Dr YSR Aarogyasri Scheme – Eligibility, Features, Hospital List, Benefits

YSR Aarogyasri Scheme:- On Monday, Y S Jagan Mohan Reddy, the chief minister, will formally introduce the enhanced Dr YSR Aarogyasri programme at his camp office in Tadepalli, raising the treatment cost to 25 lakh rupees. The state’s current Aarogyasri free healthcare insurance limit is 10 lakh rupees. In addition to launching an awareness campaign on how to access free medical treatments under Aarogyasri, the chief minister will hand out upgraded smart Aarogyasri cards.  Read below to check the detailed information related to the YSR Aarogyasri Scheme.

 YSR Aarogyasri Scheme 2024

YSR Aarogyasri Scheme 2024

A health insurance programme is called the YSR Aarogyasri Scheme. Currently, the Aarogyasri Health Care Trust is in charge of this programme. It makes it possible for families with modest incomes to receive excellent healthcare services without having to pay for them. Treatments ranging from basic procedures to critical care are covered by the Dr. YSR Aarogyasri Health Care Trust. The Chief Minister will launch an awareness campaign to answer people’s questions about how to use the program’s facilities. The awareness campaign will also urge people to download the Aarogyasri app, which would give 4.25 crore beneficiaries and 1.48 crore households detailed information about the plan. Additionally, Mr. Jagan will introduce the upgraded smart Aarogyasri cards.

Doctors and personnel can access diagnostic test findings, treatment status updates, physician suggestions, nearby hospitals, Google Map directions to those institutions, Aarogya Mitra contact numbers, and other information by logging in using a QR code contained in the Aarogyasri card. Being well-informed about the patient’s medical conditions would make it easier to administer more effective free therapy.

Aarogyasri Card

YSR Aarogyasri Scheme Details in Highlights

NameYSR Aarogyasri Scheme
Introduced byChief Minister, Y S Jagan Mohan Reddy
Introduced onMonday, 18- December-2023
StateAndhra Pradesh
BeneficiariesResidents of Andhra Pradesh
ObjectiveTo provide the state’s low-income families access to cashless healthcare facilities
Official Websitehttps://www.ysraarogyasri.ap.gov.in/

YSR Aarogyasri Scheme Objective

The state of Andhra Pradesh in India is located in the nation’s southeast. One of this coastal state’s most visited tourist destinations is the Tirupati temple. Although there is a mixed population of rich and poor people living there, the majority of households are low-income. Obtaining high-quality healthcare services is one of the main issues in this situation. The state government has implemented Dr. YSR Aarogyasri, one of the most effective health strategies, to address this issue. The primary focus is on meeting the medical requirements of low-income households.

Features and Benefits of YSR Aarogyasri Scheme

Some of the key features and benefits of the YSR Aarogyasri Scheme are as follows:

  • The enhanced Dr. YSR Aarogyasri programme will be formally launched by Chief Minister Y S Jagan Mohan Reddy on Monday, with an increase in treatment costs to ₹25 lakh.
  • The current state-mandated cap on free healthcare insurance under Aarogyasri is ₹10 lakh.
  • Improved smart Aarogyasri cards will be distributed by the CM
  • The CM will also initiate an awareness campaign on how to access free medical facilities under Aarogyasri.
  • All ailments covered by the programme that require in-patient care are taken care of.
  • These services are available at network hospitals and health fairs without the need for cash.
  • It will cost a significant amount of money to finish extra operations after being hospitalised. These operations are also included in the Dr. YSR Aarogyasri plan.
  • Prior to enrolling in the scheme, a beneficiary may have had certain conditions that are covered by this plan. This is not a feature seen in most commercial health insurance plans.
  • Health insurance policies with family floater provisions allow the whole family to use the allotted insured amount. Buying a different plan for each member is not necessary.
  • Cashless treatment for the first ten days following discharge
  • Cashless care for up to 30 days following discharge for individuals undergoing therapy

AP Government Schemes List

List of General Surgeries that are Covered under YSR Aarogyasri Scheme

The List of General Surgeries that are Covered under YSR Aarogyasri Scheme are given in the table below:

Name of SurgeryName of Surgery
Orthopaedic surgeries and proceduresENT surgery
OphthalmologyMedical oncology
Surgical gastroenterologyExcision of Meckel’s diverticulum
Gynaecology and obstetricsThe neck of bladder reconstruction for incontinence
SeptorhinoplastyPlastic surgery
Bone tumour surgery, reconstruction with internal fixationMyringoplasty
Genitourinary surgeriesExenteration of orbit
NeurosurgeryCoronary balloon angioplasty with drug-eluting stent
Rectopexy open with mesh for rectal prolapseSurgical oncology
Glaucoma surgeryRadiation oncology
Open radical prostatectomySuperficial parotidectomy (non-malignant)
Cardiothoracic surgeriesRectovaginal fistula management without colostomy
Paediatric surgeriesLumbar hernia repair in a paediatric patient
Excision of ureterocele with ureteric implantationJoint reconstruction / intra-articular fractures
Surgery for emphysema thoracicLaparoscopic surgical treatment for duodenal perforation

List of Critical Care Conditions that are Covered under YSR Aarogyasri Scheme

The List of Critical Care Conditions that is covered under YSR Aarogyasri Scheme are given in the table below:

NameName
NephrologyRheumatology
General medicineGastroenterology
PaediatricsProstheses
NeurologyInfectious disease
PulmonologyDermatology
CardiologyPolytrauma
PsychiatryEndocrinology

List of Conditions that are not Covered under the YSR Aarogyasri Scheme

The lists of conditions that are not covered under the YSR Aarogyasri Scheme are given in the table below:

Condition NameCondition Name
Knee replacement surgeriesLeprosy
Gamma-knife procedures in neurosurgeryMalaria
Medical treatment related to bone marrowInfectious diseases
FilariaCardiac and liver transplantations
Assisted devices for cardiac failuresEtcetera
GastroenteritisHIV/AIDS
TuberculosisJaundice

Eligibility Criteria for YSR Aarogyasri Scheme

The applicants applying for YSR Aarogyasri Scheme must fulfill the following eligibility criteria:

  • Telangana and Andhra Pradesh natives are the preferred candidates.
  • The candidates must possess a white ration card.
  • The applicants’ combined family income is under 500K Indian rupees.
  • Candidates are not allowed to own more than 35 acres of land.
  • No more than one car is owned by applicants.
  • Candidates must be members of a household that pays municipal property taxes.
Required Documents                          

Some of the important documents required for YSR Aarogyasri Scheme are as follows:

  • Passport-Size Photographs
  • Aadhar card
  • BPL certificate
  • Address proof
  • Income Proof
  • Medical Certificates:
  • Bank Account Details:
  • Below Poverty Line (BPL) Card (if applicable):
  • Ration Card

List of Hospitals Recognised under YSR Aarogyasri Scheme

The List of Hospitals Recognised under YSR Aarogyasri Scheme are given in the table below:

Name of HospitalArea
Dr YSR Memorial HospitalsAnantapur
Amrutha Heart HospitalPrakasam
GK HospitalAdilabad
Apollo DRDO HospitalsRanga Reddy
Chandra Mohan Nursing HomeChittoor
Kamineni Institute Of Medical SciencesNalgonda
Aditya MultiCare HospitalVisakhapatnam
Gowri Gopal Hospitals Pvt LtdKurnool
Indur Cancer HospitalNizamabad
Pushpagiri Eye HospitalVizianagaram
M N HospitalGuntur
Narayana Medical College HospitalNellore
Sentini Hospitals Private LimitedKrishna
Pushpagiri Eye InstituteHyderabad
Raju Neuro And Multispeciality Hospital Private LimitedEast Godavari
Sri Ram Kidney Infertility And Laparoscopic CentreKhammam
Shree Balaji Multi Speciality HospitalMedak
Sindhura HospitalsSrikakulam
Susrutha Peoples HospitalMahabubnagar
Sushruta Cancer HospitalKarimnagar

YSR Aarogyasri Scheme’s Claim Process for Beneficiaries

In order to get medical care, Dr. YSR Aarogyasri plan beneficiaries do not need to endure a drawn-out claim procedure. Beneficiaries receive YSR Aarogyasri Health Cards at the time of enrollment. All they have to do to get medical care at an empanelled hospital is present their health card to a Vaidya Mitra. After gathering the data from the card, he or she will start the treatment. A beneficiary can provide the YSR Aarogyasri Health Card number to the Vaidya Mitra if they do not have a YSR card. Photographing the health card is a smart idea. The Aarogyasri Trust can provide information if, in the extremely unlikely event that it is not confirmed that a patient is a recipient of the Dr. YSR Aarogyasri scheme.

YSR Aarogyasri Scheme’s Claim Process for Hospital

Pre-authorization should be obtained by the hospital before beginning any scheduled surgical procedures. Dr. YSR Aarogyasri Healthcare Trust will only pay a claim if the hospital authorities meet the following requirements:

  • The hospitals are authorised to administer treatments that are on the list of approved treatments in advance.
  • The pre-authorization limit should not exceed the amount of the claim.
  • The assertion is made as soon as feasible.
  • Photo documentation of the treatment is supplied to settle the claim.

All of the claims are settled at the Dr. YSR Aarogyasri facility. Additionally, claim intimations, claim documents, claim document reviews, and other functions can be performed using this platform. The following checks are made after a claim is received:

  • The patient’s identity
  • Amount of claim relative to the approved amount
  • Proof of the Treatment
  • Case handling in accordance with prior approval

Contact Details

For further details or in case of any query or complaint related to the ///, feel free to contact on the below-given details:

Address:

Door no. 241,

MGM Capital Building,

Chinakakani, Mangalagiri,

Guntur Dist,

Andhra Pradesh, India

Pin Code: 522503

Helpline Number: 0863-2259861

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