Showing posts with label CGHS Beneficiaries. Show all posts
Showing posts with label CGHS Beneficiaries. Show all posts

Wednesday, 1 April 2020

Reimbursement of OPD Medicines Special Sanction in view of COVID-19



Reimbursement of OPD Medicines Special Sanction in view of COVID-19

Z 15025/12/2020/ DIR/CGHS
Government of India
Ministry of Health & Family Welfare
Directorate General of CGHS

Nirman Bhawan, New Delhi
Dated the 27th March, 2020.

OFFICE MEMORANDUM

Sub: Reimbursement of OPD Medicines Special Sanction in view of COVID-19

In view of the Corona Virus Disease (COVID-19) , all out efforts are made by the Government to contain its impact by instituting measures at community as well as at individual level.

Guidelines for maintaining social distancing between individuals have already been issued by the Government. In the spirit of above guidelines the undersigned is directed to state that CGHS beneficiaries getting medicines for chronic diseases may purchase medicines based on the prescription held (prescribed by CGHS Medical Officers / CGHS Specialists /other Govt. Specialists/ Specialist of empanelled hospital) till 30th April 2020 irrespective of Non-Availability certificate from CGHS or otherwise . The idea behind the measures is that CGHS beneficiaries need not visit CGHS Wellness Centres to collect medicines till 30th April 2020.

The medical claim shall be submitted to CGHS by pensioners, ex-MPs etc., through CGHS Wellness Centre , where the card is registered , to concerned Ministry /Department in case of serving employees , to the Rajya Sabha Secretariat / Lok Sabha Secretariat ,as the case may be in respect of Hon’ble Members of Parliament and to the concerned Autonomous Body in case beneficiaries of Autonomous Bodies.

These orders shall come into force with immediate effect.

(Dr. Sanjay Jain)
Director, CGHS

Monday, 9 September 2019

Issue of OPD Medicines for CGHS beneficiaries going abroad - CGHS

CGHS

Issue of OPD Medicines for CGHS beneficiaries going abroad
No.1-40/2019-CGHS/C&P/DIR/CGHS
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 19th August , 2019
OFFICE ORDER

Subject: - Issue of OPD Medicines for CGHS beneficiaries going abroad


With reference to the above subject the undersigned is directed to draw attention to Circular No 4-20/2003 - C&P Section dated the 28th April , 2005 vide which guidelines were issued for supply of OPD Medicines for upto '6' months to CGHS beneficiaries , who are going to stay abroad and to state that the matter has been reviewed by this Ministry and it is now decided in modification of the earlier guidelines that hereinafter, Chief Medical Officer I/C of concerned CGHS Wellness Centre is empowered for issue of OPD medicines for upto six months to the CGHS beneficiaries visiting abroad, subject to submission of the following documents:

(a) Copy of valid CGHS Card.
(b) Valid prescription for six months.
(c) Documentary Proof of going abroad like ticket , visa etc.
(Dr. Atul Prakash)
Director, CGHS
Source: CGHS

Thursday, 5 September 2019

Annual Health Check-up at Hospitals empanelled under CGHS in respect of CGHS Pensioner beneficiaries aged 75 years and above

CGHS

Annual Health Check-up at Hospitals empanelled under CGHS in respect of CGHS Pensioner beneficiaries aged 75 years and above

Z 15025/ 36/2019/ DIR/CGHS/ CGHS(P)pt
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi
Dated, the 19th August, 2019
OFFICE MEMORANDUM

Subject: Annual Health Check-up at Hospitals empanelled under CGHS in respect of CGHS Pensioner beneficiaries (Primary card holders) aged 75 years and above- regarding

With reference to the above mentioned subject, the undersigned is directed to state that the matter relating to Annual Health Check-up at private hospitals empanelled under CGHS in respect of elderly CGHS beneficiaries was under consideration at this Ministry and it has now bean decided that hereinafter, CGHS Pensioner beneficiaries {Primary Card holders) aged 75 years and above shall be permitted to undergo ‘Annual Health Check-up’ at CGHS empanelled hospitals.

Permission in respect of CGHS Pensioner beneficiaries (Primary Card holders) aged 75 years and above shall be granted by CMO in charge of CGHS Wellness Centre.

The private hospitals empanelled under CGHS shall perform the Annual Health Check-up at CGHS rates and extend cashless facility for the same in respect of CGHS Pensioner beneficiaries (Primary Card holders) aged 75 years and above.

(Rajeev Attri)
Under Secretary to Government of India
Source: CGHS

Saturday, 24 August 2019

Issue of OPD Medicines for CGHS beneficiaries going abroad


Issue of OPD Medicines for CGHS beneficiaries going abroad

No.1-40/2019-CGHS/ C&P/DIR/CGHS
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 19th August , 2019
OFFICE ORDER

Subject: Issue of OPD Medicines for CGHS beneficiaries going abroad

With reference to the above subject the undersigned is directed to draw attention to Circular No 4-20/2003-C&P Section dated the 28th April, 2005 vide which guidelines were issued for supply of OPD Medicines for upto ‘6’ months to CGHS beneficiaries, who are going to stay abroad and to state that the matter has been reviewed by this Ministry and it is now decided in modification of the earlier guidelines that hereinafter, Chief Medical Officer I/C of concerned CGHS Wellness Centre is empowered for issue of OPD medicines for upto six months to the CGHS beneficiaries visiting abroad, subject to submission of the following documents:
(a) Copy of valid CGHS Card.
(b )Valid prescription for six months.
(c) Documentary Proof of going abroad like ticket, visa etc.
sd/-
(Dr. Atul Prakash)
Director, CGHS
Source: Confederation

Saturday, 13 July 2019

Health Insurance Scheme for CGHS Beneficiaries

Ministry of Health and Family Welfare
Health Insurance Scheme for CGHS Beneficiaries

12 JUL 2019

The Sixth Central Pay Commission in its report had recommended the introduction of a Health Insurance Scheme for central government employees and pensioners and their dependent family members on pan India basis. Ministry of Health & Family Welfare has framed the draft health Insurance Scheme. OPD facilities are not covered under the proposed scheme. The draft scheme has been sent to the Department of Expenditure, Government of India, for appraisal and approval of the financial feasibility of the scheme.

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

PIB

Tuesday, 19 March 2019

Extension of CGHS facilities to Kendriya Vidyalaya Sangathan retired employees


KVS: Extension of CGHS facilities to Kendriya Vidyalaya Sangathan retired employees

CGHS Facilities to Retired Employees of KVS
CGHS-facilities-Kendriya-Vidyalaya-Sangathan-retired-employees

Kendriya Vidyalaya Sangathan
18, Institutional Area, Shaheed Jeet Singh Marg
New Delhi 110 016

F.11086/01/2012-KVS(HQ)/Admn.II/291-338
Dated: 13-03-2019
OFFICE MEMORANDUM

Subject: Extension of CGHS facilities to the retired employees of Kendriya Vidyalaya Sangathan (KVS) - matter regarding.

Ministry of HRD, vide letter No.F3-5/2011-UT-2 dated:13-03-2019 has conveyed the approval of the Ministry of Health & Family Welfare O.M.No.S.11016/8/2015-CGHS (P) dated 06.03.2019 vide which Ministry of Health & Family Welfare has extended the implementation of CGHS facilities to all the retired employees of KVS, who were having CGHS cards while in service, in all CGHS covered Cities, on the same terms and conditions on which retired employees of KVS were extended CGHS facilities in Delhi/NCR vide Ministry of Health & Family Welfare OM dated 29.05.2015.

Other terms and conditions of MoH&FW OM dated 29.05.2015 circulated vide KVS (HQ) OM No.11086/01/2012-KVS HQ (Admn.II) 793/805 dated 21.08.2015 will remain unchanged.
sd/-
(Dr. Shashi Kant)
Joint Commissioner (Pers.)

Tuesday, 5 March 2019

Advisory to HCOs empanelled under CGHS regarding treatment of critically ill CGHS beneficiaries /CGHS beneficiaries undergoing treatment for Cancer

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 30th January, 2019
No Z 1502511012019/DIR/CGHS
OFFICE MEMORANDUM
Subject: - Advisory to HCOs empanelled under CGHS regarding treatment of critically ill CGHS beneficiaries /CGHS beneficiaries undergoing treatment for Cancer.

With reference to the above mentioned subject all the HCOs empanelled under CGHS are hereby advised to take special care of critically ill CGHS beneficiaries /CGHS beneficiaries undergoing treatment for Cancer seeking healthcare facilities in your institution as they require special attention. All possible assistance and care may be provided to them.

You are also advised to keep track of the new guidelines issued by CGHS from time to time and comply with the guidelines.
(Dr. Atul Prakash)
Director, CGHS
Source: cghs

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 30th January , 2019
No Z 15025/10/2019/DIR/CGHS
OFFICE MEMORANDUM
Subject: - Feedback from CGHS beneficiaries about HCOs empanelled under CGHS

With reference to the above mentioned subject the undersigned is directed to state that Critically ill and CGHS beneficiaries undergoing treatment for Cancer need special care and any permissions required for treatment ( including Post-Operative follow up treatment ) may be provided on priority basis by the CMOs i/c/ Addl.Director,CGHS .

A feedback proforma may also be taken from such CGHS beneficiaries about the facilities provided by HCOs empanelled under CGHS. The information so collected may be sent to the Addi. Directors on Monthly basis.

This may be treated as most important.
(Dr. Atul Prakash)
Director, CGHS
Feedback Performa
Name of the CGHS beneficiary Ben ID No
Name of the Hospital Facility
Score ( 1-5)
(1) Poor (2) Fair (3) Good (4) Very Good (5) Excellent

Behavior of Staff at Reception

Ease of Admission

Treatment of the Specialists

Behavior of para-medical staff

Billing related issues if any

Any overcharging
If , no bed was available has the beneficiary tried any other hospital

Signature of CGHS beneficiary/representative

Source: Cghs

Monday, 17 December 2018

Lok Sabha: Procedural Impediments of CGHS Beneficiaries

Lok Sabha: Procedural Impediments of CGHS Beneficiaries

GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA
UNSTARRED QUESTION NO: 780
ANSWERED ON: 14.12.2018
Procedural Impediments of CGHS Beneficiaries
JANARDAN SINGH SIGRIWAL

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

(a) whether the Government has made it mandatory for the CGHS beneficiaries who have been referred to CGHS empanelled hospitals, to report back to the concerned wellness centre to endorse investigations advised by the specialists at empanelled hospitals and if so, the details thereof;

(b) whether the Government has taken note of inconvenience and harassment being faced by CGHS beneficiaries who have to visit dispensaries time and again for endorsement of such investigations and if so, the reaction of the Government thereto;

(c) whether the Government has received representations in this regard and if so, the details thereof; and

(d) the corrective measures taken/ proposed to be taken by the Government to simplify/change the procedure in this regard in the interest of sick people, pensioners and serving employees?

ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND
FAMILY WELFARE
(SHRI ASHWINI KUMAR CHOUBEY)

(a) & (b): Yes; The Government vide its Office Memorandum No. Z.15025/117/2017/DIR/CGHS/EHS, dated the 15th January, 2018 permitted all CGHS beneficiaries to seek OPD consultation from Specialists at Private Hospitals empanelled under CGHS after being referred by any Medical Officer/CMO of CGHS Wellness Centre. After consultation at empanelled hospitals beneficiary shall report back to concerned Wellness Centre, where Medical Officer/CMO would endorse listed investigation and issue medicines.

The Government has reviewed the matter and issued revised guidelines.

(c): Yes; some representations were received for permitting investigations on the advice of Specialist of Private Hospitals empanelled under CGHS.

(d): The guidelines for referral issued vide Office Memorandum No. Z.15025/117/2017/DIR/CGHS/EHS, dated the 15th January, 2018 have been modified vide Office Memorandum No. Z.15025/117/2017/DIR/CGHS/EHS, dated the 10th December, 2018 and the following modifications have been made in the interest of sick people, pensioners and serving employees:-
  • The referral shall be valid for consultations upto 3 times in the same hospital within 30 days.
  • CGHS beneficiaries have been permitted to consult upto 3 Specialists, if required during a single visit.
  • Investigations advised by Specialist of Private Empanelled Hospitals may be undertaken if they are required in emergency as certified by Specialist without endorsement by CGHS.
Source: LokSabha

Sunday, 29 July 2018

Shifting of CGHS Perambur Wellness Centre


Shifting of CGHS Perambur Wellness Centre
CGHS Perambur Wellness Centre functioning at No.28 (New No.45) Perambur Hgh Road, Chennai - 600 012 will function at the following address with effect from 2nd April 2018.

New Address:

No.1, SRP Koil Street, Peravallur, Agaram Junction, Perambur, Chennai - 600 082

List of Wellness Centres in Chennai
S.NONAMEADDRESS
1ADYAR WCBlock No 122/169-170, CPWD Quarters, Indira Nagar, Adyar, Chennai-600020
2ANNA NAGAR WC &ANNA NAGAR POLYCLINICCentral Revenue Quarters, No.15, Ranganathan Garden, Anna Nagar, Chennai-600040
3AVADI WCHeavy Vehicles Factory Complex, Avadi, Chennai-600054
4GOPALAPURAM WCNo1, 1st street, Goplapuram, Chennai-600086
5GUINDY WCBlock No,6/1-5, BCG Staff quarters, Guindy, Chennai-600032
6KK NAGAR WC & KKNAGAR POLYCLINICCPWD Quarters, KK Nagar,    Chennai-600078
7MEENAMBAKKAM WCDGQA Complex, Meenambakkam, Chennai-600114
8NANDAMBAKKAM WCQuarter No. 16-19, CDA Residential Complex, Nandambakkam, Chennai-600089
9NUNGAMBAKKAM WCC&B Block, Ist Floor, Shastri Bhavan, Haddows Road, Chennai-600006
10PERAMBUR WCNo.1 srp koil street Agaram Junction Perambur, Chennai
11RA PURAM WCNo.6, Kamaraj Salai, RA Puram, Chennai-600028
12ROYAPURAM WCCPT QUATERS CLIVE BATTERY E1 BLOCK CHENNAI
13TRIPLICANE WCCPT QUATERS NAPIER BRIDGE A1 BLOCK CHENNAI
14VEPERY WCNo .10 1st floor ,Vasu Street Kilpauk chennai 600010
15PUDUCHERRY WCIGMC&RI KADIRKAMAM PUDUCHERRY 605009
16(CMS )CENTRAL MEDICAL STORESCMS RAJAJI BHAVA

Sunday, 13 May 2018

Additional List of Private Hospitals in Delhi & NCR

Additional List of Private Hospitals in Delhi & NCR

No.S.11011/03/2018-CGHS (HEC)
Government of India
Directorate General of Central Government Health Scheme
Department of Health & Family Welfare

Nirman Bhawan, New Delhi.
Dated the 11th April, 2018
OFFICE ORDER

Subject: Empanelment of private hospitals (including dental clinics and eye centres) and diagnostic centres under CGHS Delhi & NCR.

In continuation of this Directorate's Office Memorandum of even no. dated 26.12.2017 regarding empanelment under continuous empanelment scheme, the undersigned is to convey that in addition to the list of the hospitals (including dental clinics & eye centres) and diagnostic laboratories already empanelled, the hospitals (including dental clinics & eye centres) and diagnostic laboratories as per the list attached (22 HCOs) have also been empanelled under CGHS in Delhi & NCR with issuance of this order. The newly empanelled hospitals (including dental clinics & eye centres) and diagnostic laboratories may be treated as included in the existing list of empanelled health care organization under CGHS on same terms and conditions as have been indicated in the Office Memorandum dated 26.12.2017.

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





Source: http://www.cghs.gov.in/

Wednesday, 9 May 2018

Clarification regarding issue of Medicines prescribed by Specialists beyond the period for which the medicines had been advised - CGHS Orders


Clarification regarding issue of Medicines prescribed by Specialists beyond the period for which the medicines had been advised - CGHS Orders

"Medical Officers of CGHS can issue the same medicines to CGHS beneficiaries prescribed by the Specialists even after the expiry of the validity of the prescription in Chronic diseases"

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS
No:Z.15025/33/2018/DIR/CGHS
Nirman Bhawan, New Delhi 110 011
Dated the 1st May, 2018
Office Memorandum

Subject: Clarification regarding issue of Medicines prescribed by Specialists beyond the period for which the medicines had been advised

With reference to the above subject the undersigned is directed to state that this Ministry is in receipt of representations from CGHS beneficiaries, particularly from Senior Citizens regarding refusal of CGHS for issue of medicines prescribed by Specialists, immediately on expiry of the period for which the prescription has been issued.

The matter has been reviewed by the competent authority in view of the difficulties faced by the CGHS beneficiaries and it is now decided that Medical Officers of CGHS can issue the same medicines to CGHS beneficiaries prescribed by the Specialists even after the expiry of the validity of the prescription in Chronic diseases, where the clinical condition is stable and CGHS shall not insist on immediate re validation by Specialists.

However, in cases of Chemotherapy and immuno suppressant treatment regular follow up from Specialists would be advisable.

These guidelines are in super session of the guidelines issued earlier on the subject.
sd/-
(Dr D.C.Joshi)
Director, CGHS
Source: Confederation

Tuesday, 27 March 2018

CGHS Facilities to Retired KV Employees


CGHS Facilities to Retired KV Employees

KENDRIYA VIDYALAYA SANGATHAN

F.No.11086/01/2012-KVS HQ(Admn.II)/75-85

Dated: 20.03.2018
OFFICE MEMORANDUM

Subject: Extension of CGHS to all retired employees of Kendriya Vidyalaya residing in Delhi/NCR- regarding.

Consequent upon KVS's proposal on the subject vide letter dated 29.09.2017, the Deputy Secretary (UT), Ministry of Human Resource Development vide his letter No.F.3-5/2011-UT-2 dated 02.02.2018 to be reqd with MHRD's letter of even number dated 19.03.2018 has conveyed the decision of Ministry of Health and Family Welfare, Government of India, New Delhi regarding extension of CGHS facilities to all retired employees of Kendriya Vidyalaya Sangathan (KVS) residing in Delhi/ NCR.

2. Accordingly, medical facility under the CGHS is to all retired employees of Kendriya Vidyalaya Sangathan residing in Delhi/ NCR.

The terms and conditions mentioned in the Office Memorandum or even number dated 21.08.2015 will remain the same.

sd/-
(U.N.KHAARE)
ADDITIONAL COMMISSIONER (ACAD/ADMN.)
Source: http://kvsangathan.nic.in

Wednesday, 14 February 2018

Poor Condition of CGHS Dispensaries - Lok Sabha Q&A


Poor Condition of CGHS Dispensaries - Lok Sabha Q&A

CGHS-Dispensaries

GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA
UNSTARRED QUESTION NO: 1236
ANSWERED ON:09.02.2018

Poor Condition of CGHS Dispensaries

Tejpratap Singh,Yadav
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the Government is aware of poor functioning of CGHS dispensaries due to malfunctioning of server, depleted strength and absence of doctors/staff, discontinuation of visit of Medical specialist, lack of infrastructure and nonavailability of medicines daily, long queue of patients, working of dispensaries in rented building etc. and if so, the details thereof;

(b) whether the Government has received a number of such complaints regarding poor functioning of CGHS in the country including Delhi;

(c) if so, the details thereof, dispensary-wise along with the action taken by the Government on such complaints so far during the last three years;

(d) whether the Government has ever conducted any enquiry/ audit/ study on the functioning of CGHS facility in the country and if so, the details and outcome thereof and if not, the reasons therefor; and

(e) the other steps taken by the Government to improve the functioning of CGHS in the country?
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-

ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

(a): Yes; problems of breakdown of internet connectivity, shortage of manpower including Doctors/Staff, some CGHS Dispensaries working in rented buildings etc. have been brought to the notice of CGHS.

(b) & (c): Information is being collected and will be laid on the Table of the House.

(d) No, Regular inspection of CGHS Wellness Centres is undertaken by all the Additional Directors of concerned CGHS cities, therefore, the need of separate study was not felt.

(e) Following steps have been taken to improve the functioning of CGHS in the country:-
(i) Govt. has recently permitted CGHS beneficiaries to avail OPD consultation from Specialists at CGHS empanelled Hospitals.

(ii) The requirement of separate permission letter for taking treatment at empanelled hospitals has been done away with once a specific treatment procedure has been advised by a Govt. Specialist/CGHS Doctor.

(iii) Provision for self-printing of CGHS cards by CGHS beneficiaries after it has been verified by Additional Director of concerned CGHS city has been made.

(iv) CGHS beneficiaries also have the option to avail online appointment system for consulting a CGHS Doctor and they can reach the Wellness Centre a little before the scheduled appointment and avoid standing in a queue.

(v) Orders have been issued for special facilities for CGHS beneficiaries aged 80 and above. They need not stand in a queue and their medical claims shall be processed on priority.

(vi) Provision for online transfer of CGHS cards of serving employees has been made in case of transfer to other CGHS covered cities without surrendering the card.

(vii) CGHS beneficiaries have the option to avail facilities from any CGHS Wellness Centre in the Country.

(viii) CGHS beneficiaries have the option to obtain medicines upto 3 months in case of chronic illness.

(ix) Data cards for internet access have been provided to CMO I/c of CGHS Wellness Centres to manage during breakdown of net connectivity.
Source : Lok Sabha

Monday, 29 January 2018

Integration of AADHAR Number With CGHS beneficiary number


Integration of AADHAR Number With CGHS beneficiary number

Government India
Ministry of Health and Family
Department of Health Family
No.44-26/2016/MCTC/CGHS/EHS
Nirman Bhawan, New Delhi
Dated the 18th January 2018
OFFICE MEMORANDUM

Subject: Integration of AADHAR Number With CGHS beneficiary number

With reference to the above subject the undersigned is directed to state that CGHS is capturing the AADHAR number of new CGHS beneficiaries. while issuing the CGHS Cards, serving employees are already using the Aadhar based Bio-metric attendance system and a large number of primary card holders have linked their Aadhar number to CGHS Ben ID Number, However, some of the existing CGHS beneficiaries particularly the pensioner beneficiaries are yet to link their Aadhar. The matter has been reviewed and it is now decided that linking of Aadhar Number to Ben ID No has been made compulsory and the CGHS beneficiaries are advised to link their Aadhar Number before 31st March 2018.

2.The procedure for doing so is as follows:
(I) Through CMO -In Charge’s Module- Beneficiary can visit CMO-In Charge Of his her CGHS Wellness Centre with AADHAR Card to get his her and family members AADHAR Number linked to CGHS Beneficiary Number.

(II) Registration of AADHAR Number by beneficiary himself/herself - the following steps are to be followed

a. Log on to cghs.nic.in
b. Click ‘Beneficiary Login’
c. Sign in with Ben ID and password if you are already registered.
d. If registered Click Generate Pass word and follow instructions to obtain OTP on your registered Mobile Number
e. After signing in with Ben ID and Pass word. click AADHAR NO
f. AADHAR for all family numbers and save
3. The co-operation of the CGHS beneficiaries is solicited.

sd/-
(Dharminder Singh)
Under Secretary to Government of India
Authority: www.dopt.gov.in

Tuesday, 21 November 2017

Registering of Email IDs of CGHS beneficiaries


Registering of Email IDs of CGHS beneficiaries

F.N. 44-42/2016/MCTC/CGHS/2451- 83
Monitoring Computerization and Training Cell
Directorate of CGHS
Ministry of Health & Family Welfare
CGHS Building Kalibari , New Delhi 110001
Dated: 17/11/2017
OFFICE MEMORANDUM

Subject: Registering of Email IDs of CGHS beneficiaries

With the objective of further strengthening the services to CGHS beneficiaries it has been decided to provide following e-services to the beneficiaries through ernails
  • Prescription by Medical Officer at the VVC
  • Intimation of medicines issued by Pharmacy
  • Intimation of medicines indented
  • Intimation of issue of indented medicines
  • OTP to book online appointment
  • Confirmation/ cancellation of online appointment
  • Permission letter for procedures/ investigations etc.
In order to enable above services. it is required that email ids of all CGHS beneficiaries are registered with CGHS.

A beneficiary can visit CMO In change of parent Wellness Centre to get his/her email id registered with CGHS or can himself/herself register It by logging on to CGHS portal cahs.nic.in through following steps
  • Visit CGHS Portal cghs.nic.in
  • Click beneficiary login
  • Enter your Ben Id, password and sign in
  • Click Update Email
  • Enter OTP sent on your registered Mobile
  • Enter your email ID
  • Update your email ID
  • Similarly email ID for other family members can be updated
Vide publicity to this notice may be given through verbal communication and display at the notice boards of Wellness Centers.

Authority: http://cghs.gov.in

Tuesday, 14 November 2017

Simplification of procedure for treatment at private hospitals empanelled under CGHS/CS (MA) Rules,1944


Simplification of procedure for treatment at private hospitals empanelled under CGHS/CS (MA) Rules,1944

Z 15025/105/2017/DIR/CGHS/EHS

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare EHS Section
Nirman Bhawan, New Delhi
Dated the 9th November,2017
OFFICE MEMORANDUM

Sub: Simplification of procedure for treatment at private hospitals empanelled under CGHS/CS (MA) Rules, 1944

With reference to the above mentioned subject the undersigned is directed to state that this Ministry has been receiving representations for simplification of procedure for undergoing treatment at private hospitals empanelled under CGHS. The matter has been examined and it has now been decided that CGHS beneficiaries are allowed to undergo treatment at private hospitals empanelled under CGHS of specific treatment procedures listed under CGHS rate list are advised by a Specialist in a Central Government / State Govt. Specialist hospital or a CGHS Medical Officer without any requirement of any other referral (permission) letter.

2. Private empanelled hospitals shall perform the treatment on cashless basis in respect of pensioners, ex-MPs, Freedom Fighters, Regular employees {both CGHS and CS (MA) beneficiaries} of this Ministry & other categories of CGHS beneficiaries, who are presently eligible for credit facility and shall enclose the prescription issued by Government Specialist or a CGHS Medical Officer, in original (or a self-attested photocopy) along with the hospital bill submitted to the competent authorities.

3. Serving government employees shall enclose the prescription issued by a Government Specialist or a CGHS Medical Officer in original (or a self-attested photocopy), while submitting the medical claim to the concerned Ministry /department/office for reimbursement.

4. CGHS Medical Officer / Government Specialist shall not refer the beneficiaries to any particular empanelled hospital by name but, shall specify the treatment procedure and mention 'referred to any CGHS empanelled centre'.

5.These orders are applicable only in respect of treatment procedures for which CGHS rates are available.

6.This issue with the concurrence of IFD vide FTS No. 3130849, dated 09.11.2017.
S/d,
[Sunil Kumar Gupta]
Under Secretary to Government of India
Tel- 011-2306 1986

Thursday, 12 October 2017

CGHS: Revision of Ceiling Rates for Knee and Hip Implants under CGHS and CS(MA) Rules


CGHS: Revision of Ceiling Rates for Knee and Hip Implants under CGHS and CS(MA) Rules

No:Z.15025/74/2017/DIR/CGHS/EHS
Government Of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
EHS Section
Nirman Bhawan, New Delhi 11011
Dated the 26th September,2017
OFFICE MEMORANDUM

Subject: Revision of Ceiling Rates for Knee and Hip Implants under CGHS and CS(MA) Rules

with reference to the above mentioned subject the undersigned is directed to draw attention to this Ministry’s OM No.S.11018/1/95-CGHS (P), dated the 7th March, 1995 vide which ceiling rates for Knee and Hip implants under CGHS and CS(MA) Rules have been prescribed and to state that it has now been decided by competent authority to revise the ceiling rates and guidelines for Knee and Hip implants under CGHS and CS(MA) rules as per the details given under the succeeding paragraphs.

2. (A) PRIMARY KNEE REPLACEMENT SYSTEM
(*Ceiling Price in Rs.)
Applicable to all variantsFEMORAL COMPONENT BY WHATSOVER NAME/ SPECIFICATIONSTIBIAL COMPONENT BY WHATOVER NAME/ SPECIFICATIONSARTICULAR SURFACE/ INSERT BY WHATSOVER NAME/ SPECIFICATIONS
(Any Material)
PATELLA COMPONENT BY WHATSOVER NAME/ SPECIFICATIONS
1. Titanium alloy coated38,74024,28095504090
2. Oxidized Zirconium (OxZr) alloy38,74024,280
3. Hi-flex25,680
4. Cobalt Chromium (CoCr) alloy and other than at 1,2, and 3 above24,09016,960
COMPONENT HAVING TIBIAL TRAY AND INSERT COMBINED AS SINGLE UNIT BY WHATOSOVER NAME SPECIFICATION
Polyethylene or cross-linked polyethylene or highly cross linked polyethylene or any other material12960
Tibial: Metallic Insert: Polyethylene or cross linked polyethylene or highly cross linked polyethylene or any other material26,546
* plus GST wherever Paid or payable

(B) REVISION KNEE IMPLANT SYSTEM
(*Ceiling Price in Rs.)
FEMORAL COMPONENT BY WHATSOVER NAME/ SPECIFICATIONSTIBIAL COMPONENT BY WHATSOVER NAME/ SPECIFICATIONSATRICULAR SURFACE/INSERT BY WHATSOVER NAME/ SPECIFICATIONS
(Any Material)
PATELLA COMPONENT BY WHATSOVER NAME/ SPECIFICATIONS
62,77031,22015,8704,090
* plus GST wherever paid or payable

(C) HIP IMPLANT - Rs.40,000/- + GST, wherever paid or payable

3. The rates prescribed shall be valid till further orders and are applicable to Implants of any name/category/comented/non-cemented.

4. The ceiling rates are applicable for treatment taken in government hospitals/ private empanelled hospitals/ other private hospitals.

5. Institutions such as hospitals utilizing knee implants shall specifically and separately mention the cost of the knee implant component-wise along with its brand name, name of manufacturer/importer/batch no./specifications and other details, if any in their estimate/proforma invoice/final billing, etc.,

6. Prior permission of Competent Authority may be obtained before undergoing knee/hip Implant surgery.

7. This issues with the approval of competent authority and concurrence of Integrated Finance Division vide Dy.No.C.No.3119442, dated 30.08.2017.
Sd/-
(Sunil Kumar Gupta)
Under Secretary to the Government of India
Source: http://cghs.gov.in/

Sunday, 30 July 2017

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 NWard EntitlementCorresponding Basic pay drawn by the officer in 7th CPC per month
1General WardUpto Rs. 47,600/-
2Semi Private WardRs. 47,601 to 63100/-
3Private WardRs. 63101 and above

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

Corresponding levels in Pay Matrix as per 7th CPCContribution per month
Level 1-5Rs. 250
Level 6Rs. 450
Level 7-11Rs. 650
Level 12 and aboveRs. 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 monthWard entitlement
1.Up to Rs. 63,100/-General
2.Rs. 63,101/- to Rs. 80,900/-Private
3.Rs. 80,901/- and aboveDeluxe /Private

Source: CGHS

Monday, 4 April 2016

Procedure of Printing of CGHS Cards by CGHS Beneficiaries – CGHS Orders on 31.3.2016

Procedure of Printing of CGHS Cards by CGHS Beneficiaries – CGHS Orders on 31.3.2016

SELF PRINTING OF CGHS CARDS BY CGHS BENEFICIARIES
F.No. Z.15025/1/2016/DIR/CGHS

Government of India
Ministry of Health and Family Welfare
Directorate General of CGHS
Nirman Bhawan, New Delhi-110011
Dated: 31st March, 2016
OFFICE MEMORANDUM

Subject: Self-printing of CGHS Card

This is with reference to the above subject.

2. CGHS is pleased to announce a new initiative by which its beneficiaries can now print their own cards at their convenience. This facility for self-printing is applicable for those beneficiaries whose CGHS membership has already been approved by the concerned Additional Director.

3. The steps involved in printing of the card are given below:
Visit CGHS portal cghs.nic.in
Click ‘Beneficiary Login’
Enter Ben ID and Password, and sign in.
In case the beneficiary does not have a password or has forgotten it, then click on ‘Generate Password’ and follow the instructions.
Click ‘Print Card’ for the beneficiary whose card needs to be printed.
Enter the One Time Password (OTP) sent on registered mobile.
Click ‘Print CGHS Card’
A message will appear on the screen requesting to take a coloured printout and get the card laminated. Click ‘OK’
Download or open the CGHS card in PDF format.
Print the CGHS card using Print command.
4. The introduction of this facility may kindly be given due publicity.
sd/-
(Dr. D.C. Joshi)
Director, CGHS
Click to view the order
Authority: www.http://msotransparent.nic.in

Tuesday, 12 January 2016

Transparency services provided to the CGHS beneficiaries – Guidelines issued by DG of CGHS Guidelines for Computerization of CGHS non-computerized units/future new units

F. No. 44/37/2015/MCTC/CGHS /1114
Monitoring Computerization and Training Cell
Directorate General of CGHS
Min of Health & Family Welfare
New Delhi 5th January, 2016
OFFICE MEMORANDUM
Subject: Guidelines for Computerization of CGHS non-computerized units/future new units

All CGHS units like Allopathic Wellness Centers, Ayush Wellness Centers, Polyclinics, First Aid Posts(FAPs), VVIP units etc. need to be computerized for maintaining transparency and accountability of services provided to the beneficiaries. The following guidelines should be followed for computerization of hitherto non-computerized units or future new units:

1. Procurement of computers and peripherals-For cities other than Delhi, the CMOs In-charge of the unit may put up the demand for computers and peripherals with respective ADs for procurement. In Delhi the procurement of computers and peripherals would be done by AD (MSD) after receiving request from the Zones.

2. Extension of existing leased line
(a) In cases where units to be computerized are co-located with an existing center (like Ayush Wellness Centers, which are located in the same building as Allopathic Wellness Centers), the existing leased line may be extended for the units to be computerized.

(b) For standalone units new Leased Lines have to be installed. Broadband connections of tariff plan up to Rs 2000/- per month may be installed as alternate internet connectivity.
3. Local Area Network (LAN) wiring-The office of respective Additional Directors would get the work done.

4. Procedure for shifting of leased line/ new leased line connection
(a) In cities other than Delhi, the request for shifting of Leased Line in case of relocation of a unit or installation of new leased line for new centers may be put up to MCTC by Additional Directors. MCTC would coordinate with BSNL for demand estimate. Approval of competent authority would be taken by MCTC once demand estimates are received from BSNL and conveyed to respective ADs.

(b) In Delhi, the CM0 1/C would coordinate with local MTNL for demand estimates for new MTNL leased line connection/shifting of MTNL connection. The approval of demand estimate would be taken from competent authority by the Additional Director.
5. Procedure for Broadband Connection and telephone connection – The CMOs In-Charge and respective ADs would coordinate with BSNL/MTNL for the same.

6. Creation of Wellness Center/Unit code, NIC email ID and Password
(a) For creation of email ID, CMOs IN-charge may fill up mail subscription form available on website of NIC. The duly signed and filled form may then be scanned and emailed to NIC with copy to MCTC.

(b) CMO I/C and Additional Director would coordinate with NIC and MCTC through email for the Wellness Center/unit code.
7. Initial Handholding training of staff to use the CGHS computer module if required Local NIC may be contacted through respective Additional Directors for the same.
This issues with the approval of competent authority.
sd/-
Dr. V.K. DHIMAN
Nodal Officer
Authority: CGHS Official Website
Click to view the order

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