Dr. NTR Vaidya Seva Scheme – A health insurance for poor



Dr.Nandamuri Taraka Rama Rao Vaidya Seva Health Insurance Scheme (Dr NTR Vaidya Seva Health Insurance Scheme) is sponsored by Govt. of AP.

This scheme is implemented in PPP model of Health Insurance and is shaped basing on the health needs of poor patients and provides cashless services for identified diseases under secondary and tertiary care through a network of service providers from Government and private sector.

Objective

Towards achievement of universal health coverage for BPL families whether defined in terms of financial protection or access to and effective use of health care.

Insurance coverage

  1. Members of Below Poverty Line (BPL) families’ having White Ration Card linked with Adhar card and available in Civil Supplies Department database will fall under this scheme.
  2. The scheme shall provide coverage for the services to the beneficiaries up to Rs.2.50 lakh per family per annum on floater basis. There shall be no co-payment under this scheme.
  3. Beneficiary will get primary care through free screening and outpatient consultation both in the health camps and in the network hospitals and coverage for the 1044 “Listed Therapies” for identified diseases in the 29 categories.

For list of diseases https://www.ntrvaidyaseva.ap.gov.in/web/guest/current-procedures

Scheme Services

  • End-to-end cashless service offered through a NWH from the time of reporting of a patient till ten days post discharge medication, including complications if any up to thirty (30) days post-discharge, for those patients who undergo a “listed therapies”.
  • Free OP evaluation of patients for listed therapies who may not undergo treatment for “listed therapies”.
  • All the pre-existing cases under listed therapies are covered under the scheme.
  • Food and Transportation.
  • Follow-up services for a period of one year through fixed packages to the patients whoever requires long term follow-up therapy in order to get optimum benefit from the procedure and avoid complications. Follow-up package for consultation, investigations, drugs etc., for one year for listed therapies were formulated by Technical committee of the Trust in consultation with specialists.

Stakeholders in the scheme

  • Beneficiaries of the scheme
  • Vaidya Seva Health Care Trust
  • Network Hospitals
  • District Administration
  • Software Company

Process

  • A beneficiary suffering from an ailment will approach ‘first point of contact’ for registration under the scheme. Biometric registration of the patient while registering online for the first time in a network hospital

First point of Contact are

  • Vaidyamithra counters at PHC.
  • At the NWH in case of emergencies or through referral from CMCO centers(104 and 108 services)
  • Health Camp organized by the PHCs or NWHs

In case of emergency, patient should be admitted by a NWH and treated immediately. MEDCO or treating doctor shall obtain emergency telephonic pre-authrorisation through dedicated round the clock telephone lines of the Trust

  • After initial scrutiny of the patient. The patient may be evaluated as an out-patient. After diagnosis and finalizing treatment mode if necessary will admitted and converted as “in-patient” in the online workflow.
  • If the patient is found to be suffering from listed therapies, MEDCO shall submit the pre-authorization through the Trust portal within 24 hours.
    If the patient is found to be suffering from diseases other than listed therapies, he shall be counseled and referred to nearest Govt. Hospital for further management.
  • The NWH shall render complete treatment to the patient after obtaining pre-authorization.
  • The NWH shall provide end to end cashless services within the package. However NWH may apply for enhancement of the package price in case of exigencies prior to discharge as per Trust guidelines.
  • After complete recovery of the patient, NWH shall issue discharge summary, 10 days post-discharge medication, counsel the patient for follow-up.
  • A letter of satisfactory services should be obtained from the beneficiary at the time of discharge by NWH
  • The patient is reimbursed transport charges as per the scheme norms and obtains receipt.
  • Follow-up Patient shall be provided follow-up services as per the standard medical norms duly counseling and recording the same in the discharge summary.
  • The NWH will raise the claim after the 10 days of satisfactory discharge of the patient.

 

For other guideline click here

Source:-NTR vaidya seva


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15 comments

  1. Sir,my brother name SK.masthanvali(MSC chemistry), his suffering from craniospinal tb .his taking treatment in GGH neurology dept .till from 4 months .we spend 25000rupees injection from outside s .but arogyasri candidate’s said u r patient name not registered in ntr vaidya seva.u don’t want money from ntr seva.sir please help me sir .I am very feel about ntr Deva candidate s.please help me

    • Shreya Chatterjee

      Thank you for your query. Kindly visit this link to contact Dr. N.T.R Vaidya Seva- https://www.ntrvaidyaseva.ap.gov.in/web/guest/contact-us
      Also, you can contact First Point of Contact at PHC here- https://www.ntrvaidyaseva.ap.gov.in/web/guest/phcs

  2. Dr. M. Murali Babu

    To,
    The CEO
    NTR Arogya Sea,
    AP
    Sir,
    This is to bring to your kind notice that I am at present attached only to AIMS, Pogathota, Nellore, AP. All other claims are wrong as of now. Thank you.
    Dr. Murali Babu, Senior Consultant, CTVS.

  3. Sir my name is DURGAM.ADIYYA. I am suffering from a Nose sinuous breathing problem so this disease eligible in ntrarogyasrihealthschemes

  4. shaik mohammed rafiq

    Super offer

  5. PENTAYYA KANDI

    Sir my father got heart attack on june1st dis year we admit in hospital they do angiogram test n tell 3valves r blocked need to bypass surgery all test s are done through ntr vaidya seva in Tirumala nursing home at vizianagaram but I had made a suspicious abt dis hospital n I want to treatment my father at visakhapatnam care hospital through ntr vaidya seva am I eligible for treatment in dis hospital plz tell me n if incase not eligible which hospitals r covered ntr vaidya seva

    • My father is suffering from gall bladder stones he is diabetic patient we want to remove stones by laparoscopy.is it available in bye vaidyaseva.

    • My father is suffering from gall bladder stones he is diabetic patient we want to remove stones by laparoscopy.is it available in ntr vaidyaseva.

  6. Sir my name Giriprasad from anantapur
    my Mother Renukadevi
    she suffering psychology prablum in2years treatment in pvt hospital

    iam poor people i have ntr healthcard but same tell not eligible ntr vaidya seva this treatment
    so pls tell me sir she eligible or uneligible & i whare r contact for this problem plz help&save my family thank you.

  7. How to apply to get ntr vaidgya card.

  8. How to get ntr vaidgya card..can you tell the process,please!

  9. Hello
    Sir/mam

    Dear sir mera naam arun kumar aur mughe testicular cancer tha aur right lung m bhi uski node h aur ab doctor surgery k liye bol rhe h jiska kharch 4 lack tak btya h m rajiv gandhi cancer institut se ilaj karva rha Hu
    Sir m ek poor family se Hu plz sir help me plz

  10. How to apply to get ntr vaidgya card.

  11. srinivasraoalamuri

    How I know my ration card link with ntr arogya seva in on line,please show me how I connect with my ration card to ntr arogya seva in online choose me procedure in online

  12. Narasimha potala

    Sir ,
    I’m P.Narasimha from ICHAPURAM , srikakulam(dist) .My friend suffers from Eye problem…He has WHITE RATION CARD but he didn’t have NTR HEALTH CARD..he should eligible for NTR VAIDYA SEVA SCHEME…and also there is an problem that the name of my friend is different in Aadhar card and white ration card .What I will do Sir…..plz give reply sir

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