Ministry of Health & Family Welfare has now decided to clarify the matter as follows :-

(I) The treatment taken and expenditure Incurred thereon within the grace period of three months from the date of retirement will be allowed and expenditure reimbursable subject to the condition that the beneficiary has either obtained or applied for CGHS pensioner card with all documents and requisite CGHS subscription within one month of expiry of the grace period of three months.

(ii) It is further clarified that the expenditure on treatment taken after the grace period of three months from date of retirement will not be reimbursable unless the beneficiary has obtained a valid CGHS card or has applied for CGHS pensioner card with all documents and requisite CGHS subscription prior to taking such treatment.

The post Reimbursement when Pensioners take treatment immediately after Retirement before getting CGHS Cards appeared first on CENTRAL GOVERNMENT EMPLOYEES NEWS.

M F.No.-156493/2014/CGHS(HQ)/56-60
Directorate General of CGHS

Office of Addl. Director (HQ), CGHS
CGHS, Building , R. K. Puaram , Sector-12,
New Delhi -110022
Date-29.08.2014

OFFICE MEMORANDUM

Sub: Consultation for Senior Citizens of general Public at CGHS Wellness Centres on Pilot basis

With reference to the above mentioned subject the undersigned is directed to state that with a view to enhance inclusitivity of CGHS , it has been decided that CGHS shall provide free OPD consultation facilities to senior citizens(6O yr. and above) from general public from 1.30 PM. to 3.00 P.M. on all working days on a pilot basis at the following 20 wellness centres in Delhi with effect from the 1st September, 2014:

In continuation to the above memorandum following Wellness Centres under AYUSH have also been added to the list of above Wellness Centres; now there are 26 Wellness Centres 20 Allopathic and 6 under AYUSH. The terms and conditions will remain the same for both the categories of Wellness Centres.

The CGHS doctors are required to maintain records separately in respect of the services provided to the senior citizens of the general public . Following guidelines may be strictly followed:

1. The timings prescribed for OPD consultation at the above WC’s is 1.30 P.M. to 3.00 P.M.

2. There should be no harassment by asking for the age proof from the Senior Citizens.

3. The doctors are required to examine the patients clinically and advise accordingly.

4. The prescription is to be made on a separate prescription slip. Computerized CGHS prescription slip will not be used for this purpose.

5. Separate records of OPD Patients attending WC may be maintained in a register.

6. Every doctor shall maintain a separate register for convenience.

7. The matter may be given due publicity by displaying this order on the notice board of the Wellness Centre.

This issues with the approval of the competent authority.

(Dr. D.C. Joshi)
AD(HQ)
CGHS, Delhi

Source: www.msotransparent.nic
[http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File756.pdf]

The post CGHS shall provide free OPD consultation facilities to senior citizens(60 yr. and above) from general public from 1.30 PM. to 3.00 P.M. appeared first on CENTRAL GOVERNMENT EMPLOYEES NEWS.

No. 2-2/2014/CGl-IS. HQ/PPT/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi

Dated: the 25th August , 2014

OFFICE MEMORANDUM

Sub- Issue of medicines / reimbursement of expenditure on investigations / treatment procedures / implants and other medical devices under CGHS- regarding

With reference to the above mentioned subject the undersigned is directed to state that this Ministry has examined the matter in detail and with a View to streamlines the procedures regarding issue of medicines, reimbursement of expenditure on investigations, treatment procedures, implants and medical devices and with a View to plug the loopholes in the system, it has now been decided that:

a) CGHS shall supply / indent only those medicines, which are included in the CGHS formulary, except for para (b) below. However, for medicines prescribed outside formulary, medicines with identical formulations and /or similar therapeutic effect may be supplied from CGHS formulary against such medicines. CGHS formulary containing 1447 generic and 622 branded medicines is available on CGHS Website at http://msotransparentnic.in/cghsnew/index.asp

b) Anti Cancer and other similar medicines are however supplied on a case to case basis. Only the medicines approved by DCGI for use in India shall be supplied. In case an Indian version is available, which is cheaper than the imported medicine, only the Indian medicine shall be supplied even if, an imported medicine has been prescribed.

c) Medicines shall be supplied for a maximum period of one month.

d)In case of CGHS beneficiaries going abroad, issue of medicines shall be restricted for a maximum period of three months.

e) CGHS shall hereinafter allow only the listed investigations / treatment procedures for which there are prescribed CGHS rates, to be under taken in CGHS empanelled diagnostic centres and hospitals.

f) Similarly, only listed implants / medical devices with a CGHS prescribed ceiling rate shall be permitted for treatment / reimbursement under CGHS.

g) In those cases where any unlisted investigation / treatment procedure is undertaken the reimbursement shall be limited to the rate of nearest similar investigation / treatment procedure under CGHS. Addl. Director of the city /zone shall take a decision based on justification in such cases, in consultation with experts in the field, if necessary.

h) In those cases where any unlisted implant / device is installed reimbursement shall be limited to the CGHS rate of nearest similar implant / device. Addl. Director of the city / zone shall take a decision based on justification in such cases in consultation with experts in the field, if necessary.

i) Registration of Mobile number with CGHS has been made compulsory as a guard against misuse of CGHS Card.

j) In order to provide a mechanism to update the investigations / treatment procedures / implants , etc., as an ongoing process , a Technical Committee is being constituted to consider inclusion / exclusion of investigations /treatment procedures / implants , etc., under CGHS.

sd/-

(RAVI KANT)
Under Secretary to Government of India
011-2306 1441

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File738.pdf

The post CGHS orders on issue of medicines, reimbursement of expenditure on investigations, treatment procedures, implants and other medical devices under CGHS appeared first on CENTRAL GOVERNMENT EMPLOYEES NEWS.

Medical Facilities to Government employees

Central Government Health Scheme provides medical care to its beneficiaries which include serving as well as retired Central Government employees. The CGHS provides its services through a network of CGHS Wellness Centers which are in operation presently in 25 major cities of the country. Expenditure on medical reimbursement in respect of pensioners is borne by CGHS and in respect of serving employees it is borne by concerned Ministry/ department/office. The pensioner beneficiaries are eligible for credit facility for treatment in CGHS empanelled hospitals.

Central Services (Medical Attendance) Rules, 1944 are applicable to serving Central Government employees only who are residing in non-CGHS covered areas. Medical attendance is provided by the Authorized Medical Attendant appointed by concerned department. The CS(MA) Rules 1944 are not applicable to pensioners. As per these Rules, there is no provision for issue of medicines and medical reimbursement claims are to be settled by the concerned department/ Ministry.

The Health Minister stated this in a written reply in the LokSabha here today.

Source: PIB

The post CS(MA) Rules 1944 are not applicable to pensioners – Health Ministry appeared first on CENTRAL GOVERNMENT EMPLOYEES NEWS.

Recognition of Curie Manavata Cancer Centre, Nashik (Maharashtra) for treatment of Central Government employees under CS(MA) Rules, 1944.

In view of the hardship faced by CS(MA) beneficiaries for their own treatment and the treatment of their family members at Nashik (Maharashtra), it has been decided to empanel of Curie Manavata Cancer Centre under Central Services (Medical Attendance) Rules, 1944 by the Ministry of Health and Family Welfare.

An Office Memorandum has been uploaded on the official website of the Health Ministry on 20th November, 2012, the detailed report of the empanellment of the above said the hospital for getting treatment of Central Government Employees and Pensioners including their family members under CS(MA) Rules.

The schedule of charges for the treatment will be fixed for CGHS, Pune. The approved rates are available on the website of CGHS (http://www.mohfw.nic.in/cghs.html).

Get More Details

The post Approval of Curie Manavata Cancer Centre (Nashik, Maharashtra) for treatment of CG Employees under CS(MA)Rules appeared first on CENTRAL GOVERNMENT EMPLOYEES NEWS.

Recognition of Chaitanya Hospital, Chinchwad, Pune (Maharashtra) for treatment of Central Government employees under CS(MA) Rules, 1944

RECOGNITION OF CHAITANYA HOSPITAL UNDER CGHS HOSPITAL LIST – Orders issued by Health & Family Welfare … 

Recognition of one more private hospital empanelled by the Ministry for getting treatment for Central Government Employees and their family members with effect from 7th November, 2012. The schedule of charges for the treatment of Central Government employees and the members of their family under the CS(MA) Rules will be rates fixed for CGHS, Pune. The apprvoed rates are available on the official website of CGHS.

To view the official order, pl. click the link… 

* Empanelment provisional subject to inspection of centre by QCI

The post Recognition of Chaitanya Hospital, Chinchwad, Pune (Maharashtra) for treatment of Central Government employees under CS(MA) Rules, 1944 appeared first on CENTRAL GOVERNMENT EMPLOYEES NEWS.

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 7th August, 2012

OFFICE MEMORANDUM

Subject: Empanelment of private hospitals under CGHS AHMEDABAD

The undersigned is directed to invite reference to this Ministry’s Office Memorandum of even number dated the 8th December 2011, vide Which continuous empanelment scheme was initiated for empanelment of hospitals and diagnostic centres under CGHS, AHMEDABAD, In response thereof M/s Apollo Hospital International Ltd., Ahmedabad had applied for empanelment.

2. The position has been reviewed and on the basis of records and confirmation received from the Addl.Director, CGHS, Ahmedabad, Apollo Hospital International Ltd., Ahmedabad has been found eligible for empanelment under CGHS. They had signed the Memorandum of Agreement with CGHS and have also furnished the appropriate performance bank guarantee within the prescribed time limit. The hospital is therefore now taken as included in the list of approved hospitals for treating CGHS beneficiaries in Ahmedabad. The hospital will treat CGHS beneficiaries and charge at the revised rates with effect from the date of issue of this Office Memorandum.

3. This Office Memorandum and the rates applicable under CGHS for hospitals and diagnostic centres can be downloaded from the website of CGHS, http://msotransparent.nicinícghsnew/index asp

sd/-
[V.P.Singh]
Deputy Secretary to Government of India

Source: www.persmin.nic.in
[http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File521.pdf]

The post Empanelment of private hospitals under CGHS AHMEDABAD appeared first on CENTRAL GOVERNMENT EMPLOYEES NEWS.