Employee Health Scheme (EHS) - Health Card Eligibility and Enrollment

About Employee Health Scheme EHS – YSRAHCT

Employee Health Scheme under the aegis of Dr YSR Aarogyasri Healthcare Trust is one such initiative that is supervised by the Andhra Pradesh government. Government employees and their families as well as pensioners can avail treatment without paying in cash at any empanelled hospital that is part of the network. Earlier they were provided with a medical reimbursement facility which has been replaced by this scheme.

Features and Benefits of Employee Health Scheme

The primary objective of the EHS is to provide a cashless hospitalisation facility to employees, pensioners, and their family members. We have enlisted some salient features and benefits offered by the policy.

Who is Not Covered Under the EHS of the Government of Andhra Pradesh?

Not all individuals are offered health cover under the scheme. Here is a list of those not covered:

• 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, Aarogya Bhadratha of Police Department, Excise Department and Railways

• Daily wage workers, AIS officers and pensioners

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

Eligibility Criteria of EHS

Unlike Health insurance available on Finserv MARKETS which can be purchased by anyone irrespective of the place of residence in India, this state government scheme can only be availed by certain beneficiaries as explained below:

Besides, EHS classifies the dependents further as follows –

• Parents: Financially dependent on the employee

• Children: Daughters who are unemployed/unmarried/widowed/divorced/deserted and sons who are 25 years of age or below

• Disabled Children: Children and young adults who are unable to find employment because of their disablement

How to Enrol for the Employee Health Scheme - YSRAHCT?

Depending upon which category you fall into, you need to follow the registration process for the EHS card as under

Employees: Those who are currently working with the Andhra Pradesh state government are required to register as under:

EHS Employee Registration Process

1. Log on to the EHS website and key in your employee ID as Username with the password to login as an employee.

2. Click on Login which directs you to a page wherein you need to fill all the necessary information and save it.

3. Now go to ‘print application’ and take out a print out for reference purpose

4. End the process by clicking on ‘submit application’.

All applications reach the Drawing and Disbursing Officer (DDO) of an area who is responsible for verification, after which your EHS health card is generated.

Chronic Outpatient Treatment

The Employee Health Scheme provides cover for chronic outpatient treatment to the employees/pensioners of the State Government of Andhra Pradesh. The facility is available during weekdays between 2 pm and 4 pm and includes the following:

• Doctor Consultation

• Lab Investigation

• Medicines

Those above 40 years of age are also provided with annual health check ups. Operation procedures for conditions such as cardiac failure, Parkinson’s Arrhythmia, Cirrhosis, stroke, kidney diseases and others are covered.

Step-by-Step Employee Login Instructions

In case, an employee wants to correct, edit or update any information on the EHS health card about him or her or a family member, here is how to login to make the necessary changes:

1. Visit the EHS website and enter your employee id as the user ID as well as your first-time password

2. Once logged in, make the changes that you wish to do online

How to Search for Employee Enrollment Status

To know the status of your Employee Health scheme enrollment, follow the procedure below:

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

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

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

4. 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:

1. Go to the EHS- YSRAHCT service link and click on ‘Employee Medical Reimbursement Status’

2. On the new page that opens choose whether you initiated the process online or offline

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

4. The employee name, patient name, DME number and other details will be revealed along with the status.

EHS For Pensioners

Past employees of the Andhra Pradesh government who have retired from service or draw pension can also register for EHS health card.

EHS Pensioners Registration Process

Following instructions need to be adhered to while trying to register as a pensioner with the Employee Health scheme

A scanned copy of the documents mentioned below is required for the application:

• Aadhar card with photo and number

• 45mmX35mm passport size photograph (size:200 kb)

• Disability certificate if any

• Pension or employee ID of spouse if working with the state government

• Date of birth certificate of dependent family members below the age of 5 years

Step-by-Step Pensioner Login Instruction

Once you have the documents above, you can either submit the application online or go to the STO/APPO or association representatives. Here is how to login online:

1. Log on to the EHS - YSRAHCT website with your username and password. Contact STO/APPO or dial EHS Toll-Free Number 104 in case you do not know your User ID.

2. Once logged in, go through the instructions and open the enrolment form. Fill it properly.

3. Submit the supporting documents and thoroughly check the information before you submit the application.

4. Click on ‘submit’ and then take a printout of the application form.

5. Sign the form and upload the signed form online.

6. Again, take a printout of the form with your signature.

7. Deposit this with your respective STO/APPO.

8. You will receive an acknowledgement either on your phone or mail ID.

A Sample EHS Pensioner Application Form

Enrollment Process for EHS Health Card

Once you register for the scheme, your application is processed and scrutinized, following which temporary EHS - YSRAHCT health cards are generated for you and other family members. You can take the print out of these cards by logging onto the EHS portal with your User ID and password. Get your EHS health card laminated by paying a nominal fee at the Mee Seva Centre.

How to Download the EHS Health Card?

After you receive an intimation of your EHS card approval either by SMS or e-mail, you can download it online by logging into the EHS website. Just follow the steps below:

1. Visit the EHS portal and click on “Download Health Card’

2. You will be redirected to a new page. Enter your User ID and click on ‘Go’. Your EHS health card is generated

Steps to Check Pensioners Medical Reimbursement Status

To know whether your medical expenses have been reimbursed, follow the steps below:

1. Visit the EHS section on the Aarogyasri Health Scheme portal.

2. Select ‘Pensioner’s Menu’ and click on ‘Pensioners Medical Reimbursement Status’.

3. You will be redirected to a new page. Confirm the online or offline reimbursement initiation.

4. Ener the Trust Number and DME number and proceed to know the status.

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, the retirees, pensioners, or their family members do not need to be involved in the claims process.

Employee Health Scheme by AP Government Hospital List

If you want to know about the hospitals empanelled with the Employee Health scheme where you can utilize your EHS health card you can easily do so by visiting the official website of the Aarogyasri Health Scheme. Follow the steps below for details on the employee health scheme hospital list.

1. Visit the EHS section on the Aarogyasri Health Scheme portal.

2. Select ‘List of Empanelled Hospitals for EHS’ present at the bottom of the page.

3. You will be redirected to a new page. Select your state, district, and specialty from the drop-down menu.

4. When you click on search the system will display the list of hospitals as per your preference.

EHS Toll-Free Number and Address

Government employees can dial the EHS Toll-Free Number 104 for any queries about the scheme. If you have any complaints or other issues related to your EHS card dial 8333817469/14/06 or 0863-2259861 (Ext: 326). Alternatively, you can also send a mail at ap_ehf@ysraarogyasri.ap.gov.in.

To know the medical reimbursement status and other related information dial 8333817363 or 0863-2259861 (Ext: 329). An e-mail can also be sent at ap_mr@ysraarogyasri.ap.gov.in. The CEO can be reached at 0863-2259861 (Ext: 302).

Address:

If you want to send a mail about the Employee Health scheme or visit the Dr. YSR Aarogyasri Health Care Trust here is the address:

D.No. 25-16-116/B, Chuttugunta,
Behind Gautam’s Hero Showroom,
Guntur – 522004
Andhra Pradesh
Phone: 0863-2222802/2259861

Conclusion

For those residing in Andhra Pradesh and working as government employees in the state, registration in the Employee Health scheme can ensure that they get the medical treatment for themselves and their family members. However, if you reside in any other part of India and are on a hunt for a customized health policy, Health Insurance available on Finserv MARKETS is a good choice.

Choose a sum insured starting from Rs. 2 Lakhs to as high as Rs. 50 Lakhs that cover just yourself or your family and put all your worries about hospitalization expenses aside with cashless treatment available at a network of more than 6500 hospitals PAN India. Not only this, claims are settled promptly within an hour of being raised so that you don’t have to go through any inconvenience.

So, opt for Health Insurance available on Finserv MARKETS today and protect your loved ones from any health complications in the future to make sure they get the best care possible.