About

Dr YSR Aarogyasri

The Indian province of Andhra Pradesh is arranged in the south-eastern locale of the nation. Tirupati sanctuary is one of the most mainstream vacation spots of this beach front state. It has a blended segment of rich and poor, notwithstanding, most families fall in low-pay gatherings. One of the significant difficulties here is admittance to quality medical care administrations. To battle this circumstance, the state government has presented one of the best wellbeing plans – Dr. YSR Aarogyasri. It essentially takes into account the clinical needs of families that are not monetarily well prepared.

What is Dr YSR Aarogyasri?

The YSR Aarogyasri Scheme is a medical coverage program that was dispatched by the State Government of Andhra Pradesh by the then boss pastor Dr Y S Rajasekhar Reddy in the year 2007. Right now, this plan is regulated by the Aarogyasri Health Care Trust. It permits low-salary families to get to great quality medical care administrations without going through cash.

Features & Benefits

  • Hospitalization (In-tolerant consideration): All the sicknesses that are recorded under the program and require hospitalization are secured. 

  • Out-Patient Treatment: These medicines can be profited at wellbeing camps and in the organization clinics in a credit only way. 

  • Credit only Services: The recipients of the arrangement approach a budgetary front of Rs. 5 Lakh for each year per family. It tends to be utilized by any enlisted relative when they need clinical consideration. 

  • Inclusion For Pre-existing Diseases: An inclusion for ailments that a recipient may as of now experience the ill effects of before enrolling under the plan, is given under this arrangement. This component isn't normal among business medical coverage plans. 

  • Inclusion For Follow-up medicines: A good lump of cash is required for finishing subsequent methods after hospitalization. Such medicines are additionally secured under the Dr YSR Aarogyasri plot. 

  • Family-floater Health Insurance Cover: The entire family can utilize the apportioned whole guaranteed in these sorts of medical coverage plans. One doesn't need to purchase a different arrangement for every part.

Treatments covered under the scheme

1.General Surgery
11.Surgical Oncology
21.Cardiology
2.ENT Surgery
12.Medical Oncology
22.Nephrology
3.Ophthalmology
13.Radiation Oncology
23.Neurology
4.Gynaecology & Obstetrics
14.Plastic Surgery
24.Pulmonology
5.Orthopedic Surgery And Procedures
15.Polytrauma
25.Dermatology
6.Surgical Gastroenterology
16.Prostheses
26.Rheumatology
7.Cardiothoracic Surgery
17.Critical Care
27.Endocrinology
8.Paediatric Surgeries
18.General Medicine
28.GastroEnterology
9.Genitourinary Surgeries
19.Infectious Diseases
29.Psychiatry
10.Neuro Surgery
20.Paediatrics

Treatments not covered

1.Knee replacement surgeries
8.Malaria
2.Gamma-knife procedures in neurosurgery
9.HIV/AIDS
3.Medical treatment related to bone marrow
10.Tuberculosis
4.Leprosy
11.Infectious diseases
5.Filaria
12.Gastroenteritis
6.Assisted devices for cardiac failures
13.Jaundice
7.Cardiac and liver transplantations
14.Etcetera

Eligibility

The qualification standards for selecting under Dr YSR Aarogyasri plot are truly clear. Families that are local to Andhra Pradesh and Telangana are permitted to enlist under the plan. The yearly pay of a family ought to be beneath Rs. 5 Lakh. They ought to likewise be white proportion cardholders. Aarogyasri Eligibility is additionally stretched out to individuals from the Antodaya Anna Yojana.

Enrolling procedure

For direct enrollment, a recipient can utilize the accompanying first purpose of contact: 

  • Vaidya Mitra counters at Primary Health Care (PHC) 

  • Wellbeing Camp sorted out by the PHCs or Network Hospital (NWH) 

  • Direct enrollment at a NWH by means of referrals 

  • Referral from Certified Medical Compliance Officer (CMCO)

Documents Required to Apply YSR Aarogyasri Scheme

YSR Aarogyasri Card

The qualified families that select under Dr YSR Aarogyasri plot get the YSR Aarogyasri Health Card. This wellbeing card offers admittance to credit only clinical offices across empaneled emergency clinics in the conditions of Andhra Pradesh and Telangana. It contains an interesting card number, a photo of the cardholder, and different subtleties identified with the recipient. The YSR Aarogyasri Health Card additionally goes about as confirmation of enrolment under the plan at the hour of a health related crisis.

YSR Aarogyasri Health Card Status Checking Process

YSR Aarogyasri Health Card Status can be checked with the assistance of YSRAHCT for example YSR Health Care Trust's portable application. You can connect with the client care focus utilizing the helpline number in the event that client information isn't accessible on the application. 

How To Download Aarogyasri App

  • Step 1: Open “Google Play Store” on your Android phone

  • Step 2: Search for “Aarogyasri Trust”

  • Step 3: Click on “Install”

How To Claim The YSR Aarogyasri Scheme?

Guarantee Process for Beneficiaries: 

  • In contrast to business health care coverage, the recipients of Dr.YSR Aarogyasri plot don't need to complete an extensive case measure while benefiting clinical treatment. Recipients are given YSR Aarogyasri Health Cards at the hour of enrolment. All they need to do, to benefit treatment at an empaneled medical clinic is to give the wellbeing card to a Vaidya Mitra. He/she will gather the subtleties present on the card and the treatment can begin. 

  • On the off chance that a recipient doesn't have a physical card, he/she can pass on the YSR Aarogyasri Health Card number to the Vaidya Mitra. It would be a shrewd move to click an image of the wellbeing card. In an uncommon situation where no confirmation is accessible affirming that a patient is a recipient of the Dr.YSR Aarogyasri conspire, the subtleties can be assembled by connecting with Aarogyasri Trust. 

Guarantee Process For Hospitals: 

  • The clinic should look for pre-approval in the event of arranged careful medicines. A case can be satisfied by the Dr.YSR Aarogyasri medical services trust just if the accompanying conditions are met by the emergency clinic specialists: 

  • The medical clinics have pre-approval for playing out a therapy that is remembered for the rundown of affirmed therapies 

  • The case is hinted as ahead of schedule as could be expected under the circumstances 

  • The case sum is inside the pre-approval limit 

  • Photographic proof of treatment is accessible for the settlement of guarantee 

  • All cases are settled with the assistance of Dr.YSR Aarogyasri entry. This entryway can likewise be utilized for the assortment of guarantee archives, guarantee implication, investigation of guarantee records, and so forth. After a case is gotten the accompanying checks are completed: 

  • Personality of the patient 

  • Proof of treatment 

  • Guarantee sum in a state of harmony with the pre-approved sum 

  • Case the board according to the pre-approval

List of hospitals under the scheme

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

Employee Health Scheme by Government of Andhra Pradesh

The State Government of Andhra Pradesh has figured a wellbeing plan for its serving/resigned workers and their needy relatives to benefit credit only treatment at a few empanelled clinics over the state. The plan replaces the flow clinical repayment office and gloats of new highlights, for example, therapy of constant maladies and post-hospitalization care. Peruse on to think about the Government of Andhra Pradesh's Employee Health Scheme qualification, inclusion and advantages.

What is Employee Health Scheme?

With the essential goal of giving medical services to all and top notch clinical administrations to State Government Employees, the Dr YSR Aarogyasri Health Care Trust under oversight of the Government of Andhra Pradesh will actualize the Employee Health Scheme (EHS). The plan covers Andhra Pradesh government representatives, retired people and their needy relatives who can profit credit only treatment at empanelled emergency clinics or Network Hospitals (NWH). 

It replaces the momentum clinical repayment cycle and recipients can profit new highlights, for example, post-hospitalization clinical consideration and therapy of ongoing infections. Recipients incorporate serving and resigned workers of the state administration of Andhra Pradesh.

Features and Benefits 


EHS Coverage

Features and Benefits



In-Patient Treatment

Treatment for Listed Therapies for identified diseases*

End-to-End Cashless Service Till 10 Days Post-Discharge Medication and Coverage of Complications up to 30 Days Post-Discharge.

Free Out-Patient Evaluation For Listed Therapies.

Follow-Up Service

Services Up to 1-year

Packages include consultation, investigation, drugs, etc. on listed therapies.

Out-Patient Treatment For Chronic Diseases

Treatment of pre-defined chronic diseases at notified hospitals.

Hospital Stay

Slab A (Pay Grades – I to IV): Semi-Private Ward

Slab B (Pay Grades – V to XVII): Semi-Private Ward

Slab C (Pay Grades – XVIII to XXXII): Private Ward

Financial Coverage

Eligible Sum: Rs.2 Lakhs per episode of illness with no limit on the number of episodes.

The eligible sum is not applicable where predetermined packages are above Rs.2 Lakhs.

Claims exceeding Rs.2 Lakhs will be settled by the CEO of Dr. YSR Aarogyasri Health Care Trust.


What is Not Covered Under the EHS 

  • Those secured under the Central Government Health Scheme (CGHS). 

  • Railroads, Road Transport Corporation, ESIS, Aarogya Sahayatha of Prohibition, Aarogya Bhadratha of Police Department and Excise Department. 

  • Law officials, for example, public investigators, government pleaders, state advises, state examiners and promoter commanders. 

  • Organic guardians whenever embraced guardians exist. 

  • Easy going and every day wage laborer's. 

  • Autonomous kids. 

  • AIS officials and retired people

Eligibility Criteria of EHS 

Eligible Beneficiaries

Details

Serving State Government Employees

All regular State Government Employees.

Provisionalised Employees of Local Bodies.

Retired State Government Employees/Pensioners

All Service Pensioners.

Re-Employed Service Pensioners.

Family Pensioners Without Dependents.

Dependent Family Members

Dependent Parents (either biological or adopted, not both).

One Legally Wedded Spouse (Serving and Retired Employee)

Dependent Legitimate Children (Step-Children and Adopted Children).

Dependents of Family Pensioners.


Enrolling process

Stage 1: Visit the online interface of EHS. 

Stage 2: Enter your Employee ID in the 'Username' area and the secret phrase. Sign in as 'Representative' and snap on 'Login'. 

Stage 2: You will be coordinated to another page, where you have to enter the necessary subtleties of the apparent multitude of required fields, at that point click on 'Spare'. 

Stage 3: Once you have filled all the fields, click on 'Print Application' to keep a delicate duplicate of the application as a source of perspective or you could take a print out. 

Stage 4: Now, click on 'Submit Application'.

Treatments under the scheme

1.Doctor’s consultation.
8.Rheumatoid Arthritis
15.CAD-Medical
22.Psoriasis
2.Investigations (laboratory services and radiology services).
9.Bronchial Asthma
16.Convulsive Disorder
23.Chronic Hepatitis
3.Pharmacy
10.Parkinson’s Disease
17.Inflammatory Bowel Disease
24.Cirrhosis
4.Yearly health check -up for employees who are aged above 40 years.
11.Type 1 and 2 DM
18.Psychosis and Other Chronic Psychiatric Problems
25.Cardiac Failure
5.Hypertension
12.COPD
19.Stroke
26.Nephrotic Syndrome
6.Hyperthyroidism
13.SLE and other Connective Tissue Disorders
20.Vascular Occlusive Disorder of Extremities
27.Chronic Kidney Disease
7.Hypothyroidism
14.Gout
21.Osteoarthritis
28.Arrhythmias

Employee Login Instructions:

Stage 1: Visit EHS Web Portal and sign in utilizing Employee ID as User ID, and a similar User ID as a first-time secret phrase. 

Stage 2: You will have the option to transfer photos and update subordinate relatives.

Search for Employee Enrollment Status:

Stage 1: Visit the EHS entryway and under the Employee classification, click on 'Search Employee Enrollment Status'. 

Stage 2: On the new page, enter 'Worker Name', Date of Birth, Name of the Department and the particular DDO and snap on 'Search'. 

Stage 3: If the representative is as of now enlisted under the plan, at that point the status would reflect as the application is affirmed. 

Stage 4: on the off chance that the worker isn't enlisted under the EHS, at that point the status will reflect as 'Not Enrolled'. 

Stage 5: on the same wavelength, you have to tap on 'Enlist'. You might be approached to enter your email ID and contact number to send the Username and Password. Snap on 'Spare Details'.

Reimbursement Status

Stage 1: Visit the EHS administration interface and under the Employee menu, click on 'Worker Medical Reimbursement Status'. 

Stage 2: You will be diverted to another page. Here, you should choose if the repayment was started on the web or disconnected. 

Stage 3: Enter the 'Trust Number'. 

Stage 4: Enter the DME number and snap on 'Search' and you will have the option to see subtleties, for example, Employee Name, Patient Name, DME no. alongside the status.


EHS Pensioners Registration Process: 

  • Resigned representatives or retired people can enlist to the EHS administration online by adhering to guidelines before you can sign in to the EHS web-based interface. 

Directions: 

  • Aadhaar Card: An output of your Aadhaar Card and guarantee your photograph and the Aadhaar Number is plainly noticeable. 

  • Photo: An output of a 45mm x 35mm ICAO agreeable visa size shading photo of 200Kb size. 

  • Handicap Certificates 

  • Companion's Pensioner ID/Employee ID: A checked duplicate of life partner on the off chance that working in the State Government or is a Service Pensioner. 

  • Date of Birth Certificate: A sweep of the DOB Certificate of ward relatives under 5 years old.

Pensioner Login Instructions:

Stage 1: Visit the EHS Web Portal and sign in with your Username and Password. In the event that you don't have the subtleties, contact STO/APPO or by dialing EHS Toll-Free Number 104 to know your User ID. 

Stage 2: Sign in with your Username and Password and read the directions gave on the site. 

Stage 3: Open the Enrollment Form and fill all the subtleties including your head of office, STO/APPO and District. 

Stage 4: Attach every supporting archive. 

Stage 5: Ensure you confirm all information before presenting the application. 

Stage 6: Click on 'Submit' and remove a print from the application structure. 

Stage 7: Sign the print out of the application frame and transfer the marked archive back on the web. 

Stage 8: Now, remove a print from the marked application frame and submit with your particular STO/APPO.

FAQ

 No, the premium for this plan is borne by the Government of Andhra Pradesh. This makes it a profoundly advantageous medical coverage program. 


  • Whom would it be a good idea for me to move toward when I arrive at the clinic at the hour of a health related crisis?
    You should move toward a Vaidya Mitra during a health related crisis. He/she will be situated at a Kiosk in the medical clinic. Vaidya Mitra will help you through each progression of hospitalization and guarantee.

Organization Hospital is any enrolled medical care establishment that is empaneled to offer types of assistance under Dr YSR Aarogyasri plot.

 The Government of Andhra Pradesh has made the way toward checking the status of the EHS application simpler on the web. Follow the previously mentioned bit by bit manual for check the EHS applications status.

 You can call the 104-Seva Kendra by dialing 104 to know the User ID to login to the EHS online interface or you can contact the individual Sub Treasury Office (STO)/Assistant Program Officer (APO). 

 On the off chance that you are a resigned state government representative of Andhra Pradesh, at that point you can follow the previously mentioned cycle to check the status of the repayment. 

 The state government workers, retired people and their reliant relatives are qualified for monetary inclusion of Rs.2 lakhs per scene of ailment. There is a cutoff to the quantity of scenes according to the APIMA Rules, 1972. 

 The state government will contribute 60% while the worker/beneficiary will contribute the equalization 40%. The month to month commitment will be: 

>Slab A (Pay Grade I to IV): Rs.90 

>Slab B (Pay Grade V to XVII): Rs.90 

>Slab C (Pay Grade XVIII to XXXII): Rs.120.

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