Dr YSR Aarogyasri Scheme

The Dr YSR Aarogyasri Health Care Trust provides coverage for various treatments ranging from simple procedures to critical care treatment. 2434 operations and treatments are available in a total of 30 categories.

The list of general operations and critical care services that are covered are provided below:

List of General Surgeries the Scheme Covers

• Orthopaedic surgeries and procedures
• Ophthalmology
• ENT surgery
• Gynaecology and obstetrics
• Surgical gastroenterology
• Medical oncology
• Plastic surgery
• Excision of Meckel’s diverticulum
• Septorhinoplasty
• Bone tumour surgery, reconstruction with internal fixation
• The neck of bladder reconstruction for incontinence
• Myringoplasty
• Exenteration of orbit
• Coronary balloon angioplasty with drug-eluting stent
• Open radical prostatectomy
• Cardiothoracic surgeries
• Paediatric surgeries
• Genitourinary surgeries
• Neurosurgery
• Surgical oncology
• Radiation oncology
• Superficial parotidectomy (non-malignant)
• Rectopexy open with mesh for rectal prolapse
• Glaucoma surgery
• Surgery for emphysema thoracic
• Excision of ureterocele with ureteric implantation
• Joint reconstruction / intra-articular fractures
• Rectovaginal fistula management without colostomy
• Lumbar hernia repair in a paediatric patient
• Laparoscopic surgical treatment for duodenal perforation

List of Critical Care Conditions the Scheme Covers

• General medicine
• Paediatrics
• Nephrology
• Pulmonology
• Rheumatology
• Gastroenterology
• Prostheses
• Infectious disease
• Cardiology
• Neurology
• Dermatology
• Endocrinology
• Psychiatry
• Polytrauma

Broadly, there are two ways to enrol for Dr YSR Aarogyasri Health Care Trust. We have discussed the offline and online methods below.

Offline method to enrol for Dr YSR Aarogyasri Health Care Trust

Eligible candidates can complete the enrolment process for Dr YSR Aarogyasri Health Scheme offline by following these quick and simple steps:

Step 1: Visit the official website of YSR Navasakam (https://navasakam2.apcfss.in/)

Step 2: Select the ‘Download’ option available on the screen.

Step 3: Then click on the ‘YSR Aarogyasri Health Card Performa’.

Step 4: You will be redirected to a new page where the application form to apply for the YSR Aarogyasri Scheme will open.

Step 5: Download this form and take a printout of the same.

Step 6: Fill out the form with the requested details.

Step 7: Submit the form to the concerned department and the supporting documents.

Step 8: Once these documents are verified, the beneficiaries shall receive a YSR Health Card.

Online method to enrol for Dr YSR Aarogyasri Health Care Trust

The following is the step to upload your Dr YSR Aarogyasri Health Care Trust application online:

Step 1: To register, go to either the Navasakam official website or the gramme ward Sachivalayam portal.

Step 2: After that, select the login tab. The login page will be routed to you.

Step 3: Log in to the website and choose the application for the "Aarogyasri Health Card."

Step 4: Complete the necessary information.

Step 5: After that, upload all required proofreading materials.

Step 6: As a final step, submit the application form online and print a copy for your records.

Families will receive a YSR Health Card with their unique card number, a picture of the holder, and other information once enrollment is complete. The YSR Health Card demonstrates that the beneficiaries are registered for the programme and are eligible to use the required cashless services at the network hospitals.

The YSR Aarogyasri health card provides its cardholders with a range of benefits, including:

Cashless Advantages

Using the YSR health card at network hospitals is hassle-free for the cardholder who can receive cashless treatments.

Compensation Facility

Up to Rs. 1.5 lakh in medical bill reimbursement is available with the Aarogyasri card. When a person exceeds the Rs. 1.5 lakh limit, they are eligible for a special benefit of Rs. 50,000.

Protection Against Serious Illness

The YSR health card provides subscribers with coverage worth Rs. 2 lakh for serious illnesses.

Numerous Treatments are Included

The YSR health card covers more than 900 different medical procedures, including operations.

The efficient operation of the Dr YSR Aarogyasri portal has made the claim procedure for this plan easier. Following is a description of how hospitals and beneficiaries file claims:

The Claim Process For Beneficiaries:

The Dr YSR Aarogyasri scheme's beneficiaries do not have to go through a drawn-out claims process in order to receive medical care, in contrast to commercial health insurance. When recipients are enrolled, they are given YSR Aarogyasri Health Cards. Giving Vaidya Mitra their health card is all they need to do to receive treatment at an empanelled hospital. The treatment can begin after he or she collects the information listed on the card.

The YSR Aarogyasri Health Card number can be given to Vaidya Mitra by a beneficiary without a physical card. Taking a picture of the health card would be a smart move. In the unlikely event that no documentation attests to a patient's eligibility for the Dr YSR Aarogyasri scheme, the information can be obtained by contacting the Aarogyasri Trust.

The Claim Process For Hospitals:

The hospital should seek pre-authorization in case of planned surgical treatments. A claim can be fulfilled by the Dr.YSR Aarogyasri healthcare trust only if the hospital authorities meet the following conditions:

• The hospitals have pre-authorization for performing a treatment that is included in the list of approved treatments
• The claim is intimated as early as possible
• The claim amount is within the pre-authorization limit
• Photographic evidence of treatment is available for the settlement of claim

Numerous hospitals are accredited under the Dr YSR Aarogyasri Healthcare Trust. In the event of a medical emergency, a hospital with an empanelled status can provide beneficiaries with cashless treatments. The following is a list of hospitals that provide care through the Dr YSR Aarogyasri program:

Telangana Today, a renowned media outlet, claims that Dr YSR Aarogyasri is superior to the Aayushman Bharat Yojana, which was implemented across all of India, in terms of benefits. Here is a comparison of the two health insurance programmes based on a number of variables:

Sum Insured:

The Aayushman Bharat Yojana offers a sum insured of Rs. 5 Lakh, whereas the Dr YSR Aarogyasri Scheme offers a range of Rs. 2 to 13 Lakh.

Eligibility:

The main distinction between Dr YSR Aarogyasri Yojana and Aayushman Bharat Yojana is that Dr YSR Aarogyasri Yojana is more advantageous (ABY). Data from the Socio-Economic Caste Census (SECC) are used to determine eligibility for ABY. If Dr YSR Aarogyasri Yojana had only taken SECC data into account, many families would have been left out.

Implementation:

The state government has more experience with Dr YSR Aarogyasri Yojana because it has been managing the programme for more than ten years, through highs and lows.