No 22D(15)/2020/WE/D(Res-1)
Government of India

Ministry of Defence
Department of Ex-Servicemen Welfare

New Delhi, the 1st Nov 2024

To,
The Chief of Defence Staff
The Chief of Army Staff
The Chief Naval Staff .
The Chief of the Air Staff

Subject: EXPANSION OF EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME (ECHS)

Sir,
With reference to Govt of India, Min of Defence letter No 22(1)/01/US (WE)/D(Res) dated 30 Dec 2002, 22D(44)/2007/US(WE)/D(Res) dated 18 Oct 2010, 48(107)/ 2017/WE/D(Res-l) dated 28 Sep 2018 and 12(5)/2024-D (WE) dated 14 Mar 2024. I am directed to convey the sanction of the Government for expansion of the Ex-Servicemen Contributory Health Scheme (ECHS) as follows.

(a) Establish 21 new ECHS Polyclinics as per Appendix ‘A’
(b) Upgradation of 50 existing ECHS Polyclinics as per Appendix ‘B’
(c) Additional increase of contractual manpower of 1321 at ECHS Polyclinics as per Annexure 1 to 3 of Appendix ‘C’.

2. This issues with the concurrence of Ministry of Defence (Fin) vide their U.O. No. 32(05)/2020/Fin /Pen dated 18.10.2024.

(Dr. PP Sharma)
Officer on Special Duty (WE &IC)

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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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ECHS Advisory on Processing of Pending Claims due to Delay in Submission: Order dated 17.04.2023

Central Organisation ECHS
Adjutant General’s Branch
Integrated HQ of MoD(Army)
Thimayya Marg,
Near Gopinath Circle
New Delhi- 110 010

B/49778/AG/ ECHS/Claims/ Advisory

17 Apr 2023

(All Regional Centres)
UTLITSL

ADVISORY ON PROCESSING OF PENDING CLAIMS DUE TO DELAY IN SUBMISSION

1. Ref to this HQ letter No B/49778/AG/ ECHS/Claim/ Policy dt 09 Jul 2021.

2. A one-time waiver window was periodically extended for ‘all those remaining bills generated upto 31 May 2020 inclusive of bills generated till 31 Jul 2021 ‘which were to be actioned by 31 Dec 2021. Thereafter no further waiver was proposed to be given. Accordingly, the term and condition of MoA became applicable wherein 30% deduction was to be applied if hospital submits bills beyond the 60-day period.

3. Queries have been raised from various stakeholders to accord waiver for Claims generated beyond 31 Jul 2021. The following resolution mechanism is recommended: –

4, This has the approval of MD ECHS.

(Rajesh Batlish)
Surg Capt
JD (Claim)
for MD ECHS

DOWNLOAD ECHS ADVISORY ON PROCESSING OF PENDING CLAIMS DUE TO DELAY IN SUBMISSION PDF

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Advisory on claims settlement

Central Organisation ECHS
Adjutant General’s Branch
Integrated HQ of MoD(Army)
Thimayya Marg,
Near Gopinath Circle
New Delhi- 110 010

B/49778/AG/ ECHS/Claims/Policy

02 Feb 2023

(All Regional Centres)

ADVISORY ON CLAIMS SETTLEMENT RELATED TO ONCOLOGY RELATED TREATMENT

1. There has been a noticeable increase in Oncology related treatment at Empanelled Hospitals. The proportion of expenditure on Investigation and Treatment will definitely have an impact on bill settlement for other morbidities considering fiscal limitations Some RCs esp at metros have reported an increased preference amongst HCO’s for prescribing costly investigations within powers of SEMO which necessitate approval by Senior Advisor Oncology to justify its indication and prevent misuse.
2. The following measures are advised to check unnecessary investigations and Chemotherapy on the online BPA billing portal:-

(a) Chemotherapy Most oncology drugs are single use and therefore uploading of the vial wrapper is essential and uploaded as one image, preferably as a printed sticker with following details:-

• (i) Claim ID.
• (ii) Name of Patient.
• (iii) UHID if empanelled Hosp / IPD.
• (iv) MRP of the drug with batch/lot no same as in invoice.

(b) Use of Aprepitant Inj. Admissible, if patient on multi drug chemotherapy view high emetogenic potential. The vial must have details as reqd for Para (a) above.

(c) Investigations Cancer specific investigation above 2 Lakh must be accompanied by approval on Appx ‘A’ recommended by Sr Adv (Oncology) if it is unlisted and not only SEMO.

3. It is requested that this advisory be forwarded to all HCO’s under your jurisdiction for implementation w.r.t Oncology related bills processing.

4. This has the approval of MD ECHS.

(Rajesh Batlish)
Surg capt
OIC Claim
for MD ECHS

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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/Gen Corr

27 Dec 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 ECHS letter no B/49711- NSC/AG/ECHS/Gen Corr dated 06 Jul 22.
(b) Central Organisation ECHS letter no B/49711- NSC/AG/ECHS dated 27 Jul 22.
(c) Central Organisation ECHS letter no B/49711- NSC/AG/ECHS dated 26 Oct 22.

2. A detailed procedure on Annual Validation of ECHS Membership of dependents (excluding Spouse) above 18 years was promulgated vide letters given at Para 1 (above). The online system ensures that the documents uploaded by the ESM/Primary beneficiary remain in the system based on which the decision is taken for approving or rejecting, the eligibility during Annual Validation. The system ensures a double check by forwarding rejected cases and under observation cases to be reviewed and final decision of rejection is taken by respective Director Regional Center.

3. A number of representations have been received from the ESM/Primary Beneficiary that the Income status has changed since they last submitted their proof of income due to multiple reasons including wrong uploading of documents and are requesting that fresh provision to upload the documents be enabled. It is not feasible to incorporate any changes retrospectively hence now a third level of check, .ie., second review at the level of CO, ECHS is being introduced. The details are given in the Succeeding paragraph.

4. Cases Pending Approval. All pending cases for annual validation to be processed by respective, OIC Parent Polyclinic and Director Regional Center in accordance to the letters referred at Para 1 above based on the documents uploaded by the ESM /Primary beneficiary as on date.

5. Action by ESM/Primary Beneficiary. The ESM/Primary Beneficiary will take following actions for their dependents whose online application for annual validation has been rejected by the respective Director Regional Centre –

(a) Submit offline application along with required self attested documents separately dependent wise excluding parents to MD ECHS through respective OIC Parent Polyclinic and Dir Regional Center.

(b) Submit offline application combined together for his/her parents giving out Status of mother and father duly deported with required self attested documents.

(c) Attach self attested additional supportive documents required as per letters given at Para 1 above.

6. Action by OIC Parent Polyclinic. Process the application based on the eligibility criteria and forward to Dir Regional Center.

7. Action by Dir Regional Center. The Director Regional Center will check the documents attached and compare it with the documents earlier uploaded in the system and give his recommendation and forward to MD (ECHS).

8. Action at CO, ECHS. The application will be processed at CO, ECHS and decision will be communicated to the following: –

(a) ESM/Primary Beneficiary
(b) Dir, RC.
(c) OIC Parent Polyclinic.
(d) SDCPL, (Vendor).
(e) UTIITSL, (Vendor).

9, Action by SDCPL. The Vendor will upload the letter issued by Central Org in the System and unblock the card from the date it was blocked for one year. Then the cards will be reactivated in the cycle of yearly validation.

10. Special Exception for White Card Holders. Consequent to the issue of policy on Annual Validation of ECHS beneficiaries. many parents of the white card holders under PwD Act 2016 have taken suitable actions to withdraw investments in the name of the white card holders to ensure that the income of the white card holder beneficiary in future will be below the threshold of Rs 9000 per month excluding DA on any salaried income. Keeping this in view a one time exception is being granted for a period of two years from the date of issue of this letter for all white card ECHS beneficiaries wherein following actions to be taken at various levels :-

• (a) Beneficiary. Submit an offline application along with proof of withdrawal of investments in the name of white card beneficiaries which will result in their monthly income being below the ceiling limit of Rs 9000 per month, in order to allow continued membership in ECHS.
• (b) Polyclinics. OIC Polyclinics will Satisfy themselves about the white card holders meeting the income criteria and fwd the application to Director Regional Centre.
• (c) Regional Centre. Directors Regional Centres will also satisfy themselves that the applicant white card holders meet the income criteria and fwd such applications after scrutiny to Central Org ECHS.
• (d) CO ECHS. Central Org ECHS will examine the documents and take action to approve the membership of such white card holders who meet the income criteria in view of the withdrawal of investments in the name of White Card Holders. Once approved, membership of such cases will be extended for one year in the system. For next annual validation such cases should continue to have income less than INR 9000 (excluding DA) for the period of preceding one year. Subsequently after two years all such beneficiaries should be able to provide Form 26 AS for a period of proceeding two consecutive years showing income less than the income ceiling for ECHS membership.

11. For necessary action pl.

(Anupam Agarwal)
Brig
Dy MD
For MD ECHS

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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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ECHS – Extension of stay requests for ECHS hospitals can now be made online. The feature was activated on July 5, 2022, on the BPA website.

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

B/49779 -Outsourcing /AG/ ECHS/Extn Stay

05 Jul 2022

All Regional Centres, ECHS

EXTENSION OF STAY IN HOSPITAL (APPX A, B AND C)

1. The process for extension of stay in the hospital has been made online. The module has been made live on 05 Jul 2022 in the BPA Website.

2 It is requested that with immediate effect extension of Stay in hospitals be done online only. The manual covering the steps required for initiation of extension of Stay till granting of extension is enclosed for ready ref.

3. Further, it is requested that this be disseminated to respective PCs and Empanelled Hospitals.

(Sanjeev Gupta)
Jt Dir
(Statistics & Automation)
for MD, ECHS

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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

06 Jul 2022

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

1. References:-
(a) Central Organisation ECHS letter No B/49711-SC/AG/ECHS dated 10 Feb 2017.
(b) Central Organisation ECHS letter No B/49701-PR/AG/ECHS/2017 dated 2/ Sep 2017.
(c) Central Organisation ECHS letter No B/49701-PR/AG/ECHS/2017 dated 16 Nov 2017. (Not to all)
(d) Central Organisation ECHS letter No B/49711-NewSmartCard/AG/ECHS dated 29 Apr 2019.
(e) Central Organisation ECHS letter No B/49701-PR/AG/ECHS/2020 dated 11 Aug 2020.

2. A detailed letter giving out the eligibility criteria to become an ECHS member was promulgated to the environment vide letter under ref at Para 1(b) & 1(c) above. The environment was informed of the documents to be checked as a proof of income to establish the eligibility of dependents and the procedure to be adopted vide letters referred to at Para 1(a), 1(d) & 1(e). The procedure so far followed was manual. However, an IT enabled procedure has now been formulated so as to enable beneficiaries to submit the documents related to eligibility conditions with ease.

3. It is proposed to obtain Annual Life Certificate for all beneficiaries and Eligibility Certificate for all dependents from the primary beneficiaries. The Annual Life Certificate of the Primary Beneficiary who is earning pension is proposed to be linked with Project SPARSH, Comprehensive Pension Package (CPP) from where the Life Certificate for ESM/Primary Beneficiary is envisaged to be automatically populated in the ECHS database. Pending the linking of SPARSH with ECHS, the primary beneficiaries and their spouses will not be required to submit the Annual Life Certificate. However, in case of demise of the primary beneficiary or the spouse, actions will be taken as per Central Org letter No B/49711-NSC/AG/ECHS dt 16 Jul 2021.

4. The details of the procedure for providing Annual Life Certificate and Eligibility Certificate for the dependents by the Primary Beneficiary are given in the succeeding paragraphs.

Actions By The Primary Beneficiary

5. A system generated warning message will be suitably displayed to submit Life Certificate and Eligibility documents of dependents who are 64KB ECHS card holders on completion of 11 months after the date of collection of the cards for the first time or previous renewal/ verification in the following manner :-

• (a) When a Beneficiary Visits Any Polyclinic and Authenticates Himself/Herself on the Kiosk. A warning message will be displayed to the beneficiary to update supporting documents online to confirm life certificate and/or eligibility by a specific date.
• (b) When Primary Beneficiary will login to ECHS Website/ Portal echs.sourceinfosys.com using Login Credentials. Details of cards due for renewal will be displayed for which necessary documents will have to be uploaded online.
• (c) The same info as per Para 5 (b) above can also be accessed on the ECHS Mobile App on opening the Mobile App and logging in.
• (d) The date of next Annual Validation due will also be mentioned on the Medical Officer’s prescription obtained from ECHS Polyclinic.

6. It will be the responsibility of the Primary Beneficiary to upload Annual Life Certificate and documents for establishing the Eligibility to ensure validity of 64 KB ECHS Card. Primary Beneficiary to submit the following documents online :-

(a) Life Certificate by Primary Beneficiary For Self and Spouse. The Primary Beneficiary will not be required to provide Annual Life Certificate for self and spouse. The Annual Life Certificate for the Primary Beneficiary will be obtained through SPARSH, CPP Portal as and when the software solution for the same is implemented. In case of demise of Primary Beneficiary or the spouse, action should be taken to block the card as per instructions promulgated vide Central Org letter No B/49711-NSC/AG/ECHS dated 16 Jul 2021.

(b) Life Certificate and Eligibility Certificate for Dependents.

• (i) The Primary beneficiary will provide Life Certificate and Eligibility Certificate for all his/ her dependents including White Card Holders, if any.
• (ii) The Primary beneficiary will select the dependent and then select an option i.e., PAN Card available/ not available from the dropdown menu.
• (iii) In case PAN Card is available for the chosen dependent, then any one of the following documents will be uploaded :-
• (aa) Form 26AS for preceding two consecutive financial years.
• (ab) ITR V (Income Tax Return Verification or the Acknowledgement) of preceding two consecutive financial years.
• (iv) In case PAN Card is not available for the chosen dependent, then the Primary Beneficiary will upload an Income Certificate obtained from the State Revenue Department. It is, however, desirable that all beneficiaries should have PAN Card.
• (v) The Primary beneficiary will satisfy himself/ herself that the income of the dependents is not more than INR 9000/- (Excluding DA) PM for all dependents other than parents and spouse. Incase of parents, the combined income of father and mother should not exceed Rs 9000/- (Excluding DA) PM.
• (vi) The Primary beneficiary will thereafter submit online declaration for all dependents which will be auto populated. A declaration as per format given at Appx A will be submitted by clicking the check box ‘I Agree’.

7. Action by OIC Parent Polyclinic. OIC Parent Polyclinic will be given a tab on his OIC Module to approve the Eligibility and Life Certificate. The OIC will use digital signature and click on the eligibility tab and carry out following actions:-

• (a) The OIC Polyclinic will scrutinize the Form 26AS/ITR/Income Certificate uploaded online. In case the dependents meet the income criteria, then the Life Certificate will be approved and in case the income of the dependents is more than the prescribed limit, the Life Certificate will be rejected online with remarks.
• (b) In case the dependent has been using ECHS facilities when he/ she was having income more than authorized income, then such cases be referred to respective Directors Regional Centres to process case with Vigilance Sec of CO, ECHS.

8. Extension of Validity: ECHS Card. Once the actions as above are completed by the OIC, the validity of all 64 KB ECHS cards which have been approved by OIC Parent Polyclinic will be further extended by 12 months. Those cards which have been rejected by OIC Parent Polyclinic will get blocked on completion of 12 months from date of issue/date of last successful verification.

9. Expired ECHS Card. In case the Primary beneficiary, due to unavoidable circumstances, fails to get the Annual Validation completed and the card gets blocked, the OIC Parent Polyclinic will be authorized to extend the validity of the card by three months after satisfying himself of the bonafide eligibility of the concerned dependents. This provision will be available only once in the life cycle of the card. The Primary beneficiary will have to undertake the procedure for Annual Validation of the 64 KB cards in this extended period of three months. In case, any card is required to be unblocked, a case will be taken up by the Primary Beneficiary by submitting an application justifying the reasons to the Central Org ECHS through Parent Polyclinic and Regional Centre for approval. Post approval of the competent authority, the card will be unblocked by uploading authority by Central Org.

10. Date of Implementation. Many 64 KB ECHS Cards have been handed over to the beneficiaries in last two years. Hence, to ensure smooth process, provide sufficient time and avoid rush at Polyclinics, this warning will start from 01 Aug 2022. The window for uploading the documents will remain open up to 31 Oct 2022 i.e. for three months. The commencement for blocking the ineligible cards will take place with effect from 01 Nov 2022.

11. Revival of ECHS Membership Based on Income Criteria. Dependents of Primary beneficiary who were earlier denied ECHS membership due to their income being more than INR 9000/- (excluding DA) may apply for membership again, if the income has again become less than INR 9000/- (excluding DA) for consecutive two years. The proof of the same will be obtained from Form 26AS/ Income Certificate from State Govt. Revenue Dept.

(Anupam Agarwal)
Brig
Dy MD ECHS
For MD ECHS

Appendix ‘A‘

Dependent Declaration

Declaration in English Language:

• For Dependents: I, the deponent, do hereby solemnly declare that my  (Relation to ESM) Name (Name of Selected Beneficiary) holding ECHS Card is alive and fully dependent on ESM/ Primary Beneficiary. His/her monthly income less is than Rs. 9000 (Excluding DA).
• Common Declaration: I certify that the above declaration is true to the best of my knowledge and belief, and nothing material has been concealed or suppressed there from. This electronic self-declaration has been given with reference to IT Act 2000 and is admissible under The Indian Evidence Act 1872.
• I am well aware of the fact that if the information given by me is proved false / not true at any point of time, I will have to face punishment as per any provision of Law for the time being in force as well as the benefit availed of by me or the benefit accrued to me shall be summarily canceled.

Either of the below Declaration based on Availability of PAN Card:

• His/her PAN Card is available & Form 26AS for previous two years will be produced before the competent authority.
• His/her PAN Card is not available. I will produce income certificate from the state revenue department to the competent authority.

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Central Organisation ECHS
Adjutant General’s Branch
IHQ of MoD (Army)
Thimyya Marg, Near Gopinath
Circle, Dethi Cantt – 110 010

B/49701-PR/GeWAG/ECHS/2021

23 Nov 2021

IHQ of MoD (Navy)/Dir ECHS (N)
DAV (Coord)
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)
All Regional Centres EHCS
Indian Coast Guard
Directorate General Assam Rifles
MP-8 (I of R)
MP 5&6

DUAL BENEFITS OF FIXED MEDICAL ALLOWANCE AND ECHS MEMBERSHIP

1. It is reiterated that as per policy, dual benefits of Fixed Medical Allowance (FMA) and ECHS Membership cannot be availed simultaneously. FMA has to be foregone before acquiring ECHS Membership. However, vide MoD (DoESW) letter No 22(01)/2011/WE /D(Res-l) dt 01 Nov 2018, sanction has been accorded by the Govt to those ECHS members who reside in districts not having any ECHS Polyclinics, MH Rooms or Service Hospitals to choose to claim FMA with conditions as mentioned in the governing letter.
2. Cases have been brought to the notice of this HQ where ECHS beneficiaries have been availing the benefits of FMA and ECHS simultaneously, whether willingly or inadvertently. This is violation of poticy on the subject. Therefore, while receiving new 64KB ECHS cards, the primary ECHS beneficiary will submit a certificate of non-drawal of FMA issued by the bank/CPPC/DPDO.
3. There maybe instances as mentioned at Para 2 above wherein an ECHS beneficiary may have been drawing FMA while also simultaneously being an ECHS member. In such cases, FMA will have to be ceased followed by submission of non drawal of FMA certificate to the Polyclinic. In addition, there will be a requirement to recover the non entitled previously claimed FMA by the PCDA from the ECHS beneficiary. However, in all such cases, medical benefits through ECHS will immediately commence on submission of the non-drawal of FMA certificate and recovery of previously claimed FMA will not be kept as a condition for commencement/ restoration of ECHS benefits.
4. Recovery cases as brought out at Para 3 above will be communicated by the concerned Polyclinic to the ECHS Regional Centre who will further communicate the same to the respective Records Offices to undertake necessary steps with PCDA (P) to effect reimbursement as applicable.

6. The above has the approval of MD ECHS.
7. For necessary action pl.

(Rajesh Dogra)
Col
Dir (Ops & Coord)
for MD ECHS

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