The Dr. Ambedkar Medical Aid Scheme (Revised – 2009) is implemented by the Directorate of Welfare of Scheduled Caste & Backward Classes, Government of Haryana. This scheme is designed to provide financial assistance to Scheduled Caste and Scheduled Tribe persons with an annual family income of less than ₹1,00,000/- for the treatment of serious ailments requiring major surgeries. Covered treatments include surgeries for the kidney, heart, liver, cancer, brain, knee, spinal procedures, and other life-threatening conditions. The scheme is facilitated through several approved hospitals across India and is aimed at reducing the financial burden of critical medical care.
Benefits
- Financial Assistance:
- Up to ₹1,00,000/- per case, with 75% of the estimated treatment cost directly released to the hospital.
- 50% of the total admissible aid is paid in advance to the hospital before surgery.
- The remaining 50% is disbursed after surgery upon submission of final bills certified by the hospital’s Medical Superintendent.
- Comprehensive Coverage:
- Assistance covers treatments for kidney, heart, liver, cancer, brain surgeries, knee, and spinal surgeries, among other life-threatening diseases.
- Funding Sources:
- The scheme is funded by both the state and central governments, ensuring that total medical aid from all sources does not exceed the estimated treatment cost.
Eligibility Criteria
- Community:
- The applicant must belong to the Scheduled Caste or Scheduled Tribe community.
- Income:
- The annual family income must be less than ₹1,00,000/-.
- Medical Need:
- The applicant must require treatment for serious ailments that need major surgeries such as kidney, heart, liver, cancer, brain, knee, spinal, or other life-threatening diseases.
- Hospital Network:
- Treatment must be sought at one of the approved hospitals (e.g., AIIMS, Sanjay Gandhi Post Graduate Institute, Patna Medical College Hospital, etc.), or in exceptional cases, at a hospital approved by the Chairperson based on the genuineness of the claim.
Application Process (Offline)
- Obtain the Application Form:
- Download the prescribed form from this link or collect it from the relevant office.
- Complete the Form:
- Fill in all required details. The form must be certified by the Medical Superintendent of the concerned hospital.
- Attach Documents:
- Submit the application along with your caste certificate, income certificate, ration card, and an original Estimated Cost Certificate (which includes the scheduled surgery date) duly certified by the hospital.
- Recommendation & Forwarding:
- The application must be recommended and forwarded by a local sitting Member of Parliament (Lok Sabha or Rajya Sabha) or by the District Magistrate & Collector/Deputy Commissioner or the Secretary in charge of Health & Social Welfare.
- Submission Deadline:
- Ensure the completed application reaches the Director, Dr. Ambedkar Foundation, 15 Janpath, New Delhi, at least 15 days before the scheduled surgery.
- Processing:
- All applications are processed by the Dr. Ambedkar Foundation.
Disbursement Process
- Advance Payment:
- 50% of the total admissible medical aid is released in advance to the hospital.
- Final Payment:
- The remaining 50% is released after surgery upon submission and certification of final bills.
- Total Assistance Cap:
- Total financial assistance provided does not exceed the estimated cost of treatment, as certified by the Medical Superintendent.
Documents Required
- Original Estimated Cost Certificate signed by the Medical Superintendent (including the date of surgery).
- Original or attested photocopies of the Income Certificate, Caste Certificate, and Ration Card.
- Recommendation letter from either a local sitting MP, District Magistrate/Collector/Deputy Commissioner, or the Secretary in charge of Health & Social Welfare.
- An attested photograph of the patient affixed on the application form.
- Any additional documents as specified by the hospital or the scheme guidelines.
Frequently Asked Questions (FAQs)
- What is the scope of this scheme?
It provides financial aid for major medical treatments and surgeries for SC/ST patients with a low annual family income. - What types of medical treatments are covered?
Surgeries for kidney, heart, liver, cancer, brain, knee, spinal procedures, and other life-threatening conditions. - How is the payment to the hospital structured?
75% of the treatment cost (up to ₹1,00,000/-) is paid directly, with 50% advanced payment before surgery and 50% after surgery based on final bills. - What is the maximum family income to be eligible?
The annual family income must be less than ₹1,00,000/-. - How can I apply for the medical aid?
Applications must be submitted offline using the prescribed form, along with necessary documents and recommendations. - Can I apply through online mode?
No, the application is to be submitted offline. - Who processes the application?
The Dr. Ambedkar Foundation in New Delhi processes all applications. - Is there a requirement regarding the scheduled date for surgery?
Yes, the Estimated Cost Certificate must include the scheduled date for the surgery. - Will additional financial aid from other sources count against this scheme?
Yes, the total aid from this scheme and other sources should not exceed the estimated cost of treatment.