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Dr YSR Aarogyasri Health Care Trust Scheme

What is the Dr YSR Aarogyasri Health Care Trust?

Features of Dr YSR Aarogyasri Scheme

There are many features under the scheme. The features of the Dr YSR Aarogyasri Health Care Trust managed scheme are as follows:

Feature

Description 

Cashless Healthcare

This insurance scheme provides around Rs.5 lakhs as financial coverage for the beneficiary and his registered family.

In-patient Healthcare

Dr YSR Aarogyasri Health Insurance Scheme covers in-patient care for a list of diseases and therapies mentioned under the programme. Additionally, it also covers hospitalisation expenses.

Floater Health Insurance Cover

Under the Dr YSR Aarogyasri Health Insurance Scheme, the entire family is covered. There is no need for separate cover for any member.

Outpatient Healthcare 

In addition to in-patient care, the programme also provides outpatient care at government hospitals and health camps.

Follow-up Treatments

One of the best features of Dr YSR Aarogyasri Health Care Trust’s insurance scheme is that it covers follow-up therapies and procedures.

Pre-Existing Disease Coverage

Moreover, if the beneficiary already suffered from a disease before registering for this scheme, he can still seek coverage for its treatment. This feature is a standout among other commercially available health insurance schemes.

Benefits of Dr YSR Aarogyasri Health Care Trust

Objectives of Dr YSR Aarogyasri Health Care Trust

Which Treatments are Covered Under Dr YSR Aarogyasri Health Care Trust’s scheme?

General Surgery under Dr. YSR Aarogyasri Health Care Trust:

Here is the list of general surgeries the scheme covers and the descriptions for each of the listed procedures:

General Surgeries 

Description

Orthopaedic Surgeries and Procedures

Surgical interventions involving the musculoskeletal system, including bone, joint, and soft tissue surgeries. Common procedures include fracture fixation, joint replacement, and arthroscopy.

Ophthalmology

The branch of medicine focuses on the diagnosis and treatment of eye conditions and diseases. This includes surgeries for cataracts, glaucoma, and retinal disorders.

ENT Surgery

Surgery related to the ear, nose, and throat. Common procedures include tonsillectomy, sinus surgery, and cochlear implantation.

Gynaecology and Obstetrics

The medical specialities focus on female reproductive health and childbirth. This includes procedures like hysterectomy, caesarean section, and endometrial ablation.

Surgical Gastroenterology

Surgery related to the digestive system, including the stomach, intestines, liver, and pancreas. Procedures may involve resection of tumours, repair of hernias, and treatment of inflammatory bowel diseases.

Medical Oncology

The treatment of cancer using medications such as chemotherapy, targeted therapy, and immunotherapy, though not typically a surgical procedure.

Plastic Surgery

This surgery aims to reconstruct or alter body parts for cosmetic or functional reasons. This includes procedures like breast reconstruction, rhinoplasty, and cleft lip/palate repair.

Excision of Meckel’s Diverticulum

Surgical removal of Meckel's diverticulum, a congenital pouch in the small intestine, can cause complications like bleeding or obstruction.

Septorhinoplasty

A combined procedure to correct nasal septum deviations and enhance the nose's appearance, often addressing both functional and cosmetic concerns.

Bone Tumour Surgery, Reconstruction with Internal Fixation

Removal of malignant or benign bone tumours followed by reconstruction using internal fixation devices such as plates, screws, or rods to stabilise the bone.

The Neck of Bladder Reconstruction for Incontinence

Surgical repair of the bladder neck to improve urinary control in patients with incontinence, often involving techniques like bladder neck sling or artificial sphincter implantation.

Myringoplasty

A surgical procedure to repair a perforated tympanic membrane (ear drum) to restore hearing and protect the middle ear.

Exenteration of Orbit

A radical surgical procedure involving the removal of the contents of the eye socket (orbit) is often performed for severe orbital cancers or infections.

Coronary Balloon Angioplasty with Drug-Eluting Stent

A procedure to open blocked coronary arteries using a balloon catheter, followed by placement of a stent that releases medication to prevent re-narrowing of the artery.

Open Radical Prostatectomy

Surgical removal of the prostate gland and surrounding tissue, typically used to treat prostate cancer.

Cardiothoracic Surgeries

Surgical procedures involving the heart and chest, such as coronary artery bypass grafting (CABG), heart valve replacement, and lung resections.

Paediatric Surgeries

Surgical procedures tailored for children, including congenital anomaly corrections, hernia repairs, and appendectomies.

Genitourinary Surgeries

Surgeries related to the reproductive and urinary systems, including kidney removals, prostate surgeries, and bladder repairs.

Neurosurgery

Surgery involving the brain, spine, and peripheral nerves. This includes procedures like tumour removal, spinal fusion, and decompression for nerve injuries.

Surgical Oncology

The oncology branch, focused on surgical cancer treatment, including tumour resection, cancer staging, and debulking procedures.

Radiation Oncology

The use of high-energy radiation to treat cancer, aiming to destroy cancer cells while minimising damage to surrounding healthy tissue.

Superficial Parotidectomy (Non-Malignant)

Surgical removal of the superficial portion of the parotid gland is usually done to treat benign tumours or chronic infections.

Rectopexy Open with Mesh for Rectal Prolapse

A procedure to correct rectal prolapse by securing the rectum in its proper position using mesh implants.

Glaucoma Surgery

Procedures to lower intraocular pressure and prevent damage to the optic nerve, such as trabeculectomy or tube shunt surgery.

Surgery for Emphysema Thoracic

Surgical intervention for severe cases of air trapped in the chest cavity (emphysema thoracic) potentially involves pleurodesis or other techniques to manage the condition.

Excision of Ureterocele with Ureteric Implantation

Removal of a ureterocele (a cystic dilation of the ureter) and reimplantation of the ureter into the bladder to restore normal urinary function.

Joint Reconstruction / Intra-Articular Fractures

Surgical repair and reconstruction of joints and fractures within the joint space, often using fixation devices to restore function and alignment.

Rectovaginal Fistula Management Without Colostomy

Surgical repair of a fistula (abnormal connection) between the rectum and vagina, aiming to restore normal function without the need for a colostomy.

Lumbar Hernia Repair in a Paediatric Patient

Surgical correction of a hernia in a child's lumbar region often involves hernia reduction and reinforcement of the abdominal wall.

Laparoscopic Surgical Treatment for Duodenal Perforation

Minimally invasive surgery to repair a perforation in the duodenum (the first part of the small intestine) using laparoscopic techniques.

Critical Care Treatment Under Dr YSR Aarogyasri Health Care Trust

Given below is the list of critical care conditions the scheme covers and the descriptions for each of the listed specialties and conditions:

Condition 

Description 

General Medicine

The branch of medicine, dealing with the prevention, diagnosis, and treatment of adult diseases. It encompasses various conditions affecting various systems and typically involves comprehensive, long-term patient care.

Paediatrics

The branch of medicine focused on the medical care of infants, children, and adolescents. This includes preventive health care, diagnosis and treatment of childhood diseases, and managing growth and development issues.

Nephrology

The specialty concerned with the diagnosis and treatment of kidney diseases. It includes managing conditions like chronic kidney disease, kidney stones, and hypertension, and performing dialysis and kidney transplantation.

Pulmonology

The branch of medicine deals with respiratory diseases, including the lungs and bronchial tubes. Conditions managed include asthma, chronic obstructive pulmonary disease (COPD), and pulmonary infections.

Rheumatology

The speciality focused on diagnosing and treating autoimmune and inflammatory diseases affecting the joints, muscles, and bones, such as rheumatoid arthritis, lupus, and gout.

Gastroenterology

The branch of medicine focuses on the digestive system and its disorders. It includes diagnosing and treating conditions like ulcers, inflammatory bowel disease, and liver disorders.

Prostheses

The field involves designing, fitting, and using artificial devices to replace missing body parts, such as limbs or joints. This includes both functional and cosmetic prosthetics.

Infectious Disease

A medical speciality that is focused on diagnosing and treating infections caused by bacteria, viruses, fungi, and parasites. This includes managing conditions like HIV/AIDS, tuberculosis, and emerging infectious diseases.

Cardiology

The branch of medicine dealing with disorders of the heart and blood vessels. It includes the management of conditions such as coronary artery disease, heart failure, and arrhythmias.

Neurology

The specialty concerned with disorders of the nervous system, including the brain, spinal cord, and peripheral nerves. Common conditions include stroke, epilepsy, and Parkinson’s disease.

Dermatology

The branch of medicine focusing on skin conditions and diseases. This includes treatment for acne, eczema, psoriasis, and skin cancer, as well as cosmetic procedures.

Endocrinology

The specialty dealing with hormone-related conditions and diseases. It covers disorders of the endocrine glands, such as diabetes, thyroid diseases, and adrenal disorders.

Psychiatry

The branch of medicine focused on diagnosing, treating, and preventing mental health disorders. This includes conditions such as depression, schizophrenia, and anxiety disorders.

Polytrauma

The medical management of patients who have sustained multiple traumatic injuries, often involving a combination of orthopaedic, surgical, and rehabilitative care. It typically requires a multidisciplinary approach to address various injuries and their complications.

Scheme Exclusions

The following is the list of treatments that are not covered under the Dr YSR Aarogyasri Health Care Scheme:

Disease

Description 

Jaundice

A medical condition characterised by yellowing of the skin and eyes due to elevated levels of bilirubin in the blood. It can result from liver disease, bile duct obstruction, or hemolysis.

Infectious diseases

Diseases caused by pathogenic microorganisms such as bacteria, viruses, fungi, or parasites. This field involves diagnosing, treating, and preventing infections like influenza, pneumonia, and malaria.

HIV/AIDS

Human Immunodeficiency Virus (HIV) is a virus that attacks the immune system, potentially leading to Acquired Immunodeficiency Syndrome (AIDS), a condition where the immune system is severely compromised, making the body vulnerable to opportunistic infections and certain cancers.

Assisted Devices for Cardiac Failure

Medical devices designed to support or replace heart function in patients with severe heart failure. Examples include ventricular assist devices (VADs) and total artificial hearts, which help pump blood and improve cardiac output.

Leprosy

A chronic infectious disease caused by *Mycobacterium leprae*, affecting the skin, nerves, and mucous membranes. It can cause skin lesions and nerve damage but is treatable with antibiotics.

Treatments Related to Bone Marrow

Medical interventions for conditions affecting the bone marrow, such as leukaemia or anaemia. Treatments include bone marrow biopsy, stem cell transplantation, and therapies to stimulate bone marrow function.

Gastroenteritis

Inflammation of the stomach and intestines, commonly caused by viral or bacterial infections. Symptoms include diarrhoea, vomiting, and abdominal pain. Treatment focuses on hydration and managing symptoms.

Tuberculosis (TB)

A bacterial infection caused by Mycobacterium tuberculosis, primarily affecting the lungs but can involve other organs. It is treated with a specific regimen of antibiotics over several months.

Cardiac Transplantation

A surgical procedure in which a diseased heart is replaced with a healthy donor heart. It is typically performed in cases of end-stage heart failure when other treatments are not effective.

Liver Transplantation

A surgical procedure to replace a diseased or failing liver with a healthy donor liver. It is often performed for conditions like cirrhosis, liver cancer, or acute liver failure.

Filaria

A parasitic infection caused by filarial worms transmitted through mosquito bites. It can lead to conditions such as lymphatic filariasis, which causes severe swelling in the limbs and genitals.

Gamma-Knife Procedures in Neurosurgery

A non-invasive surgical technique using focused gamma rays to treat brain lesions, tumours, or vascular malformations. It precisely targets areas in the brain while minimising damage to surrounding tissue.

What is the Eligibility for YSR Aarogyasri HealthCare Trust Scheme?

Documents Required for Dr YSR Aarogyasri Health Care Trust

How to Enroll for Dr YSR Aarogyasri Health Care Trust?

Dr YSR Aarogyasri Health Care Trust COVID-19 Coverage

Dr YSR Aarogyasri Health Care Trust Hospital List

Dr YSR Aarogyasri Healthcare Trust is the umbrella organisation for numerous hospitals. In case of a medical emergency, beneficiaries may receive cashless services from an accredited hospital. The following is a list of hospitals that provide care under the Dr. YSR Aarogyasri program:

Hospital Name

Area

Aditya MultiCare Hospital

Visakhapatnam

Amrutha Heart Hospital

Prakasam

Apollo Drdo Hospitals

Ranga Reddy

Chandra Mohan's Nursing Home

Chittoor

Dr YSR Memorial Hospitals

Anantapur

Gk Hospital

Adilabad

Gowri Gopal Hospitals Pvt Ltd

Kurnool

Indur Cancer Hospital

Nizamabad

Kamineni Institute Of Medical Sciences

Nalgonda

M N Hospital

Guntur

Narayana Medical College Hospital

Nellore

Pushpagiri Eye Hospital

Vizianagaram

Pushpagiri Eye Institute

Hyderabad

Raju Neuro And Multispeciality Hospital Private Limited

East Godavari

Sentini Hospitals Private Limited

Krishna

Shree Balaji Multi Speciality Hospital

Medak

Sindhura Hospitals

Srikakulam

Sri Ram Kidney Infertility And Laparoscopic Centre

Khammam


Sushruta Cancer Hospital

Karimnagar


Susrutha Peoples Hospital

Mahabubnagar

What is Dr YSR Aarogyasri Health Card and Its Features?

How to Download YSR Aarogyasri Health Scheme Card?

How to Claim YSR Aarogyasri Scheme?

Medical Packages Under Dr YSR Aarogyasri Health Care Trust

The scheme offers end-to-end cashless services for identified 2446 Diseases.The following table shows a detailed description of the medical packages offered by Dr YSR Aarogyasri Health Care Trust:

Specialty Code

Procedure

Number of Packages

M10

Rheumatology 

17

M11

Endocrinology 

2

M12

Gastroenterology 

34

M13

Psychiatry 

6

M2

General Medicine 

39

M4

Paediatrics 

51

M5

Cardiology 

13

M6

Nephrology 

8

M7

Neurology 

5

M8

Pulmonology 

13

M9

Dermatology 

18

S1

General Surgery 

146

S10

Neurosurgery 

33

S11

Surgical Oncology 

23

S12

Medical Oncology

4

S13

Radiation Oncology

7

S14

Plastic Surgery 

54

S15

Polytrauma 

3

S2

ENT Surgery 

63

S3

Ophthalmology Surgery

46

S4

Gynaecology and Obstetrics Surgery 

5

S5

Orthopaedic Surgery and Procedures 

149

S6

Surgical Gastroenterology 

3

S7

Cardiac and Cardiothoracic Surgery 

12

S8

Paediatric Surgery

43

S9

Genito Urinary Surgery 

103

M1

Critical Care 

8

S16

Cochlear Implant Surgery 

6

S17

Protheses 

25

S19

Organ Transplantation Surgery 

3

How to Find a Hospital Under Dr YSR Aarogyasri Health Care Trust?

Hospitalisation Process Under Dr YSR Aarogyasri Health Care Trust

YSR Aarogyasri Contact Details and Address

FAQs about Dr YSR Aarogyasri Health Care Trust