INTRODUCTION RAJIV AAROGYASRI COMMUNITY HEALTH INSURANCE SCHEME INCEPTION OF THE SCHEME Aarogyasri I is an unique Community Health Insurance Scheme being implemented in Andhra Pradesh from 1st April, 2007. Aarogyasri II started on july 17th 2008. The scheme provides financial protection to families living below poverty line up to Rs.2 lakhs in a year for the treatment of serious ailments requiring hospitalization and surgery. OBJECTIVE OF THE SCHEME The objective 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 beneficiaries of the scheme are the members of Below Poverty Line (BPL) families as enumerated and photographed on the Rajiv Aarogyasri Health Card/ BPL 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 cares 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. 944 procedures in which 352 surgical procedures are covered under AS1 and 592 procedures in which 433 surgical and 159 medical management procedures are covered under AS II are covered under the scheme. The scheme is being implemented through Insurance Company, selected through a competitive bidding process. Aarogyasri scheme started in phase wise: Phase I: Started on April 1st 2007 in 3 districts(Mehaboobnagar,Srikakulam,Anathapur) with 166 procedures. PhaseII: Started on December 5th 2007 in 5 districts(West godavari,east godavari,chitoor,Ranga Reddy,Nalgonda) with 210 procedures. Phase III:Started on 15th march 2008 in 5 districts(Karimnagar,Medak,Kadappa,Nellor,Prakasam) with 272 procedures. Phase IV: Started on 17th July 2008 in 5 districts(Adilabad, Hyderabad,kurnool,vizag,vijayanagaram) with 330 procedures. Phase V: Started on 17th July in 5 districts(Krishna, khammam,guntur,nizamabad,warangal) with 330 procedures. Star Health Insurance is dealing with AS 1 cases of all districts and ASII cases of Phase I and Phase III districts. CASHLESS TRANSACTION The transaction is cashless for covered procedures. BPL beneficiary can go to 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 doing the surgery or therapy. As on date 5,00,000 Surgeries/Therapies has been done and this figure changes from day to day. Working pattern of Rajiv Aarogyasri Scheme Who We Are What We Do...? Aarogyasri Community Health Insurance Scheme is a first-of-its-kind innovative scheme being implemented in the State of Andhra Pradesh from Ist April 2007. Since then it is being successfully implemented to the extent that more than 600000 surgery / procedures are performed under this scheme over a peroid of one year. Aimed at taking world class medical services to the door step of those who live below the poverty line and to improve the infrastructure facilities in health care, the scheme is being successfully executed and has resulted in refining the health care delivery in the whole state. About Us : Star Health and Allied Insurance Co.Ltd is Indias first Stand Alone Health Insurance provider. Since the inception of the Aarogyasri Community Health Insurance Scheme, Star Health is being chosen as the health insurance partner through a tender process initiated by Aarogyasri Health Care Trust. Star Health is operating and implementing this noble scheme with 4000 members working 24/7 across the state of Andhra Pradesh. We are in need of manpower for our operations in the field, customer care, medical and management, for which we conduct recruitment and selection process regularly. The entire process is system driven and transparent. All are recruited through a third party manpower supplier on contractual basis. This is not a government job and is under strictly performance driven. We invite you to apply through the online mechanism and be a part of this unique or great opportunity to serve for poor and offer quality health care.
Posted on: Sat, 15 Mar 2014 10:50:11 +0000
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