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CGHS

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/

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Categories: CGHS, ESIC   Tags: , , , ,

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/

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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

Be the first to comment - What do you think?  Posted by admin - March 23, 2017 at 5:00 pm

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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

Be the first to comment - What do you think?  Posted by admin - March 13, 2017 at 10:08 pm

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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/

Be the first to comment - What do you think?  Posted by admin - February 28, 2017 at 9:56 pm

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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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LIST OF CHENNAI CGHS HOSPITAL : Private Health Care Organizations under CGHS PANEL AS ON 08.02.2017

Updated list of CGHS Hospitals in Chennai (8.2.2017)

LIST OF HCO’S IN CGHS PANEL AS ON 08.02.2017

CHENNAI CGHS HOSPITAL LIST : Private Health Care Organizations under CGHS

UPDATED ON 8TH FEBRUARY 2017

Latest and updated list of Chennai CGHS empanelled hospital name, address, facilities and contact details are given below…

1. CSI KALYANI GENERAL HOSPITAL
15, DR.RADHAKRISHNAN SALAI, MAYLAPORE CHENNAI-4
Telephone: 044-28473306, 044-28475870

NON NABH
NABL VALID UPTO 07.09.17
Notified on 17.11.2014
Extended upto 16.05.2017

GENERAL PURPOSE, INCLUDING DIALYSIS, LITHOTRIPSY, NEUROSURGERY, ORTHOPEADIC JOINT REPLACEMENT, GASTRO-ENTROLOGY, AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


2. CSI RAINY MULTI SPECIALITY HOSPITAL
45, G.A.ROAD, CHENNAI-21
044-40405050, 044-25957668

NON NABH NON NABL
Notified on 17.11.2014
Extended upto 16.05.2017

CCNTNAI PURPOSE INCLUDING DIALYSIS, ONCOLOGY, NEUROSURGERY, ORTHOPEADIC JOINT REPLACEMENT, GASTROENTROLOGY, LAPROSCOPIC SURGERY AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


3. MIOT HOSPITALS LTD
4/112, MOUNT POONAMALLEE ROAD, MANAPAKKAM, CHENNAI-89
044-22492288, 044-22491188 / 1155

NABH VALID UPTO 18.05.17
NABL VALID UPTO 29.03.18
Notified on 17.11.2014
Extended upto 16.05.2017

GENERAL PURPOSE INCLUDING CARDIOLOGY, ONCOLOGY, DIALYSIS , LITHOTRIPSY, TURP, IOL, LAPAROSCOPIC SURGERY, JOINT REPLACEMENT AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


4. NOBLE HOSPITAL
4, AUDIAPPA STREET, PURASAWALKAM, CHENNAI-84
044-40042222, 044-26403300
Reinstated w.e.f. 28.04.2016

NON NABH
NON NABL
Notified on 17.11.2014
Extended upto 16.05.2017

GENERAL PURPOSE, UROLOGY INCLUDING DIALYSIS AND LITHOTRIPSY, ENDOSCOPIC SURGERY, ORTHOPEDIC SURGERY INCLUDING ARTHROSCOPIC SURGERY AND JOINT REPLACEMENT AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


5. SOUNDARAPANDIAN BONE AND JOINT HOSPITAL AND RESEARCH INSTITUTE PVT. LTD.
AA-16, 3RD MAIN ROAD, ANNANAGAR, CHENNAI-40
044-43407363, 044-42066667

NABH-12.01.15 to 11.01.18
NON NABL
Notified on 17.11.2014
Extended upto 16.05.2017

ORTHOPEDIC SURGERY INCLUDING ARTHROSCOPY AND JOINT REPLACEMENT AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


6. SUGAM HOSPITAL
349, THIRUVOTRIYUR HIGH ROAD, THIRUVOTRIYUR, CHENNAI-19
Reinstated w.e.f. 27.07.2016

NON NABH
NON NABL
Notified on 17.11.2014
Extended upto 16.05.2017

GENERAL PURPOSE INCLUDING LAPAROSCOPIC SURGERY, IOL IMPLANT, JOINT REPLACEMENT AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


7. FRONTIER LIFELING HOSPITAL
R-30C, AMBATTUR INDUSTRIAL ROAD, MOGAPPAIR, CHENNAI-101
044-42017575
044-26564224

NABH : 09.09.16-08.09.19
NABL: 05.05.16-04.05.18
Notified on 17.11.2014
Extended upto 16.05.2017

GENERAL PURPOSE INCLUDING CARDIOLOGY, CARDIOLOGICAL INVESTIGATION, CARDIO-THORACIC SURGERY AND VASCULAR SURGERY ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


8. PARVATHY ORTHO HOSPITAL PVT. LTD.
241, GST ROAD, CHROMPET, CHENNAI-44
044-22382248
044-223834s6

NON NABH
NON NABL
Notified on 17.11.2014
Extended upto 16.05.2017

ORTHOPAEDIC SURGERY INCLUDING ARTHROSCOPIC SURGERY JOINT REPLACEMENT AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


9. Kauvery HCG Cancer Centre, Chennai
MBC TOWER,199/90, MBC TOWERS, 5TH FLOOR, LUZ CHURCH ROAD, MYLAPORE, CHENNAI- 600 004
044-43419999

NON NABH
Notified on 02.02.2015
Extended upto 16.05.2017

CANCER CENTRE AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


10. GLOBAL HEALTH CITY
(A unit of M/s. Ravindranath GE Medical Associates Private Limited)
439, CHERAN NAGAR, SHOLINGANALLUR – MEDAVAKKAM ROAD, PERUMBAKKAM, CHENNAI- 100
044-44777000, 044-44777100

NABH UPTO 25.10.16
NON NABL
Notified on 27.02.2015
Extended upto 16.05.2017

GENERAL PURPOSE INCLUDING CARDIOLOGY, ONCOLOGY, DIALYSIS, LITHOTRIPSY, ORTHOPEADIC JOINT REPLACEMENT NEUROSURGERY, GASTRO-ENTROLOGY, LAPAROSCOPIC SURGERY AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


11. KAUVERY HOSPITAL CHENNAI
(UNIT OF SRI KAVERY MEDICAL CARE TRICHY LTD)
MBC TOWER,199/99 LUZ CHURCH ROAD, ALWARPET JUNCTION, MYLAPORE, CHENNAI – 600 004
044-40006000

NON NABH
NON NABL
Notified on 27.02.2015
Extended upto 16.05.2017

GENERAL PURPOSE INCLUDING CARDIOLOGY, DIALYSIS, LITHOTRIPSY, ORTHOPEADIC JOINT REPLACEMENT NEUROSURGERY, GASTRO-ENTROLOGY, LAPAROSCOPIC SURGERY & ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


12. K.K.R. ENT HOSPITAL AND RESEARCH INSTITUTE
827, POONAMALLEE HIGH ROAD, KILPAUK, CHENNAI-10
044-26411444, 044-26411987

NON NABH
NON NABL
Notified on 27.02.2015
Extended upto 16.05.2017

ENT CARE AND ALL OTHER FACILITIES AVAILABLE. Reinstated w.e.f. 13.05.2016


13. TRINITY ACUTE CARE HOSPITAL
33, DESIKAN ROAD, MYLAPORE, CHENNAI-4
044-24671166
044-24991488
044-24990880

NON NABH
NON NABL
Notified on 28.02.2015
Extended upto 16.05.2017

GENERAL PURPOSE INCLUDING ONCOLOGY, DIALYSIS, LITHOTRIPSY, ORTHOPEADIC JOINT REPLAcEMENT NEUROSURGERY, GASTRO. ENTROLOGY, LAPAROSCOPIC SURGERY AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


14. VEE CARE HOSPITAL
106, PILLAYAR KOIL STREEI THIRUMANGALAM, JAWAHARLAL NEHRU SALAI, ANNANAGAR WEST, CHENNAI-40
044-39245454, 044-39245455

NON NABH
NON NABL
Notified on 28.02.2015
Extended upto 16.05.2017
GENERAL PURPOSE AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL. Reinstated w.e.f. 25.07.2016


15 Hospital Name – Address – Contacts – Validation – Treatment
BILLROTH HOSPITALS
43, LAKSHMI TALKIES ROAD, SHENOY NAGAR, CH – 30.

NABH UPTO 03.05.2018
NABL from 26.10.2015 to 25.10.2017
Notified on 29.02.2016

GENERAL PURPOSE AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL


Sri Devi Hospital – Suspended with effect from 20.01.2016


Srushti Hospital Pvt. Ltd. – Suspended with effect from 20.01.2016

Be the first to comment - What do you think?  Posted by admin - February 20, 2017 at 11:28 am

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Revision of rates of subscription under Central Government Health Scheme as per 7th CPC

Revision of rates of subscription under Central Government Health Scheme as per 7th CPC

 No.S.11011/11/2016-CGHS(P)/EHS

Government of India
Ministry of Health and Family Welfare
EHS Section

Nirman Bhawan, New Delhi
Dated the 13th January, 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.

In partial modification to this Ministry’s OM of even No. dated 9th January, 2017 on the subject mentioned above, the undersigned is directed to say that the revised rates will be effective from 1st February 2017 instead of 1st January, 2017.

2. Other contents of the above said OM will remain unchanged.

sd/-
(Sunil Kumar Gupta)
Under Secretary to the Government of India

Tel. 23061986

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

Nirman Bhawan, New Delhi
Dated the 9th January, 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.

The undersigned is directed to refer to this Ministry’s OM No. S.11011/2/2008-CGHS(P) dated 20th May, 2009 vide which orders were issued revising the rates of monthly subscription for availing CGHS facility, as also the entitlement for free diet, entitlement of accommodation in private empanelled hospitals under CGHS, etc.

2. Consequent upon revision of pay on the basis of the implementation of the recommendations of the 7th Central Pay Commission, it has been decided to revise the rates of subscriptions, to be made by employees / pensioners, for availing benefits under the CGHS, with effect from 1st January, 2017. It has also been decided to revise the monetary ceiling limits for various entitlements of the beneficiaries for availing CGHS facilities.

3. In supersession of all earlier instructions, the following revisions are being made, in so far as it relates to the facilities mentioned below:

(A) Monthly Contributions for availing CGHS facility:

Sl. No. Corresponding   levels in the  Pay Matrix  as per 7th CPC     Contribution (Rs. Per month)
1 Level: 1 to 5  250
2 Level: 6   450
3 Level: 7 to 11  650
4 Level: 12 & above   1000

(B)       Entitlement    of wards in private hospitals empanelled   under CGHS:

Sl. No. Corresponding   Basic Pay drawn  by the officer  in 7th CPC per month       Ward  entitlement
1 Up to  Rs. 47,600/-  General
2 Rs. 47,601/-  to Rs. 63,100/- Semi-Private
3 Rs. 63,101/-  and above     Private

(e) 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 disease is revised to pay / pension / family pension of 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 of nursing home facilities in Central Government / State Government / Municipals 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 Hospitals:

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

4. It is clarified that the reference to pay in this order relates to the pay drawn in the level of pay.

5. Pensioners have an option to get their CGHS pensioner card made by either making CGHS contribution on an annual basis (twelve months) or by making contribution for 10 (ten) years {120 (one hundred and twenty) months} for getting a pensioner CGHS card with life-time validity. It is clarified that:

(i) Contribution to be made by pensioners / family pensioners would be the amount that they were subscribing at the time of their retirement or at the time of death of the Government servant;

(ii) Pensioner beneficiaries, who have already obtained CGHS card with life time validity by paying a lump sum amount equivalent to 10 years’ contribution, will not be required to pay any additional amount as a result of the revision in the rates of contribution for availing CGHS facility;

(iii) Entitlement of pensioners / family pensioners, who have already deposited their contribution for life time CGHS facility, will not be changed.

(iv) Pensioners / family pensioners who are contributing to the CGHS on an annual basis and wish to continue to avail CGHS benefits will have to contribute at the revised rates up to the time of contribution needed to cover a period of a total of ten years from the time pensioner CGHS card was issued for the first time to them. The revised rate of contribution for the remaining period would 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; and

(v) 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 contribution 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.

6. This issues with the concurrence of the Department of Expenditure vide their I.D. Note No. 18(1)/EV/2016, dated 24/11/2016.

7. Hindi version will follow.

sd/-
(Sunil Kumar Gupta)
Under Secretary to the Government of India

Authority: http://cghs.gov.in/

Be the first to comment - What do you think?  Posted by admin - January 28, 2017 at 10:42 pm

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CGHS CONTRIBUTION ENHANCED WITH EFFECT FROM 01.01.2017

CGHS CONTRIBUTION ENHANCED WITH EFFECT FROM 01.01.2017

Consequent to revision in the pay structure of Central Govt. employees, CGHS contribution is going to be enhanced from 01.01.2017 at the following rate :

Sr. No. Level in the Pay Matrix Contribution per month (Rs)
1 Level 1 to 5 250
2 Level 6 450
3 Level: 7 to 11 650
4 Level 12 and above 1000

Click here to view the O.M. for change in other entitlements.

Be the first to comment - What do you think?  Posted by admin - January 23, 2017 at 10:54 am

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Revision of rates of subscription under CGHS 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 7th Central Pay Commission

7th Pay Commission recommendations on CGHS – Govt orders will be effective from 1st February 2017 – Ministry of Health issues modification OM

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

Nirman Bhawan, New Delhi

Dated the 13th January, 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.

In partial modification to this Ministry’s OM of even No. dated 9th January, 2017 on the subject mentioned above, the undersigned is directed to say that the revised rates will be effective from 1st February 2017 instead of 1st January, 2017.

2. Other contents of the above said OM will remain unchanged.

(Sunil Kumar Gupta)

Under Secretary to the Government of india

Download Office Memorandum No. S .11011/11/2016- CGHS (P)/EHS dated 13.01.2017 issued by Ministry of Health and Family Welfare

Be the first to comment - What do you think?  Posted by admin - January 16, 2017 at 5:18 pm

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Re-use of Disposable items is not permitted in Health Care Organizations empanelled under CGHS

Z.15025/217/DIR/CGHS/LS/LEGISLATION/2016

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 21st December, 2016

OFFICE MEMORANDUM

Subject: Re-use of Disposable items is not permitted in Health Care Organizations empanelled under CGHS

With reference to the above mentioned subject, it has come to the notice that some of the private hospitals are re-using various disposable surgical items particularly in Cardiology though they are meant for single use. The items after one procedure are sterilized and being re-used and are charged full amount of these items. The matter has been viewed by this Ministry seriously and it has been decided to issue this Office Memorandum to clarify that re-use of disposable items particularly in cardiology and other specialties, is not permitted in Health Care Organizations empanelled under CGHS and in case of any complaint in this regard suitable action including withdrawal of CGHS empanelment shall be initiated against defaulters.

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

Source: CGHS.GOV.IN

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Extension CGHS facilities to P&T pensioners

Extension CGHS facilities to P&T pensioners

29th SCOVA meeting under the chairmanship of Hon’ble MOS(PP) – Action Taken Report on the Minutes of the 28th SCOV A meeting held under the Chairmanship of Hon’ble MOS(PP) on 27.06.2016

Ministry of Personnel, Public Grievances and Pensions (Department of Pension & Pensioners Welfare)

Para 4(iv) of the minutes: Extension CGHS facilities to P&T pensioners

The representatives of Ministry of Health and Family Welfare informed that the 7th CPC has recommended that all Postal Dispensaries should be covered with CGHS. It was decided to await the decision of the Government within a month.

(Action: Ministry of Health and Family Welfare)

Ministry of Health and Family Welfare
The decision of the Government on the recommendations of 7th CPC is still awaited.

DoPPW
Ministry of Health & Family Welfare to indicate latest status during the meeting a to where the matter is pending. The Ministry of Health and Family Welfare has also been reminded on the same vide DoPPW OM dated 04.01.2017 to expedite the matter.

Authority: www.pensionersportal.gov.in

Be the first to comment - What do you think?  Posted by admin - January 12, 2017 at 7:05 pm

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Relaxation of procedures to be followed in considering requests for medical reimbursement

Relaxation of procedures to be followed in considering requests for medical reimbursement – Clarification

No. S.11011/14/2016-EHSS
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi – 110 108
Dated: the 4th November, 2016

OFFICE MEMORANDUM

Subject: Relaxation of procedures to be followed in considering requests for medical reimbursement – Clarification

The undersigned is directed to state that the condition mentioned in Para 3(2)(g) of this Ministry’s OM No. 4-18/2005-C&P [Vol.1I-Pt (I)], dated 20.02.2009 is modified to the extant as under:

“The treatment was obtained in private non-empanelled hospital under emergency, while on official tour to another city.”

2. Further, it is also clarified that the cases, which were processed and decided earlier on the basis of OM dated 20.02.2009, should not be reopened.

3. This OM will be effective from the date of issue.

4. This issues with the approval of the 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 - January 3, 2017 at 3:47 pm

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CGHS – Enhancement of Financial Powers of HoD from Rs. 2 Lakhs to Rs. 5 Lakhs

CGHS – Enhancement of Financial Powers of HoD from Rs. 2 Lakhs to Rs. 5 Lakhs

No.S.11011/20/2014-CGHS (P)/EHSS
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
EHS Section

Nirman Bhawan, New Delhi
Dated: the 23 November, 2016

OFFICE MEMORANDUM

Subject: Delegation of powers to Heads of Departments in various Ministries/Departments for settling permission cases and post facto approval relating to referral system and medical reimbursement under CGHS – Enhancement of ceiling rate from Rs. 2 Lakhs to Rs. 5 Lakhs without consultation of IFD of concerned Ministry – Reg.
The undersigned is directed to refer to this Ministry’s OM No. S.12020/4/97-CGHS (P), dated 27.12.2006 and its clarification issued vide this Ministry’s OM No. S.11011/20/2014-CGHS (P), dated 20.06.2014, wherein financial powers were delegated to the Heads of Departments/Ministries to settle all such cases where there is no relaxation of rules involved and admissibility of claim was worked out with reference to the CGHS approved rate list and guidelines.

2. This Ministry has been receiving requests from different Ministries/Departments for enhancement of delegation of financial powers to Head of Departments to settle medical claims/medical advance cases involving financial implications upto Rs. 5 Lakhs without referring the case to Internal Finance Division (IFD).

3. The matter regarding enhancement of delegation of financial powers to the Heads of Departments/Ministries has been examined in this Ministry and it has been decided with the approval of the competent authority to enhance the existing limit of Rs. 2 Lakhs to Rs. 5 Lakhs to settle all cases where there is no relaxation of rules and the entitlement was worked out with reference to the rate list prescribed.

In respect of cases involving payment exceeding Rs. 5,00,000/- (Rupees 5 Lakhs only) but as per the prescribed rate list, the concerned Departments/Ministries may settle such cases in consultation with their respective Internal Finance Division. Only in those cases where the settled scheme/rules are required to be relaxed, should the case be referred to the Ministry of Health and Family Welfare.

4. This issue with concurrence of Internal Finance Division vide FTS No. 91725, dated 01.11.2016.

(Sunil Kumar Gupta)
Under Secretary to the Govt. of India
(Tel 2306 1986)

Source: www.cghs.gov.in

Be the first to comment - What do you think?  Posted by admin - December 9, 2016 at 3:13 pm

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Grant of Advance for Cancer treatment in Non-Empanelled Private Hospitals / Private Nursing Home under CGHS / CS (MA) Rules

Grant of Advance for Cancer treatment in Non-Empanelled Private Hospitals / Private Nursing Home under CGHS / CS (MA) Rules

BHARATIYA PRATIRAKSHA MAZDOOR SANGH
(AN ALL INDIA FEDERATION OF DEFENCE WORKERS)
(AN INDUSTRIAL UNIT OF B.M.S.)
(RECOGNISED BY MINISTRY OF DEFENCE, GOVT. OF INDIA)

REF: BPMS / MH&FW / Advance / 156 (8/1/L)

Dated: 25.11.2016

To,
The Secretary,
Govt. of India, Min. of Health & Family Welfare,
156 – A, Nirman Bhawan,
New Delhi 110001.

Subject: Grant of Advance for Cancer treatment in Non-Empanelled Private Hospitals / Private Nursing Home under CGHS / CS (MA) Rules.

Respected Sir,
Considering the hardships being faced by cancer patient, vide O.M. No.1967/2013/DEL/CGHS/SZ/D52/CGHS(P) , Dated 30.12.2014 Department of Health & Family Welfare, CGHS (Policy) Division delegated the powers to HOD’s for permission / ex-post facto approval for cancer treatment taken in non-empanelled hospitals subject to reimbursement being restricted to CGHS rates or actual expenditure, whichever is less.

Further, as per O.M. No. s.12020/4/97-CGHS (P), Dated 07.03.2000 of Ministry of Health & Family Welfare (Department of Health) the Heads of Departments (HODs) may decide the cases of reimbursement of medical claims in respect of treatment obtained in emergency at private hospitals/private nursing home/private clinic, subject to item-wise ceiling as per rates prescribed for CGHS beneficiaries without financial limit on the total amount to be reimbursed.

Now, it has been experienced that a government employee covered under CGHS / CS(MA) Rules and resides in Kanpur, obtains the permission of Head of Department for treatment in Non-Empanelled Private Nursing Home/Hospital (for example Rajiv Gandhi Cancer Institute & Research Centre, New Delhi). After surgical treatment of Cancer, he needs post operative treatment (Chemotherapy) and he wants to continue his treatment from the same non-empanelled private nursing home/hospital. But the HOD refuses to grant advance for post operative treatment on the plea that advance may be granted in emergency for treatment in non-empanelled private nursing home and post operative treatment of cancer (Chemotherapy) does not fall under the category of emergency. In absence of advance, such employee finds himself unable to get treated and cured and that add insult to injury.

In such circumstances, you are requested to issue necessary orders so that the beneficiaries covered under CGHS / CS (MA) Rules may be granted medical advance being restricted to CGHS rates for post operative treatment of Cancer obtained from nonempanelled private nursing home/hospital.

Thanking you,

Sincerely yours
(MUKESH SINGH)

Enclosed: As mentioned

Copy to:
1. The DHS, OFB, Kolkata Secretary/BPMS &
2. The US D(Civ-I), MoD, New Delhi Member, JCM-II Level Council (MOD)
-With request to take appropriate action.

Source: BPMS

Be the first to comment - What do you think?  Posted by admin - November 28, 2016 at 7:36 am

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Poor Functioning of CGHS

Poor Functioning of CGHS

Some grievances have been received from CGHS beneficiaries through grievance portals and other channels regarding functioning of CGHS. These are mainly regarding non-issue of medicines, plastic cards, shortage of doctors/ specialists and long queue of patients in Wellness Centres.

Following action has been taken by the government in this regard:

(i) Appointment of retired doctors on contract basis as a stop gap arrangement to fill the vacant posts.

(ii) Medicines, which are not available at CGHS Wellness Centres are procured through Authorized Local Chemists.

(iii) A special drive was undertaken to clear the pendency of issue of CGHS Plastic cards

(iv) Option for self-printing of CGHS cards for existing CGHS beneficiaries.

(v) Introduction of on-line registration for consultation at selected Wellness Centres in Bengaluru and in one zone in Delhi.

(vi) Initiation of tele-consultation on trial basis in Delhi from two CGHS Wellness Centres with specialists of Dr. R.M.L Hospital.

Regular internal audits and also external audits/studies on the functioning of CGHS have been carried out.

Outcome of some of the important studies are as under:

(i) Staff Inspection Unit (SIU) was carried out by Ministry of finance for Staff Pattern Norms based on patient attendance.  Recommendations of the SIU have been implemented.

(ii) Based on the study carried out by Kaul Committee, computerization of all the CGHS Wellness Centres has been done

(iii) On the basis of recommendations of the CAG Audit on procurement of medicines, Medical Stores Organization (MSO) has initiated e-tender for procurement of Anti Cancer and other Lifesaving medicines. It has also been decided to procure only L1 Rate medicines under formulary for Branded Medicines.

(iv) Committee of Secretaries (COS) has also been monitoring the functioning of CGHS since 2008 and various steps have been implemented to make CGHS beneficiary friendly. As per the recommendations of COS, UTI-ITSL has been appointed as Bill Clearing Agency for settlement of credit bills of empanelled hospitals and diagnostic centres pertaining to the treatment of CGHS pensioner beneficiaries.

(v)  The functioning of CGHS is also monitored by the Hon’ble Prime Minister and as per the directions under ‘PRAGATI’, the process of linking of Aadhar Number with CGHS beneficiary Numbers has been started.

A special drive was undertaken to clear the pendency of issue of CGHS Plastic cards. Provision has been made for self-printing of CGHS cards by existing CGHS beneficiaries.

(vi) DAR&PG conducted a study through Quality Council of India (QCI)   to identify   areas of Grievances in Different Ministries and organizations including CGHS and suggested possible solutions.

Based on the inputs so received:

  • Financial Powers of Additional Directors of CGHS have been enhanced for early settlement of medical claims of Pensioners.
  • Introduction of on-line registration for consultation at selected Wellness Centres in Bengaluru and in one zone in Delhi.
  • Aadhar-based Bio-metric attendance for the staff at CGHS Wellness Centres has been implemented in Delhi and NCR.

The following steps have been taken for improvement in the functioning of CGHS in the country:

1. Regular Inspection of Wellness Centres is carried out.

2. Monthly advisory committee meetings are held for each Wellness Centres with CMO   (Incharge)

3. Regular monitoring of empanelled hospitals by a team constituted by Additional Directors, CGHS of cities for this purpose.

4. Regular meeting of Additional Directors, CGHS with pensioner associations.

SMS alert facility to CGHS beneficiaries.

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

Be the first to comment - What do you think?  Posted by admin - November 25, 2016 at 6:06 pm

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Grant of 90% medical advance for all treatments (IPD and OPD) under CGHS and CS(MA) Rules, 1944

No.S. 14025/18/2015-MS/EHSS
Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 17th October, 2016

OFFICE MEMORANDUM

 

Subject: Grant of 90% medical advance for all treatments (IPD and OPD) under CGHS and CS(MA) Rules, 1944.

 

The undersigned is directed to refer to O.M.NO.S. 14025/7/94-MS dated 15.05.1996, and OM No.S.12025/1/96-CGHS(P) dated 1305.1997 provisioning, inter-alia, grant of advance upto 90% in case of major illness like by-pass surgery, Kidney transplant, major cancer treatment, etc.

 

2. During the meeting held on 25.03.2015, National Council (Staff Side) requested this Ministry to make provisions for grant of 90% advance of the estimated cost for all treatments for serving Central Government employees, irrespective of major or minor diseases.

 

3. The matter was examined in the Ministry. Considering that the basic purpose of grant of advance for treatment of any disease is to provide relief to a Government employee from facing hardship, it has been decided with the approval of the competent authority that serving CS(MA) and CGHS beneficiaries may be granted 90% medical advance of the approved CGHS package rates for all indoor treatments, irrespective of major or minor diseases, on receipt of a certificate from the treating physician of a Government/recognized hospital as per the guidelines given in the OM No.S.14025/7/94-MS dated 15.05.1996 and OM No.S-11016/1/92-CGHS(P) dated 29.10.1992 for CS(MA) and CGHS beneficiaries respectively.

 

4. For out-door treatment, it has also been decided that advance may be limited to 90% of the total estimated expenditure of the treatment, subject to the condition that the advance for OPD treatment may only be granted when the total estimate of expenditure for OPD treatment including tests/investigations is more than Rs.10,000/-.

 

5. The advance should be released within 10 days on receipt of the request for advance by the administrative Department/Ministry/office in order to avoid inconvenience to the employees.

 

6. The OM No.S.12025/1/96-CGHS(P) dated 13.05.1997 stands withdrawn from the date of issue of this O.M.

(Sunil Kumar Gupta)
Under Secretary to the Govt. of India

Source : Confederationhq

Be the first to comment - What do you think?  Posted by admin - November 15, 2016 at 7:39 am

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