Services under Rashtriya Arogya Nidhi: MOS health informs Parliament

New Delhi: Recently, through a written reply to a question in Lok Sabha, Minister of state ( independent charge) Smt Anupriya Patel has informed about the Rashtriya Arogya Nidhi.

The scheme Rashtriya Arogya Nidhi (RAN) is under implementation in the country. The details of scheme and salient features are given below:

• The Rashtriya Arogya Nidhi (RAN) has been set up vide Resolution No. F-7-2/96-Fin-II dated 13/1/1997 and registered under the Societies Registration Act, 1860, as a Society. The RAN was set up to provide financial assistance to patients, living below poverty line and who are suffering from major life threatening diseases, to receive medical treatment at any of the super speciality Hospitals/Institutes or other Government hospitals. The financial assistance to such patients is released in the form of ‘one-time grant’, which is released to the Medical Superintendent of the Hospital in which the treatment has been/is being received.


• Under RAN Revolving Funds have been set up in 13 Central Government Hospitals/Institutions located all over India for providing financial assistance for treatment up to Rs. 2 lakh. In addition financial assistance is provided for individual cases referred by Government hospitals/institutions, which do not have a Revolving Fund and for cases referred by 13 Government hospitals/institutions with Revolving Funds for assistance exceeding Rs. 2 lakh.

An illustrative list of categories of treatment to be provided from the Fund is given below:

An illustrative list of categories of treatment to be provided from the fund is as follows :

 

1.Cardiology & Cardiac Surgery:

 

1. Pacemakers

2. CRT/Biventricular pacemaker

3. Automatic Implantable Cardioverter defibrillator (AICD)

4. Combo devices

5. Diagnostic Cardiac Catheterization including Coronary Angiography

6. Interventional procedure including Angioplasty, Rota-ablation,

Balloon Valvuloplasty e.g. PTMC, BPV etc.

7. ASD, VSD and PDA device closure

8. Peripheral Vascular Angioplasty, Carotid Angioplasty, Renal

Angioplasty

9. Coil Embolization and Vascular plugs

10. Stents including Drug Eluting Stents

11. Electrophysiological Studies (EPS) and Radio Frequency (RF)

Ablation

12. Heart surgery for Congenital and Acquired conditions including

C.A.B.G

13. Vascular Surgery

14. Cardiac Transplantation etc.

2. Cancer :

1. Radiation treatment of all kinds including Radio Therapy and

Gama Knife Surgery.

2. Anti-Cancer Chemotherapy supportive medication and antibiotic,

Growth factor,

3. Bone Marrow Transplantation- Allogenic& Autologous


4. Diagonostic Procedures- Flow cytometry/cytogenetics /IHC Tumour

Markers etc.

5. Surgery for cancer patients


6. Catheters, central lines and venous access devices.

3.Urology/Nephrology/Gastroenterology :

1. Dialysis and its consumable (Both haemodialysis as well as Peritoneal)


2. Plasmalpheresis in acute renal failure


3. Continuous renal replacement therapy in acute renal failure in ICU sick

patient.

4. Vascular access consumables (Shunts, catheters) for Dialysis


5. Renal transplant-cost of renal transplant varies from 2.5 to 4.0 lakh

Depending upon type of drug used as per patient need.

6. PCN and PCNL Kits


7. Lithotripsy ( for Stones)


8. Disposables & Stents for endoscopic surgical procedures in Urology &

Gastroenterology.

9. Liver Transplantation and Surgery for portal hypertension.

4. Orthopedics:

 

1. Artificial prosthesis for limbs


2. Implants and total hip and knee replacement


3. External fixaters


4. AO implants, used in the treatment of bone diseases and

fractures

5. Spiral fixation Implant- Pedicle Screws (Traumatic, Paraplegic, Quadriplegic)

6. Implant for Fracture fixation (locking plates & modular)


7. Replacement Hip –Bipolar /fixed


8. Bone Substitutes

5.  Neurosurgery – Neurology :

 

1. Brain Tumors


2. Head injuries


3. Intracranial aneurysm


4. AVMs


5. Spinal tumors


6. Degenerative /Demyelinating diseases of brain/spinal cord


7. Stroke


8. Epilepsy


9. Movement disorders


10. Neurological infections

6.Endocrinology :

 

1. Hormonal replacement for lifelong therapy :

-   Cases of complicated diabetes which require one time treatment

e.g. amputation or renal transplant

-    Hypo pituitarism

-    Hypo thyrodism

-    GH deficiency

-    Cushings Syndrome

-    Adrenal insufficiency

-    Endocrine surgery

7.  Mental Illness :

 

1. Organic Psychosis acute and chronic


2. Functional psychosis including Schizophrenia, Bio-polar

Disorders, delusional disorders and other acute polymorphic psychosis

3          Severe OCD, Somatoform disorders, eating disorders

4.         Developmental disorders including autisms spectrum disorders and   Severebehavioural disorders during childhood.

8. Drugs :

 

1. Immunosuppressive drugs


2. Anti D


3. Anti Haemophilic Globulin


4. Erythropoietin


5. Blood & Blood products/Plasma for patients of Burns


6. Liposomal Amphotericin


7. Peg Interferon


8. Ribavarin


9. CMV treatment (IV Gancyclovir, Valganciclovir)


10. Voriconazole


11. Anti-rejection treatment (ATG, OKT 3)


12. Treatment for Post –transplant viral infection


13. Any life supporting drugs.

9.  Investigations:

 

Ultra-sound, Doppler studies, Radio-nucleotide scans, CT Scan, Mammography, Angiography for all organs, M.R.I, E.E.G, E.M.G, Uro-dynamic studies, Cardiac Imaging- Stress Thallium & PET, Cardiac MRI, Investigation for CMV, BK Virus, TMT, Echocardiography.

Psycho diagnostics, neuropsychological assessments, IQ assessments, blood tests like serum lithium and drug level of carbamazepine, valporate, phenytoin and any other similar medications : CSF studies screening for substances or abuse/toxicology.

10. Others :

 

1. Immunoglobulin for AIDP (GB Syndrome ) and Myasthenia Gravis.


2. Anti viral


3. Anti Fungal


4. Wilson disease : Penicillamine A


5. Botulinum A toxin injection for spasticity


6. Baclofen for spasticity

 

11. Miscellaneous :

 

Shunts for Hydrocephalus.

12.      Other major illness/treatment/intervention considered appropriate  for financial assistance by Medical Superintendent/Committee ofDoctors could be considered for grant.

 

The details of funds allocated to patients of various State/UT wise are given below:

 

	Individual cases of financial assistance provided under RashtriyaArogyaNidhi
			(Rs. in lakhs)
Name of State/UT			2017-18 (upto 16.02.2018)
			No. of Patient	Amount
Andhra Pradesh			3	15.04
Arunachal Pradesh			--	--
Assam			1	3.00
Bihar			139	661.97
Chandigarh			--	--
Chhattisgarh			3	19.45
Delhi			38	219.07
Gujarat			--	--
Haryana			48	231.63
Himachal Pradesh			7	17.30
J.& K.			58	231.42
Jharkhand			8	62.72
Karnataka			1	11.75
Kerala			13	54.22
Madhya Pradesh			23	133.96
Maharashtra			--	--
Manipur			9	66.37
Meghalaya			--	--
Mizoram			--	--
Nagaland			--	--
Odisha			1	2.50
Puducherry			6	34.05
Punjab			3	9.75
Rajasthan			7	32.93
Sikkim			2	8.94
Tamil Nadu			22	59.65
Tripura			--	--
Uttar Pradesh			177	845.67
Uttarakhand			12	57.85
West  Bengal			10	66.61
Total			591	2845.85

An amount of Rs. 24.00 crore (B.E.) was provided under the scheme in 2017-18, which has been utilised. An additional amount of Rs. 6.00 crore has been provided at R.E. stage.

All the Super-speciality hospitals/institutes or other Government Hospitals situated in all States/UTs including Andhra Pradesh are covered for providing medical treatment to the patients living below poverty line under the RashtriyaArogyaNidhi Scheme.

Financial assistance has been released in respect of 03 patients having treatment at Sri Venkateswara Institute of Medical Sciences, Tirupati during the year 2017-18 under Rashtriya Arogya Nidhi Scheme and financial assistance has also been sanctioned additionally to 03 patients of Andhra Pradesh.