The Rashtriya Arogya Nidhi (RAN) is under implementation in the country. Details of scheme and salient features are given below:-
The Rashtriya Arogya Nidhi (RAN) has been set up 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.
The RAN is operationalized through four windows, detailed below:
(i) Revolving Funds have been set up in 12 Central Government Hospitals/Institutions located all over India for providing financial assistance for treatment upto Rs. 2 lakh.
(ii) Financial assistance is provided from RAN Headquarters for cases referred by Government hospitals/institutions, which do not have a Revolving Fund and for cases referred by 12 Government hospitals/institutions with Revolving Funds for assistance exceeding Rs. 2 lakh.
(iii) State Illness Assistance Fund set up in all States/UTs (with Legislature) except Meghalaya and Nagaland. Grants-in-aid to States/UTs is released to the extent of 50% of the contributions made by the State Governments/UTs to the State Fund/Society subject to a maximum of Rs. 5 crore to States with larger number and percentage of population below poverty line viz. Andhra Pradesh, Bihar, Madhya Pradesh, Karnataka, Maharashtra, Odisha, Rajasthan, Tamil Nadu, Uttar Pradesh and West Bengal and Rs. 2 crore to other States/UTs. Funds to the States/UTs are released on submission of utilization certificate and list of beneficiaries in respect of funds released to them earlier.
(iv) Health Minister’s Cancer Patient Fund (HMCPF) within RAN which has been established as a separate Corpus Fund, and is also managed by the Managing Committee and Technical Committee of RAN. An amount of Rs. 100.00 crore has been placed in the Corpus Fund and the earning from the Corpus Fund accrued out of interest is utilized for providing financial assistance to cancer patients through 27 Regional Cancer Centres (RCC) located all over India. Revolving Funds have been set up in these RCCs by placing an amount upto Rs. 50 lakh for providing financial assistance for treatment upto Rs. 2 lakh. Cases involving expenditure over and above Rs. 2 lakh, are referred to the Ministry. Funds to the RCCs are released on submission of utilization certificate and list of beneficiaries in respect of funds released to them earlier.
(v) 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 :
(This list is reviewed by the Technical Committee from time to time ):
1. Cardiology & Cardiac Surgery:
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
9. Coil Embolization and Vascular plugs
10. Stents including Drug Eluting Stents
11. Electrophysiological Studies (EPS) and Radio Frequency (RF)
12. Heart surgery for Congenital and Acquired conditions including
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,
3. Bone Marrow Transplantation- Allogenic & Autologous
4. Diagonostic Procedures- Flow cytometry/cytogenetics /IHC Tumour
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
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 &
9. Liver Transplantation and Surgery for portal hypertension.
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
5. Spiral fixation Implant- Pe
dicle Screws (Traumatic,
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
5 Spinal tumors
6 Degenerative /Demyelinating diseases of brain/spinal cord
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 Severe behavioural disorders during childhood.
8. Drugs :
1. Immunosuppressive drugs
2. Anti D
3. Anti Haemophilic Globulin
5. Blood & Blood products/Plasma for patients of Burns
6. Liposomal Amphotericin
7. Peg Interferon
9. CMV treatment (IV Gancyclovir, Valganciclovir)
11. Anti-rejection treatment (ATG, OKT 3)
12. Treatment for Post –transplant viral infection
13. Any life supporting drugs.
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 of Doctors could be considered for grant.