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Dr YSR Aarogyasri Health Care Trust Scheme
Dr YSR Aarogyasri Health Care Trust manages the Aarogyasri Scheme, a state-run healthcare program that can greatly benefit financially challenged individuals. The primary objective of this scheme is to provide monetary help for healthcare services to low-income families. Chief Minister Dr YSR Reddy launched it in 2007 before Andhra Pradesh split into two different states in 2014.
Read on to know more about the Dr YSR Aarogyasri Health Care Trust and Dr YSR Aarogyasri Health Insurance Scheme!
Table of Contents
What is the Dr YSR Aarogyasri Health Care Trust?
The Dr YSR Aarogyasri Health Care Trust looks to ensure medical coverage for people who cannot afford typical health insurance policies.
It is available across government hospitals with coverage of up to Rs.5 lakhs per family per annum on floater basis. The Dr YSR Aarogyasri Health Care Trust issues a health card that beneficiaries can display at government hospitals to acquire cashless treatment. An appointed CEO controls the scheme’s overall implementation.
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 |
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. |
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. |
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
Doubtless, the Dr YSR Aarogyasri Health Care Trust scheme has won the hearts of citizens. Many valuable benefits make this initiative stand out. The YSR Aarogyasri Health Care Trust benefits are as follows:
- Rs.5 lakhs coverage per family per annum.
- Free healthcare services from government hospitals.
- Cashless treatment from day 1 up to 10 days post-discharge.
- For patients who undergo therapies, cashless treatment up to 30 days post-discharge.
- This scheme covers the patient's transportation and food costs.
These are just a few of the major benefits of Dr YSR Aarogyasri Health Care Trust.
Objectives of Dr YSR Aarogyasri Health Care Trust
The scheme works for the welfare of the common people who cannot afford quality healthcare. The program's goals are to:
- Give BPL families equitable access to high-quality hospital treatment at no cost by procuring such services from a pre-selected network of healthcare providers using a self-funded payment mechanism (managed by Trust).
- To offer protection from the unaffordable costs of medical care.
- To improve government hospitals by utilising demand-side funding.
- To offer universal health care to the impoverished of the State of Andhra Pradesh, both in rural and urban areas.
Which Treatments are Covered Under Dr YSR Aarogyasri Health Care Trust’s scheme?
The Dr YSR Aarogyasri Health Care Trust covers a specific list of therapies. In total, there are 2434 surgeries and treatments available under 30 categories.
Here is a detailed list of the general surgeries and critical care covered under this program. Also, find a list of the exclusions.
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:
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:
Scheme Exclusions
The following is the list of treatments that are not covered under the Dr YSR Aarogyasri Health Care Scheme:
What is the Eligibility for YSR Aarogyasri HealthCare Trust Scheme?
To be eligible for the scheme is the first step to applying for it. Dr YSR Aarogyasri Health Care Trust eligibility is as follows:
- Should be a resident of Andhra Pradesh.
- Further, the income in a year of the applicant’s family should be less than Rs.5 lakhs.
- Applicants should hold a white Ration card. Every white Ration cardholder is automatically covered under this scheme.
- Additionally, this scheme covers persons whose names and photographs appear on the BPL Ration card, including beneficiaries of Annapurna and Anthyodaya Anna Yojana.
- Applicants should not have wet and dry land of more than 35 acres.
- Applicants must have less than 3000 sq. ft. of area.
- No applicant can own more than one vehicle.
- Private sector employees can be a beneficiary of this scheme.
These rules outline the eligibility of Dr YSR Aarogyasri Health Care Trust Scheme.
Documents Required for Dr YSR Aarogyasri Health Care Trust
To avail of the scheme, you need a few important documents. The essential documents for Dr YSR Aarogyasri Health Care Trust are:
- Aadhaar card
- Address proof
- Income tax returns or income certificates
- BPL Certificate
How to Enroll for Dr YSR Aarogyasri Health Care Trust?
There are two ways to enroll for Dr YSR Aarogyasri Health Care Trust. We have discussed the offline and online methods below:
Offline Method to Enroll for Dr YSR Aarogyasri Health Care Trust
To register for this scheme via an offline method, you need to follow these steps:
Step 1: Visit the YSR Navasakam website https://navasakam2.apcfss.in/.
Step 2: Select the ‘Download’ option of the tab above.
Step 3: Click on ‘YSR Aarogyasri Health Card Performa.’
Step 4: The application form for the scheme will open. Download this form.
Step 5: Next, take a printout of the form.
Step 6: Gather all the supporting documents, fill up the form, and submit it to the concerned department.
Step 7: Wait for the verification of these documents, after which the YSR Health Card will be issued.
Online Method to Enroll for Dr YSR Aarogyasri Health Care Trust
The steps to upload Dr YSR Aarogyasri Health Care Trust application online are given below:
Step 1: To register, you can visit any of the two websites: the official website of YSR Navasakam or the gram ward Sachivalayam portal.
Step 2: Next, click on the login tab. You will be redirected to the login page.
Step 3: Log in to the website and select the ‘Aarogyasri Health Card’ application form.
Step 4: Fill up the required details.
Step 5: Next, upload every supporting document necessary.
Step 6: Lastly, submit the application form online and take a printout for reference.
Dr YSR Aarogyasri Health Care Trust COVID-19 Coverage
The COVID-19 pandemic has claimed thousands of lives globally. Patients with COVID-19 are placed in quarantine due to its high contagiousness. Due to this medical condition, the Dr YSR Aarogyasri programme contains 15 additional surgeries. The following is a list of these therapies:
- Septic shock management in intensive care.
- Acute bronchitis with pneumonia and respiratory failure: medical management.
- Management of Acute Respiratory Failure by Medicine (With Ventilator).
- Management of Acute Respiratory Failure by Medicine (Without Ventilator).
- Acute severe asthma with acute respiratory failure: medical management.
- Medical Care for ARDS.
- Medical Management of ARDS with DIC (Blood & Blood Products) (D65).
- Medical Management of ARDS with DIC (Blood & Blood Products) (D65) in Paediatrics.
- Medical Management of ARDS with Multi-Organ failure (R65.1).
- Medical Management Of ARDS with multi-organ Failure in Paediatrics.
- Medical Management of Confirmed COVID – 19 (Stable).
- Medical Management of Confirmed of COVID – 19 with Comorbidities – HTN, DM, COPD, HIV, Chr. Liver Disease, Chr. Renal Disease.
- Medical Management of COPD with Respiratory Failure (Infective Exacerbation).
- Medical Management of Pneumonia.
- Medical Management of suspected COVID – 19 (Stable).
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:
What is Dr YSR Aarogyasri Health Card and Its Features?
Upon successful enrollment in the scheme, the family will receive the YSR health card. The card contains the beneficiary's picture, a unique number, and other crucial information. At the network hospitals, the card provides the necessary cashless benefits.
The following are a few characteristics of the YSR Aarogyasri health card:
- An amount of Rs 1.5 lakh can be reimbursed to the cardholder.
- Should the costs surpass 1.5 lakh, the cardholder is eligible for extra benefits worth Rs 50,000.
- Card offers coverage for major disease treatments up to Rs 2 lakh.
How to Download YSR Aarogyasri Health Scheme Card?
The following procedures can be followed by scheme holders to download the YSR health card:
- Step 1: Go to the Dr. YSR Aarogysri Health Care Trust's official website.
- Step 2: Locate the "Card Search" section on the main page.
- Step 3: After selecting it, enter the "FSC Card Number".
- Step 4: After entering the appropriate user ID, select "Search."
- Step 5: Provide the details required to display the YSR Aarogyasri Health Card.
- Step 6: When needed, use the soft copy of the card that you downloaded.
How to Claim YSR Aarogyasri Scheme?
The recipient of the YSR health scheme must provide their YSR health card to the Vaidya Mitra for verification in order to make a claim. The beneficiary might give the card number for recognition even if they do not have the card.
Claim Process For Beneficiaries
Unlike commercial health insurance, the Dr YSR Aarogyasri system does not require its beneficiaries to go through a protracted claims process in order to get medical care. Recipients receive YSR Aarogyasri Health Cards upon enrolment. All that is required for Vaidya Mitra to receive medical care at an accredited hospital is for them to provide their health card. Once he or she has gathered the data on the card, the treatment can start.
However, after the claim is submitted, the beneficiary must confirm the following details:
- Identity of the patient
- Evidence of treatment
- Claim amount with respect to the authorised amount
- Case management concerning for before authorisation
Claim Process for Hospitals
The hospital needs to get authorisation before it may perform surgical treatments. The hospital authorities must fulfil the subsequent requirements before the trust may approve the claim:
- Hospitals are permitted to treat patients with the plan's approved treatments.
- Complete the claim form as quickly as you can.
- The pre-authorised limit has not been reached by the claim amount.
- There is photographic documentation of the claim settlement process.
- The web portal can be utilised by the beneficiary to obtain claim paperwork, intimate claims, and other related information.
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:
How to Find a Hospital Under Dr YSR Aarogyasri Health Care Trust?
To find a hospital under the Dr. YSR Aarogyasri Health Care Trust, you can follow these steps:
- Step 1: Visit the Official Website: Go to the official Dr. YSR Aarogyasri Health Care Trust website or the Andhra Pradesh State Government's health department website. They often have a list of empanelled hospitals.
- Step 2: Contact Local Authorities: Reach out to the local health department or district medical office. They can provide information on hospitals covered under the scheme.
- Step 3: Use Mobile Apps: Check if there is a dedicated mobile app for the Aarogyasri scheme. Many states have apps that list empaneled hospitals and their services.
- Step 4: Call the Helpline: Use the Aarogyasri helpline number for assistance. The helpline can provide information on nearby hospitals that are covered under the scheme.
- Step 5: Visit a Local Health Center: Local government health centres often have information on which hospitals are part of the Aarogyasri network.
By using these methods, you should be able to find a hospital that participates in the Dr. YSR Aarogyasri Health Care Trust scheme.
Hospitalisation Process Under Dr YSR Aarogyasri Health Care Trust
Under the Dr. YSR Aarogyasri Health Care Trust, the hospitalisation process begins with the identification of a network hospital that is empaneled under the scheme. Patients need to present their Aarogyasri card or Aadhaar card for verification. Upon admission, the hospital's empaneled staff will verify the patient's eligibility and pre-authorise the required treatment.
The scheme covers many medical expenses, including surgery and medication, up to a specified limit. The hospital then handles the billing directly with the Aarogyasri Trust, relieving the patient of financial burden for covered services.
YSR Aarogyasri Contact Details and Address
Knowing the correct place to contact for queries or resolving issues is important. Here are the contact details of the YSR Aarogyasri Scheme:
Address: 25-16-116/B, Chuttugunta, Behind Gautam's Hero Showroom, Guntur - 522004.
Help Line: 0877 – 2286635 Timing : 08:00 am to 08:00 pm
In conclusion, YSR Aarogyasri Health Care Trust is a boon to the people of Andhra Pradesh. The below poverty line members of society stand to gain by this scheme. Moreover, the programme covers over 2000 medical procedures.
A major highlight of the Dr YSR Aarogyasri Health Care Trust’s health insurance scheme is that it covers diseases that may have been acquired before enrollment in the plan.