No. 22(09)/2021-D (WE/Res-I)
Government of India
Ministry of Defence
D/o Ex-Servicemen Welfare
D (WE/Res-I)

221, B- wing,
Sena Bhawan, New Delhi.
Dated 25th May 2022

To,
The Chief of Army Staff
The Chief of Naval Staff
The Chief of Air Staff

Subject:- Use of Unique Disability Identity (UDID) Card as disability verification/ identification document for authentication of ECHS beneficiary with disability and for preparation of White Card under ECHS – reg.

Sir,

I am directed to convey the sanction of the Government for acceptance of Unique Disability Identity (UDID) card also as disability verification / identification document for authentication of ECHS beneficiary with Disability under PWD Act 2016 and preparation of White Card.

2. The instructions will be implemented from the date of issue of this letter.

3. This issues with the concurrence of MoD (Finance / Pension) vide their Note No. 32(08)/2022/ Fin/Pen dated 10.05.2022.

Yours faithfully

(N.C Pasi)
Under Secretary to the Govt. of India

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Confirmation/ Continuation of ECHS Membership to the existing ECHS Beneficiaries of Army Postal Service (APS) – Executive Instructions

Central Organisation
Ex-Servicemen Contributory
Health Scheme (ECHS)
Adjutant General’s Branch
Integrated HQ of MoD
Thimayya Marg,
Near Gopinath Circle
Delhi Cantt – 110010

B/49701-PR/AG/ ECHS/2023

26 Apr 2023

EXECUTIVE INSTRUCTIONS : CONFIRMATION/ CONTINUATION OF ECHS MEMBERSHIP TO THE EXISTING ECHS BENEFICIARIES OF ARMY POSTAL SERVICE (APS)

1. Please refer to Government of India, Ministry of Defence, Department of Ex-Servicemen Welfare D (WE/Res-l) letter No 22(01)/2020-D(WE/Res-I) dated O06 Apr 2023 forwarded vide Central Org ECHS letter No B/49701-PR/AG/ECHS/2023 dt 06 Apr 2023 (copy attached).

2. Ex-Servicemen Contributory Health Scheme (ECHS) was introduced vide Government of India, Ministry of Defence letter No 22(1)/01/ US(WE)/ D(Res) dated 30 Dec 2002. The scheme is entitled only to those persons who were meeting twin criteria of being ESM and drawing pension from Defence. The benefit of the scheme was also extended to eligible Army Postal Service (APS) personnel.

3. On 17 Nov 2016, an order was issued by Government of India, Ministry of Defence, Department of Ex-Servicemen Welfare letter No 22D(03) /2015AVE/D(Res) dated 17 Nov 2016, stating that pension/ disability pension and family pensioners mentioned in Para 2 of Ministry of Defence letter No 22(1)/01/US (WE)/D(Res) dt 30 Dec 2002 means only the defence pensions drawn from Controller of Defence Accounts. As a result, the APS personnel who do not draw their pension from Defence Estimates through CDA became ineligible for ECHS membership.

4. With the introduction of 64 KB cards, the existing card holders as well as some new APS personnel applied for either upgradation of the 16 KB/32 KB card or for issue of fresh 64 KB card. In accordance with the provisions of letter dt 17 Nov 2016 mentioned above, those APS personnel who applied for 64 KB cards were denied membership.

5. Due to various petitions from those who were given ECHS membership earlier and were denied later based on letter dt 17 Nov 2016, Central Organisation, ECHS pursued a case with Department of Ex-Servicemen Welfare to allow continuation of ECHS membership to those APS personnel who were granted ECHS membership prior to 17 Nov 2016 and who retired from the APS on completion of terms of engagement of the Army after secondment from Department of posts without reversion to the Department of Posts.

6. MoD vide their letter under ref have concurred to the proposal. Details of sanction granted by Ministry of Defence, Department of Ex-Servicemen Welfare is as under:-

• Grant of ECHS membership to the existing ECHS beneficiaries of Army Postal Service holding 16 KB/32 KB ECHS card or temporary slip and joined ECHS prior to 17 Nov 2016 without reversion to the Department of Posts.
• The eligible APS retirees, including their eligible dependents as per ECHS order, will continue to avail ECHS benefits.
• The APS personnel should not be members of CGHS in the retired personnel category and also not in receipt of Fixed Medical Allowance.
• This is an onetime measure granted to the above ECHS beneficiaries of APS and should not be quoted as a precedence.

7. All other procedure and policies of ECHS will be applicable to above mentioned categories in letter and spirit. All relevant details are hosted on the ECHS website.

8. This information may be disseminated to the environment for information of all ECHS beneficiaries under your jurisdiction.

(Santosh Kumar)
Capt (IN)
Offg Dir (Ops & Coord)

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Central Organisation ECHS
Adjutant General’s Branch
Integrated Headquarters of
MoD (Army), Thimayya Marg,
Near Gopinath Circle,
Delhi Cantt – 110 010

B/49711-NSC/AG/ ECHS/Gen Corr

26 Oct 2022

ANNUAL VALIDATION OF ECHS MEMBERSHIP OF DEPENDENTS BY SUBMISSION OF LIFE CERTIFICATE AND ELIGIBILITY DOCUMENTS BY PRIMARY BENEFICIARIES

1. Please refer the following:-

• (a) Central Organisation letter No B/49711-NSC/AG/ ECHS/Gen Corr dated 06 Jul 2022.
• (b) Central Organisation letter No B/497171-NSC/AG/ ECHS dated 27 Jul 2022.

2. A detailed procedure on Annual Validation of ECHS Membership of Dependents (excluding spouse) above 18 years of age was promulgated vide letter under reference. Based on the inputs received from the environment, few additional features including change in timelines have been incorporated to the software, so as to provide adequate time to beneficiaries to obtain and upload the requisite documents. The details are given in the succeeding paragraphs.

3. Already Rejected Cases. All beneficiaries whose eligibility has been rejected by the respective OIC Parent Polyclinic, based on the Form 26AS/ITR/other uploaded documents, will get one more online opportunity to apply for review with respective Director Regional Centre. In such cases, the ESM/Primary Beneficiary will receive an interactive window for rejected cases to upload fresh Form 26AS/ITR/other authorised documents, which, once uploaded will be directly visible to the concerned Director Regional Centre for review. Incase the uploaded documents meet the eligibility criteria, the Director Regional Centre will approve or reject the application. In case of rejection, the 64 KB ECHS Card of the concerned dependent will be blocked from the date of completion of one year or date of rejection or effective date whichever is later.

4. Cases Pending Approval By OIC Parent Polyclinic. The OIC Polyclinics will get three options as mentioned below in respect of all primary beneficiaries who have uploaded the documents for validation and are pending for decision with OIC:

• (a) Approval. OIC Parent Polyclinic will check the uploaded documents and if satisfied, will click on ‘Approved Tab’ to approve the eligibility to extend the validity for another one year, from the date when 64 KB ECHS Card was due for Annual Validation.
• (b) Reverted with Observation. In case, the OIC Parent Polyclinic ascertains – that the documents uploaded are incorrect, then by using Tab ‘Revert with Observation’, the eligibility validation is reverted with an option to the ESM/Primary beneficiary to re-submit the correct documents. In such cases, the ESM/Primary Beneficiary will re-submit the required documents and the same will be visible to Director Regional Centre once uploaded. If the required documents are submitted before the date by which the card is to be blocked, the card will remain functional/ active till the documents are reviewed by Director Regional Centre. In case the required documents are not submitted before the date by which the card is to be blocked, the card will get blocked as per the date by which the card is scheduled to be blocked. Once the documents are submitted and if approved, the card will become active and if rejected will be blocked.
• (c) Rejected and Forwarded to Dir Regional Centre. Once the OIC Parent Polyclinic is satisfied that the uploaded documents are incorrect and ascertains that the dependent beneficiary does not meet the eligibility criteria, then OIC Polyclinic to use Tab ‘Rejected and Forwarded for Review to Dir Regional Centre’ and forward the same for review/rejection to Dir Regional Centre.

Thereafter, the application will be visible to respective Director Regional Centre for first review. Based on the uploaded documents, the Dir Regional Centre will either approve or reject the verification of documents. If it is rejected by the Dir Regional Centre, the card will get blocked.

5. Blocking of ECHS Cards. ECHS cards will be blocked on the date by which the annual validation was due, once it is rejected by OIC Parent Polyclinic. However, the ECHS Cards will be unblocked in case the Dir Regional Centre approves the application in the first review as given at Para 4 (c) above.

6. Beneficiary with New PAN Card. As per the feedback received from the environment, few ESM/Primary beneficiaries are unable to obtain the Income Certificate from the State Revenue Department and have now processed the applications for the preparation of their PAN Cards. However, in such cases, as the PAN Card is new, the Form 26AS generated will be from the date when the PAN Card is prepared. Hence, the following two documents will be uploaded in the following sequence:-

• (a) Self attested copy of PAN Card duly certifying date of preparation of PAN Card.
• (b) Self-attested Form 26AS, generated for the new PAN Card for the current financial year.

7. The above will also be applicable to all dependents who have attained age of 18 years and above, on or after 01 Jan 2020.

8. The OIC Parent Polyclinic or Director Regional Centre will approve/reject the ECHS membership based on eligibility as per above mentioned documents.

9. Date of Implementation. The new upgraded software will be made live by 31 Oct 2022. To facilitate all pending cases to upload and apply for annual validation, the blocking of ineligible cards will now be undertaken with effect from 01 Jan 2023.

10. It is requested that the contents of this letter to be disseminated in the environment for information of all the ECHS beneficiaries. All Regional Centres will ensure that all Polyclinics under their jurisdiction are informed on Top Priority.

(Anupam Agarwal)
Brig
Dy MD
For MD ECHS

DOWNLOAD ANNUAL VALIDATION OF ECHS MEMBERSHIP OF DEPENDENTS BY SUBMISSION OF LIFE CERTIFICATE AND ELIGIBILITY DOCUMENTS BY PRIMARY BENEFICIARIES PDF

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Central Organisation ECHS
Adjutants’ General Branch
Integrated Headquarters of
MoD (Army), Thimayya Marg,
Near Gopinath Circle,
Delhi Cantt- 110 010

B/49711-NSC/ AG/ECHS

27 Jul 2022

ANNUAL VALIDATION OF ECHS MEMBERSHIP OF DEPENDENTS BY SUBMISSION OF LIFE CERTIFICATE AND ELIGIBILITY DOCUMENTS BY PRIMARY BENEFICIARIES

1. Pl refer to CO, ECHS letter No.B/49711-NSC/AG/ECHS/Gen Corr dated 06 Jul 2022.(PUC)

2. Following clarifications are issued based on queries received from the environment:-

(a) Annual Life Certificate for ESM/Primary Beneficiary and Spouse. The ESM/Primary Beneficiary will not be required to provide any Annual Life Certificate for self and spouse. Para 6(a) of the letter under ref is amply clear in this respect. The mention of all the dependents in Para 6(b) of the letter implies all dependents having age 18 yrs and above except spouse. The Annual Life Certificate for the Primary Beneficiaries will be obtained through SPARSH, CPP portal over a period of time as and when migration to SPARSH, CPP portal takes place.

(b) Annual Life Certificate and Income Eligibility Proof for Dependents (Less Spouse) 18 years and above. it will be the responsibility of the ESM/Primary Beneficiary to provide Annual Life Certificate by logging in to the portal and accepting the online declaration for all dependants having age 18 years and above. Similarly documents to prove eligibility based on income criteria as mentioned at Para 6(b) will also be provided by uploading the same online for all dependents having age 18 years and above. Eligibility criteria has been given out vide CO, ECHS letters No. B/49701-PR/AG/ECHS/2017 dated 27 Sep 2017 and No. B/49701-PR/AG/ECHS/2017 dated 16 Nov 2017 referred at Para 1(b) and (c) of letter under ref. Similarly the proof of income to determine eligibility was always being provided as per CO, ECHS letter No B/49701-PR/AG/ECHS/2020 dated 11 Aug 20. The same has now been facilitated for providing online for convenience of the dependent beneficiaries.

3. It is advised that ESM/Primary beneficiaries should get PAN Card made for their dependents who are above age of 18 years. The PAN Card will facilitate in downloading form 26 AS online from the Income Tax site directly for their respective dependents who are above the age of 18 years and then the same can be uploaded as proof of income for Annual Validation.

4. This information may be disseminated to the environment for information of all ECHS beneficiaries. All Regional Centers will ensure that all Polyclinics under them are informed on priority.

(Anupam Agarwal)
Brig.
Dy MD
For MD ECHS

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GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA

UNSTARRED QUESTION NO: 639

ANSWERED ON: 04.02.2022

Cashless Facilities to CGHS Beneficiaries

K. Shanmuga Sundaram
P. Velusamy
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-

(a) whether the Government is aware of the fact that several private hospitals empanelled under the Central Government Health Scheme (CGHS) decided to suspend cashless services to the beneficiaries of the health care programme;

(b) if so, the details thereof and the pending amount to be paid to the hospitals both private and Government category;

(c) whether the cashless services to Ex-Servicemen Contributory Health Scheme is also suspended by the hospitals in private sector; and

(d) the steps taken by the Government to ensure un-interrupted cashless services to the beneficiaries?

ANSWER

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE
(DR. BHARATI PRAVIN PAWAR)

(a) to (d):Under the Central Government Health Scheme(CGHS), empaneled Health Care Organizations (HCOs) are required to provide cashless facilities to the eligible CGHS beneficiaries. However, there have been reports that some hospitals are not providing cashless facilities. Suitable action is taken against them whenever such cases come to notice. AMRI Hospital, Bhubneshwar, M/s Charnock Hospitals Pvt. Ltd., Kolkata, Rabindranth Tagore International Institute of Cardiac Sciences, Kolkata and Utkal Hospital, Bhubaneshwar, Fortis Healthcare Limited, Shalimar Bagh, New Delhi and Amar Eye Centre, Naveen Shahdara Delhi have submitted notice to opt out of CGHS.

Under CGHS, during the current Financial Year, HCOs’ bills worth Rs. 1200 crore (approx.) have been paid and bills amounting to Rs. 1100 crore (approx.) are received for payment.

Regarding Ex-Servicemen Contributory Health Scheme (ECHS), as per the information provided by the Ministry of Defence, 174 Health Care Organizations (HCOs) have stopped giving cashless services to ECHS beneficiaries.

Under CGHS, following steps have been taken to ensure uninterrupted cashless services to the beneficiaries:-

• (i) Adequate funds are provided to CGHS under the relevant Head of Account for clearance of hospital bills.
• (ii) Hospital Bills are regularly processed for settlement and an amount of Rs. 1200 crore (approx.) has already been paid to private hospitals during current Financial Year 2021-22.
• (iii) Additional manpower has been mobilised to expedite settlement of hospital claims.
• (iv) In June 2021, CGHS has shifted to settlement of bills in paperless mode on the IT Platform of National Health Authority which is an attached Office of Ministry of Health & Family Welfare.

As informed by Ministry of Defence, following steps have been taken for timely payment of bills to the hospitals empanelled under ECHS: –

• (i) Provision of adequate budgetary support has been made.
• (ii) Usages of IT solution for continuous monitoring for efficient processing of bills and timely payment.
• (iii) Empanelment of additional HCOs as an alternative to those who have refused services.

Source: Lok Sabha

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Central Organisation, ECHS
Adjutant General’s Branch
Integrated HQ of MoD (Army)
Thimayya Marg,
Near Gopinath Circle
Delhi Cantt – 110010

B/49711-MoD/AG/ECHS/DBT

29 Jul 2019

IHQ of MoD (Air Force)
IHQ of MoD (Navy)
HQ South Comd (A/ECHS)
HQ East Comd(A/ECHS)
HQ Wesst Comd(A/ECHS)
HQ Central Comd(A/ECHS)
Northern Comd(A/ECHS)
South West Comd (A/ECHS)
All Regional Centres

DELAY IN HANDING OVER OF ECHS SMART CARD TO ECHS BENEFICIARIES

Please refer to Central Organisation, ECHS letter No B/49711-IT/AG/ECHS dated 13 Sep 2018. (Copy enclosed).

The procedure of dispatching the 64 Kb ECHS Cards by the Card making company and their distribution by respective station HQ’s was given vide a/m letter. As on 17 Jul 2019, the card making company has printed and dispatched 8,33,468 cards to various station HQ’s through respective Regional Centres. It is seen that only 4,11,948 cards have been physically handed over by the station HQ’s to the beneficiaries. This shows that the rate of distribution by most of the station HQ’s is very low. This has led to dissatisfaction amongst the ESM.

In view of the above, it is requested that suitable instruction be passed to Station HQ’s under your justification to handover cards on priority and clear the backlog.

Sd/-
(Rakesh Kakar)
Col (Retd)
Jt Dir (Stats & Automation)
for MD ECHS

Source: ECHS

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Year of Disability in line of Duty – Eligibility for ECHS Beneficiaries

Tele : 011-25684847
ASCON : 36832
Fax : 011-25684946
Email : diropsechs-mod@nic.in

Central Organisation ECHS
Adjutant General’s Branch
HQ of MoD (Army)
Maude Lines
Delhi Cantt – 110 010

26 Sep 2018

B/49701-PR/AG/ECHS/2018

IHQ of MoD (Navy)/Dir ECHS (N) Air HQ (VB)/DPS
All Comd HQs (A/ECHS)
AMA ECHS, Embassy of India, Nepal
Director General of Indian Coast Guard
Director General NCC
Director General SFF
ADG TA/TA-3
All Regional Centres, ECHS

ELIGIBILITY OF PERMANENTLY DISABLED UNMARRIED SON OF A ECHS BENEFICIARY TO AVAIL ECHS FACILITY

1. “The Rights of Persons with Disabilities Bill – 2016” has been revised, which will replace the existing PWD Act – 1995. The permanent disabilities have been increased from existing 7 to 21.

2. In consonance with spirit of Indian Army wherein the year 2018 has been declared “Year of Disability in line of Duty” MoD (DoESW) has approved applicability of PWD Act 2016 wef 18 Sep 2018 vide their ID No 18(77)/2017/WE/D(Res-I) dated 18 Sep 2018 wherein sons suffering from following disabilities :-

(a) Blindness.

(b) Low-vision.

(c) Leprosy Cured persons.

(d) Hearing Impairment (deaf and hard of hearing).

(e) Locomotor Disability.

(f) Dwarfism.

(g) Intellectual Disability.

(h) Mental Illness.

(j) Autism Spectrum Disorder.

(k) Cerebral Palsy.

(l) Muscular Dystrophy.

(m) Chronic Neurological conditions.

(n) Specific Learning Disabilities.

(o) Multiple Sclerosis

(p) Speech and Language Disability

(q) Thalassemia

(r) Hemophilia

(s) Sickle Cell Disease

(t) Multiple Disabilities including deaf, blindness

(u) Acid Attack Victim

(v) Parkinson’s Disease

(BS Sisodia)
Col
Dir (Ops & Coord)
for MD ECHS

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Tele : 25684645
Telefax : 011-25684946
Email : jditechsl@echs gov.in

Central Organisation ECHS
Adjutant General’s Branch
Integrated Headquarters of
MoD (Army), Maude Lines,
Delhi Cantt – 110 010

13 Sep 2018

B/49711-IT/AG/ECHS

IHQ of MoD (Air Force)
IHQ of MoD (Navy)
HQ South Comd (A/ECHS)
HQ East Comd (A/ECHS)
HQ West Comd(A/ECHS)
HQ Central Comd(A/ECHS)
Northern Comd(A/ECHS)
South West Comd(A/ECHS)

All Regional Centres

HANDING OVER OF ECHS SMART CARD TO ECHS BENEFICIARIES

1. 64 KB Smart Card is being filled ‘online‘ followed by ‘online‘ verification before the data goes to the Card making company to print & despatch the Cards. Contracting company despatches the Smart Cards to Regional Centres in Station Headquarter packets. Regional Centres despatch these Stn HQ packets to Stn HQs.

2. Once the Cards are received at Station Headquarters, these have to be accounted for. SMS is sent to the beneficiary alongwith OTP to come & collect Card at the Stn HQ. Once OTP is fed into the system, activated card is handed over to the beneficiary for use.

3. . Station Headquarters are currently responsible not only for issue of new Smart Cards but also to collect old cards/temp slips besides physical verification of all beneficiaries as this is the only stage when physical presence is being used for authentication.

4. A number of Ex-Servicemen have represented that they are finding it inconvenient to take all the beneficiaries to the dependent Station Headquarters for collection of ECHS Cards besides Station Headquarters being far off from their place of residence.

5. The competent authority has approved the following for collecting new 64 Kb Cards from respective Station Headquarters :-

(a) The primary beneficiary can collect his own card and the cards of his dependents from Station Headquarters.

(b) The primary beneficiary will be responsible to handover all the old
Cards/Temp Slip as applicable to Station Headquarters while collecting the Cards of self and dependents.

(c) The primary beneficiary will be responsible to produce required
documents to ‘establish that the dependents are entitled for the ECHS Card.

(d) The Station HQ can also distribute the Cards at Polyclinic on specified days /dates and any nominated location on a pre announced date, as per the procedure laid down for online endorsement & accounting of Cards & documents.

6. Option of video call based verification using mobile, if needed, could also be utilized.

7. Station Headquarters will continue to remain responsible for accounting.

8. Regional Centres to fwd a copy of this letter to all Station Headquarters covering their Polyclinics.

s/d
(Rakesh Kakar)
Col (Retd)
Jt Dir (Stats & Automation)
for MD ECHS

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Tele :25684645
Telefax : 011-25684946
Email : jditechsl@echs.gov.in

Central Organisation ECHS
Adjutant General’s Branch
Integrated Headquarters of
MoD (Army), Maude Lines,
Delhi Cantt- 110 010

B/49711-NewSmartCard/AG/ECHS

31 Aug 2018

IHQ of MoD (Air Force)
IHQ of MoD (Navy)
HQ West Comd (A/ECHS)
HQ South Comd (A/ ECHS)
HQ East Comd (A/ ECHS)
HQ Central Comd (A/ECHS)
HQ North Comd (A/ECHS)
HQ South West Comd (A/ECHS)

All Regional Centres

…………………………

EXTENSION OF DATE OF VALIDITY OF 16 KB ECHS CARDS

1. Refer is made to the instructions issued for Online Smart Card Application.

2. Considering the feedback from the environment, competent authority extended the validity of old 16KB Cards upto 31 Dec 2018. This extension is final and no further extension will be provided.

3. This information may be disseminated to the environment for information of ECHS beneficiaries.

(Rakesh Kakar)
Col (Retd)
Jt Dir (Slats & Automation)
for MD ECHS
ECHS

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I B/49774/AG/ECHS/Referral/2015

MEDICAL CARE FOR ECHS BENEFICIARIES IN REMOTE/HILLY AREAS

1. Ref this organization letter No B/49774-P/AG/ECHS/Referral dt 25 Apr 07.

2. The following amendments are hereby made at Para 2 of letter under reference:-

(a) For

Applicable for residents of following states only:-
(i) Himachal Pradesh.
(ii) Uttaranchal.
(iii) North Eastern States of Sikkim, Arunachal Pradesh, Manipur, Tripura, Nagaland and Meghalaya (less district Shillong).
(iv) West Bengal : District – Darjeeling only.
(v) Karnataka : District – Chikmagalur and Kodagu only.
(vi) Tamil Nadu : Distict _- Nilgris only.
(vii) Chhattisgarh : District – Bastar and Dantewara only.
(viii) Orissa : District – Koraput and Mayurbhanj only.

(b) Read

Applicable for residents of following states only:-
(i) Himachal Pradesh.
(ii) Uttaranchal.
(iii) North Eastern States of Sikkim, Arunachal Pradesh, Manipur, Tripura, Nagaland and Meghalaya (less district Shillong).
(iv) West Bengal : District – Darjeeling only.
(v) Karnataka : District – Chikmagalur and Kodagu only.
(vi) Tamil Nadu : Distict – Nilgris only.
(vii) Chhattisgarh : District – Bastar and Dantewara only.
(viii). Orissa : District – Koraput and Mayurbhanj only.
(ix) Madhya Pradesh : District – Hoshangabad only.

B/49774-P/AG/ECHS/Referral

MEDICAL CARE FOR ECHS BENEFICIARIES IN REMOTE/HILLY AREAS

Source: http://echs.gov.in/images/pdf/med/med133.pdf

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