Rajiv Aarogyasri Health Insurance – Telangana

Rajiv Aarogyasri is a government health insurance scheme in Telangana providing cashless treatment for serious illnesses and surgeries to BPL and economically weaker families. The scheme covers treatment costs up to ₹5,00,000 per family per year at empaneled hospitals across the state.

What is Rajiv Aarogyasri?

The scheme provides free cashless treatment for identified diseases and surgical procedures at government and private empaneled hospitals. It targets families below the poverty line (BPL) and covers over 900 medical procedures including heart surgeries, cancer treatment, kidney transplants, and more.

Who is Eligible?

1. BPL families: Families holding a white ration card (BPL) in Telangana
2. Aarogyasri Health Card: Must be enrolled and have an Aarogyasri health card
3. Residency: Must be a resident of Telangana
4. Annual income: Below the BPL threshold
5. Coverage: Entire family (as per ration card) is covered under one card
6. Diseases covered: Over 900 identified diseases, surgeries, and therapies

Coverage Details

Major Categories Covered

• Cardiac surgeries (bypass, valve replacement, angioplasty)
• Cancer treatment (surgery, chemotherapy, radiation)
• Kidney diseases (dialysis, transplant)
• Neurosurgery
• Joint replacements
• Burns and trauma surgery
• Neonatal care
• Organ transplants

Documents Required

• Aarogyasri Health Card (issued to BPL families)
• Aadhaar card (see our Aadhaar guide)
• White ration card
• Referral letter from PHC/government doctor (for planned treatments)
• Medical reports and diagnosis documents
• Passport-size photographs

How to Use Aarogyasri

For Planned Treatment

1. Get diagnosed: Visit a government hospital or PHC for initial diagnosis
2. Get referral: Obtain a referral letter from the government doctor
3. Choose empaneled hospital: Select an Aarogyasri-empaneled hospital (list available on aarogyasri.telangana.gov.in)
4. Visit hospital Aarogyasri desk: Go to the Aarogyasri help desk at the empaneled hospital
5. Show Aarogyasri card: Present your health card, Aadhaar, and ration card
6. Pre-authorization: The hospital submits a pre-authorization request to Aarogyasri Trust
7. Approval: Once approved, treatment begins — completely cashless
8. Treatment: Receive treatment without any payment
9. Follow-up: Post-treatment follow-up is also covered for a specified period

For Emergency Treatment

1. Go to nearest empaneled hospital: In emergencies, go directly to any Aarogyasri-empaneled hospital
2. Show Aarogyasri card: Present your health card at the emergency department
3. Emergency treatment starts: Treatment begins immediately
4. Post-facto approval: The hospital obtains approval from Aarogyasri Trust after stabilization

Getting an Aarogyasri Card

1. Check eligibility: Must hold a white ration card
2. Visit PHC or Aarogyasri camp: Attend an Aarogyasri enrollment camp or visit the Primary Health Centre
3. Provide documents: Aadhaar, ration card, and family details
4. Biometric capture: Fingerprints and photo are captured
5. Card issued: Aarogyasri health card is issued covering the entire family

Important Tips

1. Always carry your Aarogyasri card: Keep the card and Aadhaar handy — you never know when you'll need it
2. Check hospital empanelment: Not all private hospitals accept Aarogyasri — verify before going
3. No out-of-pocket expenses: You should not pay anything at empaneled hospitals — report if asked for payment
4. Toll-free helpline: Call 104 for Aarogyasri-related queries
5. Renewal: Ensure your ration card and Aarogyasri card details are updated regularly

Frequently Asked Questions (FAQs)

Q1: How much coverage do I get under Aarogyasri?

Up to ₹5,00,000 per family per year for covered procedures.

Q2: Can I go to any hospital?

Only Aarogyasri-empaneled hospitals (government and select private) accept the card. Check the list on the official website.

Q3: Is OPD treatment covered?

No, Aarogyasri primarily covers identified surgeries, therapies, and inpatient treatments — not routine OPD consultations.

Q4: What if the hospital asks for money?

Report to the Aarogyasri helpline (104). Empaneled hospitals are not allowed to charge Aarogyasri patients for covered procedures.

Q5: Can I use Aarogyasri outside Telangana?

The scheme primarily covers treatment within Telangana at empaneled hospitals. Some exceptions for specialized treatment may apply.

Q6: How do I check if a procedure is covered?

The list of covered procedures is available on aarogyasri.telangana.gov.in or by calling 104.

Q7: Is Aarogyasri the same as Ayushman Bharat?

They are different schemes. Telangana has its own Aarogyasri. Some integration with Ayushman Bharat (PM-JAY) has been discussed — check current status on official portals.

Disclaimer: This guide is for informational purposes only. CitizenNest is an independent platform and is not affiliated with the Government of Telangana or the Aarogyasri Trust. Verify details on official portals. Coverage and procedures may change.