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The Employee Health Scheme (EHS) was enacted under the patronage of the Dr. YSR Aarogyasri Healthcare Trust. It is managed by the government of Andhra Pradesh. By opting for this scheme, government employees, pensioners, and their families can access benefits like cashless treatment at a range of empanelled network hospitals. The Employee Health Scheme covers various treatments, including in-patient treatment, out-patient treatment (in the case of long-term illnesses), hospitalisation, and follow-ups.

Features and Benefits of Employee Health Scheme

The primary objective of EHS Andhra Pradesh is to provide cashless hospitalisation facilities to employees, pensioners, and their families. Here are some salient features and benefits offered by the policy.

Coverage of EHS

Features and Benefits

Inpatient treatment

  • Treatment and free outpatient evaluation of specific therapies for diseases identified under EHS

  • Cashless treatment up to 10 days after discharge

  • Medicines with cover for complications up to 30 days after being discharged

Follow-ups


  • Active up to 1 year

  • Includes packages like consultations, routine check-ups, pharmaceuticals, etc.

Outpatient treatment for long term illnesses

  • Pre-defined conditions

  • Accessible at specific hospitals only

Hospitalisation

  • Semi-private ward for Slab A (Pay grade 1 to 4)

  • Semi-private ward for Slab B (Pay grade 5 to 17)

  • Private ward for Slab C (Pay grade 18 to 32)

Financial cover

  • A maximum of ₹2 Lakh for every illness episode

  • If packages exceed the ₹2 Lakhs limit, the above sum does not apply

  • Claims above ₹2 Lakhs are directed for settlement to the CEO of the Aarogyasri Trust

Who Is Not Covered Under the Employee Health Scheme?

Here’s a list of those who are not eligible.

  • Legal officers including state counsels, prosecutors, advocate generals, public prosecutors, etc.

  • Central Government Health Scheme (CGHS) beneficiaries

  • Employees of Road Transport Corporation, ESIS, Aarogya Sahayata of Prohibition, Arogya Bhadratha of Police Department, Excise Department, and Railways

  • Daily wage workers, AIS officers, and pensioners

  • Any independent children and biological parents in case there are adopted parents as well

How Can You Enrol for The Employee Health Scheme?

Andhra Pradesh State Government employees can register for this scheme by retracing the following steps. 

 

  • Visit the EHS official portal 

  • Click on ‘Sign In’

  • Log in with your employee or pensioner ID and password

  • Select ‘Registrations’ and choose ‘Initiate Health Card/View Application’

  • Enter your Aadhaar Card number or Aadhaar Enrollment number

  • Find the ‘Retrieve Details’ option and click on it

  • Fill out all the mandatory fields with information like your address, ID details, pension details, etc.

  • Save the form

     

After this, your application will be sent for verification and approval. All applications reach the Drawing and Disbursing Officer (DDO) of an area, after which your EHS health card is generated.

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Eligibility Criteria of EHS (YSRAHCT)

Private health insurance can be purchased by anyone and from anywhere across the country. However, with respect to government schemes, only the following categories of applicants can be eligible.

Beneficiary

Details

Currently employed State Government employees

  • Regular government employees

  • Individuals who are assigned provisional duties of local bodies in Andhra Pradesh

State Government employees who are no longer working

  • Service pensioners

  • Re-employed individuals

  • Family pensioners with no dependents

Dependents

  • Dependent parents

  • Unemployed, unmarried, widowed, divorced, or deserted daughters

  • Sons under the age of 25 years 

  • Disabled children who are unable to find employment

Documents Required for EHS Pensioners Registration Process

You require scanned copies of the following documents to register as a pensioner with the EHS or Employee Health scheme.

  • Aadhaar card

  • Passport-size photograph (45mm x 35mm, 200KB)

  • Disability certificate

  • Pension ID or employee ID

  • Birth certificate of all beneficiaries involved (below the age of 5 years)

How to Update Details for the Employee Health Scheme?

If you’d like to correct or update any information on your EHD AP employee health card, you may do so by following the steps given below. 

 

  • Visit the official EHS portal

  • Select ‘Sign in’

  • Choose ‘Employee’ or ‘Pensioners’ from the options displayed on your screen

  • Enter your username and password

  • Select ‘Employee’ or ‘Pensioner’ from the dropdown

  • Choose the ‘Download Health Card’ option

  • Choose ‘Click Here’ which will be hyperlinked in blue

  • Click on ‘Edit Card Details’ once your health card is displayed on your screen

  • Select the ‘Edit’ button against the beneficiary whose information you would like to change

  • Update all the details 

  • Click on ‘Submit’

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How to Search for Employee Enrolment Status?

To know your EHS enrolment status, follow the procedure below. 

  • On the EHS website, go to ‘Search Employee Enrolment Status’ under the employee category.

  • Enter your name, date of birth, department and DDO details to initiate a search by clicking on it.

  • If you are enrolled for an EHS card, a message with ‘application approved’ is displayed. Otherwise, the status is shown as ‘Not Enrolled’.

  • In the latter case, click on ‘Enrol’ and enter your email ID and contact details to receive the username and password for login. Click on ‘Save Details’.

How to Check Employee Medical Reimbursement Status?

You can find out the medical reimbursement status of your EHS card using the instructions below: 

  • Go to the EHS - YSRAHCT service link 

  • Click on the ‘Employee Medical Reimbursement Status’ option

  • On the new page, select if the process was initiated online or offline

  • Enter the DME number, and Trust number, and click on ‘Search’

  • Details such as the employee name, DME number, patient name and other information will be revealed along with the EHS reimbursement status

Sample Application Form for EHS Pensioners

Details

What to fill

PPO number

Enter the Pension Payment Order (PPO) number

Name

As stated in PPO

Aadhaar card number

As stated in Aadhaar card

Aadhaar enrolment Id

As written in the acknowledgement slip

Date of birth

As per PPO

Gender

Male or Female

Married or single

Current status

Retirement date

Day on which retired

Community

SC or ST, Minorities, others

Disability

Details about type and percentage of disability

Nationality

Whether a resident of India

Contact details

Address

Current residential address. Also update your mobile number and email id

Identification details

Ration card number

As in the ration card allotted to you

Marks of identification

Any two visible marks on your body with their exact location

Posting details

HOD

Name of your head of Department

District

District where you were posted

Pay grade

Pay details of your last post

STO or APPO

Code and Name of the office from where your pension is coming to

Attachments

Photo

ICAO compliant passport size photographs 35X45mm in size of the employee or pensioner along with the dependent family members

Aadhaar card

Scanned copy with Aadhaar number and photo visible clearly

Date of birth

When one of the dependent family members is a child below 5 years of age

Disability certificate

For any disabled family members

Family member details

Name, relationship, Aadhaar number

 

Employee id/pensioner ID of spouse

 

How to Download the EHS Health Card?

Here’s how you can download your EHS Health Card.

  • Visit the official EHS portal

  • Select ‘Employees’ or ‘Pensioners’ as per the category you fit in

  • Fill in your username and password

  • Choose ‘Pensioner’ or ‘Employee’ from the dropdown menu

  • Click on ‘Download Health Card’

  • Select ‘Click Here’ in the pop-up displayed on the screen

  • Select ‘Save as PDF’

     

You can also choose to print the health card by clicking on ‘Print’ instead of ‘Save as PDF’, depending on your preferred manner of using the card. 

Claim Process of EHS

The primary aim of EHS is to cover the treatment expenses of the beneficiaries of the scheme. Therefore, there is no claim process as such that the employee/pensioner or their family members need to follow.

 

The claim is raised by the network hospital 10 days after the patient is discharged and settled by the Trust Portal. In other words, retirees, pensioners, or their family members do not need to be involved in the claim process.

EHS Toll-Free Number and Address

Here’s how you can contact relevant authorities in order to clear your doubts and grievances surrounding this scheme.

  • Dr. YSR Aarogyasri Health Care Trust

Address: D.No. 8-2-293/82a/ahct, Road No:46, Jubilee Hills, Hyderabad - 500033, India

Phone Number: 040-27654107

Fax Number: 04023555657

 

  • Sri P. Tejsekhar

Joint Executive Officer & NodalOfficer(EHS)

Dr. YSR Aarogyasri Health Care Trust

Email Address: ehf@ysraarogyasri.ap.gov.in

 

  • Mr. Balaga Mohan Rao

Deputy Executive Officer(EHS)

Dr. YSR Aarogyasri Health Care Trust

Mobile Number: +918333817380

Email Address: c118@ysraarogyasri.ap.gov.in

 

  • Grievance (EHS)

Mobile Number: +918333817469/+918333817470

Phone Number: 040-27654107 ext-618

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FAQs on Employee Health Scheme

How can I find my EHS ID?

 Dial the toll-free helpline number to know your user ID which is required to log into the EHS web portal. You can also contact the Sub Treasury Office (STO)/Assistant Program Officer (APO) in your area.

What is the amount of health cover offered under EHS by the Andhra Pradesh government?

A maximum of ₹2 Lakhs for every episode of illness is offered to government employees, pensioners, and their dependent family members. The number of episodes is limited as per Andhra Pradesh Integrated Medical (APIMA) Rules, 1972.

How much do the employees and the State Government contribute towards the EHS?

The employee contributes 40% while the remaining 60% is covered by the State Government. Based on this, the monthly contribution is as follows.

  • Slab A (Pay Grade I to IV): ₹90

  • Slab B (Pay Grade V to XVII): ₹90

  • Slab C (Pay Grade XVIII to XXXII): ₹120

What kind of financial protection does the EHS provide?

The EHS provides a cashless hospitalisation facility to employees, pensioners, and their family members. It provides a cover of maximum of ₹2 Lakhs for every illness episode. EHS Health This Card limit is applicable only if the package of the eligible employee does not exceed ₹2 Lakhs. The claims beyond this limit are directed for settlement to the CEO of the Aarogyasri Trust.

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