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Unmarried permanently disabled and financially dependent sons to use CGHS facility
CGHS
No. 4-24/96-C&P/ CGHS (P)/ EHS
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare EHS Section
Nirman Bhawan, New Delhi
Dated: the 1st January 2020
OFFICE MEMORANDUM
Subject: Eligibility of Permanently Disabled Son of a CGHS Beneficiary to avail CGHS
facility.
In terms of the Office Memorandum of even number dated 07.05.2018, unmarried permanently disabled and
financially dependent sons of CGHS beneficiary suffering 40% or more of one or more disabilities as specified
in the O.M. will continue to avail CGHS facility even after attaining the age of 25 years. However, the son above the age of
25 years, in cases where disability has occurred after attaining the age of 25 years, is at present not
considered as dependent for availing medical facilities under CGHS as per extant policy.
2. The matter has been engaging the attention of this Ministry for quite some past. It has now been decided
that such son(s) above 25 years, in cases where the disability has occurred after attaining the age of 25
years can be considered as dependent for availing medical facilities under CGHS, subject to fulfillment of
all other conditions as mentioned in the O.M. dated 07.05.2018.
3. This issues with the approval of Competent Authority.
CGHS - Permission for Investigations/Treatment
Procedures
CGHS
No
Permission is required for getting listed Investigations/ Treatment
Procedures done at the CGHS empanelled Diagnostic Centres/Hospitals, if
prescribed by CGHS Medical Officer/ CMO Incharge or Government Hospital
specialist.
Listed Investigations/Treatment Procedures prescribed
by a specialist of empanelled hospital need to be endorsed by the
referring CGHS Medical Officer/ CMO Incharge, however permission is not
required in this case also.
For unlisted Investigations/Treatment
Procedures permission is required from the AD of the City/Zone in case
of pensioners and Head of Department/Office in case of serving
employees. However for pensioners of Autonomous bodies the permission is
to be given by the concerned department only.
Procedure for getting the investigations done by an empanelled
Diagnostic centre/Hospital
The following documents are required to be submitted:
1. Self attested copy of prescription of CGHS Doctor / Government
specialist
2. Copy of CGHS Card of the patient and main card
holder.
3. Original Prescription and Original Cards are to be produced
at the centre for verification.
Investigation can be done within 14 days of the advice only. Procedure for getting for any treatment procedure done at an
empanelled hospital
The following documents are required:
1. Self attested copy of prescription of CGHS Doctor / Government
specialist
2. Copy of CGHS Card of the patient and main card
holder.
3. Original Prescription and Original Cards are to be produced
at the centre for verification.
Treatment procedures can be done within 3 months of the advice
only.
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.
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.
Revision of rates for various treatment procedures under ECHS
Central Organisation, ECHS
Adjutant General’s Branch
integrated Headquarters
Ministry of Qefence (Army)
Maude Line’s
Delhi Cantt-110010
B/49773/AG/ECHS/Rates/Policy
10 Feb 2015
REVISION OF RATES FOR VARIOUS TREATMENT
PROCEDURES UNDER ECHS
1. Ref this office letter No B/49773/AG/ECHS/Rates/Policy dt 07 Oct 2014 and B/49773/AG/ECHS/Rates/Policy dt 19 Nov 2014
2. CGHS has revised the rates for various treatment procedures vide
their OM No S-11011/48/2014-CGHS (HEC) dt 18 Feb 2015. The rates of
under mentioned treatment procedures alongwith their CGHS code are as
under:-
Sr. No.
CGHS Code
Treatment Procedure
Current Rate
Revised Rates
Non-NABH
NABH
Non-NABH
NABH
Gynae & Obst
1
648
RVF Repair
140000
16100
18975
21821
2
1590
USG for Obstetrics –Anomalies scan
323
380
770
887
Nephrology & Urology
1
793
Epididymectomy
8000
9200
15938
18750
2
888
Lithotripsy Extra corporeal shock wave
19000
21850
19550
22483
3
746
Ureteric Catheterization
690
794
8278
10950
4
807
Kidney transplant (Related)
3500
4025
200000
230000
5
808
Kidney transplant (Unrelated including immunosuppressant therapy)
143000
164450
300000
345000
General Surgery
1
372
Secondary suture of wounds
290
334
3400
4000
2
390
Haemorrhoidectomy
2500
2875
20720
24375
3
391
Stappler Haemorrhoidectomy
4025
4629
38000
43700
4
393
Varicose vein surgery; Trendelenburg operation with suturing or ligation.
8625
9919
10000
11500
5
18
Catheterization
83
95
425
500
6
477
Fissure in Ano-Fissurectomy
5750
6613
13800
15870
7
506
Laparoscopic Paraumblical Hernia Repair
12580
14800
17500
20125
Ophthalmology
1
32
Pterygium Surgery
86
99
5500
6325
2
34
Conjunctival wound repair or exploration following blunt trauma
115
132
3300
3795
Imaging Investigations
1
150
CT-orbit and brain
173
199
1600
1840
2
991
Foramen magnum decompression for Chari Malformation
1100
1265
93750
107813
Cardiology
1
534
DVR
53000
60950
155422
178735
2. Reimbursement to beneficiaries/ empanelled hospitals shall be
limited to ceiling rate or as per actuals, whichever is lower. The other
terms and conditions as regards to CGHS package rates remain unchanged.
3. The revised rates shall come into force for ECHS from the date of
issue and shall be in force till further orders and are applicable in
all cities.
Latest list of CGHS Hospitals & Revised Package Rates effective from 1.10.2014
Ministry of Health and Family Welfare
published the detailed list of new Hospitals, Eye, Dental and Diagnostic
Centres under Central Government Health Scheme. The fresh empanelment
of private Health Care Orgnizations (HCOs) and revision of package rates
applicable under CGHS Delhi and NCR.
The Directorate of General of Central
Government Health Scheme issued an office memorandum, which states the
revised rates and terms & conditions will come into effect from 1st
October 2014. The new empanelment shall be for a period of two years
from 1.10.2014.
Click here to view
the complete list of Health Care Organizations (HCOs) Empanelled under
CGHS, Delhi & NCR with effect from 1.10.2014 and revised package
rates for treatment procedure / investigation list as per office
memorandum No.S.11045/36/2012-CGHS (HEC) dated the 1st October 2014.
