Clarifications on AP Health cards through Lr.6380  

Clarifications on AP Health cards through Lr.6380 :Frequently Asked Questions (FAQs). CEO of Aarogyaasri Trust Released Clarifications on Employees issues. It has been noticed that Most of the Employees and Teachers are getting Doubts and asking for Clarifications for their problems in enrolling Health Cards. Hence EHF has released some clarifications on the FAQs asked by Employees. As per the Letter No.6380 of EHS Trust the Details mentioned below are Modified.

If Both Spouses are Government Employees/Pensioners, Then One of them will Enroll under EHS Scheme. Their Spouse will be enrolled as Dependent of the Employee. The Parents (Father and Mother) of the Enrolled Employee will be eligible as Dependents (If Eligible).

White Ration Card Holders / Old age Pensioners/Aarogya Sri Card Holders are not eligible as Dependents.

Brothers and Sisters are not eligible as Dependents.

Update:

More Frequently Asked Questions on Dependents and Family

Who are Eligible?

Employees Health Scheme is intended to provide cashless treatment to all the state Government employees including the State Government pensioners, along with their dependent family members. The categories of beneficiaries covered under EHS will cease to be covered under the APIMA rules upon commencement of EHS. Following are the categories of beneficiaries:
SERVING
All regular State Government Employees.
Provincialised Employees of local bodies
RETIRED
All service pensioners
All Family pensioners without dependents
Re-employed service pensioners

Are the work charged employees, nominal muster role workers and out sourcing employees eligible?
No. They are not eligible. Only regular employees and provincialised employees of local bodies, all service pensioners, and family pensioners without dependents are alone eligible under the scheme.

Are unemployed daughters if not married eligible under the scheme?
Yes. Unemployed daughters who are unmarried or widowed or divorced or deserted are eligible. Once she is married she is not eligible.

Is unemployed daughter if not married eligible under the scheme?
Yes. Unemployed daughters who are unmarried or widowed or divorced or deserted are eligible. Once she is married she becomes ineligible.

Frequently Asked Questions on Health Cards Enrolment

If an employee is not enrolled under the scheme, does he have to contribute for the scheme?

The deduction of contribution to the scheme will be done by automativally by DDOs as per his scale of pay irrespective of whether he has applied for enrolment in the scheme or not. It is compulsory to enroll in the scheme, in his own interest, as his contributions will deducted regularly under the scheme.

Is a single card like ration card given for the entire family under the scheme?
No. Individual cards will be issued to the employee and his dependents. For this purpose, passport size photographs, which are ICAO compliant, are required to be uploaded. The photo studios can understand the ICAO complied passport size photographs. Such photos are not uncommon but usually given for getting passports. Any other photographs, or group photos are not accepted.

If both the spouses are govt. employees who has to pay the contribution?
(Updated as per GO.331 Dated 11.12.13)-Govt clarified that If both Spouse are Govt employees, Contribution by One of the Spouse is sufficient.

I forgot my password. How can I get my Password?
After clicking on Sign-in button on home page, click on 'forgot password'. The password created by the user will be sent as SMS to the mobile number mentioned.

Some details were incorrectly filled and the application was submitted to DDO/STO/APPO. It is pending with to DDO/STO/APPO. How to correct and my application ?
The DDO/ STO/ APPO can correct the details, based on the attachments made to the application form OR the application form has to be rejected by DDO/ STO/ APPO, enabling the applicant to correct the same and resubmit.

My mobile number has been incorrectly entered at the time of changing password. What shall I do?
The details of user ID, Name, mobile number entered in the portal and correct mobile number may be sent to ehf@aarogyasri.gov.in for suitable action.

STOs / APPOs are not attending to the job of clearing applications.
Government have directed the STOs / APPOs to clear the applications. The grievances have been brought to the notice of DTA for necessary action.

FAQs on Health Cards Scheme Coverage:

What is the benefit cover?
Check the website for list of therapies covered. 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.

What is the financial cover?
The sum insured under EHS scheme is Rs.3.00 lakhs per family per annum on floater basis. The EHF will be jointly funded through monthly premium contribution by the State Government employees including the State Government pensioners to the extent of 40 percent, and Government to the extent of 60 percent. Enrolment and Contribution are Compulsory. In cases where both the spouses are eligible employees/service pensioners, then enrolment and contribution by both is compulsory, and there shall be no duplication of dependent family members at the time of enrolment.

What is the difference between employee ID cards and Health Cards?
Employee ID cards are issued by Government to establish and authenticate a Government employee. The employee health card is issued by the implementing agency of any health scheme in order to access the health care service at an empanelled hospital. Employee ID card is issued only to an employee and is valid only as long as the employee is in service and is not issued after retirement. A health card is issued to each and every dependent family member of the employee and is valid even after retirement.

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