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Opening of a Central Government Health Scheme, wellness Centre (allopathic) at Agartala

Opening of a Central Govt. Health Scheme, wellness Centre (allopathic) at Agartala

GOVERNMENT OF INDIA
Ministry of Health and Family Welfare
Office of the Additional Director,
Central Govt. Health Scheme
Nongrim Hills: Shillong – 793 003

No. CGHS/ESTT/RECTG/61/1089-99

Dated: Shillong, the 28th July, 2017.

NOTIFICATION

Sub: Opening of a Central Govt. Health Scheme, wellness Centre (allopathic) at Agartala

This is for information to all eligible Central Govt. employees/ pensioners and other stake holders that, a Central Govt. Health Scheme (CGHS) Wellness Centre sanctioned vide Govt. of India, Min. of Health & Family Welfare, CGHS (P) Division Order No. S.11045/1/2013/HEC, New Delhi dated 17 th November 2014 will be functioning by 1st of August 2017 at quarter no. T/V/1, Kunjaban Extension, New Capital Complex, Agartala to provide comprehensive medical facilities.

The scheme will cover the Agartala city and all eligible Central Govt. employees and their dependent family members, Central Govt. pensioners and their dependents and others eligible as per CGHS guideline residing in Agartala city.

The beneficiaries will be able to avail the CGHS facilities through the Wellness Centre during the office hours i.e. from 7:30 am to 02:00 pm in all working days except Sundays & holidays.

To,

1. The CMO I/C, CGHS WC Agartala – for necessary action
2. The Chairman, CGEWCC, Agartala – for wide circulation to all eligible Central Govt. offices
3. The Secretary, Central Govt. Pensioners’ Association, Agartala

Additional Director
CGHS, Shilong

Copy to:-

– PPS to AS&DG, CGHS, MOH&FW, Nirman Bhawan, New Delhi
– PS to Director, CGHS, MOH&FW, Nirman Bhawan, New Delhi
– The Addl. DDG (HQ), CGHS, MOH&FW, Nirman Bhawan, New Delhi
– The Additional Directors, CGHS of all cities
– The Nodal Officer, MCTC, CGHS Wellness Center Building, Kalibari New Delhi 110001 – with request for uploading in CGHS website.
– The Director Health Services, Agartala
– Local newspaper of Agartala – for publication

cghs-wellness-centre-at-agartala

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CGHS WARD ENTITLEMENT AND MONTHLY SUBSCRIPTION IN 7TH CPC

CGHS WARD ENTITLEMENT AND MONTHLY SUBSCRIPTION IN 7TH CPC

(A)Ward Entitlement and CGHS Contribution Entitlement of wards in private hospitals empanelled under CGHS (Based on basic pay in pay band):

S N Ward Entitlement Corresponding Basic pay drawn by the officer in 7th CPC per month
1 General Ward Upto Rs. 47,600/-
2 Semi Private Ward Rs. 47,601 to 63100/-
3 Private Ward Rs. 63101 and above

(B) Revised Monthly Subscription for CGHS facility w.e.f. 1st January 2017

Corresponding levels in Pay Matrix as per 7th CPC Contribution per month
Level 1-5 Rs. 250
Level 6 Rs. 450
Level 7-11 Rs. 650
Level 12 and above Rs. 1000

Contribution to be made by the Pensioners/Family Pensioners would be the amount that they were subscribing at the time of their retirement or at the time of the death of government servant.

(C) Monetary Ceiling for Free Diet:

The monetary ceiling for free diet for CGHS beneficiaries is revised to pay/ pension / family pension of Rs. 44,900/- per month.

(D) Monetary ceiling for free diet for beneficiaries suffering from TB or Mental disease

The monetary ceiling for free diet in case of beneficiary suffering from TB or Mental diseaseis revised to pay/pension/family pensionof Rs 69,700/-per month.

(E) Pay slab for determining the entitlement of Nursing Home facilities in Government / State Government / Municipal Hospitals

The monetary ceiling for determining the entitlement The monetary ceiling of nursing home facilities in Central Government / State Government / Municipal Hospitals is revised to pay / pension / family pension Rs. 47,600/- per month and above.

(F) Monetary Ceiling for direct consultation with Specialists in Central Government / State Government / Municipal Hospital

The monetary ceiling for determining the entitlement for direct consultation with Specialists in Central Government / State Government /Municipal Hospitals will continue at the existing rates until revision of the Same after consultation with Ministry of Finance. (G)Pay slab for determining the entitlement of accommodation in AIIMS, New Delhi. The revised entitlement, as per the pay drawn by the officials, is as follows:

Sl.

No.

Corresponding Basic Pay drawn by the Officer in 7th CPC per month Ward entitlement
1. Up to Rs. 63,100/- General
2. Rs. 63,101/- to Rs. 80,900/- Private
3. Rs. 80,901/- and above Deluxe /Private

Source: CGHS

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Extension of CGHS facilities to the pensioners of post and  Telegraph Department

Extension of CGHS facilities to the pensioners of post and  Telegraph Department

No.S-11016/2/2015-CGHS(P)/EHS
Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
CGHS(P)/EHS

Nirman Bhawan, New Delhi 110011
Dated the 19th July, 2017

OFFICE MEMORANDUM

Subject:- Extension of CGHS facilities to the pensioners of post and  Telegraph Department

With reference to the above mentioned subject the undersigned is directed to draw attention the Memorandum No.S-11011/46/95-CGHS D-II/CGHS(P) dated 1st August 1996 and state it has now been decided to revoke OM dated 1.8.1996, in  compliance of the Orders of Hon’ble Central Administrative Tribunal, Ernakulam Bench dated 12th  July 2005 in O.A.N0. 563/2004 and 590/2004 and dated 01.06.2017 in C.P/180/21/2017 arising aut of OA No.180/563/2004 between Central Government Pensioners’ Association (Kerala) and Ors. Vs UOI & Others.

2. The retired employees of Post and Telegraph Department shall hereinafter, be entitled to  the CGHS facility, irrespective of whether they were members of CGHS prior to retirement or  not, subject to the payment Of prevalent subscription for availing themselves of this facility as  per rules as in the case of other Central Government pensioners.

3.  This issues with the approval of the Competent Authority.

(Sunil Kumar Gupta)
Under Secretary to Government of India

Source: Confederation

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Grant of Fixed Medical Allowance (FMA)to the Central Government Pensioners residing in areas not covered under CGHS

Grant of Fixed Medical Allowance (FMA) to the Central Government Pensioners residing in areas not covered under CGHS

No.4/34/2017-P&PW(D)
Government of India
Ministry of Personnel, Public Grievances & Pensions
(Department of Pension & Pensioners’ Welfare)

3rd Floor. Lok Nayak Bhawan,
Khan Market, New Delhi-110 003,
Dated the 19th July, 2017

OFFICE MEMORANDUM

Subject: Grant of Fixed Medical Allowance (FMA) to the Central Government Pensioners residing in areas not covered under CGHS.

The undersigned is directed to say that at present Fixed Medical Allowance (FMA) is granted to the Central Government pensioners/family pensioners residing in areas not covered under Central Government Health Scheme administered by the Ministry of Health & Family Welfare and corresponding health schemes administered by other Ministries/Departments for their retired employees for meeting expenditure on their day-to-day medical expenses that do not require hospitalization. Orders were issued vide this Department’s O.M. No. 4/25/2008-P&PW(D) dated 19-11-2014 for enhancement of the amount of Fixed Medical Allowance from Rs. 300/- to Rs. 500/- per month w.e.f. 19.11.2014.

2. Consequent upon the decision taken by the Government on the recommendations of the 7th Central Pay Commission on Allowances (with modifications), sanction of the President is hereby conveyed for enhancement of the amount of Fixed Medical Allowance from Rs.500/- to Rs.1000/- per month. The other conditions for grant of Fixed Medical Allowance shall continue to be as contained in this Department’s OMs No.45/57/97-P&PW(C) dated 19.12.1997, 24.8.1998, 30.12.1998, 18.8.1999 and OM No.4/25/2008-P&PW(D) dated 19.11.2014.

3. These orders will take effect from 01.07.2017.

4. In their application to the persons belonging to the Indian Audit and Accounts Department, these orders issue in consultation with the Comptroller and Auditor General of India vide their UO No. 169-Staff (Rules)/A.R/Ol-2016 dated 18.07.2017.

5. These orders are issued with the concurrence of the Ministry of Finance (Deptt. of Expenditure) vide their OM No. 11-1/2016-IC dated 11.07.2017.

6. Hindi version will follow.

sd/-
(Sanjay Wadhawan)
Deputy Secretary to the Govt. of India

Click to view the order

Authority: http://www.pensionersportal.gov.in/

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Guidelines for special provisions to CGHS beneficiaries aged 80 years and above

Guidelines for special provisions to CGHS beneficiaries aged 80 years and above

Government of India
Ministry of Health and Family Welfare
Department of Health Family Welfare
Directorate General of CGHS

Nirman Bhawan, New Delhi 110 011
Dated the 11th July, 2017

OFFICE MEMORANDUM

Subject: – Guidelines for special provisions to CGHS beneficiaries aged 80 years and above

With reference to the above mentioned subject the undersigned is directed to convey the approval of competent authority for special provisions under CGHS to the beneficiaries aged 80
years and below.

a) Consultation of Doctor at CGHS Wellness Centre without standing in Queue

b) CGHS Doctors shall enquire by phone, at least once in a month to enquire about their well being / make a home visit if residing within 5 K.M.s of CGHS WC

c) Settlement of medical claims on priority out of turn

d) Follow up treatment from same specialist in non-empanelled hospital from where he/she was earlier taking treatment- as a special case in view of advanced age and to difficulty to change physician subject to the reimbursement limited to CGHS rates and collection of medicines as per CGHS guidelines.

sd/-
(Dr.D.C.Joshi)
Director, CGHS

Authority: http://cghs.gov.in/

Be the first to comment - What do you think?  Posted by admin - July 15, 2017 at 1:10 pm

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ECHS 2017 – Empanelment of Hospitals, Diagnostic Centres and Nursing Homes

ECHS 2017 – Empanelment of Hospitals, Diagnostic Centres and Nursing Homes

ECHS 2017 – Latest List of 189 Private Hospitals and Nursing Homes for Different Specialities

EMPANELMENT OF HOSPITALS/NURSING HOMES AND DIAGNOSTIC CENTRES

Central Organisation, ECHS
Adjutant General’s Branch
Integrated Headquarters
Ministry of Defence (Army)
Maude Lines
Delhi Cantt- 110 010

06 June 2017

B/49771/AG/ECHS/Emp

IHQ of MoD (Navy)/Dir ECHS (N)
Air HO (VB)/DPS
HQ Southern Command (A/ECHS)
HQ Eastern Command (A/ECHS)
HQ Western Command (A/ECHS)
HQ Central Command (A/ECHS)
HQ Northern Command (A/ECHS)
HQ South Western Command (A/ECHS)
HQ Andaman & Nicobar Command (A/ECHS)
All Regional Centre ECHS

EMPANELMENT OF HOSPITALS/NURSING HOMES AND DIAGNOSTIC CENTRES

1.Refer Govt Of India. Min of Def letter NO 22B (03)2017-WE/D(Res-I)dated 02 Jun 2017 (Copy enclosed and softcopy is also uploaded in ECHS website on www.echs.gov.in).

2.Regional Centres will initiate action to complete the formalities required for empanelling hospitals approved for empanelment vide letter under reference. A Memorandum of Agreement (MOA) Will be signed with each of the Hospital by the Director, Regional Centre ECHS concemed. The MOA will be made on Rs 100/- (Rupees one hundred only) non judicial stamp paper and will be valid for two years from the date of signing of the agreement. The payment for the stamp paper will be made by the empanelled facility. The following documents will be attached to MOA as Annexures:-

(a) Health facilities for which recognised. (Copy of Annexure of Govt letter pertaining to hosp).

(b) Negotiated Rates (only one rate per code No. as a pplicable to the medical facility will be mentioned and negotiated rated would be lower than CGHS rates).

3. Rates applicable will be as per prevalent CGHS rates/negotiated/existing hospitals rates whichever is lower (to be indicated by asterix

Disposal of Application Forms and MOA

4. Application forms in respect of the Hospitals approved for empanelment by DoESW of MOD will be retumed by the Central Organisation, ECHS to the Regional Centres concerned from where they originated.

5.The application forms will be stored in safe custody Of Regional Centres_ The application form will NOT be destroyed for two years after termination Of the period of validity of the MOA.

6. The original and duplicate copies of MOA will be retained by the Regional Centres and the empanelled facility respectively. Additional photocopies Of MOA alongwith Annexures including rates will be forwarded/distributed as under:-

(a) Central Organisation ECHS.

(b) Concerned Area ! Sub Area f Independent Sub Area.

(c) Concerned SEMOs.

(d) Concerned Polyclinics.

(e) Concerned CDAs.

Referrals

7.Formal referrals to empanelled facilities as per laid down procedures can commence after signing of the MoA.

(IVS Gahlot)
Col
Dir(Med)
for MD ECHS

Authority: http://echs.gov.in/

Be the first to comment - What do you think?  Posted by admin - June 20, 2017 at 2:55 pm

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EMPANELMENT OF HOSPITALS/ NURSING HOMES AND DIAGNOSTIC CENTRES FOR ECHS

ECHS 2017 – Latest List of 189 Private Hospitals and Nursing Homes for Different Specialties
EMPANELMENT OF HOSPITALS/ NURSING HOMES AND DIAGNOSTIC CENTRES FOR ECHS

No.228(03)/2017-WE/D(Res-1)
Government of India
Ministry of Defence
Dept of Ex-Servicemen Welfare

 

New Delhi the 2nd June, 2017

OFFICE MEMORANDUM

The Managing Director
Central Organisation, ECHS
Maude Line, Delhi Cantt

Subject :- EMPANELMENT OF HOSPITALS/ NURSING HOMES AND DIAGNOSTIC CENTRES FOR ECHS

1. I am directed to state that in terms of the provisions of Govt of India, Ministry of Defence letter No. 22B(04)/2010/US(WE)D(Res) dated 18 Feb 2011 and 22B(02)/2013/US(WE)D(Res) dated 18 Oct 2013, it has now been decided by the 10th Screening Committee for empanelment of Medical facilities with ECHS in its meeting held on 10 Mar 2017 under the chairmanship of MD ECHS to empanel 189 Private Hospitals/Nursing Homes and Diagnostic Laboratories for different specialities and procedures as per the list attached in the Annexure:-

2. All the terms and conditions including fixation of rates payable to empanelled hospitals will be regulated under Govt of lndia, Ministry of Defence letter No.228(O4)/2010/US(WE)/D(Res) dated 18 Feb 2011 and amended from time to time.

3. The rates for ECHS Hospital/Nursing Home, Dental Centres and Diagnostic Centres as approved by the Empowered Committee will be as per CGHS rates and will be notified by the Director, Regional Centre ECHS to all concerned including Polyclinics, SEMDs, CDA/PCDA and Central Organisation ECHS.

4. Empanelment of CGHS empanelled hospitals is subject to the hospital providing proof of its being a CG HS empanelled facility as on the date of signing MoA with ECHS.

5. CGHS empanelled medical facilities will be empanelled with ECHS for the period for which the facilities hold valid MoA with CGHS. The MoA will be extendable once CGHS renew the MoA with the medical facilities.

6. NABH accredited medical facilities will be empanelled with ECHS for the period of validity of NABH certificate and the MoA will be renewed once the medical facility is issued revalidation/renewed NABH certificate.

7. This issues with the concurrence of Ministry of Defence (Finance) vide their U.O. No. 34(05)/2010 dated 2.6.2017.

sd/-
(AK Khan)
Under Secretary to the Govt of India

Authority: http://echs.gov.in/images/pdf/med/med164.pdf

Be the first to comment - What do you think?  Posted by admin - at 2:31 pm

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ECHS Order: Empanelled Hospital Claims- Ophthalmic procedures

ECHS Order: Empanelled Hospital Claims- Ophthalmic procedures

Empanelled Hospital Claims- Ophthalmic procedures

Central Organisation,ECHS
Adjutant General’s Branch
Integrated Headquarters
Ministry Of Defence(army)
Maude Lines
Delhi Cantt – 110010

B/49773/AG/ECHS/Rates/Policy

18th May 2017

UTI-ITSL
15533/1, Above Farico Show Room
1st Floor, Old Madras Road
Halasuru, Bangalore,
Karnataka – 560008

EMPANELLED HOSPITAL CLAIMS : OPHTHALMIC PROCEDURES

1. It has been noted with concern while scrutinizing claims of an Eye Centre that ECHS had been billed more than the hospital rates. It was also observed that for ocular investigations the hospital was billing ECHS at twice the CGHS rates (stating that the CGHS rates are for one eye). It has been clarified the CGHS rates for Ophthalmology investigations are for both eyes unless specified”.

2. As per provisions of MoA and para 4(b)(x) of Gol MoD letter NO.24(8)/03/US(WE)/D(Res) dated 19 Dec 2003, the hospital cannot bill ECHS more than the hospital rates. It should be ensured by Regional Centre’s that the rate list of the hospital is taken whenever MoA is being renewed. The rate list attached with MoA should not have a rate more than CGHS rate/Hospital rate. wherever the hospital rate is below CGHS rate it should be reflected with an asterisk (*) on the rate list attached with MoA.

3. BPA to check the claims of such hospital (including settled claims) which have not been processed correctly and the excess amount paid post implementation of CGHS 2014 rates if any would be recoered from the pending claims of the hospitals.

4. The RCs are directed to ensure no additional charges/extra charges than CGHS/ECHS or actuals whichever is less to be paid to the hospital. It is also requested RCs to accordingly review the pending claims (i.e not settled claims) of the hospitals not restricted to ophthalmic claims and those with observations be returned to BPA for correct processing.

5. Please ask.

Sd/-
(IVS Gahlot)
Col
Dir (Med)
for MD ECHS

Source: [Document Click here to download]

Be the first to comment - What do you think?  Posted by admin - May 25, 2017 at 1:37 pm

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Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts

Reimbursement of Medical Claims to Pensioners under CS(MA) Rules 1944 as directed by various CATs and Courts

No. 5.14025/23/2013-MS.EHSS
Government of India
Ministry of Health and Family Welfare
Department of Health and Family Welfare

Nirman Bhavan, New Delhi
Dated the 29 September, 2016

OFFICE MEMORANDUM

Sub:- Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts – Regarding.

The undersigned is directed to state that various references are being received in Ministry of Health and Family Welfare on the above mentioned subject. it is hereby clarified that CS (MA) Rules, 1944 are not applicable to pensioners till date.

2. It is further informed that the following options to avail medical facilities are available to Central Government pensioners:

a) Pensioners residing in CGHS covered areas:

1) They can get themselves registered in CGHS dispensary after making requisite contribution and can avail both OPD and IPD facilities.

2). Pensioners residing in CGHS areas cannot optout cf CGHS and avail anyother medical facility {i.e. Fixed Medical Allowance). Such pensioners, if they do not choose to avail CGHS facility by depositing the required contributions, cannot be granted Fixed Medical allowance in lieu of CGHS.

b) Pensioners residing in non – CGHS areas:

1). They can avail Fixed Medical Allowance (FMA) @ Rs.500/- per month

2) They can also avail benefits of CGHS- [OPD and IPD] by registering themselves in the nearest CGHS “city after” making the required subscription.

3) They also have the option to avail FMA, for OPD treatment and CG HS for IPD treatments after making the required subscriptions as per CGHS guidelines.

3. In view. of the above, reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts, need not be referred to the Ministry of Health and Family Welfare. The respective Administrative Department/Ministry may take their own decision in this regard.

4. Further, all Departments/Ministries are requested to intimate their employees proceeding for retirement regarding the above options for medical facilities available to the Central Government pensioners.

5. This issues with the approval of competent authority.

(SUNIL KUMAR GUPTA)
UNDER SECRETARY TO THE GOVT. OF INDIA

Source: [CGHS.GOV.IN]

Be the first to comment - What do you think?  Posted by admin - May 24, 2017 at 11:44 am

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Extension of medical facilities to Defence Industrial Employees in Mumbai

CGHS facilities to the Defence Industrial Employees in Mumbai

S.11030/25/2009-CGHS(P)/EHS
Government of India
Ministry of Health and Family Welfare
EH5 Section

Nirman Bhawan, New Delhi
Dated the 21st April, 2017

OFFICE MEMORANDUM

Sub: Extension of medical facilities to Defence Industrial Employees in Mumbai- reg

The undersigned is directed to say that the matter regarding extension of CGHS facilities to the Defence Industrial Employees of Naval Dockyard, Mumbai, Central Ordinance Depot, Mumbai and AFMSD, Mumbai at par with the Defence Industrial employees who are availing CGHS facilities in stations other than Mumbai, was under examination in this Ministry.

2. The matter has beep examined in this Ministry in consultation with Ministry of Defence and it has been decided to extend CGHS benefits to Defence Industrial Employees of Naval Dockyard, Central Ordinance Depot and AFMSD in Mumbai

3. This issues with the approval of the Competent Authority.

(Sunil Kumar)
Under Secretary to the Government of India

Order Copy

Be the first to comment - What do you think?  Posted by admin - May 7, 2017 at 5:43 pm

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CGHS doctors to be trained on administrative matters

CGHS doctors to be trained on administrative matters

New Delhi: The government today launched the first ever induction training programme for medical officers recruited under the Central Government Health Scheme (CGHS) to make them aware about service rules and regulations and to train them on administrative and managerial aspects.

The objective is also to educate them about proper utilisation of resources and inform them about various ethical and legal issues.

Health Minister J P Nadda urged the doctors to attend the nine-week programme with an open mind, stating the training would help them in carrying out their duties more efficiently in the long run.

“It is not only about treating patients. You will also have to look after some administrative issues and deal with files. That is when you will face problem and this training will come handy,” Nadda said.

The course, Nadda said, also aims at ensuring soft skills among these doctors so that they deal and communicate with the relatives of the patients in a calm and composed manner.

Around 231 doctors will undergo the training programme, which has been designed by the National Institute of Health and Family Welfare.

PTI

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Clarification on billing queries in respect of CGHS Rate List 2014

Clarification on billing queries in respect of CGHS Rate List 2014

ESIC

U-16/30/580/2016-Pro.Cell(SST)/WUL-290

Dated: 05/04/2017

To,
Director (Med.) Delhi, Director (Med.) Noida
MS’s- All ESIC Hospitals
SSMC’s/SMC’s- All States

Sub: Clarification on billing queries in respect of CGHS Rate List 2014- reg

Sir/Madam,

As per policy, ESI Corporation follows listed rates of CGHS for clearing bills of Empanelled Hospitals. In this context, ESIC Headquarters is receiving numerous representations from field units as well as tie-up hospitals regarding issues pertaining to defined CGHS package rates. As per clarifications received from CGHS Hqrs, New Delhi, the decisions are as under:

S.No. / Queries Raised / Decisions

1.Whether 10% deduction on rates admissible for General Ward is done for Radiotherapy, Physiotherapy Echocardiography, Dobutamine Stress Echocardiography.

No deduction or enhancement for Radiotherapy, Physiotherapy Echocardiography, Dobutamine Stress Echocardiography.

2.Whether immunosuppressant therapy for Kidney Transplantation (Related) is included within the package rates.

Yes, the rate is inclusive of immunotherapy.

3.Whether any charges for the consumable (balloon) are to be paid additionally over the package rate for Balloon Mitral Valvotomy/PTMC- (CGHS 547)

No additional Charges need to be paid.

4.Whether charges for the dye/medicine are to be paid additionally over the Package rates for Radio-Isotope Therapy- (CGHS 1364-1370)

Rates are inclusive of the dyes. No additional charges need to be paid.

These instructions will be valid from 01.04.2017.

This issues with the approval of Director General.

Your faithfully

sd/-
(Dr.Sangeeta Mathur)
Dy. Medical Commissioner (SST)

Authority: http://esic.nic.in/

Be the first to comment - What do you think?  Posted by admin - April 26, 2017 at 8:56 am

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REVISION OF ECHS RATES FOR EMPANELLED HOSPITALS, DIAGNOSTIC LABORATORIES AND IMAGING CENTRES, MUMBAI

CGHS package rates of Delhi shall be treated as ECHS package rates in Mumbai
Revision of ECHS Rates for Empanelled Hospitals, Diagnostic Laboratories and imaging centres, Mumbai

Central Organisation, ECHS
Adjutant General’s Branch
Integrated Headquarters
Ministry Of Defence (Army)
Maude Lines
Delhi Cantt-110 010

B/49773/AG/ECHS/Rates/Policy

05 April 2017

IHQ Of MoD (Navy) Dir ECHS (N)
Air HQ (VB)/DPS
HQ southern Command (A/ECHS)
HQ Eastern Command (A/ECHS)
HQ Western Command (A/ECHS)
HQ Central Command (A/ECHS)
HQ Northern Command (A/ECHS)
HQ South Western Command (A/ECHS)
HQ Andaman & Nicobar Command (A/ECHS)

REVISION OF ECHS RATES FOR EMPANELLED HOSPITALS, DIAGNOSTIC LABORATORIES AND IMAGING CENTRES, MUMBAI

1. Refer GOI MoD ID No 22A (48)/2007/US/WE/D (Res) dt 19 Aug 2010.

2. CGHS rates were revised for all cities except Mumbai in 2014.

3. CGHS has vide its OM S-11011/222017/CGHS-HEC dt 03 Apr 2017 revised the rate of Mumbai from 2010 to Delhi 2014 rates as an interim measure.

4. Regional Centre ECHS Mumbai would disseminate the new rates to empanelled hospitals, diagnostic laboratories and imaging centres, SEMO’s Stn HQr’s & ECHS polyclinics.

5. The provedures and CGHS package rates of Delhi shall hereafter be treated as ECHS package rates for hospitals, diagnostic laboratories & imaging centres under Regional centre ECHS Mumbai and the rates would be applicable from the date of issue of this letter.

(IVS Gahlot)
Col
Dir (Med)
for MD ECHS

Authority: http://echs.gov.in/

Be the first to comment - What do you think?  Posted by admin - April 12, 2017 at 9:08 am

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Revision of ECHS Rates for Empanelled Hospitals, Diagnostic Laboratories and imaging centres, Mumbai

Revision of ECHS Rates for Empanelled Hospitals, Diagnostic Laboratories and imaging centres, Mumbai

Tele:25683476
Mil: 36833

Central Organisation, ECHS
Adjutant General’s Branch
Integrated Headquarters
Ministry Of Defence (Army)
Maude Lines
Delhi Cantt-110 010

B/49773/AG/ECHS/Rates/Policy

05 April 2017

IHQ Of MoD (Navy) Dir ECHS (N)
Air HQ (VB)/DPS
HQ southern Command (A/ECHS)
HQ Eastern Command (A/ECHS)
HQ Western Command (A/ECHS)
HQ Central Command (A/ECHS)
HQ Northern Command (A/ECHS)
HQ South Western Command (A/ECHS)
HQ Andaman & Nicobar Command (A/ECHS)

REVISION OF ECHS RATES FOR EMPANELLED HOSPITALS, DIAGNOSTIC LABORATORIES AND IMAGING CENTRES, MUMBAI

1. Refer GOI MoD ID No 22A ($*)/2007/US/WE/D (Res) dt 19 Aug 2010.

2. CGHS rates were revised for all cities except Mumbai in 2014.

3. CGHS has vide its OM S-11011/222017/CGHS-HEC dt 03 Apr 2017 revised the rate of Mumbai from 2010 to Delhi 2014 rates as an interim measure.

4. Regional Centre ECHS Mumbai would disseminate the new rates to empanelled hospitals, diagnostic laboratories and imaging centres, SEMO’s Stn HQr’s & ECHS polyclinics.

5. The provedures and CGHS package rates of Delhi shall hereafter be treated as ECHS package rates for hospitals, diagnostic laboratories & imaging centres under Regional centre ECHS Mumbai and the rates would be applicable from the date of issue of this letter.

(IVS Gahlot)
Col
Dir (Med)
for MD ECHS

Government of India
Ministry Of Health and Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS

No.S-11011/22/2017/CGHs-HEC

Nirman Bhawan, New Delhi 110 011
Dated the 3rd April, 2017

OFFICE MEMORANDUM

Subject: Revision of CGHS package rates for empanelled hospitals, diagnostic laboratories and imaging centres under CGHS, Mumbai

with reference to the above mentioned subject attention is drawn to the Office Memoranda Nos.S.11011/23/2009-CGHS D-II/Hospital Cell dt. 15.11.2010 and S.11011/23/2009-CGHS D-II/Hospital Cell (Part-I) dt. 11.04.2011 vide which CGHS package rates have been prescribed for empanelled hospitals, diagnostic laboratories and imaging centres under CGHS, Mumbai and to state that it has now been decided by competent authority to revise the CGHS package for empanelled HCOs under CGHS, Mumbai as per 2014 CGHS rates of Delhi as an interim measure, till further orders.

A list of the procedures and package rates of CGHS Delhi, which shall hereafter be treated as CGHS package rates for hospitals, diagnostic laboratories and imaging centres empanelled under CGHS, Mumbai is enclosed.

Encl. As above

(Dr.D.c.Joshi)
Director, CGHS

Signed Copy

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Ex-Servicemen Contributory Health Scheme

Ex-Servicemen Contributory Health Scheme

Some empanelled hospitals have stopped providing services in the recent past citing reasons of delayed payments, excessive deductions and low CGHS rates. 384 empanelled facilities have not renewed Memorandum of Agreement with ECHS till date. 69 empanelled facilities have rejoined after establishment of online billing system by ECHS.

Actions like issuance of show cause notice, issuance of ‘stop referral’ pending investigations have been carried out against such defaulting hospitals. The hospitals have refunded the amount in most of the cases. Details of action taken against the hospitals are as under:

(i) Disempanelled - 01
(ii) Stop Referral - 25
(iii) Panel Deductions - 02
(iv) Warnings - 04

This information was given by Minister of State for Defence Dr. Subhash Bhamre in a written reply to Shri Rajeshbhai Chudasama in Lok Sabha today.

PIB

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Change in nomenclature of Nursing Staff in CGHS

Change in nomenclature of Nursing Staff in CGHS

F.No.A.60011/13/2017-CGHS.II
Government Of India
Ministry Of Health & Family Welfare
C.G.H.S. -II Section

Nirman Bhawan, New Delhi
Dated the 8th March 2017.

ORDER

Subject: Change in nomenclature of Nursing Staff in CGHS – regarding.

In pursuance to Nursing Division’s Order No.Z.28015/41/2014-N, dated 09.09.2016, the nomenclature of following Nursing Staff in CGHS have been changed as mentioned against each, with immediate effect:

SL.No. Existing Nomenclature of the Post New Nomenclature
1 Staff Nurse Nursing Officer
2 Nursing Sister Senior Nursing Officer

2. The change in nomenclature as mentioned above doesn’t involve change in duties and responsibilities and any additional financial benefits.

3. This issues with the approval of Competent Authority.

(Dharminder Singh)

Under Secretary to the Govt. Of India

Signed Copy

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Stents under CGHS

Stents under CGHS

CGHS does not procure and provide any stents to its beneficiaries directly and reimburses the cost of procedures at rates prescribed by CGHS to empanelled hospitals. The stents and other products, if any, are supplied by hospital concerned to the patient. Further, no complaint about inferior quality stents having been provided has been received from any CGHS beneficiary.

National Pharmaceutical Pricing Authority (NPPA) has informed the views expressed by some stakeholders during consultations with NPPA that stents supplied to CGHS stream are very basic. The Ministry is vigilant about all the services being provided to CGHS beneficiaries including stents.

The Minister of State (Health and Family Welfare), ShFaggan Singh Kulaste stated this in a written reply in the Lok Sabha here today.

PIB

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CGHS facilities are not provided to persons working on contractual and co-terminus basis

CGHS facilities are not provided to persons working on contractual and co-terminus basis

Loksabha Q&A

GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA

UNSTARRED QUESTION NO: 1742

ANSWERED ON: 10.03.2017

CGHS Facility

Adhikari Dibyendu Will the Minister of

HEALTH AND FAMILY WELFARE be pleased to state:-

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the Government issues CGHS cards to all Central Government employees including the persons working on contractual and or co-terminus basis and if so, the details thereof; (b) whether the Government is not giving CGHS pensioner facilities to the person or families at the end of contract and termination of employment therefor;

(c) if not, the reasons behind thereof;

(d) the total number of cards that have been issued to the contractual and the coterminous employees drawing salary from the central exchequer during the last three years therein; and

(e) the proposal of the Government to facilitate them with one time/whole life CGHS pensioner cards therefor?

ANSWER

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND
FAMILY WELFARE
(SHRI FAGGAN SINGH KULASTE)

(a): CGHS Cards are issued to Central Government employees and employees on co-terminus basis who are residing in CGHS covered areas. CGHS facilities are not provided to persons working on contractual basis.

(b) & (c): CGHS facilities are not provided to the employees on the termination of employment on co-terminus basis since CGHS facilities are primarily meant for Central Government Employees/Pensioners drawing salary/pension from Central Civil Estimates.

(d): No separate category is maintained regarding co-terminus employees and therefore, this information cannot be provided.

(e): There is no such proposal.

Loksabha Q&A

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CGHS Subscription as per 7th CPC – Clarification for Pensioners Superannuating on 31.1.2017

CGHS Subscription as per 7th CPC – Clarification for Pensioners Superannuating on 31.1.2017

“It is clarified that those employees superannuating on or before 31.1.2017 and had submitted their application on or before 31.1.2017 may be allowed the subscription at the prevalent rates applicable as on 31.1.2017 vide OM No.S.No.S.11011/2/2008-CGHS(P) dated 20.5.2009″.

No.S.11011/11/2016-CGHS(P)/EHS
Government of lndia
Ministry of Health and Family Welfare
EHS Section

Nirman Bhawan, New Delhi
Dated the 9 February, 2017

OFFICE MEMORANDUM

Sub: Revision of rates of subscription under Central Government Health Scheme due to revision of pay and allowances of Central Government employees and revision of pension/ family pension on account of implementation of recommendations of the Seventh Central Pay Commission- clarification reg.

Attention is drawn to this Ministry’s OM of even No. dated 9th January, 2017 and a subsequent OM of even no. dated 13/7/2017, on the subject mentioned above.

2. This Ministry has been receiving several representations w.r.t applicability of CGHS rates to pensioners superannuating on 31.1.2017. The matter has been examined in this Ministry and it is clarified that those employees superannuating on or before 31.1.2017 and had submitted their application on or before 31.1.2017 may be allowed the subscription at the prevalent rates applicable as on 31.1.2017 vide OM No.S.No.S.11011/2/2008-CGHS(P) dated 20.5.2009. Pensioners applying for CGHS pensioner card on annual/lifetime basis after 31/1/2O17 will have to pay as per the revised rates effective from 1.2.2017 vide OM of even No. dated 13.1.2017.

3. This issues with the approval of the Competent Authority.

sd/-
(Bindu Tewari)
Director

Authority : http://cghs.gov.in/

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Reconsideration of Rates of Subscription under Central Govt. Health Scheme revised account of revision of pay & Allowance/Pensions consequent upon implementation of 7th CPC recommendations

Increase in CGHS contribution BPS request reconsideration of Subscription under CGHS pre 2016 pensioners

No.SG/BPS/CGHS/17/4

Dated:22-02-2017

Shri Jagat Prakash Nadda
Hon’ble Minister of Health & Family Welfare
Union of India, Nirman Bhawan,
New Delhi – 110 001.

Subject: Reconsideration of Rates of Subscription under Central Govt. Health Scheme revised account of revision of pay & Allowance/Pensions consequent upon implementation of 7th CPC recommendations.

Reference: Office Memoranda No.S.11011/11/2016 CGHS(P)/EHS dated: January 1, 2017 and January 13, 2017 of GOI, Ministry of Health & Family Welfare, EHS section, New Delhi – 110 001.

Sir,

Ministry of Health & Family Welfare vide their memo-randa referred above has revised the rates of subscription to CGHS for Central Govt. Employees and Pensioners effective from February 1, 2017. Bharat Pensioners Samaj, a Federation of all India central Govt Civil Pensioners Associations including defence civilians. Postal and Railway having over 650 affiliates/associates, has received numerous representations from individual members who retired long back and wish to enroll themselves now under CGHS and also from affiliates on the exorbitant hike in the subscription rates of availing CGHS facilities.

2. BPS wishes to draw your attention to the fact that many of the past pensioners did not join CGHS at the time of their retirement for reason that CGHS had no facilities in the city chosen by the pensioners for their post-retirement settlement, mostly at their native places. Sir, you may be aware that CGHS is available only in 26 cities of India, the latest inaugurated at Visakhapatnam January 9,2017 by your honour along- with Shri M Venkaiah Naidu, Hon’ble Minister for Urban Development, Hoursing & Urban Povetty Alleviation; parliamentary Affairs, UOI. CGHS facilities in 26 cities is too short a medicare facility for 10.81 lac Central Govt Pensioners/family pensioners plus 5.55 lax defence civilian pensioners plus 3.25 lac postal pensioners i.e 19.61 lac of pensioners/family pensioners scattered throughout the country.
3. The old pensioners desirous of joining CGHS now, on opening of center at the place of their residences or their shifting to a place where CGHS facility is available for some family compulsions, may not find it financially viable to subscribe at the new rates especially shedding subscription for ten years to become whole life member effective from February 1, 2017. Para 5(v) of memo dated January 9,2017, under refernece, reads, “Any pensioner/Family Pensioner who is entitled to avail CGHS facility has not so far got his/her pensioner CGHS card made, the rate of contributions in such cases will be with reference to the level of pay that he/she would have drawn in the post held by him/her (at the time of his/her retirement/death) had he/she continued to be in service now but for his/her retirement/death. Sir, a middle level pensioner retired in February, 1994 from the pay scale of 3000-4500/- (level 11) has till now got an increase in his pension to the tune 9.24 times against which his subscription to CGHS now at the new rates contained in memo of January 9, 2017 is hiked by 108.33 times i.e. 78,000/- now against 720/- subscribed in 1994. An illustration, in support of this with full calculations, is attached as an annexure and may kindly be glanced through.

4. Bharat Pensioners Samaj requests you to come to the rescure of old pensioners and advise the Ministry of Health & Family Welfare to review the new rates prescribed keeping in view the financial viability vis-a-vis rising cost of living and not depriving old pensioners of availing the facility at a stage when it is made available to them by the GOI. Fixing of subscription for old pensioners varying with the number of years passed since retirement/death may please be kept low compared to pensioners retired in later years.

with regards,
yours truly,

Sd/-
(S C Maheshwari)
SG BPS/Er/ C Rlys.

Enclosure: One
pension-bpms
Source: BPS

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