Vajpayee Arogyashree Yojana: Features, Eligibility & Benefits

Vajpayee Arogyashree Yojana 2024

The Government of Karnataka introduced a flagship health insurance programme called the Vajpayee Arogyashree Yojana. With this effort, families below the poverty line (BPL) will have access to complete healthcare coverage, ensuring they can afford critical medical treatments. With a major focus on high-cost medical diseases requiring hospitalisation and advanced medical procedures, the system provides a safety net for the most vulnerable communities in the state. Read below to check the detailed information related to Vajpayee Arogyashree Scheme like Highlights, Objectives, Benefits, Features, Diseases Eligible, Eligibility Criteria, Required Documents, Empaneled Hospitals, Hospitals List, Enrollment Process Claims Settlement, and much more.

Vajpayee Arogyashree Yojana 2024

Launched in 2009–10, the Vajpayee Arogyashree Scheme is evidence of the Indian government’s dedication to offering high-quality healthcare to its most disadvantaged residents. With the help of this program, Karnataka’s Below Poverty Line (BPL) families can receive cashless treatment for a variety of serious and sometimes fatal illnesses. The program’s enrollment is made easier by means of broad outreach initiatives, such as health camps held in different districts. These camps support qualifying families with the enrollment process in addition to helping to identify them. Furthermore, Arogyamitra staff members are stationed in hospitals with accredited status to assist beneficiaries with the registration and usage procedure, guaranteeing a seamless experience.

Jyothi Sanjeevini Scheme

Vajpayee Arogyashree Yojana Details in Highlights

NameVajpayee Arogyashree Yojana
Introduced byGovernment of Karnataka
StateKarnataka
Scheme beneficiaryKarnataka state Residents
Number of procedures covered402 procedures
Coverage (per family)1.5 lakh rupees (additional 50,000 for special cases)

Vajpayee Arogyashree Yojana Objective

When a family member has a chronic illness, they may have to pay for post-recovery costs, hospital stays, surgeries, diagnostic tests, and therapy. The Vajpayee Arogyashree initiative aims to reduce costs by offering affordable, high-quality healthcare to low-income households, with the State Government covering the full cost of care.

Benefits of Vajpayee Arogyashree Yojana 2024                                 

Some of the key benefits of the Vajpayee Arogyashree Yojana are as follows:

  • Pre-hospitalization: Pre-hospitalization costs for diagnostic tests and consultations are covered by the programme.
  • Cashless treatment: All hospital stays and surgeries are fully paid for for beneficiaries receiving cashless care at hospitals that have been accredited.
  • Hospitalisation: This refers to the expenses incurred by the patient for any necessary procedures, medications, and other hospital services.
  • Post hospitalisation: To guarantee full recovery, the plan pays for follow-up appointments and therapies after discharge.
  • Transportation expenses: The plan also covers travel expenses to and from the hospital in order to eliminate geographic restrictions.

Features of Vajpayee Arogyashree Yojana 2024

Some of the key features of the Vajpayee Arogyashree Yojana are as follows:

  • Benefit recipients are not required to pay in advance for care received at hospitals under contract. For the procedures on the list, the plan pays for hospital stays, surgeries, and post-operative care.
  • Vajpayee Arogyashree’s primary focus is on tertiary healthcare, giving BPL families who might not otherwise be able to afford it access to specialised medical services.
  • The programme includes coverage for more than 400 listed operations, including major surgeries, long-term medical issues, and organ transplants.
  • With a large network of hospitals throughout Karnataka that are accredited by the programme, convenient access to high-quality healthcare is guaranteed.

Karnataka Arogya Sanjeevini Scheme

Diseases Eligible for Coverage

Although many diseases are covered by the plan, the following are some of the most common ones:

  • Kidney diseases
  • Cancer
  • Cardiovascular diseases
  • Burns
  • Renal diseases
  • Neonatal cases
  • Neurological diseases
  • Polytrauma cases

Eligibility Criteria for Vajpayee Arogyashree Yojana 2024

The applicants applying for Vajpayee Arogyashree Yojana must fulfill the following eligibility criteria:

  • The applicant must be a resident of Karnataka state
  • Every family in Karnataka that falls below the poverty line is qualified to receive benefits from the Vajpayee Arogyashree programme.
  • The applicant must have a valid Ration Card

Required Documents

Some of the important documents required for Vajpayee Arogyashree Yojana are as follows:

  • Aadhaar Card
  • Ration Card
  • Self-declaration
  • BPL Card
  • PDS Card

Vajpayee Arogyashree Yojana Empaneled Hospitals

A key component of the Vajpayee Arogyashree Yojana is a network of hospitals with accreditation. The competence of these hospitals to offer expert care for the illnesses covered by the programme is taken into consideration while choosing them. A list of accredited hospitals is available for beneficiaries to select from, guaranteeing them access to high-quality medical care without incurring additional costs.

Hospitals List under Vajpayee Arogyashree Yojana

The list of hospitals under Vajpayee Arogyashree Yojana is as follows:

  • Karnataka Institute of Medical Science, Hubbali
  • District hospital Madikeri, Kodagu
  • Taluk Hospital Mudhol, Bagalkot
  • Gulbarga Institute of Medical Science, Kalaburagi
  • Mandya Institute of Medical Science, Teaching Hospital, Mandya
  • K C General Hospital, Malleshwaram, Bangalore
  • Bidar District Hospital
  • Wenlock District Hospital Mangalore
  • Jayanagar General Hospital, Bangalore
  • General Hospital Hunsur, Mysore

Vajpayee Arogyashree Yojana Enrollment Process

  • Your Aadhaar card is used to cross-reference your biometric information with the CIDR Aadhaar server as you proceed with enrollment.
  • The e-KYC data are immediately completed after authentication.
  • After registering on Arogya Karnataka’s official website, the applicant receives a unique patient ID known as the ArKID.
  • Also, a confirmation SMS is issued to your Vajpayee Arogyashree contact number that the applicant’s registration was successful.
  • The ArKID consists of the PDS card number, each family member’s number, and a separator.
  • Paying ₹10 will get you this special scheme ID printed on a UHC card.
  • You can carry the UHC card to the closest hospital for treatment; it has your name, photo, and other information written on it along with the ArKID.

Claims Settlement

As the Vajpayee Arogyashree Yojana is a cashless programme, recipients do not have to pay any fees at participating hospitals. Rather, upon receiving treatment, the insurer pays the hospital fees directly. The beneficiary might, however, be responsible for covering any outstanding costs out of pocket if the hospital bill is greater than the maximum claim amount.

FAQ’s

How much treatment amount can a beneficiary get?

Treatment is available to BPL families for up to Rs. 1.5 lakh annually. A further Rs. 50,000 may be approved in exceptional circumstances.

Does the hospital require payment of any kind?

No, the programme offers cashless medical care at accredited hospitals.

Under the scheme, how are claims settled?

Once they have treated patients, hospitals submit claims to SAST for payment. It usually takes 21 days to settle the claims.

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