Health Pensions Above RS 10,000 Guidelines in Andhra Pradesh
In a groundbreaking move to strengthen healthcare support, the Andhra Pradesh government has introduced enhanced pension benefits under the NTR Bharosa Health Pension Scheme—an extension of the YSR Health Pension Scheme.
This initiative serves as a lifeline for individuals battling severe medical conditions by providing monthly pensions of ₹10,000 and ₹15,000.
The substantial increase aims to ease the financial burden those with debilitating diseases face.
If you or someone you know may be eligible, understanding the criteria and application process is essential to accessing this vital financial aid.
Who is Eligible for Enhanced Health Pensions?
The following medical conditions categories of pensioners received the highest increase amount under the NTR Bharosa Health Pensions:
- Individuals with paralysis are confined to a wheelchair or bed.
- Severe muscular dystrophy cases.
- Accident victims requiring long-term care
Guidelines for approval for Enhanced Health Pensions:
The NTR Bharosa Health Pension Scheme supports individuals with nine medical categories, offering monthly pension amounts from ₹6,000 to ₹15,000 for conditions including genetic disorders, severe physical impairments, chronic kidney disease, and major organ transplants, each requiring specific medical documentation.
| S.No | Pension Category | Enhanced Pension (In Rupees) | Eligibility Criteria |
|---|---|---|---|
| 1 | Thalassemia Major | 10000 |
|
| 2 | Sickle Cell disease | 10000 | |
| 3 | Severe Hemophilia (<2% of factor 8 or 9) | 10000 | |
| 4 | Bilateral Elephantiasis- Grade4 | 10000 |
|
| 5 | Paralysis | 15000 |
|
| 6 | Severe Muscular Dystrophy cases and accidents with spinal injury victims confined to wheelchair or bed | 15000 | |
| 7 | C.K.D. (stage3,4,5) & not on dialysis& having the conditions a, b, c i.e.: (a) Serum creatinine of >5mg consistently on two separate occasions with at least a three-month gap (in Government lab) | 10000 |
|
| b) Small contracted kidney on evaluation (less than 8cm) | 10000 |
| |
| c) Estimated GFR- <15ml | 10000 |
| |
| 8 | Multi-deformity Leprosy | 6000 | 1) Application must be forwarded through D.L.O to the DMHO with a detailed description of the disease along with a visible deformity photograph |
| 9 | Kidney, Liver& Heart Transplant | 10000 |
|
You can find a detailed Overview of the Condition Severity below:
(1). Bilateral Elephantiasis (Grade 4): Clarification:
(a). What it is:
Bilateral Elephantiasis is a condition where the body's drainage system gets damaged.
This damage causes swelling, usually in the legs and feet. The "Grade 4" tells you how bad the swelling is, and is the most severe form.
(b). Grade 4 Specifics:
Grade 4 represents the most severe form of Bilateral Elephantiasis. It is characterized by:
- Very Large Swelling: The swelling is extremely noticeable. The legs or feet can become very large and distorted.
- Skin Changes: Thickening, hardening, and discoloration of the skin, often with deep folds and nodules.
- Trouble Moving: It's very hard to walk or do daily activities because of the swelling and changes in the skin.
- Potential Complications: You are at risk of getting infections in the affected area because the skin is compromised.
(2). Severe Hemophilia (<2% of Factor 8 or 9): Implications:
(a). Understanding Hemophilia:
Hemophilia is a genetic bleeding disorder in which the blood does not clot properly.
People with hemophilia can experience prolonged or excessive bleeding after an injury, surgery, or even spontaneously.
(b). Factor 8 and 9:
These are proteins essential for blood clotting. Hemophilia A is caused by a deficiency in Factor 8, while Hemophilia B is caused by a deficiency in Factor 9.
(c). Severity Based on Factor Levels:
The severity of hemophilia is determined by the percentage of clotting factor in the blood:
- Mild Hemophilia: 5-40% clotting factor.
- Moderate Hemophilia: 1-5% clotting factor.
- Severe Hemophilia: Less than 1% clotting factor.
(d). Implications of <2%:
(ⅰ) Frequent Bleeding:
Individuals with less than 2% clotting factor will likely experience frequent, severe, and spontaneous bleeding episodes, which can include joint bleeds, muscle bleeds, and internal bleeding.
(ⅱ) Long-Term Complications:
Repeated bleeding episodes can lead to joint damage, chronic pain, and other debilitating complications.
(ⅲ) Significant Impact on Daily Life:
Severe hemophilia can greatly restrict daily activities and may require lifelong treatment and management.
(3). Thalassemia Major:
Thalassemia Major is a severe inherited blood disorder in which the body produces little or no hemoglobin, leading to a lack of healthy red blood cells.
Symptoms:
This condition results in severe anemia, paleness, shortness of breath, delayed growth, fatigue and weakness, and bone deformities.
(4). Sickle Cell Disease:
What it is:
Sickle Cell Disease is a health problem you get from your parents, where your red blood cells are not shaped right.
Normally, they're round like a disc and move easily through your body, carrying oxygen.
But in this disease, they are shaped like a crescent moon or a sickle, which makes them sticky and hard to move.
Symptoms:
- Feeling very tired and weak most of the time.
- It causes damage to your body's organs, like your heart, lungs, kidneys, and brain
- You might have severe pain that can happen in different parts of your body. It can come and go or last a long time and sometimes requires a hospital stay.
(5). Chronic Kidney Disease (CKD):
Kidneys clean your blood and remove waste products to keep you healthy.
When you have Chronic Kidney Disease (CKD), it means these filters aren't working as well as they should over time.
There are different levels of CKD (3, 4, and 5) with stage 5 being the most severe.
How to Apply for the NTR Bharosa Health Pension?
(1). Initial Contact:
First, reach the ANM (Auxiliary Nurse Midwife) at your village or ward secretariat.
The ANM will assess your situation and inform the concerned Primary Health Center (PHC) doctor.
(2). Medical Board Examination:
The PHC doctor will guide you to the appropriate Medical Board for your condition.
These boards are typically comprised of specialists from the Neurology, Neurosurgery, and Orthopedics departments of a Medical College or Government General Hospital (GGH).
(3). Medical Certification:
The Medical Board will conduct a thorough examination and issue a certificate in the standardized format if your condition meets the eligibility criteria.
It is vital that the medical board fully completes the medical certificate, as incomplete documentation will slow down the process.
(4). Application Submission:
The District Medical and Health Officer (DMHO) will scrutinize your application based on the Medical Board’s findings.
Once approved, the application will be uploaded to the NTR Bharosa Pension Portal.
(5). Pension Approval and Payment:
Pensions will be sanctioned starting from the month following approval by the DMHO.
There is no fixed timeline for implementation, as these applications are treated as an Emergency Service.
How to Download NTR Bharosa Health Pension Medical Certificate?
The medical certificate is issued by the Medical Board. Additionally, you can download the A.P. Health Pension medical certificate PDF for reference.
Frequently Asked Questions:
(1). Is a person who had general heart surgery eligible for the NTR health pension?
Answer: Heart attacks and general heart surgeries are not specifically listed as eligible categories under the NTR Bharosa Health Pension Scheme. This is because patients typically recover fully with treatment, except in cases of heart transplants.
(2). Does the re-assessment required of a SADAREM certificate make a person eligible for an enhanced health pension?
Answer: This situation is often faced by paralysis patients because some may show improvement with therapy, making them ineligible even if their disability was initially assessed at more than 85%.
(3). Is dialysis necessary for a kidney patient to get a pension?
Answer: In this pension scheme, people in the CKD stages 3, 4, or 5 who are not on dialysis may qualify if their condition also meets the requirements below.
(a). High Creatinine Levels:
Creatinine is a waste product that your kidneys normally remove from your blood.
If your blood tests show a high level of creatinine (above 5 mg) on two separate occasions, at least three months apart, and the tests are done at a government lab, your kidneys aren't filtering waste as effectively as they should.
(b). Small Kidneys:
If your tests show that one or both of your kidneys have become smaller than 8 cm (about the size of a small lemon), they are likely damaged and not functioning well.
(c). Low Estimated GFR:
GFR stands for Glomerular Filtration Rate. This is measuring how well your kidneys are filtering waste from your blood.
If your tests show that your GFR is less than 15 ml/min, indicate your kidneys are not properly filtering your blood.
(4). Does the Beneficiary qualify for Six-Step Validation?
Answer: Yes. six-step validation satisfaction is compulsory.
Conclusion:
The NTR Bharosa Health Pension Scheme exemplifies Andhra Pradesh’s proactive approach to integrating healthcare through structured, need-based support.
The program ensures that aid is targeted and equitable, by mandating rigorous medical validation via specialized boards and enforcing strict compliance with eligibility protocols.
The inclusion of a six-step validation process and collaboration across administrative tiers—from village-level ANMs to district medical authorities—strengthens accountability and minimizes misuse.
Beneficiaries are encouraged to contact their nearest government hospital or District Medical and Health Office for more information about eligibility and application procedures.
