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  • Arogya Karnataka 082353

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    The Arogya Karnataka scheme aims to provide universal health coverage to all residents of Karnataka state. It merges several existing health schemes and provides primary, secondary, and tertiary healthcare benefits. The scheme will be rolled out in phases, starting with select hospitals and eventually covering all district, taluka, community health center, and primary health centers. Patients are enrolled using Aadhaar cards and categorized as eligible or general. Eligible patients receive free treatment, while general patients pay 30% with the government paying 70%. The scheme provides financial assistance of up to Rs. 5 lakhs annually for eligible families and Rs. 1.5 lakhs annually for general families.

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    The Arogya Karnataka scheme aims to provide universal health coverage to all residents of Karnataka state. It merges several existing health schemes and provides primary, secondary, and tertiary healthcare benefits. The scheme will be rolled out in phases, starting with select hospitals and eventually covering all district, taluka, community health center, and primary health centers. Patients are enrolled using Aadhaar cards and categorized as eligible or general. Eligible patients receive free treatment, while general patients pay 30% with the government paying 70%. The scheme provides financial assistance of up to Rs. 5 lakhs annually for eligible families and Rs. 1.5 lakhs annually for general families.

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    5 views13 pages

    Arogya Karnataka 082353

    Uploaded by

    Midhila
    The Arogya Karnataka scheme aims to provide universal health coverage to all residents of Karnataka state. It merges several existing health schemes and provides primary, secondary, and tertiary healthcare benefits. The scheme will be rolled out in phases, starting with select hospitals and eventually covering all district, taluka, community health center, and primary health centers. Patients are enrolled using Aadhaar cards and categorized as eligible or general. Eligible patients receive free treatment, while general patients pay 30% with the government paying 70%. The scheme provides financial assistance of up to Rs. 5 lakhs annually for eligible families and Rs. 1.5 lakhs annually for general families.

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    of 13

    slide no:1

    AROGYA KARNATAKA
    SCHEME

    MENTOR: DR APOORVA DORE

    BY : DR MIDHYLA VIJAY
    slide no:2
    CONTENT

    • OBJECTIVE
    • HEALTH SCHEMES MERGED
    • PHASE 1 & 2
    • PATIENT ENTITLEMENT
    • PATIENT ENROLLMENT
    • PROCESS
    • BENEFITS
    slide no:3
    OBJECTIVE
    • TO extend ‘UNIVERSAL HEALTH COVERAGE’ to all
    residents in Karnataka state.

    • Under this primary health care, specified secondary and


    tertiary health care benefits will be provided.
    slide no:4

    HEALTH SCHEMES THAT ARE


    MERGED:
    • Vajpayee Arogyashree
    • Yeshaswini Scheme,
    • Rajiv Arogya Bhagya Scheme,
    • Rashtriya Swasthaya Bima Yojana (RSBY)
    • Rashtriya Bala Swasthaya Karyakram (RBSK)
    • Mukhyamantri Santwana Harish Scheme
    • Indira Suraksha Yojane
    • Cochlear implant scheme
    slide no:5
    PHASE 1
    • KC General Hospital.BengaIuru.
    • Jaya Sri Jayadeva Institute of cardiology.
    • Mandya Institute of Medical sciences
    • MC Gann hospital, Shivamogga
    • Wenlock District Hospital, Mangaluru
    • Karnataka institute of Medical sciences, Hubli
    • Gulbarga Institute of Medical Sciences, Gulbarga
    • Vijayanagara Institute of Medical sciences, Bellari
    slide no:6
    PHASE 2
    The roll out of the scheme to
    • All other district hospitals by end of may 2018
    • Taluka level hospitals
    • CHC
    • PHC
    slide no:7
    PATIENT ENTITLEMENT

    • Based on the PDS card.

    • Eligible Patient: A patient who is a resident of Karnataka


    State and belongs to "Eligible Household" as defined
    under the National Food Security Act, 2013. Free
    treatment is given.

    • General Patient: The treatment cost will be on


    copayment basis. 30% by SAST+70% by patient
    slide no:8
    PATIENT ENROLLMENT

    • One time enrollment process.


    • Based on Aadhar card number.
    • Unique ArKID number is given.
    slide no:9
    PROCESS

    • Patient enrollment
    • Patient categorized as ELIGIBLE or
    GENERAL patient.
    • ArKID generated
    • UHC card provided.
    • Patient can access treatement under the
    scheme.
    slide no:10
    BENEFITS

    • One time enrollment, no need for renewal.


    • Protection of patient’s rights that
    guarantee appropriateness of care, patient
    choice, probability and continuity of care.
    • Financial assistance up to INR 5 lakhs per
    annum will be provided for specified
    treatments to a family that comes under
    eligible category.
    slide no:11

    • For patients under general category 30%


    of government package rates, with overall
    annual limit of INR 1.5 lakhs per family per
    year is given
    slide no:12
    REFERENCE

    • arogya.karnataka.gov.in
    • tesz.in
    slide no:13

    THANK YOU

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