Eligibility Criteria for Rajiv Arogya Bhagya Scheme

Karnataka Government has implemented Rajiv Arogya Bhagya Yojana to provide health services to APL ration card holders. Treatment under the scheme is available up to Rs. one and a half lakh per annum. In January 2015, Chief Minister Siddaramaiah launched the Rajiv Arogya Bhagya Yojana. Those who have got APL card from the Food and Civil Supplies Department can avail of the facility under this scheme. So, see below the eligibility criteria for the Rajiv Arogya Bhagya Scheme.

Eligibility Criteria for Rajiv Arogya Bhagya Scheme:

RAB is a state-sponsored health insurance scheme for patients living above the poverty line and suffering from life-threatening conditions, to avail affordable and accessible tertiary treatment.

  1. The patient must be a legal resident of the State of Karnataka
  2. Patients can avail medical treatment at government and private hospitals
  3. As there is no predetermined income bar, both APL and BPL patients can apply for this scheme
  4. Patients who fall under Category A, i.e farmers laborers of unorganized sector, deprived households, SC/ST people, government employees, members of cooperatives societies, media persons, and representatives, need not pay a premium
  5. Whereas patients not included in Category A fall under Category B and have to pay a premium of INR 300, if hailing from rural areas, and INR 700 if failing from urban areas
  6. Category A patients can avail cashless treatment, while Category B patients can claim 30% reimbursement from the government
  7. To apply, the applicant will be required to produce ID proof, ration card, Aadhar card, PDS card and residential proof

The Karnataka government’s RAB Health Assurance Scheme aims to provide Above Poverty Line (APL) residents with access to and affordability of super specialized, high-quality tertiary healthcare services.

Who Benefits from the Rajiv Arogya Bhagya Scheme?

APL card holders who are prepared to pay a co-payment for treatment under the program and who have been issued cards by the Department of Food and Civil Supplies, Government of Karnataka, are the beneficiaries of this program.

Which kinds of hospitals treat patients under the Rajiv Arogya Bhagya Scheme?

In Karnataka and a few surrounding states, the network hospitals offering care under the RAB plan are both public and private institutions. Suvarna Arogya Suraksha Trust (SAST), a government trust, is endorsing these. To obtain information about the hospitals, kindly visit our website at sast.gov.in/home.

Design of the Scheme:

In addition to the financial assurance provided by the government through the Suvarna Arogya Suraksha Trust, which is limited to Rs. 1.5 lakhs per household annually and is done “on a sharing basis,” the scheme will be implemented in an “Assurance Mode” with a co-payment component that the APL beneficiary must pay to the “Empanelled Network Treating Hospital.” This will allow one or more family members to receive treatment within the prescribed financial limit.

Additionally, the plan will allow for a buffer of Rs. 50,000, which the Executive Director will decide whether to approve. Suvarna Arogya Suraksha Trust, principally on the recommendation of the Suvarna Arogya Suraksha Trust’s medical committee; on an individual basis, requesting such an extreme sanction in exceptional circumstances.