Dr YSR Aarogyasri By Government Of Andhra Pradesh
- Author :
- TATA AIG Team
- ●
- Last Updated On :
- 14/05/2024
In India, state governments are ensuring that health insurance is accessible to every citizen by making efforts to make this reality. One such scheme is the Dr YSR Aarogyasri Health Insurance Scheme. The state government of Andhra Pradesh set a medical insurance plan to cater specifically to the healthcare needs of economically disadvantaged individuals.
Read more about the Dr YSR Aarogyasri scheme's benefits, coverage areas, and eligibility requirements.
What is Dr YSR Aarogyasri Scheme?
The State Government of Andhra Pradesh named the YSR Aarogyasri scheme after chief minister Dr Y S Rajasekhar Reddy in the year 2007.
Presently, the Dr Aarogyasri health care trust administers this scheme.
Without spending any money, low-income families can access quality care in case of medical emergencies.
Dr YSR Aarogyasri Details
For your better understanding, below are the scheme's essential details:
Scheme Name | Dr YSR Aarogyasri Medical Insurance Scheme |
---|---|
Scheme is for | Andhra Pradesh residents |
Scheme’s official website | https://www.ysraarogyasri.ap.gov.in |
The scheme is named after | Dr YS Rajashekar Reddy, Andhra Pradesh Chief Minister (2007) |
Scheme’s objectives | Ensure the state’s low-income residents have access to quality healthcare services and cashless medical facilities. |
Benefits of Dr YSR Aarogyasri Scheme
Under the scheme, the state offers the following primary benefits to its policyholders:
Cashless medical facilities: A key feature of this program is the availability of cashless medical services. Under the scheme, policyholders and beneficiaries receive a financial cover of ₹5 lakhs per family annually. An individual can use this policy in medical emergencies to avail of cashless hospitalisation benefits.
Family-floater plan: Another benefit is that it offers health insurance coverage for the entire family, covering all family members under its Family-Floater Health Insurance Cover. Furthermore, an individual can avoid the cost and time of purchasing individual health insurance policies for each member. All healthcare needs can be met by one policy.
Covers emergency hospitalisation: When a medical emergency arises that results in an instant (unprepared) need for hospitalisation, this scheme will help and be helpful to the beneficiaries. The scheme covers all hospitalisation costs under its financial cover.
Covers Pre-existing diseases: Many health insurance policies exclude coverage for pre-existing diseases. In addition to pre-existing illnesses, the Dr YSR Aarogyasri scheme covers beneficiaries for certain pre-existing conditions, namely those for which the beneficiary was getting treatment before enrolling in the scheme.
Covers OPD treatment: The scheme covers daycare procedures and in-patient hospitalisation expenses. Healthcare camps and daycare centres in the insurer's network offer cashless treatment for OPD treatments.
Follow-up visits: Following hospital discharge, some treatments may require minor outpatient checkups. Such follow-up visits and procedures are covered by the scheme as well.
Dr YSR Aarogyasri’s Health Card
Under the Dr YSR Aarogyasri scheme, eligible families receive a YSR Aarogyasri Health Card. The card is accepted at empanelled hospitals in Andhra Pradesh and Telangana, providing access to cashless medical facilities. The card contains a unique card number, the cardholder's photo, and other information related to the beneficiary. During a medical emergency, the YSR Aarogyasri Health Card serves as proof of enrolment under the scheme.
The YSR health card offers the following benefits:
If medical expenses exceed ₹500,000, the cardholder receives an additional ₹50,000 benefit.
The scheme provides financial assistance for over 900 surgeries and medical procedures.
Medical expenses incurred by the cardholder are reimbursable up to ₹500,000.
The scheme covers critical illnesses costing up to ₹200,000.
To obtain an Aarogyasri card, visit the official website of Dr YSR Aarogyasri Health Insurance Scheme (https://www.ysraarogyasri.ap.gov.in).
Dr YSR Aarogyasri Health Card - Eligibility
Listed below is the eligibility of the YSR Aarogyasri scheme.
The eligibility criteria for enrolling in Dr YSR Aarogyasri's scheme are straightforward.
A family native to Andhra Pradesh or Telangana may register under the scheme.
A family should have an annual income below Rs. 5 lakhs.
It is also necessary that they hold white ration cards.
Members of Antodaya Anna Yojana are also eligible for Aarogyasri Eligibility.
YSR Aarogyasri Scheme – List of Diseases Covered
There are a variety of treatments covered by Dr YSR Aarogyasri's scheme, ranging from simple medical procedures to unique critical care treatments. Generally, under this scheme, hospitalisation for kidney failure, neurosurgical diseases, cancers, heart diseases, etc., can be arranged through the cashless facility.
The following are a few examples of treatments for your reference:
General Surgery
Ophthalmology
ENT Surgery
Gynaecology & Obstetrics
Surgical Gastroenterology
Orthopaedic Surgery and Procedures
Cardiothoracic Surgery
Genitourinary Surgeries
Paediatric Surgeries
Neuro Surgery
Medical Oncology
Surgical Oncology
Radiation Oncology
Polytrauma
Plastic Surgery
Prostheses
General Medicine
Critical Care
Infectious Diseases
Cardiology
Paediatrics
Nephrology
Pulmonology
Neurology
Dermatology
Endocrinology
Rheumatology
GastroEnterology
Psychiatry
YSR Arogyasri Scheme: What Is Not Covered?
The Dr YSR Aarogyasri scheme does not cover specific procedures. The scheme excludes the following diseases and procedures. In these cases, the beneficiary will be responsible for the cost of medical procedures:
Knee replacement surgeries
Medical treatment related to bone marrow
Gamma-knife procedures in neurosurgery
Leprosy
Assisted devices for cardiac failures
Filaria
Liver and cardiac transplantations
Malaria
Tuberculosis
HIV/AIDS
Infectious diseases
Jaundice
Gastroenteritis
Etcetera
YSR Aarogyasri Hospitals List
Dr YSR Aarogyasri Health Insurance Scheme empanels several hospitals. The beneficiaries receive cashless hospitalisation benefits from these network hospitals. Here is a list of network hospitals that offer the scheme:
Name of the Hospital | Hospital Area |
---|---|
Aditya MultiCare Hospital | Visakhapatnam |
Susrutha Peoples Hospital | Mahabubnagar |
Amrutha Heart Hospital | Prakasam |
Sushruta Cancer Hospital | Karimnagar |
Sri Ram Kidney Infertility and Laparoscopic Centre | Khammam |
Sindhura Hospitals | Srikakulam |
Shree Balaji Multi Speciality Hospital | Medak |
Sentini Hospitals Private Limited | Krishna |
Raju Neuro And Multispeciality Hospital Private Limited | East Godavari |
Pushpagiri Eye Institute | Hyderabad |
Pushpagiri Eye Hospital | Vizianagaram |
Narayana Medical College Hospital | Nellore |
M N Hospital | Guntur |
Kamineni Institute Of Medical Sciences | Nalgonda |
Indur Cancer Hospital | Nizamabad |
Gowri Gopal Hospitals Pvt Ltd | Kurnool |
Gk Hospital | Adilabad |
Dr YSR Memorial Hospitals | Anantapur |
Chandra Mohan Nursing Home | Chittoor |
Apollo Drdo Hospitals | Ranga Reddy |
You can purchase Tata AIG's health insurance, whether or not you are eligible to join YSR Aarogyasri's medical insurance plan. A comprehensive health insurance policy can allow you to receive extensive coverage for medical emergencies and access to our 7200+ cashless network hospitals.
Moreover, you enjoy all benefits of health insurance when you can customise the policy, choose the coverage and the premium payments, and also avail of other benefits like the cumulative bonus when you do not file a claim on your health insurance policy.
Conclusion
As a state-run program, the Dr YSR Aarogyasri Scheme helps the financially challenged obtain healthcare benefits for a reasonable price. Secure your financial future and your loved ones using the scheme's benefits.
Disclaimer / TnC
Your policy is subjected to terms and conditions & inclusions and exclusions mentioned in your policy wording. Please go through the documents carefully.