CGHS

June 12, 2019 by Sony Leave a Comment

CGHS Rate Finder: Package Rates for Treatments Procedures and Investigations

CGHS Rates Easy Search – Package Rates for Treatments Procedures and Investigations

Central Government Health Scheme
The Central Government Health Scheme(CGHS) provides comprehensive health care facilities for the Central Government employees and pensioners and their dependents residing in CGHS covered cities.

Expected DA from July 2019: DA 4% Confirm…5% Possible! – Click for more details

Rate List of Recognized Private Hospitals and Diagnostic Centres Under CGHS

We provide here a simple search box to find the rates for all Treatments, Procedures and Investigations. Delhi and Chennai rates are available in the search box. Enter the first letter of the Treatment Procedure or Investigation in the required box, the drop down menu will show the appropriate results immediately…

75 Years and above CGHS Beneficiaries getting more relaxation on referrel rules

June 1, 2019 by Sony Leave a Comment

75 Years and above CGHS Beneficiaries getting more relaxation on referrel rules

Consultation from Specialists at CGHS empanelled Hospital for beneficiaries aged 75 years and above

“CGHS beneficiaries aged 75 years and above shall be permitted to seek direct OPD Consultation from Specialists of private hospitals empanelled under CGHS without referral from CGHS Wellness Centre”

Z.15025/35/2019/DIR/CGHS/ CGHS(P)
Government of India Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 29th May, 2019.

OFFICE MEMORANDUM

Sub: Consultation from Specialists at CGHS empanelled hospitals in respect of CGHS beneficiaries aged 75 years and above -regarding

With reference to the above mentioned subject the undersigned is directed to state that the matter related to relaxation of consultation norms in respect of elderly CGHS beneficiaries was under consideration of this Ministry and it has now been decided that hereinafter, CGHS beneficiaries aged 75 years and above shall be permitted to seek direct OPD Consultation from Specialists of private hospitals empanelled under CGHS without referral from CGHS Wellness Centre.

2.If any investigations / procedures are advised and are required in emergency, no other authorization is required and the same may be undertaken. However, in non-emergency conditions approval of competent authority is required if any non-listed investigations/procedures are advised. Medicines prescribed are to be procured from CGHS Wellness Centre.

3.Private hospitals empanelled under CGHS shall provide such facilities on cashless basis at CGHS rates to pensioners, ex-MPs , Members of Parliament and such other Categories of CGHS beneficiaries, who are eligible for treatment /investigations on credit basis. More than 75 year old dependents of serving CGHS beneficiaries, who are otherwise not eligible for Cashless treatment shall claim the reimbursement from concerned Ministry /Department. Beneficiaries of Autonomous Bodies /Statutory Bodies covered under CGHS shall claim reimbursement from the respective organization.

4.These orders are in supersession of the earlier guidelines on the subject.

sd/-
Dr.Manoj Jain
Addl.DDG(HQ)CGHS

Post-Operative Follow-up Treatment at CGHS Hospitals

June 1, 2019 by Sony Leave a Comment

Post-Operative Follow-up Treatment at CGHS Hospitals

Post-operative Follow-up treatment from Hospitals empanelled under CGHS in respect of critically ill CGHS beneficiaries

Z.15025/35/2019/DIR/CGHS/ CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 29th May, 2019.

OFFICE MEMORANDUM

Sub: Post-operative Follow-up treatment from Hospitals empanelled under CGHS in respect of critically ill CGHS beneficiaries-regarding

With reference to the above mentioned subject the undersigned is directed to state that in view of the difficulties being faced by critically ill CGHS beneficiaries in getting post-operative follow-up treatment at CGHS empanelled hospitals, the matter was reviewed and it has now been decided that critically ill CGHS beneficiaries shall be permitted for follow up treatment in CGHS empanelled hospitals as per the details given under:

i.Permission for post-operative follow-up treatment in respect of the following post – operative conditions requiring frequent Consultations from Specialists at private hospitals empanelled under CGHS, need not be re validated from time to time and follow-up treatment may be under taken at CGHS rates without time limit.

ii. The consultation /investigations are permitted under these follow-up cases. The conditions covered are:
a. Post Cardiac Surgery Cases including Coronary Angioplasty
b. Post Organ Transplant Cases (Liver, Kidney, Heart, etc.,)
c.Post Neuro Surgery Cases/Post Brain Stroke cases requiring regular follow-up treatment
d. End Stage Renal Disease/follow up cases of Liver Failure
e. Cancer treatment
f. Auto-immune disorders like Rheumatoid Arthritis requiring regular follow-up
g. Neurological disorders like Dementia, Alzheimer’s disease, Parkinsonism, etc.,
Medicines prescribed are to be procured from CGHS Wellness Centre.

iii. The beneficiaries shall have to submit a self-attested photo copy of the permission letter to the hospital to enable the hospitals to provide credit facility in respect of pensioners and other categories of CGHS beneficiaries entitled for credit facility. Serving employees (and their dependents) who may not be entitled for cashless facilities shall enclose a self-attested photo copy of permission letter to claim reimbursement from the concerned Ministry /Department. Permission in respect of Pensioner CGHS beneficiaries, Ex-MPs (and other categories of CGHS beneficiaries, whose medical expenditure is borne by CGHS) etc., shall be granted by CGHS. Permission in respect of Hon’ble Members of Parliament shall be granted by Rajya Sabha Secretariat/Lok Sabha Secretariat as the case may and by concerned Ministry /Department in respect of serving beneficiaries and by concerned Autonomous Body / Statutory Body in respect of serving /pensioner beneficiaries

iv. However, if any non-listed investigations / procedures are advised permission from competent Authority shall be required, except in emergency.

These orders are in supersession of the earlier guidelines on the subject.

sd/-
(Dr. Manai Jain)
Addl. DDG(HQ), CGHS

7th CPC OPTION CALCULATOR (UPDATED)

7th CPC REVISED PAY MATRIX

Circular for Medical Reimbursement Cases with Dr.Lal Path Lab

May 28, 2019 by Sony Leave a Comment

Circular for Medical Reimbursement Cases with Dr.Lal Path Lab

“who have paid an overcharged amount to Dr. Lal path Lab against Dengue serology test, would be prepared and sent to Dr. Lal path Labs to process the refund of excess charges levied against the said test”

GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
Railway Board

File No.2019/ERB-IIl/l(9)/3

Date: 15.05.19

CIRCULAR

While examining the Medical Reimbursement cases of the employees working in this Ministry, it is observed that Dr. Lal Path Lab is regularly overcharging Rs.1200/- against the CGHS prescribed rate of Rs.600/- for Dengue Serology test, even though the employee has valid CGHS prescription.

2. The matter was taken up with Ministry of Health & Family Welfare and as per their advice, it has been decided that a data of employees, who have paid an overcharged amount to Dr. Lal path Lab against Dengue serology test, would be prepared and sent to Dr. Lal path Labs to process the refund of excess charges levied against the said test.

3. It is hereby advised that employee, who has paid Rs.1200/- against Dengue IgG and Dengue lgM (Rs.600/-) tests conducted from Dr. Lal path Labs, may approach ERB-III branch within 30 days from date of issue of this letter along with copies of enlisted documents and required information in prescribed prororrna attached herewith, to process his/her refund case.

The requests of refund shall not be entertained afterwards and the employee will have to approach directly to Dr. Lal Path labs for the same.

sd/-
(Rakesh Rawat)
Under Secretary (Admn.)-ll

Jurisdiction of Siliguri and Jalpaiguri CGHS WCs

May 20, 2019 by Sony Leave a Comment

OM on Jurisdiction of Siliguri and Jalpaiguri CGHS WCs -regarding

Government of India
Ministry of Health & Family Welfare
SPEED POST / FAX Office of the Additional Director
EMAIL / BY HAND Central Government Health Scheme
6, Esplanade East (Gr. Floor), Kolkata – 700 069.

No.51-255/CGHS/KOL/Admn/Postal Disp/2019/ 4958-97

Date: 13 MAY 2019

OFFICE MEMORANDUM

Consequent upon the merger of Postal Dispensaries located at Siliguri and Jalpaiguri with CGHS under the administrative control of Additional Director, CGHS, Kolkata on and from 01-04 2019, the above dispensaries have been rechristened as Siliguri and Jalpaiguri CGHS Wellness Centre.

As per the prevalent norms regarding jurisdiction of a CGHS Wellness Centre, which covers approximately 5 kms in radius from a particular dispensary, the demarcation of jurisdiction under Siliguri CGHS W.C. and Jalpaiguri CGHS W.C. have been finalized as per the Annextures attached for these two Wellness Centre separately as mentioned under:

(a)Annexure I for Siliguri CGHS W.C.

(b)Annexure II for Jalpaiguri CGHS W.C.

The Administration of all Central Government Offices located in the city of Siliguri and Jalpaiguri must compulsorily deduct 1 CGHS contribution from the salary of their employees whose residential address is within the jurisdiction of CGHS Wellness Centre in these two cities and this is not linked to the application for CGHS Cards by the concerned employees.

Central Government Pensioners residing within the area of jurisdiction may avail the benefits of CGHS, but will not be eligible to draw Fixed Medical Allowance with their pension as per rules.

This may please be given wide publicity.

sd/-
(Dr. A.K. Sikdar)
Additional Director