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About Dr YSR Aarogyasri Health Scheme

The Chief Minister of Andhra Pradesh, Dr. YS Rajashekar Reddy, launched a health insurance scheme in 2007. The program primarily focuses on providing financial aid to low-income families in the state so that they can access quality healthcare services. The scheme is famously known as the Dr YSR Aarogyasri Health Scheme and is managed by the Aarogyasri Health Care Trust.

The scheme provides several benefits to its beneficiaries in Andhra Pradesh. One of its significantly used benefits is the cashless medical treatment in government hospitals of the state. The authorities of the scheme have started issuing the Aarogyasri card to the beneficiaries, further allowing seamless management of the scheme. The beneficiaries can show this card at the government hospital and avail the benefits under the Dr YSR Aarogyasri Health Scheme.

In this section, we have explained everything you need to know about this program.

Dr YSR Aarogyasri Health Scheme Overview

The table below gives a brief on the program.

Scheme Name

Dr YSR Aarogyasri Health Scheme

Launched By

Dr. YS Rajashekar Reddy, CM of Andhra Pradesh in 2007

Applicants & Beneficiaries of the Scheme

Residents of Andhra Pradesh

Purpose of the Scheme

Provide cashless healthcare facilities to low-income families in the state

Official Website

https://www.ysraarogyasri.ap.gov.in/

Dr YSR Aarogyasri Health Scheme Budget

On June 16, 2020, Finance Minister B Rajendranath Reddy announced the budget in the State Assembly at Velagapudi. The budget announcement stated that around Rs. 2,24,789.18 Crore are allocated to several government welfare schemes. In the FY 2020-21, around 21 welfare schemes were run under the Andhra Pradesh Government by the name of Late YS Rajasekhara Reddy and Chief Minister YS Jagan Mohan Reddy. As per the state budget for the coming year, over Rs. 11,419 Crore are assigned to the health sector.

Benefits of Dr YSR Aarogyasri Health Scheme

The Dr. YSR Aarogyasri scheme is targeted at those desiring excellent health care in Andhra Pradesh and Telangana at discounted costs. Some of the scheme’s features include:

  • Hospital care: In-patient care for all the listed diseases are covered by the scheme when hospitalization is required.

  • Out-Patient Care: Health camps and network hospitals provide these treatments as part of their cashless services under the scheme.

  • Cashless Services: An annual coverage of Rs. 5 Lakhs per family is available to registered family members and beneficiaries when they require it.

  • Pre-Existing Disease Coverage: An uncommon feature of this plan is that it covers diseases that the beneficiary is already suffering from prior to registering for the scheme.

  • Follow-Up: The Dr. YSR Aarogyasri scheme also covers procedures post hospitalization which can cost a fair amount on their own.

  • Family-Floater Health Insurance: The sum insured can be made use of by the entire family with no need for separate plans to be taken out for individual family members.

Dr YSR Aarogyasri Scheme - Inclusions

Several treatments ranging from fairly straightforward procedures to critical treatments are covered by the scheme. Many of them are listed below. 

●     General Surgery                    

●     ENT Surgery

●     Ophthalmology

●     Gynaecology & Obstetrics

●     Orthopedic Surgery and Procedures

●     Surgical Gastroenterology

●     Cardiothoracic Surgery

●     Paediatric Surgeries

●     Genitourinary Surgeries

●     Neurosurgery

●     Surgical Oncology

●     Medical Oncology

●     Radiation Oncology

●     Plastic Surgery

●     Polytrauma

●     Prostheses

 

 

●     Critical Care

●     General Medicine

●     Infectious Diseases

●     Paediatrics

●     Cardiology

●     Nephrology

●     Neurology

●     Pulmonology

●     Dermatology

●     Rheumatology

●     Endocrinology

●     GastroEnterology

●     Psychiatry

Dr YSR Aarogyasri Health Scheme - Exclusions

However, there are some treatments that aren’t covered, including the following:

●     Knee replacement surgeries

●     Gamma-knife procedures in neurosurgery

●     Medical treatment related to bone marrow

●     Leprosy

●     Filaria

 

 

●     Assisted devices for cardiac failures

●     Cardiac and liver transplantations

●     Malaria

●     HIV/AIDS

●     Tuberculosis

●     Infectious diseases

●     Gastroenteritis

●     Jaundice

Eligibility Criteria for YSR Aarogyasri Scheme

Residents of Andhra Pradesh need to be eligible to avail the benefits under the Dr YSR Aarogyasri Health Scheme. The eligibility criteria are as follows:

  • The applicant must have less than 35 acres of land (wet land + dry land).
  • The applicant must fall under the municipal property tax-paying families having less than 3000 SQ. FT.
  • Outsourcing, contractual, part-part employees, and sanitisation workers having annual income over Rs. 5 Lakh are eligible under the scheme.
  • The applicant can be an Honorary remuneration employee or a private sector employee.
  • The applicant cannot have more than one car.
  • The families filing IT up to Rs. 5 Lakhs are eligible under the scheme.

Enrolment Process for Dr YSR Aarogyasri Health Scheme

Eligible beneficiaries can enrol under the Dr YSR Aarogyasri Health Scheme via online or offline means. We have discussed both the processes below.

Online Enrolment Process for Aarogyasri Health Scheme

The steps to successfully enrol for the scheme online are as follows:

  1. Visit the official website of YSR Navasakam or Gram ward Sachivalaym portal.
  2. Select the login option. You will be redirected to the login page.
  3. Login with the website and go to the Aarogyasri Health Card Application Form.
  4. Enter the necessary details.
  5. Upload the supporting documents.
  6. Submit the application form and take a printout.

Offline Enrolment Process for Aarogyasri Health Scheme

Follow the steps below to enrol under the Dr YSR Aarogyasri Health Scheme.

  1. Visit the official website of YSR Navasakam https://navasakam2.apcfss.in/.
  2. Select the Download option available on the screen.
  3. Then click on the ‘YSR Aarogyasri Health Card Performa’.
  4. You will be redirected to a new page where the application form to apply for the YSR Aarogyasri Scheme will open.
  5. Download this form and take a printout of the same.
  6. Fill the form with the requested details.
  7. Submit the form to the concerned department along with the supporting documents.
  8. Once these documents are verified, the beneficiaries shall be provided with a YSR Health Card.

Besides, beneficiaries may directly register by visiting any of these locations:

  • Vaidya Mitra counters at Primary Health Care (PHC)
  • Health Camp organized by the PHCs or Network Hospital (NWH)
  • Direct registration at an NWH via referrals
  • Referral from Certified Medical Compliance Officer (CMCO)

Documents Required

  • Aadhaar card
  • Address proof
  • Income certificate
  • BPL certificate

YSR Aarogyasri Health Card

Once enrollment is complete, families will receive a YSR Health Card that contains a unique card number, the holder’s photograph, and other details. The YSR Health Card proves the beneficiaries are enrolled under the scheme and can avail the needed cashless facilities at the network hospitals.

Features of the YSR Aarogyasri Card

Here are a few salient features of the YSR health card.

  • Beneficiaries can avail reimbursement of Rs. 1.5 Lakh
  • They can avail additional benefits of Rs. 50,000 in case the medical expenses exceed Rs. 1.5 Lakhs.
  • The card allows Rs. 2 Lakh worth of serious illness treatment.
  • Beneficiaries can avail over 938 medical and surgical treatments under the scheme

Steps to Download the YSR Aarogyasri Card

The beneficiaries can download the Aarogyasri Card by following the steps below:

  1. Visit the official website https://www.ysraarogyasri.ap.gov.in/.
  2. On the homepage, select the option ‘EHS’ and choose ‘Download Health Card’.
  3. Enter the User ID and select ‘Go’.
  4. Provide the information requested to display the YSR health card on the screen.
  5. Download and save a softcopy of the same on your computer.

Steps to Check YSR Aarogyasri Health Card Status

The applicants can check the status of their YSR health card by following the steps below:

  1. Visit the official website https://www.ysraarogyasri.ap.gov.in/.
  2. On the homepage, select the option ‘EHS’. You will be redirected to a new page.
  3. On the new page, select the option ‘Patient’ and click on ‘Health Card Status’.
  4. Enter your Employee ID or Pensioner ID to proceed.
  5. After you click on search, the status of your YSR health card will be displayed on the screen.

Steps to Search Employee Enrolment Status

In order to check the employee enrolment status, follow the steps below:

  1. Visit the official website https://www.ysraarogyasri.ap.gov.in/.
  2. On the homepage, select the option ‘EHS’. You will be redirected to a new page.
  3. Select the option ‘Search Employee Enrolment Status’ under the ‘Employee’ section.
  4. Enter the requested details and submit.
  5. The status will be displayed on the screen.

Steps to Check Employee Medical Reimbursement Status

Follow the steps below to check the employee medical reimbursement status:

  1. Visit the official website https://www.ysraarogyasri.ap.gov.in/.
  2. On the homepage, select the option ‘EHS’. You will be redirected to a new page.
  3. Select the option ‘Employee Medical Reimbursement Status’.
  4. Choose medical reimbursement (online/offline) and enter the trust number and DME number.
  5. Submit the same and the reimbursement status will be displayed on the screen.

Steps to Check Pensioner Medical Reimbursement Status

Follow the steps below to check the pensioner medical reimbursement status:

  1. Visit the official website https://www.ysraarogyasri.ap.gov.in/.
  2. On the homepage, select the option ‘EHS’. You will be redirected to a new page.
  3. Select the option ‘Pensioner Medical Reimbursement Status’.
  4. Choose medical reimbursement (online/offline) and enter the trust number and DME number.
  5. Submit the same and the reimbursement status will be displayed on the screen.

Downloading Aarogyasri App

Details regarding the Dr. YSR Aarogyasri scheme can be found on the Aarogyasri App available on Google Play Store. To download, simply:

  • Open the “Google Play Store” on your Android operated phone
  • Search the store for “Aarogyasri Trust”
  • Press “Install”

Dr YSR Aarogyasri Health Scheme Vs. Ayushman Bharat Scheme

As per Telangana Today, the Dr. YSR Aarogyasri scheme has been shown to be more impactful in comparison to the Ayushman Bharat Yojana introduced all over the country, when weighed against each other based on the following points:

 

Dr YSR Aarogyasri Health Scheme

Ayushman Bharat Scheme

Sum Insured

Between Rs. 2 Lakhs and Rs. 13 Lakhs

Rs. 5 Lakh

Eligibility

YSR Aarogyasri scheme does not follow the SECC and would, in fact, exclude some families if it followed the same criteria.

Ayushman Bharat Scheme utilises Socio-Economic Caste Census Data (SECC)

Implementation

YSR Aarogyasri scheme has been implemented for over a decade now and hence, state governments are far more experienced in its inner workings

Ayushman Bharat Scheme is relatively young and many families are still yet to enroll and avail its benefits

Dr YSR Aarogyasri Health Scheme COVID-19 Coverage

New procedures have been included in the scheme to account for the COVID-19 outbreak. 

  • Intensive care management of Septic Shock

  • Medical Management of Acute Bronchitis with Pneumonia and Respiratory Failure

  • Medical Management of Acute Respiratory Failure (With Ventilator)

  • Medical Management of Acute Respiratory Failure (Without Ventilator)

  • Medical Management of Acute Severe Asthma With Acute Respiratory Failure

  • Medical Management of ARDS

  • Medical Management of ARDS with DIC (Blood & Blood Products) (D65)

  • Medical Management of ARDS with DIC (Blood & Blood Products) (D65) in Paediatrics

  • Medical Management of ARDS with Multi-Organ failure (R65.1)

  • Medical Management Of ARDS with multi-organ Failure in Paediatrics

  • Medical Management of Confirmed COVID – 19 (Stable)

  • Medical Management of Confirmed of COVID – 19 with Comorbidities – HTN, DM, COPD, HIV, Chr. Liver Disease, Chr. Renal Disease

  • Medical Management of COPD with Respiratory Failure (Infective Exacerbation)

  • Medical Management of Pneumonias

  • Medical Management of suspected COVID – 19 (Stable)

Steps to Claim for YSR Aarogyasri Scheme

Claim Process For Beneficiaries: 

Beneficiaries simply have to present their YSR Health Cards to a Vaidya Mitra for verification. In case they do not possess a physical card, the beneficiary may provide the YSR Health Card number to the same. In case, there is no physical proof of enrollment, the details are obtainable through the Aarogyasri Trust.

Claim Process for Hospitals: 

The hospital must obtain authorization for any surgical treatments. The trust can only fulfill claims if hospital authorities meet the following: 

  • The hospitals are pre-authorized to perform a treatment that has been approved under the scheme.

  • The claim is filed at the earliest.

  • The claim amount is less than the pre-authorized limit.

  • There exists photographic evidence of the treatment for claim settlement. 

The Dr.YSR Aarogyasri portal can also be used to collect claim documents,intimate claims, scrutinize claim documents, etc. The following information is verified once the claim is filed and received: 

  • The patient’s identity

  • Treatment evidence

  • Claim amount in relation to the authorized amount

  • Case management with respect to prior authorization

Dr. YSR Aarogyasri Health Care Trust Hospital List

A wide array of hospitals now operate under the Aarogyasri Health Care Trust and offer cashless treatments to patients seeking care under the Dr. YSR Aarogyasri Health Scheme in medical emergencies. Some of these hospitals are: 

Hospital

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

Incorporation of New Procedures at Government General Hospitals

An advantage of the programme is its inclusion of newer procedures as part of its coverage that allow beneficiaries to avail treatments in a wide array of situations and illnesses. Some of them include: 

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 tumor 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

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

The Dr. YSR Aarogyasri Health Care Trust can be contacted through the following contact details: 

Aarogyasri Helpline Number: 

  • 1800-599-1111 

  • The PAN India helpline number 104 can also be used to resolve 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

Conclusion

Weighing a variety of policies and their benefits against each other is a crucial first step towards determining the ideal plan for your requirements. Health insurance policies available on the Finserv MARKETS come with a high claim settlement ratio, key benefits and an easy online application process that provide you and your family with the coverage to face any situation.

Manage All Queries About Dr. YSR Aarogyasri Health Insurance Scheme

  • ✔️Are premium payments necessary for the Dr. YSR Aarogyasri health insurance scheme?

    No, the premiums for this program are paid by the Andhra Pradesh government. This makes the scheme accessible to all sections of society.

  • ✔️Can I avail the services from the scheme if I do not fall into the BPL category?

    No, as the scheme is intended for the underprivileged masses of the state who fall in the BPL category due to their low incomes.

  • ✔️In case of a medical emergency, who do I contact at the hospital?

    You would be advised to locate a Vaidya Mitra, usually located at a station in the hospital. They will guide you through each step of the hospitalization and claims process.

  • ✔️What is a network hospital?

    It refers to any registered health care institution that is authorized to provide healthcare services under the Dr. YSR Aarogyasri scheme.

  • ✔️How many procedures are covered under the Aarogyasri Health Scheme?

    YSR Aarogyasri Health Scheme covers a total of 2432 surgeries. Beneficiaries can avail the listed facilities at the nearest network hospital as and when needed.

  • ✔️What is the use of the Aarogyasri Health Card?

    The Aarogya card can be used by the eligible beneficiaries to access primary, secondary, and tertiary medical treatments at government and private empanelled hospitals.

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