Aarogyasri Telangana: Complete Guide on Application, Eligibility, Features, and Benefits

Explore the features, benefits, and other coverage details of Aarogyasri Telangana.
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3 min
6th March 2024

Aarogyasri Telangana, a flagship healthcare initiative, revolutionizes medical accessibility in the state. Offering comprehensive coverage for critical ailments, surgeries, and treatments, it ensures citizens receive quality healthcare without financial strain. With its wide network of empaneled hospitals and streamlined processes, Aarogyasri scheme is a boon for health equity and social welfare in Telangana.

What is the Aarogyasri Telangana scheme?

The Aarogyasri Scheme is a community health insurance program designed to cater to the healthcare needs of the underprivileged population in the state of Telangana. Implemented by the state government, this initiative operates on a Public-Private Partnership (PPP) model, seamlessly integrating government and private healthcare providers. Beneficiaries receive a Telangana Aarogyasri card, granting access to cashless medical treatment at empanelled hospitals. Through a meticulously crafted framework, it offers end-to-end cashless medical services for identified diseases, ensuring that financial constraints do not hinder access to critical healthcare.

Aarogyasri scheme: An Overview

Scheme name

Aarogyasri Health Insurance Scheme

Regulatory authority

Aarogyasri Health Care Trust

Inception year

2007

Official website

https://aarogyasri.telangana.gov.in/ASRI2.0/

Objective of the scheme

Catering to the healthcare needs of below poverty line population

Eligibility

Valid for Below Poverty Line (BPL) families


Aarogyasri Health Care Trust: Overview

The Aarogyasri Health Care Trust is a government initiative in Telangana, India, aimed at providing quality healthcare to citizens. It operates as a trust to manage funds and resources for the Aarogyasri scheme, offering financial support for medical treatments to eligible beneficiaries. The trust collaborates with hospitals and healthcare providers, ensuring access to essential services without financial constraints. Through its efforts, the Aarogyasri Health Care Trust plays a crucial role in promoting health equity and improving the well-being of individuals and families across Telangana.

Features of the Aarogyasri health insurance scheme

Given below are the key features of Aarogyasri Telangana scheme:

  • Comprehensive coverage: The scheme provides coverage for a wide array of medical services, including high-end procedures such as cochlear implantation surgery, medical oncology, organ transplantation surgeries, maintenance hemodialysis, and thalassemia treatment.
  • Transparent process: From diagnosis to claim payment, the entire process is conducted transparently through online web-based platforms, minimising the scope for misuse and fraud.
  • Primary care emphasis: In addition to secondary and tertiary care, the scheme emphasises primary care by offering free screening and outpatient consultation services in network hospitals, complementing the existing government healthcare infrastructure.
  • Real-time monitoring: District-level monitoring committees oversee the implementation of the scheme, ensuring effective mobilisation and utilisation of resources.

Benefits of Aarogyasri Telangana scheme

Provides comprehensive medical coverage, financial assistance, and quality healthcare services for citizens. Given below are few of its benefits:

Equitable access: By removing financial barriers, the scheme ensures equitable access to quality healthcare services, safeguarding Below Poverty Line (BPL) families against catastrophic health expenditures.

High-end procedure coverage: Aarogyasri provides coverage for high-end procedures beyond the financial limit, including organ transplantation surgeries and cochlear implantation, relieving the financial burden.

Pre-existing conditions: Pre-existing cases of identified diseases are covered under the scheme, offering much-needed relief to patients with chronic health conditions.

What are the inclusions of the Aarogyasri health insurance scheme?

The scheme encompasses a broad spectrum of medical services, including:

  • 949 secondary and tertiary care procedures
  • 126 follow-up packages
  • 9 organ transplantation packages, along with lifelong 28 immunosuppressive follow-up packages for the given below 9 organ transplantation:
    • Cadaver liver transplantation surgery
    • Live liver transplantation surgery
    • Cadaver heart transplantation surgery
    • Cadaver renal transplantation surgery
    • Live renal transplantation surgery
    • Cadaver lung transplantation surgery
    • Allogeneic stem cell transplantation treatment
    • Autologous stem cell transplantation treatment
    • Cadaver heart and lung transplantation surgery package

Additionally, it extends coverage to pre-existing diseases and offers comprehensive follow-up services for optimal post-treatment care.

What are the exclusions of the Aarogyasri health insurance scheme?

While the Aarogyasri Scheme offers extensive coverage, certain exclusions apply. These may include procedures not listed under the scheme, conditions deemed ineligible for coverage, and cases where treatment is sought outside the network of designated healthcare providers.

In conclusion, the Aarogyasri Telangana Scheme stands as a testament to the government's commitment to prioritise healthcare accessibility for the vulnerable sections of society. Through its inclusive approach, robust infrastructure, and unwavering focus on quality care, it serves as a lifeline for countless individuals, offering them a pathway to better health and well-being.

Read more: Beneficiary NHA Portal For PMJAY & Ayushman Bharat Yojana

Significance of health Insurance for all

Be it enrolling in a government-initiated health insurance scheme or buying a private health insurance policy, having health insurance holds importance in India for several reasons:

  • Financial security: It provides a crucial safety net against escalating healthcare costs, ensuring individuals and families are not burdened by hefty medical bills.
  • Access to quality healthcare: Health insurance facilitates access to a network of hospitals and healthcare providers, ensuring timely and adequate medical treatment.
  • Preventive care coverage: Many health insurance plans cover preventive care services such as health check-ups and screenings, promoting early detection and prevention of diseases.
  • Risk management: By pooling risks and resources, health insurance spreads the financial burden of healthcare expenses across a larger population, reducing individual financial risks.
  • Equitable healthcare access: It promotes social equity by offering healthcare access to all, regardless of their financial status or background.
  • Emergency preparedness: Having health insurance ensures preparedness for unexpected medical emergencies, offering a sense of security and stability.
  • Family protection: Health insurance covers the medical needs of the entire family, ensuring their well-being and protection against unforeseen health challenges.
  • Coverage for critical illnesses: Many health insurance plans offer coverage for critical illnesses, providing financial support for expensive treatments.
  • Tax benefits: Health insurance premiums are eligible for deductions under Section 80D of the Income Tax Act, incentivising individuals to invest in health insurance for themselves and their families.
  • Promotion of wellness programs: Some health insurance plans offer wellness programs and incentives for maintaining a healthy lifestyle, encouraging individuals to adopt healthier habits and prevent illnesses.

For more information and to avail of the benefits offered by the Aarogyasri Telangana Scheme, visit the official website: www.aarogyasri.telangana.gov.in.

Also, check some other government schemes

Central Govt Health Scheme

ABHA card

How to download Ayushman Card

PMJAY Registration

BIS PMJAY Registration

Benefits of Ayushman Bharat Yojana

Frequently asked questions

Is the Aarogyasri Telangana scheme available outside of Telangana?

No, the Aarogyasri Telangana Scheme is exclusively available to the residents of Telangana. As a state-run program, it is not accessible in other states or Union Territories within India.

What documents are required to apply for the Aarogyasri Telangana Scheme?

To apply for the Aarogyasri Telangana Scheme, you typically need documents such as proof of residence in Telangana, income certificate or Below Poverty Line (BPL) card, identity proof, and any other documents as specified by the scheme authorities. Detailed requirements can be obtained from the nearest Aarogyasri Telangana facility or through their official website.

Can I avail of cashless treatment outside the network of hospitals under Aarogyasri Telangana?

Typically, Aarogyasri Telangana offers cashless treatment within its network of hospitals. However, in exceptional cases or emergencies where treatment is sought outside the network hospitals, reimbursement may be possible subject to the scheme's terms and conditions. It is advisable to consult with Aarogyasri Telangana authorities for guidance in such situations.

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