EHS, आंध्र प्रदेश सरकार द्वारा कर्मचारी स्वास्थ्य योजना नवीनतम अपडेट, और 5 प्रमुख बदलाव जो आपको जानने चाहिए

Employee Health Scheme, The Andhra Pradesh State Government has developed a health system that allows its active and retired staff workers, as well as their dependent family members, to receive cashless medical care at many state-affiliated institutions. With additional elements like chronic disease treatment and post-hospitalization care, the program replaces the present medical reimbursement system. Continue reading to learn about the eligibility, advantages, and coverage of the Government of Andhra Pradesh’s Employee Health Scheme.

What is the Employee Health Scheme (EHS – YSRAHCT)?

The Dr YSR Aarogyasri Health Care Trust, overseen by the Government of Andhra Pradesh, will carry out the Employee Health Scheme (EHS) with the main goal of offering health care for everyone and top-notch medical services to State Government Employees. The program allows Andhra Pradesh government workers, retirees, and their dependant family members to get cashless medical care at Network institutions (NWH) or empanelled institutions.

It takes the role of the current medical reimbursement system and offers beneficiaries new benefits like chronic illness treatment and medical care after hospitalisation. Retired and active staff members of the Andhra Pradesh state government are among the beneficiaries.

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Features and Benefits of Employee Health Scheme:

The EHS provides a number of features and benefits with the goal of enabling cashless hospitalisation for workers, retirees, and their dependents. Here are the specifics:

EHS Coverage	Features and Benefits
In-Patient Treatment	Treatment for Listed Therapies for Identified Diseases*End-to-End Cashless Service Till 10 Days Post-Discharge Medication and Coverage of Complications up to 30 Days Post-Discharge.Free Out-Patient Evaluation For Listed Therapies.
Follow-Up Service	Services Up to 1-yearPackages include consultation, investigation, drugs, etc. on listed therapies.
Out-Patient Treatment For Chronic Diseases	Treatment of pre-defined chronic diseases at notified hospitals.
Hospital Stay	Slab A (Pay Grades I to IV): Semi-Private WardSlab B (Pay Grades V to XVII): Semi-Private WardSlab C (Pay Grades XVIII to XXXII): Private Ward
Financial Coverage	Eligible Sum: Rs.2 Lakhs per episode of illness with no limit on the number of episodes. The eligible sum is not applicable where predetermined packages are above Rs.2 Lakhs. Claims exceeding Rs.2 Lakhs will be settled by the CEO of Dr YSR Aarogyasri Health Care Trust.

What is Not Included in the Andhra Pradesh Government’s EHS?

Employees of state governments and their dependents are covered by the EHS; however, some recipients are not. The list of beneficiaries who are not covered by the EHS is as follows:

• Those covered by the Health Scheme of the Central Government (CGHS).
• The departments of Excise, Police, Prohibition, Railways, and Road Transport Corporation are among the ones that make up the Aarogya Bhadratha.
• Advocate generals, state counsels, government leaders, public prosecutors, and state prosecutors are examples of law officers.
• If there are adoptive parents, the biological parents.
• Employees are paid on a daily and casual basis.
• Youngsters who are self-sufficient.
• Pensioners and AIS officers.

Eligibility Criteria of EHS – YSR AHCT:

Serving and retired state government employees, as well as their dependents, are covered under the EHS. At hospitals with accreditation, they can receive cashless hospitalisation for recognised illnesses. The Andhra Pradesh state government’s Employee Health Scheme is further classified into the following categories:

Eligible Beneficiaries	Details
Serving State Government Employees	All regular State Government Employees.Provisionalised Employees of Local Bodies.
Retired State Government Employees/Pensioners	All Service Pensioners.Re-Employed Service Pensioners.Family Pensioners Without Dependents.
Dependent Family Members	Dependent Parents (either biological or adopted, not both).One Legally Wedded Spouse (Serving and Retired Employee)Dependent Legitimate Children (Step-Children and Adopted Children).Dependents of Family Pensioners.

The definition of “dependent family members” is further categorised by the EHS by:

• Parents: They rely on the worker for their subsistence.
• Daughters without jobs: widowed, divorced, abandoned, or unmarried.
• Sons Without Jobs: 25 Years Old and Under.
• Children with disabilities: Individuals who are unable to work due to their impairment.

How To Enrol for the Employee Health Scheme?

All Andhra Pradesh state government personnel are eligible to use the EHS services. The steps listed below should be followed in order to learn about the Employee Health Scheme enrolment process:

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Employees:

The steps involved in registering state government personnel to use EHS services are listed below:

EHS Employee Registration Process:

• Step 1: Go to the EHS website.
• Step 2: Type the password and your Employee ID in the Username field. Click Login after logging in as an Employee.
• Step 2: You’ll be taken to a new page where you must fill in all the required information in the required fields before clicking Save.
• Step 3: After completing all the fields, click Print Application to print the application or save a soft copy for future reference.
• Step 4: At this point, select Submit Application.

The employee’s designated Drawing and Disbursing Officer (DDO) will receive the application. The EHS Health Card will be generated after the DDO has verified the application. To download the card, you must use your username and password to connect to the EHS web portal.

Chronic Out-Patient Treatment:

The EHS provides Andhra Pradesh state government employees who work in service with outpatient treatment for chronic illnesses. Services are offered on weekdays from 2:00 PM to 4:00 PM, and they consist of:

• Physician’s advice.
• Investigations (radiology and laboratory services).
• Drugstore
• Annual health examination for workers over 40 years of age.

List of Chronic OP Procedures:

• Hypertension
• Hyperthyroidism
• Hypothyroidism
• Rheumatoid Arthritis
• Bronchial Asthma
• Parkinson’s Disease
• Type 1 and 2 DM
• COPD
• SLE and other Connective Tissue Disorders
• Gout
• CAD-Medical
• Convulsive Disorder
• Inflammatory Bowel Disease
• Psychosis and Other Chronic Psychiatric Problems
• Stroke
• Vascular Occlusive Disorder of Extremities
• Osteoarthritis
• Psoriasis
• Chronic Hepatitis
• Cirrhosis
• Cardiac Failure
• Nephrotic Syndrome
• Chronic Kidney Disease
• Arrhythmias

Steps to Enrol for EHS Health Card:

After completing the program registration process, you can choose to obtain temporary health cards for yourself and any dependent family members. Your application will be reviewed, and temporary cards will be issued. To print the temporary card, you must log in using your User ID and Password. You can use this card as your EHS health card by laminating it.

Additionally, any Mee Seva Centre offers laminated temporary cards. A maximum of Rs. 25 is charged for each temporary card.

How to check Pensioner’s Medical Reimbursement Status:

Follow the instructions below to find out the status of medical reimbursement:

• Step 1: Go to the Aarogyasri Health Scheme Web Portal’s EHS section.
• Step 2: Select Pensioner Medical Reimbursement Status from the Pensioner’s menu.

• Step 3: Choose whether the refund was processed online or offline on the new page.
• Step 4: To find out the status, enter the DME and Trust numbers and click Search.

How to Download the EHS Health Card?

You can download the card online as soon as your application is accepted and you receive notification of it by email or SMS. To learn how to download the AP EHS Health Card, follow these steps:

• Step 1: Go to the EHS Portal and select Health Card Download.

• Step 2: To generate the EHS health card, enter your User ID in the new box and click Go.

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Conclusion

The Andhra Pradesh government launched the Employee Health Scheme with the goal of offering state employees—both active and retired—and their dependents high-quality healthcare. Cashless hospitalisation offers greater coverage for chronic illnesses, post-hospitalization care, and financial security up to Rs. 2 lakhs per episode, in place of medical reimbursements. This all-inclusive health plan aims to provide government employees with accessible and reasonably priced medical care, thereby promoting their welfare and well-being across all pay grades. In other words, it protects AP employees’ health and, thus, their future.

Faq’s

Q. What is Andhra Pradesh’s Employee Health Scheme (EHS)?

Ans: The AP government’s EHS is a health program that offers empanelled hospitals around the state cashless medical care to serving, retired, and dependent employees. Under the state government, the Dr YSR Aarogyasri Health Care Trust is in charge of carrying out the plan.

Q. Who is eligible for EHS benefits?

Ans: The Employee Health Scheme provides cashless in-patient and out-patient treatment and follow-up services to all regular employees and provisionally employed staff of the Andhra Pradesh state government, as well as retired employees or pensioners of the AP government and their eligible dependent family members, such as parents, spouses, children, including step-and adopted children, or dependents of family pensioners who meet the prescribed eligibility conditions.

@PAY