GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA
UNSTARRED QUESTION NO. 257
TO BE ANSWERED ON 21ST JULY, 2023

“REIMBURSEMENT CLAIMS OF CGHS BENEFICIARIES“

257. SHRI UNMESH BHAIYYASAHEB PATIL:
DR. HEENA VIJAYKUMAR GAVIT:
SHRI NATARAJAN P. R.:
DR. SUJAY RADHAKRISHNA VIKHE PATIL:
PROF. RITA BAHUGUNA JOSHI:
DR. KRISHNA PAL SINGH YADAV:
DR. SHRIKANT EKNATH SHINDE:

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

(a) whether the Government has taken note of the difficulties being faced by CGHS beneficiaries due to making upfront payments to the medical institutes and seeking individual reimbursement claims and follow ups from the CGHS;

(b) if so, the details thereof along with steps taken by the Government for eliminating the need to submit individual reimbursement claims and follow ups for approvals;

(c) whether the Government has recognized any specific institutes which would provide such relief of cashless treatment to the beneficiaries, if so, the details thereof;

(d) the details of the criteria for determining the eligibility of CGHS beneficiaries for such relief at such recognized institutes, if any; and

(e) whether the Government plans to expand this facility to other medical institutes in the near future and if so, the details thereof?

CASHLESS FACILITIES FOR CGHS BENEFICIARIES

ANSWER

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

(a) to (e) As per Memorandum of Association (MoA) signed between CGHS and empanelled Health Care Organizations (HCOs), in respect of the following categories of beneficiaries, treatment / procedures/services shall be provided on credit.

• Pensioners,
• Ex-Members of Parliament,
• Sitting Members of Parliament
• Freedom Fighters,
• Serving CGHS/ DGHS/ Ministry of H&FW employees,
• Such other categories of CGHS cardholders as notified by the Government.

No payment shall be sought from them and the bills should be submitted to the Bill Clearing Agency / Office of the Additional / Joint Additional Director, CGHS of the concerned city.

Further, the Government has also signed MoA with All India Institute of Medical Sciences, New Delhi, Post Graduate Institute of Medical Education and Research, Chandigarh, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry and All India Institute of Medical Sciences located in Bhopal, Bhubaneswar, Jodhpur, Patna, Raipur and Rishikesh to provide treatment on Cashless basis to CGHS pensioners and other entitled class of beneficiaries like ex-MPs. ex-Governors, former Judges of Supreme Court of India, former Judges of High Courts, Freedom Fighters, etc. No referral from CGHS is mandatory for availing treatment at these Medical Institutions.

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Fifteenth LokSabha

Q.NO. 126, Date :13.07.2009

Session No : 2

Member Name: ASADUDDIN OWAISI

Ministry Name: DEFENCE

Subject: ONE RANK ONE PENSION FOR DEFENCE PERSONNEL

TITLE   :    Madam, I would like to thank the Government for accepting the Committee’s proposal.  The Reply given by the Government mentions about the revision of Lt. Generals’ pension after carving out a separate pay scale for them.  What would be the pay scale because post 1st January, 2006, a Lt. General used to get Rs. 30,190?  This is my first Supplementary.

PARTICIPANTS  :    MANISH TEWARI , ASADUDDIN OWAISI , SUSHMA SWARAJ

ANSWER  :    A.K. Antony , Mallipudi Raju Pallam Mangapati

SHRI ASADUDDIN OWAISI (HYDERABAD): Madam, I would like to thank the Government for accepting the Committee’s proposal.  The Reply given by the Government mentions about the revision of Lt. Generals’ pension after carving out a separate pay scale for them.  What would be the pay scale because post 1st January, 2006, a Lt. General used to get Rs. 30,190?  This is my first Supplementary.

SHRI M.M. PALLAM RAJU: Madam, the starting pay for the Lt. General is Rs. 67,000/- to Rs. 79,000/- which has been created.

SHRI ASADUDDIN OWAISI (HYDERABAD): Madam, in reply to the question that has been put forward, the Government has agreed to set up a separate Pay Commission for the Armed Forced in future.  Can the hon. Minister say that at what point of time would this separate Pay Commission be formed?

SHRI M.M. PALLAM RAJU: Madam, directive towards this effect for forming a separate Pay Commission for the Armed Forces has been sent out from the Prime Minister’s Office and as and when the necessity for the Central Pay Commission comes about, the separate Pay Commission for the Armed Forces also will be set up.

SHRI MANISH TEWARI (LUDHIANA): Madam, I would like to ask the hon. Minister one question.   Would it be correct to summarize the position on One Rank One Pension as follows: that there is full parity between pre and post 1.1.1986 Defence retirees?  There is full parity between pre and post 10.10.97 persons below Officer Rank retirees and there is a modified parity between persons below officer rank retiring before 1.1.2006 and after 1.1.2006.  Would that be correct summarization of the position on One Rank One Pension?

THE MINISTER OF DEFENCE (SHRI A.K. ANTONY): Madam, in the answer itself we have clarified the position.  We have clarified about five categories.  The main thing is that regarding three categories, there is immediately direct benefit.  PBORs are the largest number in the Armed Forces – out of 12 lakh people in the Armed Forces, nearly 95 per cent are PBORs.  Now, after this decision by the Government, the PBORs pension will increase substantially – minimum Rs. 800 and maximum Rs. 1,400 at the PBORs level.  Some of the Commissioned category Officers also will be benefited.

Madam, there was a difference in the Lt. Generals’ pension. A Committee was also formed regarding the Lt. Generals’ pension. They will be also getting a substantial increase in the pension.

As far as other things are concerned, still we have our own practical difficulties and because of that the Committee was not able to recommend complete agreement regarding the One Rank One Pension.  But this decision is now almost nearer to the goal of One Rank One Pension.

SHRI A.K. ANTONY: Madam, not only three, five positions were clarified in the answer itself.  We have answered the question very clearly about the five categories.… (Interruptions)

SHRIMATI SUSHMA SWARAJ (VIDISHA):  It is creating confusion. That is why, I am asking.… (Interruptions)

SHRI A.K. ANTONY:  There is no confusion.… (Interruptions)

Source: Lok Sabha Supplementary Question List

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