Aarogyasri Telangana Health Insurance

Aarogyasri Health Care Trust, as mentioned above, is a health insurance initiative that aims to provide free, quality medical treatment to those living below the poverty line or identified as vulnerable by the government.

The program was launched in 2007 and is implemented by the state government in partnership with private hospitals. The scheme's mission is to offer quality medical care to BPL families. The Government introduced this initiative to achieve the goal of "Health For All."

Through this program, eligible individuals can access various medical services, including surgeries, hospital stays, diagnostic tests and more. It even offers financial help for transportation to and from hospitals, ensuring patients can receive care without extra worry.

Funded by the state government and managed by the Department of Health and Family Welfare, Aarogyasri Health Care Trust is designed to make essential healthcare accessible for those who cannot afford it. It serves as a safety net for thousands of families, giving them a fair chance at recovery and a healthier life.

Also Read: National Health Insurance Schemes

To be eligible for the Rajiv Aarogyasri Scheme, individuals must meet certain criteria which include:

• Being a resident of Telangana.

• Belonging to a Below Poverty Line (BPL) family or being identified as vulnerable by the government.

• Possessing a valid government-issued identification card.

• Being referred by a government hospital or primary health centre.

Some medical procedures may have additional eligibility requirements, so it is essential to confirm your eligibility before applying. You can do this by contacting the Aarogyasri Health Care Trust or visiting a government hospital or primary health centre.

Also Read : National Rural Health Mission

The Aarogyasri scheme offers financial protection of up to ₹10 lakhs per year to families living below the poverty line for treating serious ailments that require hospitalisation and surgery. It also provides coverage of up to ₹10 lakhs for advanced medical procedures.

Under this comprehensive scheme, 1,672 treatments are covered, ensuring that vulnerable families have access to essential, high-end healthcare services without the burden of hefty medical bills.

Aarogyasri Telangana Diseases List

The Aarogyasri scheme provides coverage for a wide range of medical conditions to support eligible beneficiaries with necessary treatments. It includes treatments for heart, lung, liver, pancreas and kidney-related ailments. Neurological issues, paediatric congenital malformations and post-burn contracture surgeries aimed at functional improvement are also covered.

The scheme also provides coverage for prostheses (artificial limbs), cancer treatment through surgery, chemotherapy and radiotherapy and polytrauma cases, including those under the Motor Vehicle Act.

Cochlear implant surgery with auditory-verbal therapy is covered for children under 3 years of age. In exceptional cases, coverage is extended up to 5 years for cochlear implantation surgery, with the Trust providing financial support of up to ₹6.50 lakhs per case.

All pre-existing conditions related to the diseases as mentioned above are also covered under the scheme. Beneficiaries include members of Below Poverty Line (BPL) families listed in the Food Security card and recorded in the Civil Supplies Department database.

You can check the list of procedures currently covered under the scheme for better clarity on the treatments and medical services.

Aarogyasri Telangana is a health insurance program in the Indian state of Telangana managed by the Aarogyasri Health Care Trust that provides financial assistance to economically weaker sections of society for medical treatment. The program was launched in 2007 and is implemented by the state government in partnership with private hospitals. The scheme's mission is to offer quality medical care to BPL families. The Government introduced this initiative to achieve the goal of "Health For All."

The scheme covers a wide range of medical treatments and procedures, including inpatient and outpatient care, diagnostic tests, and surgeries in a network of empaneled hospitals provided under the Aarogyasri Telangana Hospitals List. The Government pays the entire premium for the scheme.

List of linked Government Hospitals.

List of linked Private Hospitals.

The key features of the Aarogyasri scheme are:

1. Equity of access to quality medical healthcare services.
2. Demand-driven healthcare services
3. Free transportation and food
4. Cashless treatment
5. Free follow-up services
6. 24/7 availability

Here is a detail about the scheme statistics:

1. Financial protection of up to ₹5 lakhs for BPL families is provided under the scheme.
2. A total of 1672 packages are covered under the scheme.
3. A total of 87.5 lakh families are covered under the scheme.

All eligible BPL families, as listed above, are automatically eligible for the Arogyasri benefits in Telangana. However, you will need to apply to receive the official Arogyasri Card that confirms your enrolment and allows you to avail of the scheme benefits.

Here is how to apply for Arogyasri card in Telangana:

• Go to the Aarogyasri Telangana website and select ‘New Enrolment’.
• Provide the necessary personal and family details as asked for in the enrolment form.
• Upload the necessary documents for identity, income and address proof.
• Submit the form. The application verification might take some time.
• Upon successful verification, the Arogyasri Card will be sent to your registered address. You can even download it online.

When applying for the card, you will be required to create a login ID and password. Keep it safe for future access.

To log in to the Aarogyasri Telangana website, follow these steps:

1. Go to the official Aarogyasri Telangana website and look for the** "Sign-in"** button in the top right corner of the page.
2. Enter your login credentials (Username and Password)
3. Click on the "Login" button.

The Aarogyasri Telangana Health Insurance provides coverage against a range of treatments for various diseases and illnesses in the kidney, liver, heart, lung, pancreas, etc.

In addition, it includes treatments such as

1. Neuro-surgery
2. Cancer treatment
3. Pediatric congenital malformations,
4. Burns and post-burn contracture surgeries
5. Prostheses
6. Polytrauma
7. Cochlear implant surgery with auditory-verbal therapy for children under two years.

In addition, the scheme also covers coverage for follow-up services, such as consultation, investigation, etc., of up to one year. The beneficiaries can access the treatment using their Aarogyasri Card Telangana.

**Exclusions include high-end procedures such as **

1. Gamma-knife procedures in neurosurgery
2. Hip and knee replacements
3. Bone marrow
4. Cardiac and liver transplants
5. Aided devices for cardiac failures.

In addition, diseases included in the national programs, such as malaria, tuberculosis, leprosy, infectious diseases, filaria, HIV/AIDS, gastroenteritis, and jaundice, are also excluded.

The scheme provides a total reimbursement of ₹1.50 lakhs per family, which can be utilised individually or collectively by family members. An additional sum of ₹50,000 is also provided as a buffer for expenses that may exceed the original sum.

Furthermore, the total cost of the cochlear implant surgery is fully covered by the Aarogyasri Health Care Trust. Including auditory-verbal therapy, the maximum coverage is ₹6.50 lakhs.

To apply for the Aarogyasri Telangana Scheme, you will need to provide a few documents. These documents help verify your eligibility and ensure you get the benefits you deserve under the scheme.

So, while applying for this scheme, keep these documents in place:

• Photograph: A recent photo for identification.

• BPL Card: Proof of your economic status to confirm you qualify for the scheme’s benefits.

• Ration Card: Additional proof of your household information and economic status.

• White Card: This may be required if it is a government-issued healthcare or medical card with details about your eligibility or health benefits.

• Mobile Number: This is for easy communication regarding application status, reminders, or updates.

• Email Address: This is for receiving important notifications or documents related to your application.

Financial Support

It offers financial help for hospitalisation, diagnostic tests, surgeries and various medical procedures related to covered illnesses, easing the financial burden on families.

Wide Coverage

The scheme covers around 1672 treatments, including cancer, heart disease, kidney issues, neurological conditions and more. Beneficiaries can receive free treatment at empanelled hospitals in Hyderabad. While the standard coverage limit is ₹1.5 lakhs, it goes up to ₹6.50 lakhs for Cochlear Implant Surgery with Auditory Verbal Therapy.

No Premiums Required

The government fully funds the scheme, so beneficiaries do not have to worry about paying any premiums.

Network of Hospitals

Beneficiaries can access treatment at a wide network of hospitals, including both government and private facilities, ensuring they receive proper care when needed.

Easy Claim Process

Claims can be submitted online through the Aarogyasri website or at designated centres, making the process simple and hassle-free.

The Aarogyasri Telangana Health Camp Services aim to spread awareness about the scheme and educate rural communities about various diseases, free medicines and medical help available under it. The goal is to make healthcare accessible to everyone, especially those in need.

Under the IEC (Information, Education and Communication) program, network hospitals are required to hold free health camps. This ensures that people can easily access evaluation and treatment. Here is how the scheme spreads awareness:

• Radio Advertisements: Short, catchy ads are aired on local radio stations to inform people about the scheme’s benefits. This method is especially effective in rural areas where radio is popular.

• Pamphlet Distribution: Informative pamphlets detailing the scheme’s benefits, registration process and contact details are distributed in villages to reach those who may not have access to other media.

• Audio-Visual Presentations: Videos and slideshows explaining the scheme are shown at community centres, health camps and public events, making the information easy to understand.

• Newspaper Articles and Ads: Local newspapers publish regular articles and advertisements to keep readers informed about the scheme’s features and benefits.

• Village Meetings: Officials hold meetings in villages to explain the scheme personally, answer questions, and encourage eligible people to enroll.

• Posters and Banners: Bright, informative posters and banners are displayed in busy public spots to catch people's attention and spread awareness.

The scheme is intended for members of families classified as Below Poverty Line (BPL), as listed and photographed in BPL ration cards and recorded in the database of the Civil Supplies Department. It is available for the following categories of people:

1. Residents belonging to Telangana
2. People referred by a medical practitioner from a private or Government hospital

1. Financial coverage to the weaker sections of society, including their families.
2. Many diseases and treatments are covered under the scheme.
3. The beneficiaries can avail of the best quality healthcare services.
4. The Government pays the premium for the scheme.

All transactions for covered procedures are cashless, meaning that BPL beneficiaries can receive treatment without having to make any payments to the hospital. It applies even for diagnostic procedures if the patient does not ultimately require surgery or therapy.

Hospitals must conduct free health camps, bringing advanced evaluations to patients' doorsteps. Help desks staffed by Aarogyamitras are provided at all Primary Health Centers, Area or District Hospitals, and Network Hospitals to assist illiterate patients. Field staff, including Network Arogyamitra, are recruited through district collectors on an outsourcing basis.

Having a medical insurance plan is crucial for ensuring access to quality healthcare. It can help protect individuals and families from the financial burden of unexpected medical expenses. It can also provide peace of mind, knowing that you and your loved ones are covered in case of an illness or injury. Benefits of health insurance can also provide access to preventative care and early detection of health issues, leading to better outcomes and lower costs in the long run.
Beneficiaries with a family history of serious illnesses or diseases who can afford an additional health insurance plan for increased benefits from private insurers can purchase another health insurance plan with designated features such as critical illness insurance.
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The Aarogyasri Telangana health insurance scheme is a remarkable initiative aimed at providing quality healthcare to vulnerable sections of society. Its extensive coverage of various diseases and treatments, along with free health camps and easy accessibility, ensures that people from economically weaker backgrounds can receive the medical attention they deserve. It is a lifeline for many families in Telangana who otherwise would not be able to afford expensive treatments.

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Can I choose a hospital of my choice under Aarogyasri Telangana?

Yes, you can select your preferred hospital for treatment under Aarogyasri Telangana as long as it is part of the scheme’s approved network. This ensures hassle-free, cashless treatment by simply presenting your Aarogyasri Telangana card.

How do beneficiaries claim benefits under Aarogyasri?

Beneficiaries can claim benefits by applying online through the official Aarogyasri website or by visiting authorised centres. Make sure to follow the specified procedures and provide all required documents for a smooth claim process.

How does Aarogyasri Telangana enhance healthcare accessibility?

Aarogyasri makes healthcare more accessible by covering a wide range of treatments, offering cashless services at network hospitals and conducting free health camps. This approach ensures that people, especially those from economically weaker backgrounds, receive timely and affordable medical care.

Is Aarogyasri available outside Telangana?

No, Aarogyasri is exclusively available to residents of Telangana. It is a state-specific health insurance scheme and is not applicable in other states or Union Territories of India.

How do I renew my Aarogyasri Telangana coverage?

To renew your coverage, you can contact the Aarogyasri Telangana helpline or visit a nearby Aarogyasri facility. They will guide you through the renewal process, which may require you to submit relevant documents or information.

Which hospitals accept the Aarogyasri Scheme?

Government hospitals and authorised private Aarogyasri Telangana hospitals list are a part of the Aarogyasri network in Telangana, and they accept the Aarogyasri card. To find a network hospital near you, you can visit the official website or contact their 24/7 helpline. Opting for network hospitals ensures cashless and seamless treatment.