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

Team AckoAug 23, 2024

The Indian state of Andhra Pradesh is situated in the south-eastern region of the country. Tirupati temple is one of the most popular tourist attractions of this coastal state. It has a mixed demographic of rich and poor, however, most families fall in 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:
Other Numerous Treatments Included
List of General Surgeries the Scheme Covers
Key Entities Associated With The Successful Functioning Of The Scheme
How to register for the scheme:
Documents required to apply for the YSR Aarogyasri Scheme in Andhra Pradesh
How to download the Arogyasri App?
List of Critical Care Conditions the Scheme Covers
Offline Enrollment Process for Dr. YSR Aarogyasri Health Care Trust
Online method to enrol for Dr YSR Aarogyasri Health Care Trust
Cashless healthcare services
- Protection against serious illnesses
Claim Process For Hospitals:
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:
Impact of the Scheme on Healthcare
Conclusion
Frequently Asked Questions:
News related to Dr YSR Aarogyasri Health Scheme

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, regardless of their socio-economic background, can receive quality medical care.

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 empaneled 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.

Specialized 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 recognizes 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 extends support to 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 transparency in billing and treatment costs, 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 that they have access to 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 enrollment processes are designed for efficiency and accessibility, ensuring that eligible individuals can easily enrol and access healthcare services.

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Other Numerous Treatments Included

Surgeries: Coverage includes a wide range of surgical procedures, such as orthopaedic surgeries, cardiovascular surgeries, gastrointestinal surgeries, gynaecological surgeries, urological surgeries, and more.

Diagnostic Tests: Beneficiaries can access diagnostic tests, including X-rays, MRI scans, CT scans, ultrasound, and laboratory tests for accurate diagnosis.

Medications: The scheme often covers the cost of essential medications prescribed during treatment and recovery.

Radiation Therapy: Coverage extends to radiation therapy for cancer patients, a vital component of cancer treatment.

Chemotherapy: Chemotherapy, a standard treatment for various cancers, is typically included in the coverage.

Dialysis: Beneficiaries with kidney-related conditions can receive dialysis treatments to remove waste and excess fluids from the bloodstream.

Organ Transplants: The scheme covers organ transplantation surgeries, such as kidney, liver, heart, and lung transplants, for eligible individuals.

Emergency Services: Immediate emergency medical services and interventions are covered, ensuring prompt attention in critical situations.

Childbirth and Maternity Care: Beneficiaries can access maternity care, including prenatal, delivery, and postnatal care services.

Rehabilitation Services: Coverage extends to post-treatment rehabilitation services, including physical therapy, occupational therapy, and speech therapy.

Oncology Services: Comprehensive oncology care is provided, including surgeries, chemotherapy, radiation therapy, and supportive care for cancer patients.

Cardiac Care: Treatments for heart-related conditions, such as angioplasty, stent placement, and coronary artery bypass grafting (CABG), are included.

Neurological Services: Access to neurological treatments for conditions like stroke, epilepsy, and neurodegenerative disorders is available.

Gastrointestinal Care: Coverage includes treatments for gastrointestinal conditions, including endoscopy, surgeries for bowel obstructions, and more.

Orthopaedic Care: Surgical interventions for orthopaedic conditions like fractures, joint replacements, and spine surgeries are covered.

Eye Care: Coverage for eye surgeries, such as cataract surgery and glaucoma treatment, ensures beneficiaries' vision health.

ENT (Ear, Nose, and Throat) Services: Surgeries for ENT conditions, including tonsillectomy, myringoplasty, and septorhinoplasty, are typically covered.

Psychiatric Care: Coverage for psychiatric consultations, medications, and therapies for mental health conditions is included.

Dental Care: Some schemes may offer dental care coverage for select procedures and treatments.

Child Health Services: Paediatric care includes vaccinations, treatments for childhood illnesses, and surgeries for congenital conditions.

Skin and Dermatology: Treatment for skin disorders, dermatological surgeries, and cosmetic procedures (when medically necessary) may be covered.

Respiratory Care: Coverage includes treatments for respiratory conditions, such as asthma and chronic obstructive pulmonary disease (COPD).

Endocrine Services: Treatment for endocrine disorders, including diabetes and thyroid conditions, is often included.

Urological Care: Surgical and medical treatments for urological conditions are covered.

Prosthetic Devices: The provision of prosthetic devices, such as artificial limbs, may be included in the scheme.

Please note that the 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.

List of General Surgeries the Scheme Covers

Here is a comprehensive list of general surgeries and procedures typically covered by the scheme:

Orthopaedic Surgeries and Procedures:

Surgeries for fractures and joint injuries.
Joint reconstruction and intra-articular fracture repairs.
Spinal surgeries for conditions like spinal cord compression.

Ophthalmology:

Comprehensive eye care, including glaucoma surgery.
Cataract surgery for vision improvement.
Corneal transplants for vision restoration.

ENT Surgery (Ear, Nose, and Throat):

Surgeries for tonsillectomy and adenoidectomy.
Surgical treatments for ear conditions like myringoplasty.
Septorhinoplasty for nose correction.

Gynecology and Obstetrics:

Surgeries for gynaecological conditions, including ovarian cyst removal.
High-risk pregnancy treatments and obstetric surgeries.

Surgical Gastroenterology:

Treatment for gastrointestinal conditions, including surgeries for bowel obstructions and ulcer management.
Rectopexy with mesh for rectal prolapse.

Medical Oncology:

Chemotherapy and radiation therapy for cancer treatments.
Bone marrow transplants for leukaemia.

Plastic Surgery:

Reconstructive surgeries for various medical conditions.
Treatment for burns, traumatic injuries, and deformities.

Other General Surgeries:

Excision of Meckel’s diverticulum.
Neck of bladder reconstruction for incontinence.
Exenteration of orbit.
Coronary balloon angioplasty with drug-eluting stent.
Open radical prostatectomy.
Cardiothoracic surgeries.
Paediatric surgeries.
Genitourinary surgeries.
Neurosurgery.
Surgical oncology.
Radiation oncology.
Superficial parotidectomy (non-malignant).
Lumbar hernia repair in paediatric patients.
Laparoscopic surgical treatment for duodenal perforation.

Please note that the coverage for these surgeries and procedures may vary based on medical necessity and guidelines set by the scheme's administrators. Patients are advised to check with the scheme authorities or healthcare providers for the most up-to-date information on covered general surgeries and procedures.

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Key Entities Associated With The Successful Functioning Of The Scheme

Here are the key entities:

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.
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.
Network Hospitals: The hospitals and nursing homes in Andhra Pradesh or Telangana that have the required infrastructure and facilities for providing in-patient care and treatment are empaneled under the scheme to offer their services. They should meet registration and regulation compliances.
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.
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 factors such as income, residence, and specific medical conditions. Check the official website or contact the scheme's helpline to confirm your eligibility.

Step 2 - Visit the Nearest Enrollment Center:

Once you've confirmed your eligibility, visit the nearest YSR Aarogyasri enrollment 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 enrollment centre, meet with the Aarogyamitra or enrollment 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 - Enrollment Form Submission:

Fill out the enrollment 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 enrollment process.

Step 5 - Biometric Data Collection:

In some cases, the enrollment 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 enrollment officer will verify your eligibility based on the information and documents you've provided. They will confirm whether you meet the income and medical criteria set by the scheme.

Step 7 - Enrollment Acknowledgment:

Once your eligibility is verified, you will receive an enrollment acknowledgment 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 enrollment details. This card serves as proof of your enrollment in the YSR Aarogyasri Scheme and should be kept safe.

Step 9 - Seek Medical Treatment:

With your enrollment complete, you can now seek medical treatment at any network hospital covered by the scheme. Present your health card or enrollment acknowledgment 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.

Documents required to apply for the YSR Aarogyasri Scheme in Andhra Pradesh

Aadhar Card: An Aadhar card is a primary identification document and is mandatory for enrolling in the YSR Aarogyasri Scheme. It helps verify the identity of the applicant and ensures that the benefits reach the right person.

Address Proof: Applicants are typically required to provide a valid address proof, such as a utility bill or a ration card. This proof establishes the applicant's residence in Andhra Pradesh.

Income Certificate: An income certificate is essential to determine whether the applicant falls within the income bracket that qualifies for the scheme. This certificate can be obtained from the relevant authority and helps assess financial eligibility.

Caste Certificate (if applicable): Caste certificates are necessary for applicants belonging to specific reserved categories. These certificates ensure equitable access to healthcare services and appropriate allocation of resources.

Medical Certificates: Depending on the medical condition for which treatment is sought, applicants may need to provide relevant medical certificates and reports from healthcare professionals. These documents validate the medical necessity for treatment under the scheme.

Bank Account Details: Accurate and up-to-date bank account details are essential. This information is used for the direct transfer of funds related to medical treatments. It ensures a seamless and cashless process for beneficiaries.

Passport-Size Photographs: Passport-sized photographs of the applicant are typically required for identity verification and may need to be attached to the application form.

Below Poverty Line (BPL) Card (if applicable): Individuals holding a Below Poverty Line (BPL) card should provide a copy of this card as additional proof of eligibility. BPL cardholders often receive priority in accessing healthcare services.

Ration Card: A ration card may be requested as proof of residence and family composition. It helps establish the applicant's household status.

How to download the Arogyasri App?

For Android Devices:

1. Open Google Play Store: On your Android smartphone or tablet, locate and open the Google Play Store app. Ensure that your device is connected to the internet.

2. Search for "Arogyasri": In the search bar at the top of the Google Play Store, type "Arogyasri" and press the search icon.

3. Select the Official App: Look for the official Arogyasri app among the search results. Verify that it is the official app by checking the developer's name (e.g., "Government of Andhra Pradesh").

4.Install the App: Tap on the app's icon or name to open its dedicated page. Then, tap the "Install" button. The app will begin downloading and installing on your device.

5. Open the App: Once the installation is complete, tap the "Open" button to launch the Arogyasri app.

For iOS Devices:

1. Open App Store: On your iPhone or iPad, find and open the App Store. Ensure that your device is connected to the internet.

2. Search for "Arogyasri": In the search bar at the bottom of the App Store, type "Arogyasri" and tap the search icon.

3. Select the Official App: Look for the official Arogyasri app among the search results. Verify that it is the official app by checking the developer's name (e.g., "Government of Andhra Pradesh").

4. Install the App: Tap the "Get" button next to the app's name. You may need to use your Apple ID and password or biometric authentication (e.g., Face ID or Touch ID) to confirm the installation. The app will begin downloading and installing on your device.

5. Open the App: After the installation is complete, tap the app's icon on your home screen to open the Arogyasri app.

Using the App

1. Registration: If you are a beneficiary, you can register or log in to the app using your credentials.

2. Access Services: The Arogyasri app offers a range of services, including checking eligibility, accessing ecards, finding empaneled hospitals, and tracking claim statuses. Explore the app's features to access the services you need.

3. Stay Informed: The app also provides health-related news and updates, ensuring you stay informed about healthcare initiatives and policies.

Ensure to download the official Arogyasri app from trusted sources, such as the Google Play Store for Android or the Apple App Store for iOS, to ensure that you are using a legitimate and secure application. This app simplifies the process of accessing healthcare services and information, enhancing your experience as a beneficiary of healthcare schemes like YSR Aarogyasri.

List of Critical Care Conditions the Scheme Covers

General Medicine: General medicine encompasses a wide range of medical conditions and treatments. It includes the diagnosis and management of common ailments, chronic diseases, infections, and non-surgical interventions.

Paediatrics: Pediatrics focuses on the healthcare of children, from infants to adolescents. The scheme covers paediatric treatments, vaccinations, and care for childhood illnesses.

Nephrology: Nephrology deals with kidney diseases and their management. Coverage includes treatments for kidney disorders, dialysis, and kidney transplants.

Pulmonology: Pulmonology specialises in respiratory conditions. The scheme provides coverage for the diagnosis and treatment of lung diseases, including asthma, COPD, and pulmonary infections.

Rheumatology: Rheumatology addresses autoimmune and inflammatory disorders affecting the joints and soft tissues. The scheme covers treatments for conditions like rheumatoid arthritis.

Gastroenterology: Gastroenterology deals with digestive system disorders. Coverage includes treatments for gastrointestinal conditions, endoscopic procedures, and interventions for liver and pancreas diseases.

Prostheses: Prostheses refer to artificial limbs or body parts. The scheme may cover the provision and fitting of prosthetic devices to enhance the quality of life for individuals with limb loss.

Infectious Disease: Infectious disease specialists diagnose and treat infections, including viral, bacterial, and parasitic diseases. Coverage includes antiviral and antibiotic treatments.

Cardiology: Cardiology focuses on heart health. The scheme covers treatments for heart diseases, including coronary angioplasty, stent placement, and surgeries like CABG.

Neurology: Neurology addresses disorders of the nervous system. The scheme provides coverage for treatments of neurological conditions, including epilepsy, stroke, and neurodegenerative diseases.

Dermatology: Dermatology specialises in skin-related conditions. Coverage includes treatments for skin diseases, dermatological surgeries, and cosmetic procedures when medically necessary.

Endocrinology: Endocrinology deals with hormonal disorders. Coverage includes treatments for diabetes, thyroid disorders, and other endocrine-related conditions.

Psychiatry: Psychiatry focuses on mental health. The scheme covers psychiatric consultations, medications, and therapies for mental illnesses and psychological conditions.

Polytrauma: Polytrauma care involves the comprehensive treatment of patients with multiple traumatic injuries. Coverage includes surgeries, intensive care, and rehabilitation services.

Offline Enrollment Process for Dr. YSR Aarogyasri Health Care Trust

Visit the Nearest Network Hospital: To initiate the enrollment process offline, visit the nearest network hospital or Aarogyasri Trust Office. These hospitals and offices are equipped to assist with enrollment and provide guidance.

Meet the Enrollment Officer: At the hospital or trust office, you will typically meet an enrollment officer or a designated representative. They are trained to guide you through the enrollment process.

Provide Personal Information: You will be required to furnish personal information such as your name, address, contact details, and Aadhar card number. Ensure that the information is accurate and up-to-date.

Submit Necessary Documents: Prepare and submit the required documents, which may include proof of residence, income certificate, caste certificate (if applicable), and medical certificates as per the scheme's eligibility criteria.

Verify Eligibility: The enrollment officer will assess your eligibility based on the provided information and documents. They will confirm if you meet the income and medical criteria set by the scheme.

Biometric Data Collection: You may be asked to provide biometric data, such as fingerprints or iris scans, for identity verification. This helps prevent fraud and ensures that benefits reach the intended beneficiaries.

Receive Enrollment Acknowledgment: Once your enrollment is processed and verified, you will receive an enrollment acknowledgment or a unique identification number. This number is crucial for tracking your application and accessing healthcare services under the scheme.

Health Card Issuance: In some cases, you may receive a health card that contains your enrollment details. This card serves as proof of your enrollment in the Dr. YSR Aarogyasri Health Care Trust and should be kept safe.

Seek Medical Treatment: With your enrollment complete, you can now seek medical treatment at any network hospital under the scheme. Present your health card or enrollment acknowledgment to access cashless healthcare services.

Renew Enrollment as Needed: Enrollment in the scheme may need periodic renewal, depending on the specific guidelines and policies. Be sure to follow the renewal process as instructed to maintain your eligibility.

It's essential to approach the enrollment process diligently, ensuring that all required documents and information are accurate and complete. The scheme aims to provide healthcare access to those who need it the most, and a proper enrollment process helps achieve this goal. If you have any questions or need assistance during the enrollment, don't hesitate to ask the enrollment officer for guidance.

Online method to enrol for Dr YSR Aarogyasri Health Care Trust

Access the Official Website: Start by visiting the official website of Dr. YSR Aarogyasri Health Care Trust www.ysraarogyasri.ap.gov.in Ensure that you are on a legitimate and official website to avoid any scams.

Create an Account: If you don't already have an account, you will likely need to create one. This typically involves providing a valid email address, and mobile number, and setting a secure password.

Login: After creating an account, log in using your registered email address and password.

Complete the Enrollment Form: On the website, you will find an enrollment form. Fill out the form with accurate and up-to-date personal information, including your name, address, contact details, and Aadhar card number.

Upload Documents: Scan and upload the necessary documents, including proof of residence, income certificate, caste certificate (if applicable), and medical certificates as per the scheme's eligibility criteria.

Verify Eligibility: The online system may verify your eligibility based on the information and documents you provide. Ensure that you meet the income and medical criteria outlined by the scheme.

Biometric Data: Depending on the online system's capabilities, you may be required to provide biometric data, such as fingerprints or iris scans, for identity verification.

Submit the Application: Review the information you have provided for accuracy and completeness. Once satisfied, submit the online enrollment application.

Receive Enrollment Acknowledgment: After successful submission, you will receive an enrollment acknowledgment or a unique identification number. This serves as proof of your enrollment in the Dr. YSR Aarogyasri Health Care Trust.

Health Card Issuance: In some cases, you may receive a health card by mail or electronically, containing your enrollment details. Keep this card safe, as it is essential for accessing healthcare services under the scheme.

Seek Medical Treatment: With your enrollment complete, you can now seek medical treatment at any network hospital covered by the scheme. Present your health card or enrollment acknowledgment to access cashless healthcare services.

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

Always exercise caution when providing personal information online. Use secure and trusted websites, and avoid sharing sensitive details on unofficial platforms. The online enrollment process offers convenience and accessibility, making it easier for eligible individuals to access healthcare services provided by the Dr. YSR Aarogyasri Health Care Trust.

Cashless healthcare services

Financial Relief: One of the primary benefits is that beneficiaries can receive medical treatment without the immediate financial burden. The scheme covers the cost of treatments, surgeries, and hospitalisation, reducing out-of-pocket expenses for eligible individuals and families.

Access to Quality Healthcare: Cashless services enable beneficiaries to access quality healthcare at network hospitals. They can choose from a wide network of hospitals and specialised healthcare providers, ensuring that they receive the best possible medical care.

Reduced Paperwork: With cashless services, the administrative burden is significantly reduced. Beneficiaries do not need to engage in extensive paperwork, claims processing, or reimbursement procedures. This streamlines the healthcare process and allows individuals to focus on their recovery.

Prompt Medical Attention: Cashless services accelerate the admission and treatment process. In emergency situations, patients can receive immediate medical attention without the delay of arranging finances or insurance claims.

No Upfront Payments: Beneficiaries do not need to make upfront payments for covered medical services. This is particularly beneficial for those facing financial constraints, as they can access critical treatments without worrying about immediate payment.

Transparent Billing: The scheme promotes transparency in billing and treatment costs. Patients can review bills and services provided, ensuring they are not overcharged for medical procedures.

Wide Range of Treatments: Cashless services cover a broad spectrum of treatments, including surgeries, diagnostic tests, medications, and hospital stays. This comprehensive coverage ensures that beneficiaries have access to the healthcare they need.

Preventive Care: The scheme often includes coverage for preventive and pre-diagnostic services. This encourages individuals to seek medical care earlier, potentially preventing the progression of diseases and reducing healthcare costs in the long run.

Emergency Support: In critical and emergency situations, cashless services provide a safety net. Patients can receive immediate care, such as surgeries for accidents or life-threatening conditions, without worrying about financial constraints. Compensation Facility.

Loss of Income Compensation: In certain cases, when beneficiaries are hospitalised and unable to work due to their medical condition, the scheme may provide compensation for the loss of income. This can help alleviate the financial burden that arises from being unable to work during the treatment and recovery period.

Transportation Expenses: The scheme may also offer compensation for transportation expenses incurred by the beneficiary and their accompanying attendants. This can cover travel to and from the hospital for medical appointments, surgeries, and follow-up visits.

Accommodation Expenses: If beneficiaries are required to stay away from their residence for medical treatment, the scheme may compensate for accommodation expenses. This includes lodging costs for the patient and their attendants near the hospital.

Food and Miscellaneous Expenses: Compensation may extend to food and miscellaneous expenses associated with the hospitalisation period. This can help ensure that beneficiaries receive proper nutrition and have funds for other essential needs.

Disability Compensation: In cases where the beneficiary experiences a disability due to their medical condition or treatment, the scheme may provide compensation to help them adapt to their changed circumstances. This can include support for assistive devices or home modifications.

Rehabilitation Services: Compensation may also cover the costs of rehabilitation services, such as physical therapy, occupational therapy, and speech therapy. These services are crucial for the recovery and rehabilitation of patients with certain medical conditions.

Death Compensation: In unfortunate situations where a beneficiary passes away due to their medical condition, the scheme may provide compensation to the nominee or legal heirs. This can help cover funeral expenses and provide financial support to the deceased's family.

Please note that the availability and specifics of the compensation facility may vary depending on the scheme's policies, the severity of the medical condition, and other relevant factors. Beneficiaries should refer to the scheme's official documentation or contact the Dr. YSR Aarogyasri Health Care Trust for detailed information on compensation eligibility and procedures for claiming compensation.

The compensation facility is designed to provide additional support to beneficiaries and their families during challenging times, ensuring that they can focus on recovery and receive the necessary assistance to maintain their quality of life.

Protection against serious illnesses

Coverage for Critical Illnesses: The scheme covers a wide range of critical illnesses, including cancer, heart diseases, neurological disorders, and kidney-related conditions. This ensures that beneficiaries receive timely and quality medical treatment for life-threatening diseases.

Early Diagnosis and Treatment: The scheme promotes early diagnosis and treatment of serious illnesses. Beneficiaries are encouraged to seek medical attention at the earliest signs of illness, increasing the chances of successful treatment and recovery.

Access to Specialized Care: The scheme provides access to specialised medical care and treatments that are often required for serious illnesses. This includes surgeries, chemotherapy, radiation therapy, organ transplants, and other advanced medical interventions.

Reduced Financial Burden: Serious illnesses can lead to substantial healthcare expenses. The scheme significantly reduces the financial burden on beneficiaries by covering the costs of hospitalisation, surgeries, medications, and other medical services related to the illness.

Cashless Healthcare Services: Beneficiaries can access cashless healthcare services, which means they do not need to make upfront payments for covered treatments. This ensures that individuals receive immediate care, especially in emergency situations.

Access to Network Hospitals: The scheme has a vast network of empaneled hospitals and healthcare providers. This network includes reputed medical institutions and specialists, ensuring that beneficiaries have access to the best available medical expertise.

Preventive Services: In addition to treatment, the scheme often includes coverage for preventive services and screenings. Regular health check-ups and screenings can help detect serious illnesses at an early stage, increasing the chances of successful treatment.

Support for Families: Serious illnesses can place emotional and financial strain on families. The scheme provides support not only to the patient but also to their family members by covering various expenses, including accommodation and transportation.

Rehabilitation Services: For illnesses that require post-treatment rehabilitation, such as physical therapy or counselling, the scheme may cover these services. Rehabilitation is crucial for improving the quality of life after a serious illness.

Continuity of Care: The scheme aims to ensure continuity of care for beneficiaries. This means that treatment and care are coordinated throughout the illness journey, from diagnosis through recovery and rehabilitation.

Financial Security: By covering the costs associated with serious illnesses, the scheme offers financial security to beneficiaries and their families. This prevents them from facing catastrophic healthcare-related expenses that could lead to financial hardship.

The Dr. YSR Aarogyasri Health Care Trust's focus on protecting against serious illnesses underscores its commitment to ensuring the well-being and health security of individuals and families, especially during times of health crises.

Claim Process For Hospitals:

The hospital should seek pre-authorization in case of planned surgical treatments. A claim can be fulfilled by the Dr.YSR Aarogyasri healthcare trust only if the following conditions are met by the hospital authorities:

The hospitals have pre-authorization for performing a treatment that is included in the list of approved treatments
The claim is intimated as early as possible
The claim amount is within the pre-authorization limit
Photographic evidence of treatment is available for the settlement of claim

All claims are settled with the help of Dr.YSR Aarogyasri portal. This portal can also be used for the collection of claim documents, claim intimation, scrutiny of claim documents, etc. After a claim is received the following verifications are carried out:

Identity of the patient
Evidence of treatment
Claim amount in sync with the pre-authorized amount
Case management as per the pre-authorization

Dr.YSR Aarogyasri Health Care Trust Hospital List:

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

Check here for the complete list of hospitals that are empaneled to Dr YSR Aarogyasri 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

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

Procedure	Code
Superficial Parotidectomy(Non-malignant)	26.31
Laparoscopic HemiThyroidectomy	06.2.2
Laparoscopic Surgical treatment for Epigastric Hernia repair with Mesh	53.63
Laparoscopic Surgical treatment for Duodenal Perforation	44.42.1
Excision of Meckel's Diverticulum	45.33.1
Rectovaginal fistula Management without Colostomy	70.73.2
Rectopexy Open with Mesh for Rectal Prolapse	48.75.1
Myringoplasty	19.4.1
Septorhinoplasty	21.84
Exenteration of Orbit	16.5
Glaucoma Surgery	12.54.1
Joint reconstruction/intra articular fractures	81.96
Bone tumour surgery reconstruction with internal fixation(78.59)	77.8
Coronary Balloon Angioplasty with Drug eluting stent(00.45)	00.66.5
Surgical management of Empyema Thoracis	33.32
Lumbar Hernia repair In Paediatric Patients	53.9.2
Excision of Ureterocele with Ureteric Implantation	56.41
Open radical Prostatectomy	60.5.2
Bladder neck reconstruction for Incontinence	57.91.2
Chemotherapy for Breast Cancer with Docetaxel	99.25.72

Also, read: Benefits of Buying Health Insurance Policy Online

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

The Dr.YSR Aarogyasri Health Care Trust can be easily contacted by beneficiaries in case of 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:

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.
Improved Hospital Systems: Requirements for empanelment, defined treatment protocols, medical documentation norms and data capture have enhanced quality of care and transparency.
Quality of Services: Regular monitoring, audits, and disciplinary actions have markedly improved treatment quality.
Tailored Medical Protocols: Treatment protocols customised for local infrastructure have standardised care as per medical expertise.
Employment Generation: The additional healthcare workforce hired by involved parties, such as insurance providers, hospitals, etc., has created jobs.
Health Awareness: Health camps providing preventive screening and the scheme's cashless evaluation have together increased awareness.
Disease Mapping: Captured beneficiary data aids accurate disease mapping and understanding of population morbidity patterns.
Early Disease Detection: Enhanced focus on early diagnosis due to counselling and health education is enabling disease prevention.
Boosting Public Healthcare: Empaneled government hospitals earning revenues have been able to improve facilities and medical care.

Conclusion

In 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 prioritizes 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 for availing the Dr.YSR Aarogyasri health insurance scheme?

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

Whom should I approach when I reach the hospital at the time of 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 hospitalization and claim.

What is a Network Hospital?

Network Hospital is any registered health care institution that is empaneled to provide services under Dr YSR Aarogyasri 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 comprehensive healthcare services to beneficiaries for both minor and life-threatening conditions.

How can I check if I am eligible for the Dr. YSR Aarogyasri Health Scheme?

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

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

Services can be availed at empaneled hospitals listed under the scheme. These include both government and private hospitals that have agreed to provide treatments as 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 the Dr. YSR Aarogyasri helpline. The trust will take necessary action to ensure the beneficiary receives the required treatment.

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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