List of Diseases Covered Under Aarogyasri in 2026

Updated October 30, 2026
6 min read
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Aarogyasri provides cashless treatment for eligible families through a defined list of diseases, surgeries and therapeutic packages. Coverage includes areas such as cancer, cardiac care, kidney disorders, organ transplants, neurological conditions, burns and paediatric treatments.

List of Diseases Covered Under Aarogyasri in 2026

Aarogyasri is one of India's largest state-run health insurance programs, designed to protect low-income families from hospital bills that can wipe out years of savings in a single admission. As the scheme doesn't cover everything, only a defined set of illnesses and procedures- knowing the list of diseases covered under Aarogyasri before you walk into a hospital can save you a lot of confusion, and sometimes a lot of money.

What is Aarogyasri?

Aarogyasri began as a single unified scheme in undivided Andhra Pradesh in 2007, designed to give Below Poverty Line (BPL) families access to free, cashless treatment for serious illnesses at empanelled government and private hospitals. After the 2014 state bifurcation, the scheme split into two separate programs that still share the same DNA:

  • Telangana continues it as Rajiv Aarogyasri, now integrated with the central Ayushman Bharat PM-JAY scheme, offering annual family floater coverage.
  • Andhra Pradesh now runs it as Dr NTR Vaidya Seva (previously Dr YSR Aarogyasri), with its own coverage structure and hospital network.

Both state governments periodically revise coverage amounts and the exact number of listed procedures. Recent figures put Telangana's cover at up to ₹10 lakh per family per year and AP's at a higher ceiling under Dr NTR Vaidya Seva, spread across 1,800 to over 3,000 listed procedures.

Note: The numbers change with policy updates. Always confirm the current limit on the official portal for your state before planning treatment around it.

The List of Diseases Covered Under Aarogyasri

Both versions of the scheme are organised around major disease categories rather than a flat, one-line list, which makes sense, since a single disease group like "cancer" alone spans dozens of individual procedures. Here's how the list of diseases covered under Aarogyasri breaks down by system and speciality:

Cardiac and cardiovascular conditions

Cardiac and cardiovascular conditions top the list for most families, and understandably so: coronary artery disease, heart valve disorders, and congenital heart defects are all covered, with the scheme paying for angioplasty, bypass surgery, and other cardiothoracic procedures.

Cancer

Cancer is probably the category people ask about most often. Surgical oncology, chemotherapy (medical oncology), and radiation oncology are all included, and given how expensive cancer treatment usually is outside a scheme like this, it's one of the most heavily used parts of Aarogyasri.

Kidney and renal disorders

Kidney and renal disorders get fairly comprehensive treatment too. Chronic kidney disease, kidney failure, dialysis, and kidney transplantation are all covered, and importantly, post-transplant patients get lifelong follow-up packages rather than being left to fend for themselves once the surgery is done.

Neurological disorders

For neurological disorders, the scheme covers neurosurgery for brain tumours, spinal conditions, and several stroke-related surgical interventions. A handful of high-end neuro procedures, like gamma-knife surgery, are notable exceptions, so it's worth checking early if that's what your case needs.

Liver and pancreatic conditions

Liver and pancreatic conditions also fall under this umbrella, including liver transplant packages within the broader organ transplantation category described below.

Respiratory conditions

On the respiratory side, lung diseases and pulmonary conditions are covered, along with certain thoracic surgeries.

Gastrointestinal disorders

Gastrointestinal disorders are handled through surgical gastroenterology, which covers major abdominal and digestive-tract surgeries.

Burns and post-burn conditions

Burns deserve special mention because they're often overlooked in health coverage. Aarogyasri covers burn injuries and, just as importantly, the post-burn contracture surgeries that restore function afterwards a category that matters enormously given how disabling an untreated burn injury can become over time.

Pediatric conditions

Children get their own dedicated coverage too. Pediatric conditions, including congenital malformations and specialised paediatric surgeries, are included right down to cochlear implant surgery with auditory-verbal therapy for children under two.

Polytrauma and accident-related injuries

Polytrauma and accident-related injuries, including cases that fall under the Motor Vehicles Act, are covered as well, which means accident victims aren't left stranded without emergency surgical support.

Note: The list may change with policy updates. Always confirm the current inclusions on the official portal before planning treatment.

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List of Surgeries In Aarogyasri

Beyond disease categories, it helps to look at the List of Surgeries in Aarogyasri more specifically, since the scheme is fundamentally structured around approved surgical and therapeutic packages rather than open-ended disease coverage. Some of the commonly listed surgical procedures include:

  • Coronary balloon angioplasty with drug-eluting stent
  • Open radical prostatectomy
  • Bone tumour surgery with reconstruction and internal fixation
  • Superficial parotidectomy (for non-malignant conditions)
  • Septorhinoplasty and myringoplasty (ENT procedures)
  • Glaucoma surgery and exenteration of orbit (ophthalmology)
  • Joint reconstruction for intra-articular fractures
  • Rectopexy with mesh for rectal prolapse
  • Excision of ureterocele with ureteric implantation
  • Laparoscopic treatment for duodenal perforation
  • Neck of bladder reconstruction for incontinence
  • Lumbar hernia repair in paediatric patients
  • Excision of Meckel's diverticulum

Each of these sits within one of the broader speciality categories mentioned earlier orthopaedics, urology, ENT, gastroenterology, and so on and each has its own approved package cost that the network hospital is usually reimbursed against directly.

Note: The list may change with policy updates. Always confirm the current inclusions on the official portal before planning treatment.

What's Excluded From Aarogyasri?

Knowing what isn't covered under the policy is equally important as assuming coverage for an excluded procedure can lead to unexpected out-of-pocket costs. Commonly excluded treatments include:

  • Hip and knee replacement surgeries
  • Cardiac and liver transplantation (in some earlier scheme versions, though organ transplant coverage has since expanded in newer notifications)
  • Gamma-knife procedures in neurosurgery
  • Assisted devices for cardiac failure
  • Bone marrow-related treatments
  • Certain infectious diseases like tuberculosis, leprosy, and filaria, which are typically handled through separate national health programs
  • Routine outpatient consultations not linked to a listed surgical or therapeutic package

Exclusion lists have shifted over the scheme's history; some procedures once excluded have since been added. 

Note: The list may change with policy updates. Always confirm the current exclusions on the official portal before planning treatment.

Final Thoughts

Aarogyasri remains one of the most significant safety nets for low-income families across Andhra Pradesh and Telangana, covering everything from cardiac surgery and cancer treatment to organ transplants and paediatric care, entirely cashless at the point of service. The scheme works through a defined package system rather than blanket coverage.

Checking the list of diseases covered under Aarogyasri and specifically whether your exact procedure is on the current approved list before treatment begins is the single most useful thing you can do to avoid unexpected costs. When in doubt, the Aarogyamitra at your nearest network hospital is your fastest, most reliable source of an up-to-date answer.

Disclaimer* :- The information provided here is for general awareness only. It does not constitute professional advice. While care has been taken to ensure accuracy, readers are advised to consult a qualified professional before making any decisions.

FAQs

Who is eligible for Aarogyasri health coverage?

Eligibility depends on the applicable state scheme and beneficiary criteria. The relevant state health authority or Aarogyasri portal can confirm whether a person or family is eligible.

Can Aarogyasri be used at a private hospital?

Yes, eligible beneficiaries can receive covered treatment at private hospitals that are empanelled under the applicable state scheme. The treatment must fall within the approved package list.

Does Aarogyasri cover pre-existing diseases?

Coverage depends on the specific disease or treatment package included under the scheme. Unlike a conventional private health insurance policy, Aarogyasri operates through its approved treatment packages.

Does Aarogyasri cover medicines after hospital discharge?

Post-treatment medicines and follow-up care may be covered when they form part of an approved treatment package. The exact benefits depend on the package applicable to the procedure.

Can a beneficiary get treatment at a hospital in another state?

This depends on the applicable scheme, hospital network and treatment package. Beneficiaries should confirm whether their chosen hospital is authorised to provide the required treatment under their scheme before admission.

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