COVID-19 treatment will be done in either empanelled or non-empaneled clinics, and the costs will be reimbursed according to the state government’s informed prices.

Central Organisation ECHS
Adjutant General’s Branch
Integrated Headquarters
Ministry of Defence (Army)
Thimayya Marg,
Near GopinathCircle,
Delhi Cantt-110010

B/49761/AG/ECHS
(All Regional Centres)

06 May 2021

CLAIMING OF MEDICAL BILLS FOR SYMPTOMATIC ECHS BENEFICIARIES WHO ARE RT PCR/ RAT NEGATIVE

1. RT PCR is the Gold standard and investigation of choice for diagnosing COVID-19 in patients showing various symptoms of the infection. However, due to the mutant strains of the virus, technical errors and low viral load certain patients are found to possess symptoms but are RT PCR negative. In such patients CT Scan is required to determine the severity and spread of infection, so as to facilitate early detection and treatment as also to prevent them from being super spreaders.

2. While RTPCR helps in the diagnosis, CT Chest helps to determine stage and the severity of disease, especially in symptomatic patients. CT Score given for COVID-19 patients helps the clinicians initiate treatment. This score helps the clinicians decide if the patient can be in home quarantine or needs hospital admission.

3. It has therefore been decided that in symptomatic patients who are RTPCR/RAT a Negative, if the treatment is carried out in empanelled or non empanelled hospitals for COVID-19 based on the report of CT scan, the charges will be reimbursed as per State Govt notified rates for treatment of COVID-19.

4. This is for dissemination to PCs under your AOR.

(Anupam N Adhaulia)
Col
Dir(Med)
For MD ECHS

Treatment of Covid-19 Medical Bills Reimbursement to ECHS Beneficiaries PDF Download

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Z 15025/18/2020/DIR/ CGHS
Government of India
Ministry of Health & Family Welfare
Directorate General of CGHS

Nirman Bhawan, New Delhi
Dated the 10th June , 2020.

OFFICE MEMORANDUM

Sub: Revision of CGHS Rate for rt PCR Test for COVID19

In view of the current Corona Virus Disease (COVID-19) Pandemic , all out efforts are made by the Government to contain its impact by instituting measures at community as well as at individual level.

Also check: Further Extension of timelines for recording of PAR for the year 2019-20 in respect of AIS officers – DoPT

2. In this regard attention is drawn to the earlier Office memorandum No S-11011/20/2020/ Addl. DDG(HQ) dated the 21st April, 2020 vide which CGHS rate has been prescribed for COVID 19 Test . The matter has been reviewed and the undersigned is directed to state that it is now decided in supersession of the earlier orders that the CGHS rate for rt PCR test for COVID-19 shall be as per the rate prescribed by I.C.M.R. or the rate prescribed for the State by the concerned State Government or actual, whichever may be lower.

The private hospitals / Laboratories empanelled under CGHS and approved for undertaking the test shall perform the investigation after the same has been advised as per the prevalent ICMR protocols by any Specialists of Government Hospital/ Centre / Private empanelled hospital / Medical Officer of CGHS.

3. The other terms and conditions prescribed in OM No S-11011/20/2020/ Addl. DDG (HQ) dated the 21st April, 2020 remain unchanged.

(Dr. Sanjay Jain)
Director, CGHS

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