The YSR Aarogyasri scheme is a unique health scheme implemented by the State Government of Andhra Pradesh (AP) through Dr YSR Aarogyasri Health Care Trust. This scheme provides financial assistance to the Below Poverty Line (BPL) families for meeting their catastrophic health needs.
To achieve universal health coverage for the BPL families in terms of access to adequate health care and financial protection, the government of AP is implementing the state-sponsored Dr YSR Aarogyasri Health Insurance Scheme.
The YSR Aarogyasri scheme aims to provide good quality health care services in the state and assist poor families with expensive health expenditure. It is a Public-Private Partnership (PPP) model in the field of Health Insurance custom made to the health needs of poor patients.
This scheme provides end-to-end cashless services for the specified diseases under secondary and tertiary care through a network of service providers from the government and private sector.
The YSR Aarogyasri scheme is designed to benefit out-patient consultation and primary care through free screening in the health camps and the network hospitals that are a part of this scheme implementation. This scheme is unique in its applicability since no other state or government agency has provided universal health coverage to the poor.
The Information, Education and Communication (IEC) activity during the health camps, counselling, screening and treatment of common ailments in the health camps and out-patient services in the network hospitals is supplementing the government health care system in the primary and preventive care.
The serious diseases affecting the kidney, heart, brain, burns, cancer and accident cases are covered under this scheme. A total of 2,434 Surgeries or Therapies in 30 categories are covered under the YSR Aarogyasri scheme. The list of 2,434 “Listed Therapies” and 30 categories is provided on the YSR Aarogyasri website.
The existing government medical infrastructure from Primary Health Care, Community Health Care, Area Hospital, Specialty Hospitals and District Hospital can provide free treatment for other diseases. The patients can choose the hospital for treatment. The hospitals covered under this scheme are provided on the YSR Aarogyasri website under the ‘Hospitals’ option.
All the BPL families of AP identified by the BPL ration cards that the Civil Supplies Department issues are eligible to obtain benefits under this scheme. Every person whose name and photo appear on the BPL ration card, including the Annapurna and Anthyodaya Anna Yojana beneficiaries, white ration card (TAP and RAP) suffering from any diseases covered under this scheme are eligible to avail treatment.
All the BPL families with valid white ration cards are automatically covered under YSR Aarogyasri from the day of implementation of this scheme. There is no need for applying separately for this scheme. The beneficiaries will have to contact the empanelled hospitals or Vaidyamithra (help desks) in hospitals for availing treatment under this scheme.
All the BPL families are provided free hospital service under this scheme. Coverage of up to Rs.5 lakh for each family per year is provided under this scheme. The beneficiaries can obtain free medical services from the identified hospitals through a reimbursement mechanism.
The YSR Aarogyasri scheme package includes the following services: