Who is Eligible for the Dr. YSR Aarogyasri Health Card?

Aarogyasri Health Card: Who Qualifies, What’s Covered & How to Register

Approximately 1.29 crore families in Andhra Pradesh are beneficiaries of the Dr. YSR Aarogyasri Health Scheme. Launched in 2007, it is a health insurance program by the Government of Andhra Pradesh which aims to provide cashless medical treatment to economically disadvantaged families.

Eligible beneficiaries receive an Aarogyasri Health Card, granting them access to a wide network of empanelled hospitals for various medical procedures. This guide covers the eligibility criteria for the Dr. YSR Aarogyasri Health Card, its benefits, the application process, and more.

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How do you qualify for the Dr. YSR Aarogyasri Health Card?

To qualify for the Aarogyasri Health Card, applicants must meet the following criteria:

• Residency: Must be a resident of Andhra Pradesh or Telangana.
• Income Limit: Annual family income should be less than ₹5 lakh.(salary certificate evidence)
• Ration Card: Possession of a White Ration Card is mandatory.(All rice card holders are eligible)
• Land Ownership: Total land holding should not exceed 35 acres (wet and dry combined).
• Property Tax: Families paying municipal property tax for a residential property of less than 3000 square feet are eligible.
• Vehicle Ownership: Should not own more than one four-wheeler vehicle.
• Government Employees: State government employees and pensioners are generally excluded, except for specific categories like outsourced employees and honorarium-based workers. Employees: Any employee, other than permanent Government employee/ pensioner, whose annual income is less than or upto Rs.5.00 Lakhs is eligible. It includes outsourcing, Contract, Part time employees, Sanitary workers, Honorarium based employees working in Government sector and employees of Private sector.
• Special Categories: Members of the Antyodaya Anna Yojana and families identified by the Socio-Economic Caste Census (SECC) as Below the Poverty Line (BPL) are also eligible.
• Families which are eligible for YSR Pension Kanuka Cardand Jagananna Vidya and VasathiDeevena Card are also 
• Income Tax Payers: Families who are filing Income TaxReturns for annual income up to Rs.5.00 Lakhs are eligible (Income Tax Return evidence)

What Benefits Does the Aarogyasri Health Card Provide?

The Aarogyasri Health Card offers comprehensive health coverage, including:

• Coverage Amount: Up to ₹2 lakh per family per annum for medical expenses.(500000 lakh )
• Additional Coverage: An extra ₹50,000 for critical illnesses, bringing the total to ₹2.5 lakh in specific cases.
• Cashless Treatment: Access to cashless medical services in empanelled government and private hospitals.
• Wide Range of Procedures: Covers over 938 medical and surgical procedures, including treatments for cancer, cardiac diseases, kidney ailments, and neurological disorders.(It offers coverage of 2446 identified diseases)
• Family Coverage: The entire family is covered under a single card, eliminating the need for individual policies.

How do I apply for the Aarogyasri Health Card?

Applicants can apply for the Aarogyasri Health Card through the following methods:

1 Online Application:

• Visit the official Navasakam portal or the Grama Ward Sachivalayam portal.
• Log in and select the Aarogyasri Health Card application link.
• Fill out the application form with the required information.
• Upload necessary documents such as income certificate, ration card, and address proof.
• Submit the application and print a copy for reference.

2 Offline Application:

• Download the application form from the official portal.
• Fill in the required details and attach the necessary documents.
• Submit the completed form at the nearest Meeseva centre or Grama Ward Sachivalayam office.

After submission, the Aarogyasri Health Card is typically issued within 15 days.

How do you check the status of your Aarogyasri Health Card application?

To track the status of your application:

• Visit the official Aarogyasri portal.
• Navigate to the 'Card Status' section.
• Enter your application number or registered mobile number.
• View the current status of your application and any further instructions.

What Documents are Required for Aarogyasri Health Card Application?

Applicants need to provide the following documents:

• White Ration Card
• Income Certificate
• Aadhaar Card
• Residence Proof
• Passport-sized Photographs
• Land Ownership Documents (if applicable)
• Vehicle Registration Certificate (if applicable)
• BPL certificate

Are Private Hospitals Covered Under the Aarogyasri Health Scheme?

Yes, the Aarogyasri Health Scheme includes a network of empanelled private hospitals that provide cashless treatment to beneficiaries. These hospitals are selected based on specific criteria set by the Aarogyasri Health Care Trust to ensure quality healthcare services.

Can Beneficiaries Avail of the Aarogyasri Health Scheme Outside Andhra Pradesh?

Yes, beneficiaries of the Dr YSR Aarogyasri Scheme can receive treatment in empanelled hospitals outside Andhra Pradesh only if the procedure is not available within the state.

Such cases are referred by the Aarogyasri Trust through a defined referral mechanism. Hospitals outside the state must be on the empanelled list and meet the treatment criteria to qualify for reimbursement.

What Medical Conditions Are Covered by the Aarogyasri Health Scheme?

The scheme covers 949 tertiary and secondary procedures across 30 specialities, including but not limited to:

• Oncology (medical, surgical, and radiation)
• Cardiology and cardiothoracic surgery
• Nephrology and urology (including dialysis and transplants)
• Neurology and neurosurgery
• Gastroenterology and gastrointestinal surgery
• Orthopedics, including joint replacements
• Pediatric congenital conditions
• Emergency trauma services

Kidney and liver transplants are covered only at specific accredited institutions under pre-authorized conditions. Additionally, the Trust maintains a dynamic list of procedures and hospitals on its official portal.

Are There Any Exclusions Under the Aarogyasri Health Scheme?

The Aarogyasri scheme does not cover the following:

• Outpatient consultations and diagnostics
• Cosmetic procedures
• Organ transplantation (except in specific pre-authorized cases)
• Experimental or non-standard therapies
• Conditions already covered under other specific government schemes

Maternity benefits, routine deliveries, and immunizations are usually handled under the Thalli Bidda Express Scheme or Janani Suraksha Yojana, not Aarogyasri.

What Happens in Case of Emergency Admissions?

In emergency situations, treatment can begin immediately at any empanelled hospital. The hospital is mandated to submit pre-authorization documents within 24 hours of admission. Emergency coverage includes trauma, burns, strokes, and cardiac arrests.

Is Re-Enrollment or Renewal Required?

No separate renewal is required as long as the White Ration Card remains active and the linked Aadhaar data is current. The scheme conducts periodic eligibility checks based on income tax returns, property records, and SECC database updates. If disqualified, the cardholder is notified via SMS or village secretariat officers.

So, if you or your loved ones are eligible for the Dr. YSR Aarogyasri Health Scheme, file your application by following the above-mentioned steps. Just ensure that you have a clear idea of the inclusions and exclusions so that you can promptly apply for coverage whenever necessary and avoid any unexpected surprises when filing claims.

The following services will be provided free of cost after admission in hospital:

Free Admission.Doctor Consultation. (Every Day).Nursing Services. (Per Day).Necessary Medical Tests.Necessary Medicines.Surgery (Operation) or Treament.Breakfast, Lunch. (Two Meals).Medicine for 10 Days after Discharge.Necessary Charges for Going Home after Discharge.

Specialities & Treatments Covered:

ENT Surgery;  General Surgery;  Ophthalmology;  Septorhinoplasty;  Gynaecology & Obstetrics;  Glaucoma surgery;  Orthopaedic Surgery & Procedures;  Surgical Gastroenterology;  Cardiothoracic Surgery;  Paediatric Surgeries;  Myringoplasty;  Genitourinary Surgeries;  Neurosurgery;  Surgical Oncology;  Medical Oncology;  Radiation Oncology;  Plastic Surgery;  Polytrauma;  Prostheses;  Open Radical Prostatectomy;  Critical Care;  General Medicine;  Infectious Diseases;  Paediatrics;  Cardiology;  Nephrology;  Neurology;  Pulmonology;  Dermatology;  Rheumatology;  Endocrinology;  Gastroenterology;  Psychiatry.

Exclusions

The following medical conditions are not covered in this scheme:

• Knee replacement surgeries
• Gamma-knife procedures in neurosurgery
• Medical treatment related to bone marrow
• Leprosy
• Filaria
• Assisted devices for cardiac failures
• Cardiac and liver transplantations
• Malaria
• HIV/AIDS
• Tuberculosis
• Infectious diseases
• Gastroenteritis
• Jaundice