Rajiv Aarogyasri Community Health Insurance Scheme for below poverty line families


Description

This scheme provides medical assistance to families living below poverty line for the treatment of serious ailments such as cancer, kidney failure, heart and neurosurgical diseases etc., requiring hospitalization and surgery/therapy. Available network of government hospitals do not have the requisite equipment or the facility or the specialist pool of doctors to meet the state wide requirement for the treatment of such diseases. Large proportions of people, especially below poverty line borrow money or sell assets to pay for hospitalization. Presently many people suffering from such diseases are approaching the Government to provide financial assistance to meet hospitalization expenses for surgical procedures.

Objective

To improve access of BPL families to quality medical care for treatment of diseases involving hospitalization and surgery through an identified network of health care providers. In the initial phase, the scheme would provide coverage for the following system.

Eligibility

The persons below poverty line families as enumerated and photographed on the Rajiv Aarogyasri Health Card/ below poverty line Ration Card. 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 Individual/family.Cost for cochlear Implant Surgery with Auditory Verbal Therapy is reimbursed by the Trust up to a maximum of Rs.6.50 lakhs for each case

Beneficiaries

Individual,Family,Community,Women,Children

Benefits

Financial assistance and Health related hospital facilities are provided.

How To Apply

Approach to any of the followings

  1. Approach to nearby primary health centres Or
  2. Approach toArea Hospitals Or
  3. Approach toDistrict Hospital / Network Hospital.

Aarogya Mithras placed in the above hospitals facilitate the beneficiary. If beneficiary visits any other primary health centres /Government hospital other than the Network Hospital, he/she will be given a referral card to the Network Hospital after preliminary diagnosis by the doctors. The Beneficiary may also attend the Health Camps being conducted by the Network Hospital in the Villages and can get the referral card based on the diagnosis.

Visit to APonline Website to Apply Online

Sponsored By

State

Ministry

Health,Medical and Family Welfare

Date of Launch

01-April-2007

Valid Upto

31-August-2016

Status

Active

Sector

Women and Child



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