Dr YSR Aarogyasri Scheme

Why was Dr YSR Aarogyasri Introduced

Prior to 2007, there was no alternative for a BPL family in Andhra Pradesh who needed to afford treatment to a loved one for cancer, cardiac surgery or neurological ailment. When it came to complicated surgeries, the government hospitals provided basic care, while the patients were forced to go to private hospitals, which were financially out of reach. Land was sold, loans were borrowed, and in some cases, no treatment was even undertaken.

It was to fill this gap that the Dr YSR Aarogyasri Health Care Trust was created, to facilitate cashless and free specialist care for BPL families in Andhra Pradesh. Currently, there are 2.84 crore beneficiaries enrolled, and claims are settled with hospitals within 7 days of confirmation (ysraarogyasri.ap.gov.in).

Under the scheme, the TB patients can avail Nikshay Poshan Yojana support of ₹1,000 per month along with treatment for TB. The pregnant women can also avail of the benefits of Janani Suraksha Yojana (JSY) and Surakshit Matritva Aashwasan Yojana (SUMAN). In cases where the cost of the treatment crosses ₹5 lakh, the government super-speciality hospitals offer one-time assistance of up to ₹15 lakh through Rashtriya Arogya Nidhi (RAN).

Dr. YSR Aarogyasri- Key Highlights

Aarogyasri Card Eligibility- Who Can Apply

To participate in Dr YSR Aarogyasri scheme (ysraarogyasri.ap.gov.in):

• Applicants should be permanent residents of Andhra Pradesh.
• Should possess a white ration card of the BPL families
• Family income should not be more than ₹5 lakh per annum.
• Must not have more than 35 acres of farmland in his/her control.
• Must have no more than one vehicle.

Even employees in the private sector, contractual workers, sanitation workers, and the members of Antyodaya Anna Yojana are eligible.

Family means the head of the household, legal spouse, dependent children, and dependent parents. No age restriction, the whole family is covered under a single floater of ₹5 lakh.

Who is not eligible: The families whose income is above ₹5 lakh, families residing in other states, those who are government employees but not mentioned in the eligible categories, and families whose condition is beyond the procedures covered in 3,000+ procedures.

What Does the Aarogyasri Scheme Cover

How to Apply for Dr. YSR Aarogyasri

Online Registration:

• Go to the YSR Navasakam portal or the Gram Ward Sachivalayam portal.
• On the Aarogyasri enrollment option, click.
• Complete the information for the person and their family completely and accurately.
• Upload required documents
• Submit, those who are approved will receive a unique registration number – this number will be sent out after the approval.

Offline - PHC/Enrollment Kiosk:

• Go to the nearest government hospital, Primary Health Centre (PHC) or official Aarogyasri enrollment kiosk.
• Complete the Application Form and send it with all documents.
• The kiosk operator checks the documents and takes biometric information.
• The YSR Health Card is issued on successful verification.

Periodic health camps are also organised at the District level for eligible families to register and avail free screening and consultation.

Documents Required to Apply for Dr. YSR Aarogyasri

• White ration card- primary eligibility document
• Aadhaar card- for identity and biometric verification
• Income certificate- issued by VAO or Revenue Authorities
• BPL certificate- as proof of economic status
• Address proof- any government-issued document confirming AP residency
• Recent photograph of the applicant

Aarogyasri Card Download and Status Check

To download the Aarogyasri health card:

1. Visit ysraarogyasri.ap.gov.in
2. Log in using your registered credentials or unique registration number.
3. Navigate to the "Download Health Card" section.
4. Enter your Aarogyasri card number or registered member ID.
5. Download and save your e-card.

The card is also accessible through the Aarogyasri app on Google Play Store.

To check Aarogyasri card status:

1. Visit ysraarogyasri.ap.gov.in
2. Click on "Card Status" or "Beneficiary Search"
3. Enter your Aarogyasri card number or Aadhaar number.
4. View enrollment and card details in real time.

There is no annual renewal fee — families that continue to meet eligibility criteria remain covered without additional payment.

How the Claim Process Works

Dr. YSR Aarogyasri is completely cashless without any reimbursement option. Treatment has to be administered at an empanelled hospital:

1. Go to any hospital that is empanelled with Aarogyasri and carry the health card along with the Aadhar card.
2. Bring the card to the Vaidya Mitra/Committee Facilitator at the hospital. In case the card is not available, your Aarogyasri card number will be sufficient.
3. Before treatment, the hospital gets a pre-authorisation from Dr YSR Aarogyasri Health Care Trust.
4. No cash is involved, and all bills are settled between the hospital and the Trust.
5. The e-health record is updated on the portal in real-time after discharge.
6. Within 7 days after confirmation (ysraarogyasri.ap.gov.in), claims are settled with the hospital.

Grievance and Rejection Process

If you are denied, your card is not working, or a hospital requires payment of a balance:

• Step 1: Go immediately to the empanelled hospital and report to the Vaidya Mitra.
• Step 2: If not resolved, dial the toll-free helpline 1800-599-1111 (24 hours) or the PAN India helpline for health 104.
• Step 3: Please directly reach out to the project office - 0863-2228116
• Step 4: Go to the official website (ysraarogyasri.ap.gov.in) and submit a formal complaint in the grievance section.

Typical Rejection reasons:

• Treatment received at a hospital which is not part of the panel.
• Problem not in the approved 3,000+ procedure list
• While verifying, a mismatch in the Aadhaar or document was found.
• If you earn more than what you are eligible for, or if you own land that exceeds the amounts that you qualify for.

Dr YSR Aarogyasri and Other Schemes

• Nikshay Poshan Yojana – Nutritional assistance of ₹1,000 per month for TB patients, available in addition to the Aarogyasri scheme
• Janani Suraksha Yojana (JSY) – a financial incentive for institutional delivery services, available in conjunction
• Rashtriya Arogya Nidhi (RAN) – ₹15 lakhs for expenses beyond ₹5 lakhs in government super-speciality hospitals
• Niramaya Health Insurance Scheme – for relatives suffering from Autism, Cerebral Palsy, and Multiple Disabilities
• Rajiv Aarogyasri (Telangana)– a scheme for residents of Telangana on a similar scheme model
• Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS) (Tamil Nadu) – health insurance for families earning less than ₹5 lakhs
• Gopabandhu Jan Arogya Yojana (GJAY) (Odisha) – a scheme that extends ₹6 lakhs for urban families
• Mission Vatsalya – children living in institutions in AP have access to hospitalisation benefits under empanelled hospitals

Helpline and Support for Dr YSR Aarogyasri

Dr. YSR Aarogyasri scheme offers more than 3,000 surgeries in 30 categories free of cost for BPL families in Andhra Pradesh, wherein the claim settlement happens in 7 days, and there are 2.84 crore enrollees (ysraarogyasri.ap.gov.in). Together with Nikshay Poshan Yojana, JSY and Rashtriya Arogya Nidhi, there is no possibility of any BPL family going bankrupt on account of their illnesses. Enrol yourself at abdm.gov.in with your ABHA card for maintaining your health record digitally, and get enrolled from ysraarogyasri.ap.gov.in or your nearest kiosk office.