Dr. YSR Aarogyasri Health Care Scheme – Overview, Features, Benefits and Eligibility
The Government of Andhra Pradesh had the aim to provide universal health coverage, especially for BPL families. This led to the introduction of Dr. YSR Aarogyasri Health Care Trust. The scheme primarily provides a financial cushion to low-income families during medical emergencies.
Read this blog to know the many benefits of Dr. YSR Aarogyasri Health Care scheme.
What is the Dr. YSR Aarogyasri Health Care Scheme?
In order to support the financially challenged individuals of the state, the Chief Minister (CM) of Andhra Pradesh, Dr. Yeduguri Sandinti Rajasekhara Reddy, launched the Dr. YSR Aarogyasri health insurance scheme.
To facilitate its implementation, the Government set up the Dr. YSR Aarogyasri Health Care Trust under the chairmanship of the honourable CM. Dr. YSR Aarogyasri health care trust supervises the Aarogyasri Scheme, which is a state-run healthcare project.
The scheme aims to make quality healthcare accessible to below poverty line (BPL) families.
In the following segment, you will find details of this scheme, its benefits and the ailments covered.
Features of Dr. YSR Health Care Scheme
Below mentioned are some of the benefits of Dr. YSR scheme:
1. Cashless Facility
The trust board ensures the beneficiaries and their families receive quality treatment from the empanelled hospitals. They can show the Aarogyasri card at government hospitals for cashless medical treatment.
2. In-patient Health Care
Coverage benefits for in-patient treatment of several diseases and therapies are available under this insurance scheme.
3. Floater Insurance Cover
Dr. YSR health care trust provides comprehensive health coverage to the entire family.
4. Outpatient Healthcare
This programme also offers outpatient care at government hospitals and health camps.
5. Follow-up Treatments
The insurance scheme under Dr. YSR Aarogyasri’s healthcare trust also covers follow-up procedures and therapies.
6. Covers Pre-existing Diseases
Unlike other commercially available health insurance plans, this insurance scheme covers pre-existing diseases.
Treatments Covered under Dr. YSR Aarogyasri Health Care Trust
Dr. YSR Aarogyasri’s Health Care Trust backed insurance scheme includes 2434 surgeries and a list of treatments under 30 categories.
List of General Surgeries
| Orthopaedic surgeries and procedures | Medical oncology | Gynaecology and obstetrics |
| Ophthalmology | Surgical gastroenterology | ENT surgery |
| Septorhinoplasty | The neck of bladder reconstruction for incontinence | Plastic surgery |
| Bone tumour surgery, reconstruction with internal fixation | Excision of Meckel’s diverticulum | Myringoplasty |
| Open radical prostatectomy | Exenteration of orbit | Cardiothoracic surgeries |
| Coronary balloon angioplasty with drug-eluting stent | Paediatric surgeries | Genitourinary surgeries |
| Radiation oncology | Neurosurgery | Superficial parotidectomy (non-malignant) |
| Surgical oncology | Rectopexy open with mesh for rectal prolapse | Surgery for emphysema thoracis |
| Joint reconstruction / intra-articular fractures | Glaucoma surgery | Excision of ureterocele with ureteric implantation |
| Rectovaginal fistula management without colostomy | Laparoscopic surgical treatment for duodenal perforation | Lumbar hernia repair in a paediatric patient |
List of Critical Care Treatments
| Nephrology | General medicine | Pulmonology |
| Paediatrics | Gastroenterology | Infectious disease |
| Rheumatology | Prostheses | Cardiology |
| Dermatology | Psychiatry | Neurology |
| Endocrinology | Polytrauma |
Exclusions under Dr. YSR Aarogyasri Health Care Scheme
Read the below pointers to know Dr. YSR Aarogyasri scheme exclusions:
- Jaundice
- Leprosy
- Filaria
- HIV/AIDS
- Cardiac and liver transplantation
- Bone marrow treatments
- Tuberculosis
- Gamma-knife procedures in neurosurgery
- Gastroenteritis
- Assisted devices for cardiac failure
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Benefits of Dr. YSR Aarogyasri Health Care Trust Scheme
- It provides coverage benefits up to Rs.5 lakh a family per annum.
- You can avail of free healthcare services from government hospitals under this scheme.
- Cashless treatment is available from day 1 till day 10 post-discharge.
- Patients who opt for therapies can get cashless treatment up to 30 days after hospital discharge.
- The scheme also covers the patient’s transportation and food costs.
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Eligibility Criteria for Dr. YSR Health Care Trust’s Insurance Scheme
- Individuals should be residents of Andhra Pradesh.
- Applicants’ families should have an annual income of less than Rs.5 lakh.
- Individuals whose name appears on the BPL ration card or beneficiaries of Annapurna and Anthyodaya Anna Yojana can get benefits under this scheme.
- White ration cardholders are eligible under this scheme.
- Members should not possess dry and wet lands more than 35 acres.
- Individuals cannot own more than one car.
- They should be a landowner of less than 3000 sq. ft. area.
- Private sector employees can also apply for this scheme.
Documents Required for Dr. YSR Aarogyasri Health Care Trust Scheme
- Aadhaar card
- Address proof
- BPL certificate
- Income certificates or Income Tax Returns (ITRs)
How to Claim the YSR Aarogyasri Scheme?
Due to the active functioning of the Dr. YSR Aarogyasri Scheme, the process for claiming the scheme has become extremely swift.
The procedure for claiming concerning beneficiaries and hospitals is described below:
1. Claiming Procedure for Beneficiaries
Beneficiaries are given YSR Aarogyasri Health Card while they enrol for this scheme, which they can use if they want to avail treatment at any of the hospitals empanelled under this scheme. For this, the beneficiary must submit the card to a Vidya Mitra. He/she can then collect all the details on the card, and the treatment can begin.
If the beneficiary does not have a physical card, submitting just the Aarogyasri health card number will do. If there is no proof to see whether a patient is a beneficiary or not, information can be obtained from Aarogyasri Trust.
2. Claiming Procedure for Hospitals
The hospital must obtain authorisation in case the surgery is planned. The Aarogyasri trust will only fulfil the claim of the hospital authorities if the following conditions are met:
- The hospitals are pre-authorised to carry out the treatment, which is included in the list of treatments approved under the scheme.
- The claim is made as early as possible.
- If the amount claimed is within the pre-authorised limit.
- There is photographic evidence of treatment for settling the claim.
The claim settlement is done through the Dr. YSR Aarogyasri portal. Other than these, the portal can be used for:
- Claim document
- Claim intimation
- Scrutiny of claim documents
After receiving a claim, the following information are verified:
- The patient’s identity
- Evidence of treatment
- Claim amount concerning the pre-authorised amount
- Case management concerning the pre-authorisation
What is YSR Aarogyasri Health Card?
Once the eligible families enrol successfully into the Dr. YSR Aaroygrasri scheme, they receive the YSR Aarogyasri health card. This card acts as a proof of enrolment under this scheme and can be used during a medical emergency.
It helps avail of cashless medical facilities across the hospitals that come under this scheme across the states of Telangana and Andhra Pradesh. The card contains the unique number, photo of the cardholder and other details of the beneficiary.
Steps to Download YSR Aarogyasri Health Card
The following steps can be followed to download the YSR Aarogyasri health card:
Step 1: Visit the Official Website of Dr. YSR Aarogyasri Health Care Trust
Go to the official website of Dr. YSR Aarogyasri scheme and click on ‘EHS’.
Step 2: Select “Download Health Card”
A new page will open. Click on Download Health Card to proceed.
Step 3: Enter the “User ID” and click on “Go”. Furnish the information that is requested after which the Aarogyasri card will be displayed on the screen.
Step 4: Download the softcopy and save it on your computer.
How to Check YSR Aarogyasri Health Card Status?
The applicant can check their YSR health card status following the steps given below:
Step 1: Visit the official website of Dr. YSR Aarogyasri Health Care Trust
Step 2: Select the “EHS” option, and a new page will open.
Step 3: Select the option “Patient Services”, and from the drop-down menu, select “Health Card Status”.
Step 4: Provide the Employee or Pensioner ID to proceed.
Step 5: After clicking on “Search”, the YSR health card status will be visible on the screen.
Apart from this, one can use the mobile application of YSR Health Card Trust to check the status. If that is not feasible, then the helpline number can be used to know the status via a call.
How to Check the Employee Enrolment Status?
Mentioned below are the steps that can be followed to check the employee enrolment status:
Step 1: Visit the official website of Dr. YSR Aarogyasri Health Care Trust
Step 2: Select the “EHS” option from the homepage, and a new page will open.
Step 3: Under the “Employees” section, select the option “Search Employee Enrolment Status”.
Step 4: Provide the details that are asked for and click on “Submit”.
Step 5: The employee enrolment status will be displayed on the screen.
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How to Check the Employee and Pensioner Medical Reimbursement Status?
Here are the steps that can be followed to check the employee and pensioner medical reimbursement status:
Step 1: Log in to the official website of Dr. YSR Aarogyasri Health Care Trust
Step 2: Select the “EHS” option, and a new page will open
Step 3: Select “Employee Medical Reimbursement Status” or “Pensioner Medical Reimbursement Status” according to the requirement.
Step 4: Choose the “Medical Reimbursement Type” and enter the “MR Number”, “DME Number”, and “SDE Claim Id” according to the type chosen.
Step 5: After submitting them, the reimbursement status will be shown on the screen.
Covid 19 Coverage of YSR Aarogyasri Scheme
Considering the recent outbreak of covid-19, the following treatments have been included in the Aarogyasri Scheme:
- Medical care for Acute Respiratory Distress Syndrome(ARDS)
- Medical treatment for ARDS along with Disseminated Intravascular Coagulation (DIC)(Blood and Blood Products) (D65)
- Treatment for ARDS with DIC(Blood and Blood Products) (D65) in Paediatrics
- Medication for ARDS with Multi-Organ Failure(R65.1)
- Treatment for ARDS with Multi-Organ in Pediatrics
- Intensive care treatment for Septic Shock
- Treatment of types of Pneumonia
- Medical treatment for suspected Covid-19 (Stable)
- Treatment of confirmed Covid-19 (Stable)
- Medical treatment for confirmed Covid-19 with comorbidities like HIV, Chronic Renal Disease, Chronic Obstructive Pulmonary Disease, Chronic Liver Disease, Diabetes, and Hypertension.
- Treatment for Acute Respiratory Failure (With Ventilator)
- Medical care for Acute Respiratory Failure (Without Ventilator)
- Treatment for Chronic Pulmonary Disease along with respiratory failure
- Medication for acute Asthma with severe respiratory failure
- Treatment for acute Bronchitis along with respiratory failure and Pneumonia
List of Hospitals Under YSR Aarogyasri Health Scheme
There are multiple hospitals that operate under the Aarogyasri Health Care Trust. These hospitals offer cashless treatment to patients enroled under the Aarogyasri health scheme. Following is the list of the 19 hospitals that offer this facility:
| Sl. No. | Hospital | Location |
| 1. | GK Hospital | Adilabad |
| 2. | Dr. YSR Memorial Hospitals | Anantapur |
| 3. | Chandra Mohan’s Nursing Home | Chittoor |
| 4. | Raju Neuro And Multispeciality Hospital Private Limited | East Godavari |
| 5. | M N Hospital | Guntur |
| 6. | Pushpagiri eye Institute | Hyderabad |
| 7. | Sushruta Cancer Hospital | Karimnagar |
| 8. | Sri Ram Kidney Infertility And Laparoscopic Centre | Khammam |
| 9. | Sentini Hospitals Private Limited | Krishna |
| 10. | Gowri Gopal Hospitals Private Limited | Kurnool |
| 11. | Shri Balaji Multi Speciality Hospital | Medak |
| 12. | Kamineni Institute Of Medical Sciences | Nalgonda |
| 13. | Narayana Medical College Hospital | Nellore |
| 14. | Indur Cancer Hospital | Nizamabad |
| 15. | Amrutha Heart Hospital | Prakasam |
| 16. | Apollo Drdo Hospital | Ranga Reddy |
| 17. | Sindhura Hospital | Srikakulam |
| 18. | Aditya MultiCare Hospital | Vishakhapatnam |
| 19. | Pushpagiri Eye Hospital | Vizianagaram |
YSR Aarogyasri Health Scheme Contact Details
The Aarogyasri Health Care Trust can be contacted in case of any inquiry. The contact details are as follows:
Contact Number:
0863 – 2222802 / 2259861
Aarogyasri Helpline Number:
1800 – 599 – 1111
The PAN India helpline number is 104. It can be used for all types of queries.
Dr. YSR Aarogyasri Address:
D.No. 25-16-116/B, Chuttugunta, Behind Gautam’s Hero Showroom, Guntur – 522004, Andhra Pradesh, India.
Contact Information concerning medical reimbursement status and issues:
Contact Number: 8333817363
Extension: 0863- 2259861 (Ext: 329)
Email id: [email protected]
Contact Information for grievance redressal in relation to Dr. YSR Aarogyasri Health Scheme:
Contact Number: 8333817424/23/20/07
Extension: 0863-2259861 (Ext: 326)
Email id: [email protected]
YSR Aarogyasri Health Scheme Vs Aayushman Bharat Yojana
If we are to compare Dr. YSR Aarogyasri Health with Aayushman Bharat Yojana, we can do so based on the following pointers:
| Dr. YSR Aarogyasri Health Scheme | Aayushman Bharat Yojana | |
| Sum Guaranteed | Sum assured between Rs. 2 lakh and Rs. 13 lakh. | Sum assured set at Rs. 5 lakh. |
| Eligibility | YSR Aarogyasri is not based on Socio-Economic Caste Census Data (SECC). This makes it more beneficial and includes more families than Aayushman Bharat Yojana. | Aayushman Scheme is based on SECC. |
| Execution | YSR Aarogyasri Scheme has been running for a decade and is more experienced in comparison to Aayushman Bharat. | Aayushman Bharat is comparatively new and many families are yet to enrol and utilise its advantages. |
Final Word
From the aforementioned sections, it is evident that the Dr. YSR Aarogyasri Health Care trust scheme is a unique scheme tailor-made for the health needs of low-income families.
It also offers cashless services for identified diseases under secondary and tertiary treatment from a network of government and private service providers. Hence, it might be an ideal solution for BPL families looking for affordable medical treatments.
FAQs
Ans: To check Dr. YSR Aarogyasri’s health card status, you might want to follow the given steps:
Visit the official website of YSR Aarogyasri
1. Select the “EHS” option.
2. Click on “Patient” and “Health card status” on the new page.
3. Submit your employee or pensioner ID to proceed.
4. After clicking on search, the health card status will be available on the screen.
Ans: Yes, the YSR Aarogyasri scheme offers coverage benefits for the COVID-19 outbreak.
Ans: Beneficiaries under this scheme need to present their YSR Aarogyasri health card number for a successful claim process.
Ans: You can call the helpline number 1800-599-1111 to resolve your doubts or queries regarding the Aarogyasri health scheme. They can also use the PAN India helpline number 104 to get their queries answered.
Ans: You can download the form, fill it up offline, and attach essential documents before submitting it to the concerned department.
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Disclaimer: This article has been prepared on the basis of internal data, publicly available information and other sources believed to be reliable. The information contained in this article is for general purposes only and not a complete disclosure of every material fact. It should not be construed as investment advice to any party. The article does not warrant the completeness or accuracy of the information, and disclaims all liabilities, losses and damages arising out of the use of this information. Readers shall be fully liable/responsible for any decision taken on the basis of this article.
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