Dr NTR Vaidya Seva Health Scheme

Dr NTR Vaidya Seva Health Scheme: Comprehensive Guide

Launched in 2007, the Dr NTR Vaidya Seva Health Scheme which was previously known as Aarogyasri scheme is one of the notable initiatives of the Andhra Pradesh Government to safeguard low-income families in the state. It is structured in the PPP (Public-Private Partnership) model of health insurance schemes. The primary objective of this scheme is to provide cashless treatment for needy patients.

Wondering who is eligible for benefits under this scheme? Read on to learn its features, eligibility criteria, required documents, and more.

What are the Features and Benefits of the Dr NTR Vaidya Seva Health Scheme?

Families belonging to the low-income category can benefit from the Dr NTR Vaidya Seva Health Scheme. Here are some of them:
 

• Out-Patient Treatment: Beneficiaries can visit health camps or network hospitals for cashless treatment for the diseases listed under the Aarogyasri scheme.
• Cashless Healthcare; Each beneficiary and their family can avail of a financial coverage of ₹25 Lakh annually. Families registered under this scheme can utilize this amount for cashless treatments.
• In-Patient Care: It covers the hospitalization costs and the treatment for the diseases listed under the scheme.
• Follow-up Treatment Cover: Individuals usually need to spend a good amount of money on follow-up treatment after being hospitalized. Such expenses are covered under this scheme.
• Pre-Existing Disease Cover: Most health insurance companies do not offer this coverage, but with the Dr NTR Vaidya Seva Health Scheme, individuals can avail themselves of treatment benefits even for a pre-existing disease.
• Family Floater Cover: The Aarogyasri health card covers the health requirements of the beneficiary's whole family. Thus, there's no need to insure each family member separately.

What are the eligibility criteria for applying for the Dr NTR Vaidya Seva Health Scheme?

 The following individuals are eligible for Dr NTR Vaidya Seva Health Scheme AP:

• The applicant must be a permanent resident of Andhra Pradesh to qualify for the scheme.
• Only families identified as Below Poverty Line (BPL) are eligible for the benefits under this scheme.
• The annual household income should not exceed ₹5,00,000 to apply for the scheme.
• Families that own less than 35 acres of land in total (including both dry and wet land) are eligible.
• Beneficiaries must possess an Aarogyasri Health Card issued by the Government of Andhra Pradesh.
   

What are the Documents Required to Apply for the Dr NTR Vaidya Seva Health Scheme?

 The following are the documents required to apply for an Aarogyasri health card:

• Address proof
•  Income certificate
• Aadhaar card
• BPL certificate
   

How to Apply for Dr NTR Vaidya Seva Health Scheme?

Here are the steps to follow while applying for an Aarogyasri card online:

 1.Visit the official website (https://drntrvaidyaseva.ap.gov.in)
 2. Click the "Log In" tab and locate the "Aarogyasri Health Card" application.
 3. Fill out the form with the necessary details and upload all the required documents.
 4. Click on "Submit" and keep a printout of your application for future reference.

The Following are the steps to apply for the Aarogyasri scheme offline:

1. Log in to the official website: https://drntrvaidyaseva.ap.gov.in.
2. Click on the "Download" option.
3. A new page will open with the Aarogyasri application form.
4. Click on the download option and print out the form.
5. Enter the necessary details to fill out the form.
6. Visit the concerned department and carry all the supporting documents.
7. Submit your application form along with copies of the documents.

After completing the document verification, the authorities will hand you the Aarogyasri health card.

What Treatments Are Covered Under the Dr. NTR Vaidya Seva Health Scheme?

Treatment for more than 949 illnesses, including cancer, kidney issues, heart disease, neurological disorders, etc., is covered under the Aarogyasri scheme. It covers the following organ transplants and provides follow-up packages for treatments:

• Live kidney and liver transplants
• Autologous and allogenic stem cell transplants
• Cadaver heart, liver, kidney, and lung transplants
• Cadaver heart and lung transplant surgeries
   

The Dr. NTR Vaidya Seva Health Scheme is designed to cover a wide range of medical conditions, ensuring that families do not face financial burdens during critical times. If you are wondering what are the diseases covered under Aarogyasri, the scheme includes over 949 treatments such as cancer care, kidney transplants, cardiac surgeries, neurological disorders, and more. This extensive list highlights the strength of Aarogyasri coverage diseases and makes the scheme one of the most inclusive health programs in Andhra Pradesh.

Here are some more treatments covered under this scheme:

• Chemotherapy and surgery costs for cancer treatments
• Kidney transplants and dialysis costs for kidney treatments
• Angioplasty and bypass surgery costs for heart treatments
• Parkinson's disease and stroke treatments for neurological conditions
• Spinal surgeries and joint replacement costs for orthopaedic care
• COPD and asthma treatment costs
• Ulcerative colitis surgery costs for gastrointestinal disorders
• Surgeries and burn treatment costs
• Specific medical treatment coverage for newborns
   

The Dr NTR Vaidya Seva Health Scheme also covers the following surgeries:

• ENT surgery
• Medical oncology
• Excision of Meckel's diverticulum
• Surgical gastroenterology
• The neck of bladder reconstruction
• Bone tumour surgery
• Plastic surgery
• Cardiothoracic surgeries
• Coronary balloon angioplasty with a drug-eluting stent
• Surgical oncology
• Superficial parotidectomy (non-malignant)
• Emphysema thoracic surgery
• Myringoplasty
• Genitourinary surgeries
• Orthopaedic surgeries and procedures
• Ophthalmology
• Gynecology and obstetrics
• Joint reconstruction/intra-articular fractures
• Excision of ureterocele with ureteric implantation
• Radiation oncology
• Laparoscopic surgical treatment for duodenal perforation
• Glaucoma surgery
• Septorhinoplasty
• Exenteration of the orbit
• Open radical prostatectomy
• Pediatric surgeries
• Neurosurgery
• Rectopexy open with mesh for rectal prolapse
• Rectovaginal fistula management without colostomy
• Lumbar hernia repair in a pediatric patient
   

Which Treatments Are Excluded from the Dr. NTR Vaidya Seva Health Scheme?

The following treatments are not covered under the Dr. NTR Vaidya Seva Health Scheme:

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

How to Download the Arogyasri Health Card?

Here are the steps for the Aarogyasri card download:

1. Visit https://drntrvaidyaseva.ap.gov.in for Aarogyasri login.
2. On the homepage, select "EHS" and click on "Download Health Card."
3. Enter your username and password and select "GO."
4. Complete the form and view your Dr. NTR Vaidya Seva Health Card on the screen.
5. Download the Aarogyasri card.

How to Claim Aarogyasri Health Benefits?

Claiming the Aarogyasri health benefits is not as complex as the claim process of health insurance schemes. Here's what to do:

• The beneficiaries must get treatment from the empanelled hospitals and submit the health card to the Vaidya Mitra.
• They will collect the information from the card before initiating the treatment.
• The beneficiary can also provide the Aarogyasri number to Vaidya Mitra instead of submitting the original document.
• If such a situation arises when the documentation does not attest to the beneficiary's Aarogyasri eligibility, they can contact the Aarogyasri Trust for assistance.

The claim process for hospitals differs from that of a beneficiary. They must seek authorization beforehand if any surgical treatment has been planned. For Hospitals

Dr. Nandamuri Taraka Rama Rao Vaidya Seva Trust can fulfil the claim once the hospital authorities meet the following conditions:

• The claim amount should be within the pre-authorization limit.
• Hospitals are allowed to treat only those diseases that are listed in the approved treatment list.
• The claim should be intimated at the earliest opportunity.
• For seamless claim settlement, hospitals need to produce photographic evidence of the treatment.

The Dr NTR Vaidya Seva Health Scheme represents a crucial step towards ensuring equitable healthcare access in Andhra Pradesh. It was mainly introduced for low-income families who might otherwise struggle with medical expenses. With ongoing improvements and increased awareness efforts, this initiative has the potential to significantly enhance public health outcomes in the region.