Dr. Ambedkar Medical Aid Scheme – Revised in 2018

Diseases Covered

The scheme is meant to provide medical treatment facility to the patients suffering from serious ailments requiring surgery of Kidney, Heart, Liver, Cancer and Brain or any other life threatening diseases including organ transplant and spinal surgery.

Documents Required

The Application Form (Annexure-I) or on Plain Paper with the details as per the format and photograph should be accompanied with the following documents / certificates:-

1. Original Estimated Cost certificate duly signed by the Medical Superintendent of the concerned hospital. It should contain the date fixed for the surgical operation.
2. Self-attested photocopies of the (a) Latest Income Certificate, (b) Caste Certificate and (c) the Ration Card /Aadhaar Card of the patient.
3. Documents required for Kidney transplant i.e. Relationship with beneficiary (Form 14, format for the decision of the Authorization Committee Certificate), Details of Donor of Kidney i.e. Name, Age, Address, Blood Group, UIDAI No. / Aadhaar No. of beneficiary.

Recognized Hospitals

1. All India Institute of Medical Sciences (AIIMS), New Delhi and AIIMS in other States
2. All CGHS approved Hospitals as revised from time to time by the Ministry of Health & Family Welfare, Government of India.
3. All State Government Medical Colleges attached Hospitals even if not included under CGHS Scheme.
4. All State Hospitals and All Hospitals recognized by State Government
5. All Hospitals fully funded by either the Central Government or the State Governments
6. All Government Hospitals in District Headquarters/ major towns where surgery or treatment facility for Kidney, Heart, Liver, Cancer and Brain or any other life threatening disease including organ transplant and spinal surgery is available

100% of the estimated cost of the treatment will be directly released to the concerned Hospital. With a maximum ceiling limit as indicated in the following in each case, in the through NEFT / RTGS:-

• Heart Surgery: Rs. 1.25 lakh
• Kidney Surgery / Dialysis: Rs. 3.50 lakh
• Cancer Surgery / Chemotherapy / Radiotherapy: Rs. 1.75 lakh
• Brain Surgery: Rs. 1.50 lakh
• Kidney / Organ Transplant: Rs. 3.50 lakh
• Spinal Surgery: Rs. 1.00 lakh
• Other life threatening disease: Rs. 1.00 lakh

SCs / STs Patients suffering from kidney, heart , liver, brain, cancer or any other life threatening diseases including organ transplant and spinal surgery.
Annual family income not to exceed Rs. 3.00 Lakh (Per Annum)
Implemented through 10 identified Hospitals and all CGHS approved hospitals, all State Govt. Medical Colleges, All State Govt. Empanelled Hospitals, all Hospitals fully funded by Central and the State Govt., all Govt. hospitals in district headquarters/ major town.
In exceptional cases where the Chairperson is personally convinced of the genuineness and justification for the need to cover any Hospital outside the approved list, can be approached for eligible treatment.