Assam Arogya Nidhi Application Form PDF Download

The Assam Arogya Nidhi (AAN) Scheme, launched by the Health & Family Welfare Department of the Government of Assam, provides crucial financial assistance to Below Poverty Line (BPL) families and those with an annual income of less than ₹5 lakhs. The scheme aims to cover the cost of treatment for life-threatening diseases such as heart diseases, cancer, kidney ailments, and others, as well as injuries caused by natural or manmade disasters like accidents or bomb blasts. 

Under the scheme, financial aid of up to ₹3 lakh can be granted, with ₹2 lakh approved by the Chairperson of the Selection Committee, and higher amounts decided by a state-level committee. Treatment must be undertaken at government or approved private hospitals in Assam or across the country. Importantly, beneficiaries must first utilize benefits from existing schemes like PMJAY or Atal Amrit Abhiyan before applying for assistance under AAN. 

The scheme’s application process is offline, requiring submission of documents like income certificates, medical records, and identity proof to NHM Assam or the district health authorities. Through this initiative, Assam strives to support its financially weaker residents in accessing life-saving medical treatments.

Assam Arogya Nidhi Scheme 2024

The Assam Arogya Nidhi (AAN) Scheme offers financial aid to BPL families and households with an annual income below ₹5 lakhs, covering expenses for life-threatening diseases and serious injuries from accidents or disasters. The scheme provides up to ₹3 lakh for treatments such as heart surgeries, cancer care, kidney transplants, orthopedic issues, and more. 

Assistance is granted by a state-level committee, with approvals up to ₹2 lakh managed by the Chairperson and higher amounts needing additional clearance. Beneficiaries must first use benefits from schemes like PMJAY and Atal Amrit Abhiyan, if applicable, before applying. Treatment is available at government hospitals, registered private hospitals, and empanelled facilities under the Clinical Establishment Act.

Applications are submitted offline with necessary documents, including income certificates, medical records, and identity proof. This scheme ensures financial relief for eligible families, enabling them to access critical healthcare services and treatment across Assam and India.

How To Download Assam Arogya Nidhi Application Form PDF

Assam Arogya Nidhi Scheme Details - Key Points

Assam Arogya Nidhi Scheme Grant of Assistance

The Assam Arogya Nidhi (AAN) Scheme offers a structured process for granting financial assistance:

• Chief Minister's Direct Grant: The Chief Minister of Assam has the authority to directly approve the maximum financial benefit under the scheme, up to ₹3.00 lakh.
• Chairperson's Approval: The Chairperson of the Selection Committee can approve financial assistance for eligible cases up to ₹2.00 lakh without further review.
• State-Level Committee's Decision: For grants exceeding ₹2.00 lakh, up to ₹3.00 lakh, the State-Level Committee reviews and decides on the eligibility of the case.

Mode of Disbursement: The financial assistance will be provided directly to the beneficiary or reimbursed to the hospital through a bank account transfer. Advance payments, subject to a maximum of ₹3.00 lakh, can be made directly to the hospital if required for the treatment.

Assam Arogya Nidhi Scheme Benefits

The Assam Arogya Nidhi (AAN) Scheme offers substantial financial assistance of up to ₹3.00 lakh for individuals in need of critical medical treatments. It covers a wide range of serious diseases that require surgeries, implants, or specialized procedures, such as Bone Marrow Transplant (BMT), along with other life-threatening conditions and severe accident cases. 

Beneficiaries can avail this financial support for treatments in all government hospitals, including Medical Colleges and Tertiary Health Care facilities, as well as reputed private hospitals that are registered under the Clinical Establishment Act. The scheme also extends to empanelled hospitals under the Government of Assam, Atal Amrit Abhiyan (AAA), and the Pradhan Mantri Jan Aarogya Yojana (PMJAY), ensuring extensive coverage for the state's residents.

Assam Arogya Nidhi Scheme Documents Required

• Photograph of the patient (Attested by Doctor)
• Attested photocopy of Income Certificate by Revenue Circle Officer.
• Attested photocopy of Identify & Address Proof (Voter ID, ADHAAR CARD, Driving license).
• Original bills, vouchers, receipts, etc.
• Copy of the medical documents of treatment to be certified by treating Doctor/Hospital 
• Discharge Summary/Prescription (Attested)
• Attested Photocopy copy of the first page of the Bank Pass Book.
• Attested Photocopy of Pradhan Mantri Jana Arogyua Yojana (PMJAY)/Atal Amrit Abhiyan (AAA) Card.

Assam Arogya Nidhi Scheme Eligibility

The Assam Arogya Nidhi (AAN) Scheme has specific eligibility criteria to ensure that the financial assistance reaches those in need:

• Residency: The applicant must be an Indian citizen and a resident of Assam.
• Income Limit: The family income of the applicant must be less than ₹5.00 lakhs per annum.
• No Age Limit: There is no age restriction for individuals seeking coverage under the scheme.
• Ineligibility for Government Employees: Government employees, pensioners, and their family members are not eligible to apply for this scheme.
• Treatment Requirement: The treatment must be conducted in a government hospital, government medical college, or reputed private hospitals registered under the Clinical Establishment Act. These hospitals can be located within Assam or anywhere in India, ensuring flexibility for the patients in choosing their healthcare provider.

Assam Arogya Nidhi Application Form Fill Up

• Download the Application Form: The applicant must visit the official website of National Health Mission (NHM), Assam at https://nhm.assam.gov.in/schemes/assam-arogya-nidhi to download the application form.
• Submit the Application: Once filled out in the prescribed format, the application should be submitted either to NHM, Assam, or to the Joint Director of Health Services in the applicant's district. The district health office will then forward the form to NHM for further consideration.
• Verification by Expert Committee: A committee of specialist doctors from Guwahati Medical College will verify the application and medical details to recommend eligible cases.
• Disbursement of Financial Assistance: Upon approval, financial assistance is provided to the eligible beneficiaries, primarily through Direct Bank Transfer (DBT).

Assam Arogya Nidhi Scheme Apply Online

• The applicant should visit the official website and download the application form from the website of National Health Assam: https://nhm.assam.gov.in/schemes/assam-arogya-nidhi
• Application in the prescribed format, complete in all respects will be submitted to NHM, Assam, or to the Joint Director of Health Services of the District who will forward the same to NHM, Assam for necessary consideration.
• An Expert Committee comprising specialist doctors of Guwahati Medical College verifies the applications and recommends the eligible cases.
• As per the committee’s recommendations financial assistance is provided to eligible beneficiaries preferably through Direct Bank Transfer.

Note 01: A person having PMJAY or AAA card will avail of the cashless treatment benefit against admissible diseases under the said schemes first before making any application for consideration under AAN.

Note 02: A person not having PMJAY/ AAA Card or if the disease is not covered under PMJAY/AAA, can submit their application directly.

Note 03: AAN assistance is for exceptional cases and not general.

Important Links - Assam Arogya Nidhi Application Form PDF Download

Assam Arogya Nidhi Application Form PDF Download

To download the Assam Arogya Nidhi Application Form PDF, follow these steps:

• Visit the Official Website: Go to the official website of the National Health Mission (NHM) Assam at https://nhm.assam.gov.in.
• Navigate to the Assam Arogya Nidhi Scheme: On the website, locate the section for schemes or directly search for Assam Arogya Nidhi Scheme.
• Download the Application Form: Once on the Assam Arogya Nidhi Scheme page, look for the application form link. Click on the link to download the form in PDF format.
• Fill Out the Form: After downloading, print and fill out the form with the necessary details, ensuring all fields are completed as per the requirements.
• Submission: Submit the completed form to NHM Assam or the Joint Director of Health Services in your district for processing.

How To Fill Assam Arogya Nidhi Application Form PDF  

Filling out the Assam Arogya Nidhi Application Form involves a few specific steps. Here’s a detailed guide on how to complete the form correctly:

Download the Form:

• Visit the official website NHM Assam to download the application form in PDF format.

Personal Information:

• Applicant's Name: Write your full name as it appears on your identification documents.
• Father's/Husband's Name: Include the name of your father or husband.
• Gender: Tick the appropriate box for male or female.
• Date of Birth: Fill in your date of birth in the specified format (DD/MM/YYYY).
• Address: Provide your complete residential address, including district and state.

Contact Details:

• Mobile Number: Enter your active mobile number for communication.
• Email ID: If applicable, provide your email address.

Income Information:

• Annual Income: State your family’s annual income, ensuring it is below ₹5.00 lakhs. You may need to attach a copy of the Income Certificate.

Details of the Patient:

• Patient's Name: Include the name of the individual receiving treatment.
• Relation to Applicant: Specify the relationship of the patient to the applicant (self, son, daughter, etc.).
• Disease/Condition: Clearly state the medical condition for which assistance is being sought.

Treatment Information:

• Hospital Name: Mention the name of the hospital where the treatment will occur.
• Treatment Type: Indicate whether the treatment is for surgery, hospitalization, or any specific procedure like Bone Marrow Transplant.

Documentation:

• Attach all necessary documents as per the requirements, such as:
• Patient’s photograph (attested by a doctor).
• Attested photocopy of Income Certificate.
• Identity and Address Proof (Voter ID, Aadhaar Card, etc.).
• Original medical bills, vouchers, and receipts.
• Medical documents certified by the treating doctor/hospital.

Declaration and Signature:

• At the end of the form, you will usually find a declaration statement. Read it carefully, then sign and date the application to confirm that all information provided is accurate.

Submission:

• Submit the completed application form along with all attached documents to the NHM, Assam, or to the Joint Director of Health Services in your district.

Assam Arogya Nidhi Contact Number

Email: [email protected]

Phone: 0361-2340236/239

Assam Arogya Nidhi Office address

Dr. Lakshmanan S., IAS

Mission Director

National Health Mission (NHM), Assam

Office of the Mission Director,

Saikia Commercial Complex,

Srinagar Path, Christianbasti,

G.S. Road, Guwahati-781005

Summary of Assam Arogya Nidhi Application Form PDF Download

The Assam Arogya Nidhi Application Form is available for download on the official NHM Assam website. This form enables eligible individuals from Below Poverty Line (BPL) families or those with an annual income below ₹5.00 lakhs to apply for financial assistance for medical treatments. 

To complete the application, applicants must provide personal details, income information, patient specifics, and treatment requirements. Necessary documents, including an income certificate and medical records, must accompany the application. After filling out the form, applicants can submit it to NHM Assam or the district’s Joint Director of Health Services for processing.