CM tells officials to chalk out universal health
HYDERABAD: The new Employees Health Scheme for cashless
treatment for them and their family members will be implemented from 1st of
November, 2012 in the State and all the employees would be issued the Health
Cards. The cut off date for giving the particulars of their family members
would be 20th of October, 2012 with two passport size photos.
The Chief Minister said the scheme should be implemented
in a most transparent manner in consultation with the employees. Meanwhile he
wanted the Aarogyasri Trust to work out the cost of implementing a Universal
Health Care Scheme covering all the people of Andhra Pradesh. Now about 85%
would be covered under the Rajiv Aarogyasri scheme and the proposed new
Employees Health scheme. The Universal Healthcare scheme in the State can also
incorporate the Central schemes. He wanted healthcare system to be made
available to all the people and wanted the officials to work out the costs in
The Chief Minister today held a detailed review meeting on
Rajiv Aarogyasri Scheme, new Employees Health Scheme, National Rural Health
Mission etc. Minister for Aarogyasri, 108, 104 services Mr Kondru Murali, Chief
Secretary Smt. Minnie Mathew, Principal Secretary, Health and Family Welfare,
Mr Ratna Kishore, Principal Secretary, Finance, V Bhasker, Principal Secretary
to CM, Mr Binoy Kumar, Special CS (FAC), HM&FW, J S Sharma, Commissioner,
Health, Praveen Prakash, C.E.O., Aarogyasri, Mr Srikant and other officials
attended the meeting.
A Committee headed by the Chief Secretary will oversee
the scheme and will be implemented by the Aarogyasri Health Care Trust. Over 8
lakh employees and 6 lakh pensioners would be covered under the scheme. The
total expenditure will be Rs.350 crs/year. Preparation of packages and prices
will be done by the Aarogyasri Trust. The authentication will be based on
Under Rajiv Aarogyasri scheme, 14.74 lakh therapies were
done and Rs.4,152 crs were paid to the Hospitals (both government and private),
60.1 lakh patients screened and 34,708 health camps were conducted till date.
Total network hospitals under Aarogyasri scheme are 417 with 70,269 beds.
Officials explained to the Chief Minister the provisions
of the proposed comprehensive health care scheme for the Government Employees,
Pensioners, and their family members, on a cashless basis in lieu of the
present medical reimbursement system. The new Employees Health Care Scheme is
intended to provide cashless treatment to all the employees and pensioners,
along with their dependent family members through a network of empanelled
hospitals of the Aarogyasri Health Care Trust.
The Chief Minister was also apprised of the provisions of
the Bill on National Commission for Human Resources on Health, 2011 which is
now before the Standing Committee of Parliament. The Chief Minister also
reviewed the functioning of 108 ambulance services and 104 FDH services and
directed the officials to come out with efficient system incorporating both the
For purpose of Payment of premium/entitlement of wards,
the employees are graded into three groups based on the grades of pay scales.
Enrolment/ Contribution is Compulsory, except in the cases where both the
spouses are Govt. employees and one of the spouses will have an option not to
The scheme shall provide in-patient treatment in Network
Hospitals (both Private and Government) for the listed therapies in all the
systems in Allopathy, besides providing Out-Patient treatment for listed
chronic therapies / ailments in notified Government Network Hospitals. All
diseases, including pre-existing diseases, will be covered from day one. The
period from date of reporting to hospital up to 10 days from the date of
discharge from the hospital shall be treated as part of the package, besides
follow up packages.
The sum insured is Rs.3.00 lakhs per family per annum on
floater basis and Rs.2.00 lakhs per individual per annum.
Officials explained to the Chief Minister that under the
National Rural Health Mission, 15 lakh Comprehensive Mother & Child Health Care
Cards (for monitoring health status for 5 years) are being maintained; 80 lakh
School Health cards are being maintained for record of the health status of
children; 76.65 lakh children studying in 77,109 government schools were
screened for health and nutrition ailments, 360 CHNCs were established for
decentralized monitoring and supportive supervision and online E-Records of
15.37 lakhs pregnant women & 12.20 lakh children are made available.