Arogya Raksha Yojana

 

The Arogya Raksha Yojana Plan has a network of 20 hospitals. Selection of Network Hospitals is based on definite parameters.

Criteria for selection of Network Hospitals

1. Network Hospitals need to be easily accessible.
2. The Hospital/Nursing Home needs to have a minimum of 15 beds.

Specialities to be covered:

- Cardiology
- Cardio-thoracic Surgery
- Endocrinology
- ENT
- General Medicine
- General Surgery
- Nephrology
- Neuro surgery
- Neurology
- Obstetrics and Gynecology
- Ophthalmology
- Orthopedics
- Pediatrics
- Urology

Free Out patient consultation to be provided for specialties offered.

OT/ICU facilities

• Major/minor OT, equipped to carry out surgical procedures and emergencies.
• Surgical and medical ICU with a minimum of 5 beds equipped with critical medical care such as   central oxygen line, suction apparatus, defibrillator etc.

Diagnostic facilities

• Fully equipped Laboratory for biochemistry, microbiology, and hematology.
• X-Ray machine with minimum capacity of 60 MA
• Ultrasonography

Staff

• Surgeon with MS qualification and minimum 3 years experience
• General Physician
• Qualified and experienced nursing staff round the clock
• Resident doctors, with minimum MBBS round the clock.

Administration

• Dedicated counter and staff for the Arogya Raksha Yojana Plan
• Medical Records Department
• Computer
• Dedicated telephone/fax line

NETWORK HOSPITAL ACCREDITATION PROCESS


EXCLUSIONS (Surgery)

Transplants
Joint Replacement Surgeries
Burns cases
Chemotherapy
Cosmetic Surgery
Dental surgeries
Angioplasty
Dialysis
Autoimmune diseases
Vaccination
Skin grafting for wound - Large/ Small
Implants and prosthesis including Valves, Grafts Mesh, Stents, Nails, Screws spectacles, Hearing aids
Ambulance Services
Road Traffic Accidents and Medico Legal Cases
Vitamins, Tonic and Sanitary items
Any other expenditure, not related to the illness/hospitalization

Implants including Valves, Grafts Mesh, Stents, Nails, Screws
Joint Replacement surgeries
Transplants
Burns cases
Malignancies - Chemotherapy
Cosmetic Surgery
Deviated Nasal Septum
Road Traffic Accidents (RTAs)
Medico Legal Cases (MLCs)
Angioplasty
Autoimmune diseases
Vaccination
Dental surgeries
Incision and Drainage - Local and GA

Spectacles, hearing aids
Dialysis
Ambulance Services
Food
Artificial Limb
Biopsies
Vitamins, Tonic and Sanitary items
Medicines and consumables during the 3-day admission covered under the Plan.
Telephone charges
Any other expenditure, which are not related to the illness/hospitalization

EXCLUSIONS (Medical)

• Medicines and Medical consumables
• Oxygen, ventilator charges
• Medicines, medical consumables and investigations for ICU admission


Charges covered under the Surgery package


Admission charges
Bed charges
Nursing charges
Anesthesia charges
O.T. charges
Surgeon’s charges
Cost of consumables and medicines during the surgery and post operative period
Post –operative charges
Surgery-related post and pre-operative investigations.