What is Atal Amrit Abhiyan?
Atal Amrit Abhiyan is a progressive, forward-looking health assurance scheme launched by Government of Assam to make critical healthcare accessible to the underprivileged families of Assam. The scheme provides free treatment to economically weaker citizens of Assam, having annual family income of less than Rs. 5 lakhs, for specialised treatment of 6 selected diseases at the empanelled hospitals. Explore the website for details.
Is it only for Assam citizen?
All persons holding a Ration card issued by Government of Assam under the National Food Security Act, and with an annual family income of less than Rs.5 Lakhs, are eligible to avail benefits under the scheme. Government employees, current as well as retired, are excluded from the purview of the scheme.
What is enrolment?
Enrolment is a process wherein eligible individuals personally visit the enrolment station with relevant documents to verify their eligibility to be included under the scheme. During the enrolment, the Verifying Officer verifies the eligibility of the individual on the basis of the submissions made. An operator then takes a photograph and captures the finger prints of the individual. A unique scheme ID card is then handed over to each eligible beneficiary to enable them to receive cashless treatment for all covered procedures at any network hospital.
When is the Enrolment starting in my location?
The Enrolment Calendar published on this website gives you quick information about the districts where enrolment is currently ongoing. Publicity will be given in advance about enrolment in your locality. You can also check with your Panchayat office Notice Board for more details.
Where should I come for enrolment?
Three days prior to commencement of enrolment, our team will come to your locality and publicise the date, time and venue of enrolment in your locality. You can also check with your Panchayat office and ASHA workers for more details.
What are the eligibility criteria?
- Individuals belonging to (BPL) families with annual income of less than Rs. 1.2 lakhs are eligible for free enrolment
- Individuals belonging to low income households (APL) with annual income between Rs. 1.2 lakhs and 5 lakhs are eligible for enrolment for a nominal premium of Rs. 100/- per year
What documents are required to assess eligibility?
- Individuals whose names appear in NFSA data of the State, and meet other criteria, will be deemed as being eligible
- Beneficiaries who do NOT feature in the NFSA data shall be required to produce an 'income certificate'
- APL families who feature in the NFSA data shall be required to produce an income certificate to assess economic eligibility criteria
- EPIC (Voter ID) card shall be accepted as identification document for all adults (above 18 years).
- Birth certificate must be produced to enroll children below 18 years of age.
What should I bring for enrolment?
- BPL families must bring ration card and voter ID card in original for each intended beneficiary. Original birth certificate has to be brought for enrolling children under 18 years.
- APL families must bring voter ID card and income certificate in original for each intended beneficiary. Original birth certificate has to be brought for enrolling children under 18 years.
I am having ration card issued by West Bengal Government? Can I go for Enrolment?
No, only those holding a ration card issued by the Government of Assam are eligible for enrolment into the AAA scheme.
I am a government employee, but my wife is a teacher in a private school. Can she get herself enrolled?
Government employees (both state & central), either serving or retired, and their family members are not eligible for enrolment.
I have a ration card issued by Government of Assam, but it is not BPL, can I go for enrolment?
Ration cards are issued only to families having annual income up to Rs. 1 Lakh. In case a family holds an old ration card but is not a part of the NFSA data, the beneficiaries must submit their income certificate in original.
What is Income Certificate?
Income certificate gives details about your actual family income. This certificate is issued by Circle officer of the locality where the beneficiary normally resides.
Is Income certificate mandatory?
The income certificate is mandatory for beneficiaries whose family’s annual income is between Rs. 1 lakh and 5 lakhs.
What if my family members live outside Assam?
Those who are eligible have to be physically present at the enrolment centre, as they need to provide their finger prints for being recorded as an enrolled beneficiary. Family members living outside the state that make a visit to their district enrollment centre to complete the enrolment process.
Can I cover new-born for enrolment?
A new-born can be enrolled with the parents on their card provided Original Birth Certificate is available.
I will be out of Assam for the next 4 months? How can I get myself enrolled later?
On your return, you may go to nearest district enrolment centre with all relevant documents to get yourself enrolled. The last date for closure of enrolment has not been finalized as yet.
Will you give card to my son?
All members of family above 18 years will be given a unique scheme ID card. Children under 18 years of age will be referenced / added into the card of the Head of the Family.
Do I have to make any payment for getting enrolled?
BPL families need not make any payment for getting enrolled. However, APL beneficiaries have to pay Rs.100/- per year for the enrollment.
I got enrolled at Majuli (Kamalabari), but they did not give me the card. Why?
The following blocks are going for Initial round of enrolment from 10th of April 2017 at Johrat (Kamalabari), Dibrugarh (Lahoal), Baksa (Baska), KamrupRural (Sualkuchi), KabriAnglong (Lumbajong), Cacher (Silchar), and Dhubri (Bilasipara). If you are enrolled in the initial phase, your card will be issued later.
What are the Specialties which are covered by the Scheme?
Atal Amrit Abhiyan offers cashless treatment for the following 6 specialties:
- Cardiovascular diseases
- Kidney diseases
- Neo-natal diseases
- Neurological conditions
What is cashless hospitalization?
Cashless hospitalization is a facility under where the beneficiary can get admitted and undergo necessary treatment without paying the hospital directly for the medical expenses. Under the AAA scheme, the hospital received the payment from the state Government.
For availing Cashless facility, what is the start date?
The dates of commencement of cashless facility will be communicating soon.
When you are going to give us 2 lakh rupees?
Beneficiary will not be given any monies. Hospitals will claim for reimbursement of expenses post treatment of beneficiaries from the state Government.
Are maternity / cataract covered?
Enrolled individual can avail benefits only for the selected procedures under the 6 specialties.
Can I claim for medicines, that I purchase?
The network hospital will provide treatment under a package for a selected procedure which includes all expenses like consultations, medicine, diagnostics, food, and hospital charges etc. No claim for any extra expenses can be made by the beneficiary.
Where can I avail the benefits of the scheme?
Beneficiaries can avail cashless hospitalization at all empanelled hospitals in Assam and in the following cities:
- Delhi (NCR region)
- Mumbai (only cancer treatment)
At the time of enrolment, you will be given a hand-out, which will contain scheme details and network hospitals. You can also visit the Network Hospital page for details of the hospitals currently empanelled under the scheme.
With the card, can I get treatment in Vellore hospital?
No, Vellore does not fall in the list of places selected for availing treatment. A beneficiary can avail benefits under this scheme only in empanelled hospitals in Assam, Delhi, Chennai, Kolkata, Bangalore and Mumbai (for treatment of cancer only).
Who is eligible to apply for the empanelment?
Based on the qualifying criteria, all the public, private, trust and grant-in-aid hospitals that provide hospitalization and/or daycare services would be eligible for empanelment/inclusion under the scheme.
What is Preauthorization?
Preauthorization is the process of obtaining approval for cashless hospitalization as per scheme benefits. Preauthorization is sent by the network hospital to the ISA online using the MediBuddy portal on the date of admission after obtaining due details from the treating doctor.
What is the procedure to raise a Preauthorization?
Prior to admission, the hospital shall:
- Identify the beneficiary with the AAA ID card
- Provide intimation to the relevant Arogya Mitra
- Conduct necessary medical tests investigations and evaluations to confirm the necessity for the treatment
- Submit preauthorization form in the specified format to the ISA online on MediBuddy along with all necessary test reports and scanned copy of the AAA ID card.
The ISA validates the request and approves cashless hospitalization for all relevant cases.
How to intimate hospitalization?
Post empanelment of hospital, the ISA will share login credentials to access MediBuddy; hospitals can send claim intimation and pre-authorization requests to the ISA online.
Do beneficiary needs to pay any amount at the empanelled hospital for the treatment?
No, the beneficiary does not have to pay any amount at the empanelled hospital for expenses covered under the scheme. However, in case the cost exceeds the available sum assured or for expenses not explicitly covered under the policy, the difference amount must be collected directly from the beneficiary.
What is the turnaround time (TAT) to process the pre-Authorization once shortfall query is responded?
The ISA will respond within 24 hours from the time of receipt of response to the shortfall query.
What is the objective of Atal Amrit Abhiyan Scheme?
Atal Amrit Abhiyan has been launched by the Government of Assam to provide relief to the people of the State who suffer from critical illnesses. This ambitious Scheme provides cashless coverage upto Rs 2 Lakhs per eligible individual, to avail best in class treatment for 438 approved procedures in 6 critical care specialties.
For further details on the Scheme, queries or complaints, you may call at- 18001027480 and 104 .
Which Department is responsible for the scheme?
A separate society has been set up under the aegis of Department of Health & Family Welfare, Government of Assam, which is responsible for administration of the scheme – Atal Amrit Abhiyan Society.
Who is eligible to enroll under the Scheme or to avail of its benefits?
All individuals from BPL (up to an annual family income of Rs 1.2 lakhs) and APL families (with annual income between Rs. 1.2 and Rs. 5 lakhs) are eligible to enroll and avail the benefits under this Scheme.
What are the 6 specialties that are covered for treatment under the Scheme?
The specialties covered under the Scheme are:
*Neonatal diseases and
Are all diseases under the above 6 specialties covered by AAA?
438 selected and approved procedures only within the above 6 specialties are covered. For detailed list of the procedures please call the helpline 18001027480 and 104 or contact the District Hospital nearest to you.
What is the assured amount per year for the procedures/treatments covered under the Scheme?
Rs. 2 Lakhs per member, per annum of each eligible family per is covered under the Scheme.
What are the documents required to enroll under the Scheme?
For every member above 18 years of age
*Voter ID card
For every member below 18 years of age.
* Birth Certificate
He / She shall have to sign a self attested family income certificate stating that his/her family annual income is below Rs. 500000
Does any fees need to be paid at the time of enrolment?
Enrollment under the scheme is totally free for members of the BPL families.
Members of APL families are required to pay a nominal amount of Rs 100/- per individual at the time of enrolment. Every year at the time of the yearly renewal Rs. 100 will be charged from every APL beneficiary.
Where can one enroll under the Scheme? And Whom to approach for reissuing damaged or lost cards?
For enrolling under the Scheme, or reissuing lost or damaged cards, any individual fulfilling the criteria of eligibility may approach the “Atal Amrit Abhiyan District Enrolment Kiosks” established in his/her native district.
What are the documents given to the beneficiaries upon enrolment into the Scheme? And What is the purpose of the laminated card given at the time of enrolment?
Every enrolled adult (above 18 years) beneficiary will be issued a laminated photo ID card with a unique identification number linking him to his family.
Further, every individual’s biometrics will be captured at the time of enrolment and will be used for identification and validation.
This card will have to be presented at the empaneled hospital at the time of availing the treatment.
Please note: Minor beneficiaries (below 18 years) will not be issued a separate card, but their names would be tagged in the card of the head of the family that the minor belongs to. At the time of availing treatment for a minor beneficiary, the card of the head of the family is to be presented at the empaneled hospital.
What is an empaneled hospital? And Which are the hospitals where treatment may be availed under the Scheme?
Hospitals, both public and private-within and outside the state, have been empaneled under the Scheme. Empaneled hospitals are the only hospitals where the beneficiary is entitled to free cashless treatment (up to the eligible amount) under the Scheme.
The existing list of empaneled hospitals can be procured from the District Kiosks, Arogyamitras at the District Hospitals and the call center. Going forward, the number of empaneled hospitals will gradually increase. All empaneled hospitals will have an AAA Kiosk where Arogyamitras will be stationed to help the beneficiaries.
Who should an eligible beneficiary first approach for initiating treatment under the scheme? Can a beneficiary go directly to a private empaneled hospital?
Within Assam: For availing treatment under the scheme within Assam, an enrolled beneficiary can approach any of the empaneled hospitals directly.
Outside Assam: For treatment outside Assam, a beneficiary has two options:
a) Where the beneficiaries require support on transportation costs (within the eligible amount of Rs. 2 Lakh) and hospital arrangements, he/she should contact the Atal Amrit Abhiyan Call Centre Number 1800 102 7480. All the necessary arrangements will be made for them including transportation as per the guidelines of the Scheme.
b) Beneficiaries can also approach an empaneled hospital outside Assam on their own. However, in such cases, they will have to bear their transportation costs apart from taking the responsibility of making necessary tie-up with the concerned hospital for medical treatment including seat availability etc. Such beneficiaries will also be entitled to the Rs 2 lakhs benefit, which will be directly paid to the hospital as per the norms laid out under the Scheme.
Who should the beneficiary approach for support in empaneled hospitals?
Beneficiaries should approach the Help Desk in every empaneled hospital, manned by an AROGYAMITRA, who is there 24*7 for supporting and hand holding them, and ensuring their treatment experience is seamless
What will be covered within Rs 2 lakhs annually?
- Travel outside Assam- (Air-Fare) Maximum Rs. 30,000/- for one beneficiary and one attendant for treatment outside Assam. (provided the beneficiary does not directly go to an empaneled hospital outside Assam)
- Travel within Assam- Travelling allowance of Rs 300/- per visit for a maximum of Rs. 3,000/- in a year, within Assam.
- Treatment-- As per agreed package rates.
- Daily allowance- Rs. 1,000/- per day daily allowance for a maximum of 10 days for treatment outside Assam.
Who will make the travel arrangements?
Inside Assam- Arrangement should be made by the beneficiary which would be reimbursed with a cap of Rs 300/- per visit for a maximum of Rs. 3,000/- in a year. Outside Assam- Arrangement would be made through the call centre who will also ensure that beneficiary is kept informed.
Will diagnostic tests be covered?
Yes, all diagnostic tests done before 24-hour of admission in the empaneled hospital are covered within the Scheme.
Will any part of the treatment costs be reimbursable directly to the beneficiary?
No. Patient will get cashless treatment in empaneled hospitals up to Rs. 2 lakhs per annum and the amount will be reimbursed to the hospital directly.
What happens if the total cost of treatment is above 2 Lakhs at one time or if the Rs 2 lakhs gets exhausted before one year for a beneficiary?
The Scheme covers only an amount up to Rs. 2 lakhs per beneficiary, per year. Any expenditure above the given limit is to be borne by the beneficiary.
Where do I get additional information on the scheme?
Additional information about the Scheme can be obtained by calling the following toll free numbers- 18001027480 and 104
Further, the members of the public can also approach the District Kiosks of the Scheme, which have been established in all the districts of the State.