify eligibility based on income.

4. Caste Certificate (if applicable): For reserved category applicants.

5. Medical Certificates: To support the medical necessity for treatment.

6. Bank Account Details: For direct fund transfers.

7. Passport-sized Photographs: For identity verification.

8. BPL Card (if applicable): For Below Poverty Line applicants.

9. Ration Card: To establish household status and family composition.

List of Treatments the Scheme Covers

Here are the treatments covered under the Dr YSR Aarogyasri Health Insurance Scheme:

The list of new treatments included under the Dr YSR Aarogyasri scheme can be accessed here. Please note that the treatments covered and their eligibility criteria can vary among specific treatments covered, and their eligibility criteria can vary among different healthcare schemes and regions. Beneficiaries should refer to the scheme's official documentation or contact the Dr. YSR Aarogyasri Health Care Trust for detailed information on covered treatments and services.

Treatments Not Covered in YSR Aarogyasri Health Scheme

Also Read: International Travel Health Insurance

Key Entities Associated With The Successful Functioning Of The Scheme

Here are the key entities:

1. Beneficiaries: The scheme has been formulated targeting over 1.29 crore families across all the 13 districts of Andhra Pradesh to provide them access to quality tertiary medical care.

2. Implementing Authority - Dr YSR Aarogyasri Health Care Trust: In order to ensure seamless and dynamic implementation of the scheme, the Government of Andhra Pradesh has established an independent body, namely Dr. YSR Aarogyasri Health Care Trust. This trust enters into agreements with network hospitals and oversees timely execution.

3. Network Hospitals: The hospitals and nursing homes in Andhra Pradesh or Telangana with the required infrastructure and facilities for providing in-patient care and treatment are empanelled under the scheme to offer their services. They should meet registration and regulation compliances. 

4. District Administrations: Committees constituted at the district level headed by the District Collector regularly review the on-ground implementation and drive beneficiary awareness through health camps facilitated by public representatives and field workers, thereby boosting scheme penetration.

5. IT Company for Technology Solution: Customised IT software maintains end-to-end patient history and transaction data related to case registration, hospitalisation, treatment, discharge, and follow-ups. This enables real-time information flow between parties.

How to Register for the Scheme

Step 1 - Determine Eligibility

Before initiating the registration process, it's crucial to determine whether you are eligible for the YSR Aarogyasri Scheme. Eligibility criteria typically include income, residence, and specific medical conditions. Check the official website or contact the scheme's helpline to confirm eligibility.

Step 2 - Visit the Nearest Enrolment Center

Once you've confirmed your eligibility, visit the nearest YSR Aarogyasri enrolment centre or Aarogyamitra centre. These centres are typically set up at government hospitals and healthcare facilities across the state of Andhra Pradesh.

Step 3 - Document Verification:

At the enrolment centre, meet with the Aarogyamitra or enrolment officer who will guide you through the registration process. You will need to provide the following documents for verification:

- Proof of residence (such as Aadhar card)

- Income certificate (if applicable)

- Caste certificate (if applicable)

- Medical certificates and reports supporting your medical condition

Step 4 - Enrolment Form Submission:

Fill out the enrolment form with accurate and up-to-date personal information, including your name, address, contact details, and Aadhar card number. Ensure that all information is correctly entered to prevent any delays in the enrolment process.

Step 5 - Biometric Data Collection:

In some cases, the enrolment process may involve the collection of biometric data, such as fingerprints or iris scans, to ensure accurate identification and prevent fraud.

Step 6 - Eligibility Verification:

The enrolment officer will verify your eligibility based on your provided information and documents. They will confirm whether you meet the income and medical criteria set by the scheme.

Step 7 - Enrolment Acknowledgment

Once your eligibility is verified, you will receive an enrolment acknowledgement or a unique identification number. This number is essential for tracking your application and accessing healthcare services under the scheme.

Step 8 - Health Card Issuance:

In some cases, you may receive a health card that contains your enrolment details. This card serves as proof of your enrolment in the YSR Aarogyasri Scheme and should be kept safe.

Step 9 - Seek Medical Treatment:

With your enrolment complete, you can now seek medical treatment at any network hospital covered by the scheme. Present your health card or enrolment acknowledgement to access cashless healthcare services.

Step 10 - Renewal as Needed:

Be aware of any renewal requirements specified by the scheme's policies. Ensure that you follow the renewal process as instructed to maintain your eligibility.

Online Method to Enrol for Dr. YSR Aarogyasri Health Care Trust

1. Visit the Official Website: Go to www.ysraarogyasri.ap.gov.in. Ensure it’s a legitimate site.

2. Create an Account: Provide your email, mobile number, and set a secure password.

3. Login: Use your registered email and password to access your account.

4. Fill Out the Enrolment Form: Enter accurate personal details (name, address, contact info, Aadhaar number).

5. Upload Documents: Submit required documents, such as proof of residence, income certificate, caste certificate (if applicable), and medical reports.

6. Verify Eligibility: The system will check your eligibility based on the information you provided.

7. Submit Application: Review and submit the application after ensuring all details are correct.

8. Receive Acknowledgement: You'll get a unique ID or acknowledgement confirming your enrolment.

9. Health Card Issuance: You may receive a digital or physical health card. Keep it safe for cashless treatment access.

10. Seek Medical Treatment: Use your health card or acknowledgement at any network hospital.

11. Renew as Required: Follow renewal guidelines to maintain eligibility.

Offline Enrollment Process for Dr. YSR Aarogyasri Health Care Trust

1. Visit a Network Hospital or Trust Office: To begin the offline enrolment process, visit the nearest network hospital or Aarogyasri Trust office. These locations are equipped to assist with enrolment and provide guidance.

2. Meet the Enrolment Officer: At the hospital or office, you’ll meet an enrolment officer who will guide you through the process.

3. Provide Personal Information: You’ll need to provide your name, address, contact details, and Aadhar card number. Ensure the information is accurate and up-to-date.

4. Submit Required Documents: Submit documents like proof of residence, an income certificate, caste certificate (if applicable), and medical certificates as per the scheme’s eligibility criteria.

5. Verify Eligibility: The enrolment officer will assess your eligibility based on the provided information and documents.

6. Biometric Data Collection: You may be asked for biometric data (fingerprints or iris scans) for identity verification.

7. Receive Enrolment Acknowledgement: After processing, you’ll receive an acknowledgement or a unique ID number for tracking and accessing healthcare services.

8. Health Card Issuance: In some cases, you’ll receive a health card as proof of enrolment. Keep it safe.

9. Access Medical Treatment: Once enrolled, you can seek treatment at any network hospital. Present your health card or acknowledgement to access cashless services.

10. Renew Enrolment: Ensure periodic renewal to maintain eligibility.

Be sure to follow the enrolment process carefully to ensure accurate information and eligibility. If you need assistance, ask the enrolment officer for help.

Using the App

1. Register/Login: Enter your credentials to access the app.

2. Services: Check eligibility, access e-cards, find empanelled hospitals, and track claims.

3. Stay Informed: Get updates on health news and policies.

Dr.YSR Aarogyasri Health Care Trust Hospital List:

Many hospitals are empanelled under Dr. YSR Aarogyasri Healthcare Trust. An empanelled hospital can offer cashless treatments to the beneficiaries during a medical emergency. Here is a list of hospitals that offer treatment under Dr YSR Aarogyasri's scheme:

Check here for the complete list of hospitals that are empanelled to Dr YSR Aarogyasri's scheme.

Inclusion Of New Procedures At Government General Hospitals

One of the biggest advantages of this health insurance scheme is that many new medical procedures are included in the list of coverages. This is helpful for the beneficiaries as they can now avail of treatments like dengue haemorrhagic fever, plastic surgery for facial burns, rheumatic heart disease in children, acute hepatitis, etc. Here is a list for your reference:

The list of new treatments included under the Dr YSR Aarogyasri scheme can be accessed here.

Also, read: Benefits of Buying Health Insurance Policy Online

Dr.YSR Aarogyasri Health Care Trust Toll-Free/Helpline Number And Address:

The beneficiaries can easily contact Dr.YSR Aarogyasri Health Care Trust with any queries. Use the following contact details for the same:

Aarogyasri Helpline Number:

• 1800-599-1111

• PAN India helpline number 104 can also be used to get a resolution for your queries.

Contact Number:

• 0863 – 2222802 / 2259861

Dr.YSR Aarogyasri Address:

• D.No. 25-16-116/B, Chuttugunta,

• Behind Gautam’s Hero Showroom,

• Guntur – 522004.

• Andhra Pradesh

• India

Details for grievance resolution related to Dr.YSR Aarogyasri:

• Contact number: 8333817424/23/20/07 (Office Timings)

• Extension: 0863-2259861 (Ext:326)

• Email address: [email protected]

Contact details related to medical reimbursement status and issues:

• Contact number: 8333817363

• Extension: 0863-2259861 (Ext:329)

• Email address: [email protected]

Latest News for Dr YSR Aarogyasri

In the latest update regarding the Dr. YSR Aarogyasri scheme, the Andhra Pradesh Chief Minister's Office has made an important announcement.

As of May 17, 2021, it has been declared that black fungus or mucormycosis will now be included in the coverage of the state's Aarogyasri scheme. This means that eligible beneficiaries can now avail treatment for black fungus at any of the empaneled hospitals within the scheme.

Impact of the Scheme on Healthcare

Implementation of the scheme has had a significant positive impact on multiple aspects of healthcare in the state:

1. Changing Treatment Profile: Over time, tertiary procedures under the scheme, like cardiac surgeries, neuro surgeries, gynaecological care, etc., have reduced the overall disease burden and complexity of cases.

2. Improved Hospital Systems: Requirements for empanelment, defined treatment protocols, medical documentation norms and data capture have enhanced the quality of care and transparency.

3. Quality of Services: Regular monitoring, audits, and disciplinary actions have markedly improved treatment quality.

4. Tailored Medical Protocols: Treatment protocols customised for local infrastructure have standardised care as per medical expertise.

5. Employment Generation: The additional healthcare workforce hired by involved parties, such as insurance providers, hospitals, etc., has created jobs.

6. Health Awareness: Health camps providing preventive screening and the scheme's cashless evaluation have together increased awareness.

7. Disease Mapping: Captured beneficiary data aids accurate disease mapping and understanding of population morbidity patterns.

8. Early Disease Detection: Enhanced focus on early diagnosis due to counselling and health education is enabling disease prevention.

9. Boosting Public Healthcare: Empaneled government hospitals earning revenues have been able to improve facilities and medical care.

Conclusion

The Dr. YSR Aarogyasri Health Care Trust is a transformative healthcare initiative in Andhra Pradesh, providing universal access to medical services. By covering a wide spectrum of treatments, surgeries, and diagnostics as mentioned above. It not only safeguards individuals and families from financial distress but also promotes early diagnosis and preventive care. This government-backed scheme prioritises specialized healthcare, rehabilitation, and transparent billing, offering peace of mind to beneficiaries during their healthcare journey. It exemplifies the commitment to ensuring healthcare equity, ultimately contributing to the overall well-being of the citizens of Andhra Pradesh.

The Dr. YSR Aarogyasri scheme's impact is far-reaching, enhancing accessibility and affordability while fostering a culture of health consciousness. As a beacon of inclusive healthcare, it stands as a testament to the government's dedication to the health and welfare of its people, empowering them to seek timely medical care and lead healthier lives.

Frequently Asked Questions

Here are few questions asked about Dr.YSR Aarogyasri Health Care

Do I need to pay a premium to avail the Dr.YSR Aarogyasri health insurance scheme?

No, the Government of Andhra Pradesh bears the premium for this scheme. This makes it a highly beneficial health insurance scheme.

Whom should I approach when I reach the hospital during a medical emergency?

You should approach a Vaidya Mitra during a medical emergency. He/she will be located at a Kiosk in the hospital. Vaidya Mitra will help you through each step of hospitalisation and claim.

What is a Network Hospital?

Network Hospital is any registered healthcare institution that is empanelled to provide services under Dr YSR Aarogyasri's scheme.

What conditions are covered under Dr YSR Aarogyasri Health Scheme?

The scheme covers a wide range of medical conditions, including but not limited to cardiovascular diseases, cancer treatments, neurological surgeries, renal diseases, and organ transplants. It aims to provide beneficiaries with comprehensive healthcare services for minor and life-threatening conditions.

How can I check my eligibility for the Dr. YSR Aarogyasri Health Scheme?

Eligibility for the scheme is primarily based on the family's socioeconomic status. Families holding white ration cards, employees of the state government, and individuals with certain chronic diseases are eligible. You can visit the official Dr. YSR Aarogyasri website for detailed eligibility criteria or contact their helpline.

Can I avail of services at any hospital under Dr YSR Aarogyasri Health Scheme?

Services can be availed at empanelled hospitals listed under the scheme. These include government and private hospitals that have agreed to provide treatments per the scheme's guidelines.

What documents are required for enrollment in the Dr. YSR Aarogyasri Scheme?

Required documents typically include:

• A government-issued ID card (Aadhar card).
• Income certificate.
• White ration card.
• Any other documents specified by the scheme for verifying eligibility.

Is there a limit on the amount that can be claimed under the scheme?

Yes, there is a financial cap on the amount that can be claimed, which is designed to cover the cost of treatments and surgeries as per the scheme's package rates. The exact limit can vary depending on the treatment.

How does the cashless treatment process work under Dr. YSR Aarogyasri?

At the time of treatment, the hospital will verify the beneficiary's eligibility and obtain pre-authorisation from the scheme's authorities. The hospital will then provide the treatment without requiring any payment from the beneficiary, as the trust directly settles costs.

What should I do if a hospital refuses to provide treatment under the scheme?

If a hospital refuses treatment under the scheme, beneficiaries should immediately contact Dr. YSR Aarogyasri's helpline. The trust will take necessary action to ensure the beneficiary receives the required treatment.

News related to Dr YSR Aarogyasri Health Scheme

Telangana government urges the Transgender community to register for welfare programmes

- November 16, 2022

According to a press release from the Department of Welfare of Disabled & Senior Citizens, Transgender community members can access various welfare programmes via the National Portal for Transgender Persons. The programmes are related to scholarship opportunities, skills training, work opportunities, healthcare plans, Transgender certificate, identification cards, etc. They also have the option to register complaints through the government portal.

As per the press release, each applicant would receive a unique registration number and login details after registering with the portal. The member must log in to proceed and access the scheme's advantages. This announcement is another critical step towards the betterment of the Transgender community in Telangana.

Around 754 new treatments are now covered under YSR Aarogyasri Health Plan

-August 18, 2022

On Wednesday, August 17, 2022, YS Jagan Mohan Reddy, Chief Minister of Andhra Pradesh, declared that the Dr YSR Aarogyasri Health Insurance Scheme would now comprise 754 new treatments. The total number of operations presently covered is 3118 after including these additional procedures and the deletion of a few others.

Integrating all public hospitals, Primary Health Centers (PHCs), and village clinics with their respective district medical colleges was another significant decision made at the meeting. This reform will improve the quality of medical care and the communication between medical professionals.

Additionally, the state government has implemented the "Family Doctor" initiative to enhance healthcare services for rural populations through doorstep services. He also said that PHC and community clinic construction should move faster. Each village clinic will have three to four personnel working there, performing 14 different types of medical testing.

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Enhancing Family Protection: The Role of Life Insurance 

Health Scheme offers substantial assistance with medical costs. Adding life insurance can improve families' financial stability even more. Reasonably priced various life insurance policies are easily accessible to all income brackets. Moreover, tools such as the term insurance calculator, which assists in comparing rates and coverage alternatives, make wise decision-making possible. 

With the rise of digital advancements, you can now easily buy term insurance online. Choosing a comprehensive plan, such as a term insurance plan for 1 crore, is wise to protect your loved ones amidst rising living expenses.

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