Dr YSR Aarogyasri Health Care Trust

1. Neurosurgery
2. Critical Care
3. Ophthalmology Surgery
4. Dermatology
5. Organ Transplantation Surgery

1. Endocrinology
2. Orthopaedic Surgery and Procedures
3. Ent Surgery
4. Paediatric Surgeries
5. Epidemic Disease

1. Pediatrics
2. Gastroenterology
3. Plastic Surgery
4. General Medicine
5. Poly Trauma

1. General Surgery
2. Psychiatry
3. Genito Urinary Surgeries
4. Pulmonology
5. Gynaecology and Obstetrics Surgery

1. Radiation Oncology
2. Surgical Oncology
3. Infectious Disease
4. Surgical Gastro Enterology
5. Medical Oncology

1. Rheumatology

What is Not Covered under Dr. YSR Aarogyasri Scheme?  

The Dr. YSR Aarogyasri Scheme excludes a number of procedures. In the following situations, the beneficiary will have to pay the expense of medical procedures: 

1. Gamma-knife procedures in Neurosurgery 
2. Leprosy 

1. Assisted devices for cardiac failures 
2. Malaria 
3. Tuberculosis 
4. Gastroenteritis 
5. Medical treatment for bone marrow 

1. Surgery for knee replacement 
2. Filaria 
3. Cardiac and liver transplantations 
4. HIV/AIDS 
5. Jaundice 

1. Infectious diseases

Eligibility Criteria for Dr. YSR Aarogyasri Scheme

The eligibility criteria to apply for the Dr. YSR Aarogyasri Scheme are outlined below:

1. Individuals holding a Rice Card.
2. Families who qualify for the YSR Pension Kanuka Card and Jagananna Vidya and Vasathi Deevena Card.

1. In the case of other families, the following criteria are relevant:

1. Those who hold land of fewer than 12 acres of wet land
2. Those who hold land less than 35 acres of dry land
3. Those who have less than 35 acres of land (wet & dry) in total

1. Every household that pays municipal property taxes in an area lesser than 3000 SFT.

1. Households that own only one personal car.
2. Anyone with a salary of less than or equal to Rs.5 lakh per year who is not a permanent government employee or pensioner. Part-time employees, sanitary workers, contract workers, and honorarium-based employees who work in the public and private sectors are included.
3. Families with an annual income of up to Rs.5 lakh (as shown by a salary certificate)
4. Households that file Income Tax Returns for an annual income of up to Rs.5 lakh.

Documents Required for Dr. YSR Aarogyasri Scheme

Applicants need the following documents to apply for the Dr. YSR Aarogyasri Scheme:

1. Proof of address
2. Aadhaar card 
3. Income tax returns or income certificate

How to Apply for Dr. YSR Aarogyasri Scheme Online?

The following are the steps to apply for the Dr. YSR Aarogyasri Scheme online:

How to Apply for Dr. YSR Aarogyasri Scheme Offline?

If you want to apply for the Dr. YSR Aarogyasri Scheme, follow the process mentioned below:

Step 1: Visit the official YSR Navasakam website.

Step 2: Under the ‘Download’ section, click on the ‘YSR Aarogyasri Health Card Performa’ option.

Step 3: Download the application form displayed on the screen. 

Step 4: Collect a printout of the form and fill it out with your details. 

Step 5: Submit the form along with supporting documents to the concerned department. 

Step 6: The authorities will verify your documents and issue a YSR Health Card.  

YSR Aarogyasri Health Card

The YSR Aarogyasri Health Card is given to eligible families who enrol in the Dr. YSR Aarogyasri Scheme. The empanelled hospitals in Andhra Pradesh and Telangana provide cashless medical services through this card. It has information about the beneficiary including a special card number and the cardholder’s photograph. If a medical emergency occurs, the YSR Aarogyasri Health Card also serves as documentation of enrolment in the programme. 

How to Download YSR Aarogyasri Health Card?

The steps to download the YSR Aarogyasri Health Card are as follows: 

Step 1: Go to the YSR scheme's official website at (www.ysraarogyasri.ap.gov.in). 

Step 2: Under the website's 'EHS' section, select the 'Download Health Card’ option. 

Step 3: Enter your user ID and click on the 'Go' option.  

Step 4: Fill out the form with the necessary data as directed. 

Step 5: The YSR Aarogyasri Health Card will appear on the screen which can be downloaded for future use. 

How to Check Status of YSR Aarogyasri Health Card?

To check the status of your YSR Aarogyasri Health Card, follow the steps mentioned below: 

Step 1: Visit the YSR Aarogyasri Portal. 

Step 2: Select ‘EHS’ under the ‘Scheme’ section on the main page.  

Step 3: Navigate to the ‘Citizen’ section, select ‘Patient Services’ and click on the ‘Health Card Status’ option. 

Step 4: The Health Card Status page will appear on the screen. 

Step 5: Enter your Employee ID or Pensioner ID and click on the ‘Search’ option. You will be able to view the status of your YSR Aarogyasri Health Card. 

How to Download YSR Aarogyasri App?

Beneficiaries can use the Aarogyasri App to access information about the Dr. YSR Aarogyasri Scheme. The steps to download the application on Android devices are as follows: 

Step 1: Open ‘Google Play Store’ on your smartphone and search ‘YSR Aarogyasri.’ 

Step 2: Tap on the ‘Install’ option. 

Dr. YSR Aarogyasri Scheme Claim Procedure

The smooth operation of the Dr. YSR Aarogyasri portal has facilitated an easier claim procedure for this scheme. The claim process for beneficiaries and hospitals is as follows: 

Beneficiaries: Compared to commercial health insurance, beneficiaries of the Dr. YSR Aarogyasri Scheme do not need to go through an extensive claims process. YSR Aarogyasri Health Cards are given to participants as soon as they enrol. A patient only needs to present their health card to Vaidya Mitra in order to receive medical care at an empanelled hospital. After gathering the data listed on the card, the treatment may commence. 

Beneficiaries can give the Vaidya Mitra their YSR Aarogyasri Health Card number if they don't possess a physical card. It is advisable to take a photograph of the health card. If documentation is not available that demonstrates a patient's eligibility for the Dr. YSR Aarogyasri scheme, information can be obtained by contacting the Aarogyasri Trust. 

Hospitals: In the event of planned surgical treatments, pre-authorisation must be requested by the hospital. The Dr. YSR Aarogyasri Healthcare Trust will only accept claims if the hospital administration complies with the requirements listed below:

1. The claim is intimated on time. 
2. For the purpose of settling the claim, photographic proof of the treatment is available. 
3. The claim amount does not exceed the pre-authorisation limit. 
4. The hospital has pre-authorisation to perform a treatment that is on the list of accepted treatments.  

With the assistance of the Dr. YSR Aarogyasri portal, a claim is settled. Gathering claim documents, notifying a claim, and reviewing claim documents can also be done through this portal. Following the receipt of a claim, these verifications are performed: 

1. The patient's identity 
2. Claim amount in line with the amount that was pre-authorised 
3. proof of treatment 
4. Managing cases in accordance with pre-authorisation 

The Trust must confirm the applicant's identity, the listed therapy, the amount of the claim, and the supporting documentation after receiving it. The claim must be settled, and payment should be made to the network hospital within seven days of the confirmation that the listed treatment has been provided. This confirmation is done through a photograph or a medical record like a case sheet. 

Features & Benefits of Dr. YSR Aarogyasri Scheme

The features and benefits offered under the Dr. YSR Aarogyasri Scheme are listed below: 

1. In-patient Care: The Dr. YSR Aarogyasri Scheme covers all diseases that are specified in the scheme and need in-patient care. 
2. Out-Patient Care: Beneficiaries can avail out-patient treatment at health camps and in the network hospitals.  
3. Family-floater health insurance coverage: The entire family is eligible to use the allocated sum insured. Any family member does not have to buy the plan separately. 

1. Pre-existing Disease Coverage: It provides coverage for illnesses that a beneficiary may have had prior to enrolling in the programme. 
2. Cashless Services: Beneficiaries can avail financial protection worth Rs.5 lakh per family per year. Any registered family member who requires medical attention may use this benefit. 
3. Coverage for Follow-up Treatments: Follow-up procedures after hospitalisation are covered under the scheme.