Who is Eligible for the Dr. YSR Aarogyasri Health Card?
Aarogyasri Health Card: Who Qualifies, What’s Covered & How to Register
The Andhra Pradesh government provides cashless healthcare assistance to eligible households through its state healthcare scheme. Verify the current scheme name and beneficiary count before quoting them. 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.
Keep reading!
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: Applicants must meet the residency conditions specified for the Andhra Pradesh scheme.
- Income Limit: Current household-income requirements and accepted evidence should be confirmed against the latest eligibility rules.
- Ration Card: Eligibility may be linked to the state’s approved household or ration-card databases, subject to current rules.
- 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: Conditions may differ for permanent government employees, pensioners, contractual workers and other categories.
- Employees: Confirm the current eligibility notice.
- 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 the YSR Pension Kanuka Card and Jagananna Vidya and Vasathi Deevena Card are also eligible.
- Income Tax Payers: Families who are filing Income Tax Returns 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- Coverage Amount: Benefit limits and eligible treatment packages must be updated to the latest notified amounts; do not publish conflicting figures.
- 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: Covered treatment packages and their current number are published by the administering authority and may change.
- 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.
Application processing time varies; applicants should check the status through the designated government channel.
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 an 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.
The Aarogyasri Trust refers such cases 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?
Aarogyasri health insurance 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
- Orthopaedics, including joint replacements
- Pediatric congenital conditions
- Emergency trauma services
Kidney and liver transplants are covered only at specific accredited institutions under pre-authorised 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-authorised cases)
- Experimental or non-standard therapies
- Conditions already covered under other specific government schemes
Maternity benefits, routine deliveries, and immunisations 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-authorisation 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 by 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 to the hospital:
Covered services may include eligible hospital admission, consultations, nursing, tests, medicines and treatment, subject to the scheme’s approved package rules. 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
Reader Information: The Section 80D tax benefits discussed are applicable only under the old tax regime, subject to prevailing tax laws and regulations.
Also Read:
→ Why is Medical Indemnity Insurance Needed
→ Awaz Health Insurance Scheme
FAQs
Residents of Andhra Pradesh from low income families are eligible. This mainly includes families holding a white ration card or those identified as financially weak by the state government.
Income criteria, where applicable, should be confirmed under the current Andhra Pradesh scheme rules, together with any other household eligibility requirements.
Yes. Both urban and rural residents of Andhra Pradesh can apply, as long as they meet the income and residency conditions.
Commonly required documents include Aadhaar card, ration card, income certificate, proof of residence, and a recent passport size photograph.
Popular Topics
Related Health Insurance Links
This content is intended solely for general health awareness and informational purposes and should not be construed as medical advice, diagnosis, prescription or treatment recommendation. Any reference to diseases, medicines or treatments is illustrative and does not constitute an endorsement or recommendation. Please consult a qualified medical practitioner for appropriate medical advice and treatment. Do not self-medicate or alter any prescribed medication based on this information.
