Aarogyasri Health Care Trust - Quality Medicare For All
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About

Rajiv Aarogyasri Scheme

RAS is a unique Community Health Insurance Scheme being implemented in Andhra Pradesh from 1st April, 2007. The scheme provides financial protection to families living below poverty line upto Rs. 2 lakhs in a year for the treatment of serious ailments requiring hospitalization and surgery. 938 treatments are covered under the scheme.The objective of the scheme is to improve access of BPL families to quality medical care for treatment of identified diseases involving hospitalization, surgeries and therapies through an identified network of health care providers. The scheme provides coverage for the systems like Heart, Lung, Liver, Pancreas, Kidney, Neuro-Surgery, Pediatric Congenital Malformations, Burns, Post -Burn Contracture Surgeries for Functional Improvement, Prostheses (Artificial limbs), Cancer treatment (Surgery, Chemo Therapy, Radio Therapy ), Polytrauma ( including cases covered under MV Act) and Cochlear Implant Surgery with Auditory-Verbal Therapy for Children below 6 years (costs reimbursed by the Trust on case to case basis ). All the pre-existing cases of the above mentioned diseases are covered under the scheme.

The beneficiaries of the scheme are the members of Below Poverty Line (BPL) families as enumerated and photographed in BPL Ration Card and available in Civil Supplies Department database. The benefit on family is on floater basis i.e. the total reimbursement of Rs.1.50 lakhs can be availed of individually or collectively by members of the family. An additional sum of Rs 50,000 is provided as buffer to take care of expenses if it exceeds the original sum i.e. Rs 1.50 lakhs per family. Cost for cochlear Implant Surgery with Auditory �Verbal Therapy is reimbursed by the Trust up to a maximum of Rs.6.50 lakhs per case.

All transactions are cashless for covered procedures. A BPL beneficiary can go to any hospital and come out without making any payment to the hospital for the procedures covered under the scheme. The same is the case for diagnostics if eventually the patient does not end up in undergoing the surgery or therapy. Hospitals have to conduct free health camp, there by taking advanced evaluation to the doorstep of patient. All the Primary Health Centers (PHCs) which are the first contact point, Area/District Hospitals and Network Hospitals, are provided with Help Desks manned by AAROGYA MITHRAs to facilitate the illiterate patients. The Aarogyamithras were selected by the Zilla Samakhyas and Mandal Samakhyas under Indira Kranti Patham (Self Help Groups).

The diseases specifically excluded from the list are high end diseases such as �hip and knee replacement, bone morrow, cardiac and liver transplantations, gamma-knife procedures in neuro surgery, assisted devices for cardiac failures etc; and diseases covered by national programmes viz., TB, HIV/AIDS, Leprosy, Infectious diseases, Malaria, Filaria, Gastroenteritis, Jaundice etc.

To the extended RAS covers the treatments, it would no longer be permissible for the BPL population to approach the Government for providing relief for medical purposes from the CMRF.

History of Rajiv Aarogyasri Scheme

2007 - 08 2008 - 09 2009 - 10 2010 - 11 2011 - 12 2012 - 13
PERIOD - I PERIOD - II PERIOD - III PERIOD - IV PERIOD - V PERIOD - VI
I Districts & Beneficiaries Anantapur - 31.34
Mahabubnagar - 28.14
Srikakulam - 23.91
Anantapur - 35.31
Mahabubnagar - 35.10
Srikakulam - 22.60
Anantapur - 35.46
Mahabubnagar - 34.18
Srikakulam - 24.39
Anantapur - 35.16
Mahabubnagar - 35.98
Srikakulam - 25.66
Anantapur - 33.68
Mahabubnagar - 32.74
Srikakulam - 24.32
Anantapur - 36.90
Mahabubnagar - 35.20
Srikakulam - 26.78
Period 01.04.2007�To 31.03.2008 05.04.2008 To 04.04.2009 05.04.2009 To 04.04.2010 05.04.2010 To 04.04.2011 05.04.2011 To 04.04.2012 05.04.2012 To 04.04.2013
Therapies 166 272 942 942 938 938
II Districts & Beneficiaries East Godavari - 12.94
West Godavari - 10.02
Nalgonda - 8.82
Ranga Reddy - 11.21
Chittoor - 10.83
East Godavari - 40.36
West Godavari - 31.25
Nalgonda - 27.53
Ranga Reddy - 34.98
Chittoor - 33.79
East Godavari - 40.75
West Godavari - 31.73
Nalgonda - 28.99
Ranga Reddy - 36.61
Chittoor - 34.92
East Godavari - 42.14
West Godavari - 32.88
Nalgonda - 31.20
Ranga Reddy - 37.35
Chittoor - 35.26
East Godavari - 46.36
West Godavari - 35.22
Nalgonda - 30.71
Ranga Reddy - 33.21
Chittoor - 32.22
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Period 05.12.2007�To 04.12.2008 05.12.2008 To 04.12.2009 05.12.2009 To 04.12.2010 05.12.2010 To 04.12.2011 05.12.2011 To 04.12.2012 -
Therapies 210 330 352 938 938 -
III Districts & Beneficiaries - Medak - 25.87
Karimnagar - 26.36
Prakasam - 22.20
Nellore - 21.95
YSR - 22.09
Medak - 24.18
Karimnagar - 34.01
Prakasam - 26.98
Nellore - 25.46
YSR - 23.31
Medak - 23.42
Karimnagar - 33.59
Prakasam - 26.31
Nellore - 27.17
YSR - 24.86
Medak - 23.36
Karimnagar - 32.38
Prakasam - 26.12
Nellore - 26.02
YSR - 22.96
Medak - 26.58
Karimnagar - 36.11
Prakasam - 30.41
Nellore - 27.91
YSR - 25.95
Period - 15.04.2008 To 14.04.2009 15.04.2009 To 14.04.2010 15.04.2010 To 14.04.2011 15.04.2011 To 14.04.2012 15.04.2012 To 14.04.2013
Therapies - 275 942 938 938 938
IV Districts & Beneficiaries - Adilabad - 15.47
Hyderabad - 16.92
Kurnool - 23.47
Vishakhapatnam - 23.66
Vizianagaram - 14.43
Adilabad - 22.35
Hyderabad - 24.18
Kurnool - 31.60
Vishakhapatnam - 35.02
Vizianagaram - 20.50
Adilabad - 21.60
Hyderabad - 20.43
Kurnool - 30.12
Vishakhapatnam - 32.57
Vizianagaram - 19.74
Adilabad - 22.15
Hyderabad - 21.29
Kurnool - 30.72
Vishakhapatnam - 32.89
Vizianagaram - 20.06
Adilabad - 24.28
Hyderabad - 24.73
Kurnool - 38.09
Vishakhapatnam - 38.71
Vizianagaram - 22.80
Period - 17.07.2008 To 16.07.2009 17.07.2009 To 16.07.2010 17.07.2010 To 16.07.2011 17.07.2011 To 16.07.2012 17.07.2012 To 16.07.2013
Therapies - 330 330 352 192 938
V Districts & Beneficiaries - Nizamabad - 14.07
Khammam - 15.11
Warangal - 19.62
Guntur - 25.82
Krishna - 22.47
Nizamabad - 19.97
Khammam - 22.44
Warangal - 29.91
Guntur - 40.70
Krishna - 35.18
Nizamabad - 19.44
Khammam - 22.06
Warangal - 30.20
Guntur - 40.89
Krishna - 35.14
Nizamabad - 19.81
Khammam - 23.64
Warangal - 31.73
Guntur - 43.96
Krishna - 38.42
Nizamabad - 23.68
Khammam - 26.32
Warangal - 35.03
Guntur - 47.80
Krishna - 41.43
Period - 17.07.2008 To 16.07.2009 17.07.2009 To 16.07.2010 17.07.2010 To 16.07.2011 17.07.2011 To 16.07.2012 17.07.2012 To 16.07.2013
Therapies - 330 330 352 192 938