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The Employee Health Scheme (EHS) in Andhra Pradesh provides government employees, pensioners, and their families with cashless Read More... medical treatment at empanelled hospitals, managed by the Dr. YSR Aarogyasri Healthcare Trust. Read less

Details

The Andhra Pradesh government has launched the Employee Health Scheme (EHS) to ensure that state government employees and pensioners receive top-notch healthcare services. This scheme aims to simplify medical expenses by offering cashless treatment at selected hospitals, making healthcare more accessible and stress-free.

What Is This Scheme?

The Employee Health Scheme (EHS) is a comprehensive healthcare program introduced by the Dr. YSR Aarogyasri Health Care Trust for all State Government Employees in Andhra Pradesh. It replaces the old medical reimbursement system and provides benefits like cashless hospitalization, post-hospitalization care, and treatment for chronic diseases. This means eligible individuals can get medical treatment without upfront payment.

Who Can Benefit From This Scheme?

This scheme is designed to support those who serve the state government. This includes:

All regular State Government employees.
Provincialised employees working with local bodies.
All Service Pensioners, including those who have re-employed.
Family Pensioners.

The scheme also extends its benefits to the dependent family members of these employees and pensioners.

Why This Scheme Is Important

EHS is a crucial initiative aimed at the well-being of government employees and pensioners. By offering cashless treatment, it removes financial burdens associated with medical emergencies and treatments. The scheme covers a wide range of services, from in-patient care to long-term management of chronic diseases, ensuring that beneficiaries can access quality medical help without worrying about immediate costs.

Objective

The Employee Health Scheme (EHS) in Andhra Pradesh provides government employees, pensioners, and their families with cashless medical treatment at empanelled hospitals, managed by the Dr. YSR Aarogyasri Healthcare Trust.

Benefits

Financial assistance for post-matric education.
Support for ST students pursuing recognized professional, technical, non-professional, non-technical, and correspondence courses.

Sources and references

Guidelines

Eligibility Criteria

To be eligible for the Employee Health Scheme (EHS), you must fall into one of the following categories:

Serving Employees:
- All regular employees of the State Government.
- Provincialised employees of local bodies.
Retired Employees:
- All Service Pensioners.
- Family Pensioners.
- Service Pensioners who are re-employed.

Dependent family members of these employees and pensioners are also covered.

How To Apply

The Employee Health Scheme (EHS) aims to provide seamless access to healthcare. While the scheme itself doesn't require a direct application after hospitalization, ensuring your details are up-to-date is important. For general inquiries or support, you can contact the relevant authorities or utilize online resources provided by the Dr. YSR Aarogyasri Health Care Trust.

For any queries or assistance, you can reach out to:

The 104-Seva Kendra by dialing 104.
Your respective Sub Treasury Office (STO) or Assistant Program Officer (APO).

The official website of the Dr. YSR Aarogyasri Health Care Trust is the primary source for scheme information and updates.

Documents Required

While the scheme focuses on cashless treatment, certain documents might be needed for verification or specific processes. Ensure you have these readily available:

Aadhaar Card: A clear scan of your Aadhaar card showing the photo and number.
Photograph: A recent passport-sized colour photograph (ICAO compliant, 45mm x 35mm, max 200Kb).
Disability Certificates: If applicable, any relevant disability certificates.
Spouse’s Pensioner ID/Employee ID: Required if your spouse is also a State Government employee or pensioner.
Date of Birth Certificate: For dependent family members under 5 years of age.

Official Sources

For the most accurate and up-to-date information on document requirements and scheme procedures, please refer to the official website of the Dr. YSR Aarogyasri Health Care Trust.

FAQ’s

How can I find my EHS ID?

You can easily find your EHS ID by calling the 104-Seva Kendra on 104. Alternatively, you can get in touch with your local Sub Treasury Office (STO) or Assistant Program Officer (APO).

What's the monthly cost for EHS for different pay grades?

Employees in Slab A (Pay Grades I to IV) and Slab B (Pay Grades V to XVII) contribute Rs. 90 per month. Those in Slab C (Pay Grades XVIII to XXXII) contribute Rs. 120 per month.

Does EHS cover follow-up treatments after being discharged from the hospital?

Yes, EHS offers follow-up services for up to 1 year. This includes consultations, investigations, and necessary medicines related to the listed therapies you received.

Is it necessary to apply for EHS coverage after I'm released from the hospital?

No, you don't need to apply separately after hospitalization. The network hospital manages the EHS process within 10 days of your discharge.

What is the maximum amount covered per medical condition under EHS?

The scheme provides financial coverage of up to Rs. 2 lakhs for each episode of illness. If the treatment costs go beyond this limit, the claims are sent for settlement to the CEO of the Aarogyasri Trust.

How is the contribution for EHS shared between the State Government and the employee?

The contribution for EHS is shared on a 60:40 basis. The State Government covers 60% of the cost, while the employee contributes the remaining 40%.

How can pensioners check the status of their medical reimbursement claims in Andhra Pradesh?

Pensioners can check the status of their medical reimbursement by following the same online procedure that state government employees use through the official EHS portal.

Where can I check the status of my EHS application or claim?

You can track the status of your EHS application or claim by visiting the official website. The website typically provides a dedicated section with step-by-step instructions for checking your status online.