Employee Health Scheme

About This Scheme

The Dr YSR Aarogyasri Health Care Trust, under the auspices of the Government of Andhra Pradesh, has implemented the Employee Health Scheme (EHS) with the primary objective of providing quality healthcare to all State Government Employees. The scheme covers government employees, pensioners and their dependent family members, who are eligible for cashless treatment at empanelled hospitals or Network Hospitals (NWH). The EHS has replaced the erstwhile medical reimbursement process and offers new features such as post-hospitalisation medical care and treatment of chronic diseases. This scheme is applicable to both serving and retired employees of the state government of Andhra Pradesh. It is aimed at providing comprehensive healthcare services to the beneficiaries and ensuring their well-being by offering high-quality medical services.

Eligibility

1. Serving employees: - All regular State Government employees. A State Government employee will have the meaning as defined under Fundamental Rules. - Provincialised employees of local bodies. 2. Retired employees: - All Service Pensioners - Family pensioners - Re-employed service pensioners

Benefits

In-Patient Treatment: The Employee Health Scheme (EHS) aims to provide cashless hospitalization to eligible beneficiaries such as employees, pensioners, and their dependents. The scheme covers listed therapies for identified diseases, providing end-to-end cashless services until 10 days post-discharge, including coverage of complications up to 30 days post-discharge. Additionally, free out-patient evaluation is available for listed therapies.Follow-Up Service: The EHS provides follow-up services up to 1-year, including consultation, investigation, drugs, etc., on listed therapies. The scheme offers packages that cover a range of services for eligible beneficiaries.Out-Patient Treatment for Chronic Diseases: The scheme covers treatment of pre-defined chronic diseases at notified hospitals. This is aimed at ensuring the well-being of beneficiaries suffering from chronic illnesses.Hospital Stay: Depending on their pay grade, eligible beneficiaries are provided with hospital stays in either semi-private or private wards. Slab A (Pay Grades – I to IV) is entitled to a semi-private ward, Slab B (Pay Grades – V to XVII) is entitled to a semi-private ward, and Slab C (Pay Grades – XVIII to XXXII) is entitled to a private ward.Financial Coverage: The EHS provides financial coverage of up to Rs. 2 lakhs per episode of illness, If packages exceed the ₹2 Lakhs limit, the above sum does not apply; Claims above ₹2 Lakhs are directed for settlement to the CEO of the Aarogyasri Trust

How to Apply

Where This Comes From

This scheme was sourced from myScheme, the Government of India's official Central+State scheme discovery portal, and reviewed by an editor before publishing. Use the button above to read the full details and apply directly on the official source.