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CGHS

Erstwhile Postal Dispensary now merged with CGHS Wellness Centre in Dibrugarh

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Postal Dispensary becomes Wellness Centre in Dibrugarh

Erstwhile Postal Dispensary now merged with CGHS Wellness Centre in Dibrugarh

“Cashless Medical Facility is major support after retirement”

Opening of a CGHS Wellness Centres (Allopathic) at Dibrugarh

GOVT. OF INDIA
MINISTRY OF HEALTH & FAMILY WELFARE
CENTRAL GOVT. HEALTH SCHEME
GOPINATH NAGAR, A.K .AZAD ROAD, GUWAHATI -781016.

Ph.: 0361 2492698
Fax:0361 2492697
E-mail: cghs. [email protected] in

No.A.22012/1/2015/1634

Dated: 16.08.2019

NOTIFICATION

Sub: Opening of a CGHS Wellness Centres (Allopathic) at Dibrugarh.

This is for information to all eligible Central Govt. Employees, Pensioners & other stake holders that Central Govt. Health Scheme (CGHS) Wellness Centres (erstwhile Postal Dispensary) now merged with CGHS vide Govt. of India, Ministry of Health & Family Welfare letter No.S.11011/01/2015-CGHS-III-EHS dated 21.12.2018 will be functioning at Dibrugarh from 19th August 2019 near Santi Gas Agency, Chowkidingee, Dibrugarh-786001 to provide comprehensive medical facilities.

The scheme will cover the Dibrugarh city and all eligible Central Govt. Employees and their dependent family members, Central Govt. Pensioners and their dependents and others eligible beneficiaries as per CGHS guideline residing in Dibrugarh city.

The coverage shall be limited to the areas within 5 km (approx.) radius of the CGHS Wellness Centre (Ministry’s letter No.C/14012/02/2018/CGHS-IIV/DIR dated 06.04.2018 may please be seen for clarification, in this regard). Pensioner beneficiary can enrol irrespective of their place of residence, if desire.

The beneficiaries will be able to avail the CGHS facilities through the Wellness Centre during office hours i.e. from 7.30 am to 2.00 pm in all working days except on Sundays & Holidays.

(Dr. H.K. Sonowal )
Addl. Director

View Order

Issue of OPD Medicines for 6 Months to CGHS Beneficiaries Going Abroad

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Issue of OPD Medicines for 6 Months to CGHS Beneficiaries

Issue of OPD Medicines for 6 Months to CGHS Beneficiaries Going Abroad

No.1-40/2019-CGHS/C&P/DIR/CGHS
Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS

Nirman Bhawan, New Delhi 110 011
Dated the 19th August , 2019

OFFICE ORDER

Subject:– Issue of OPD Medicines for CGHS beneficiaries going abroad

With reference to the above subject the undersigned is directed to draw attention to Circular No 4-20/2003-C&P Section dated the 28th April, 2005 vide which guidelines were issued for supply of OPD Medicines for upto ‘6’ months to CGHS beneficiaries, who are going to stay abroad and to state that the matter has been reviewed by this Ministry and it is now decided in modification of the earlier guidelines that hereinafter, Chief Medical Officer I/C of concerned CGHS Wellness Centre is empowered for issue of OPD medicines for upto six months to the CGHS beneficiaries visiting abroad, subject to submission of the following documents:

(a) Copy of valid CGHS Card.

(b )Valid prescription for six months.

(c) Documentary Proof of going abroad like ticket, visa etc.

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(Dr. Atul Prakash)
Director, CGHS

Source: Confederation

CGHS decided to suspend the empanelment of Ayushman Hospital ; Health Services with immediate effect

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Ayushman Hospital & Health Services Empanelment Suspended from CGHS

CGHS decided to suspend the empanelment of Ayushman Hospital & Health Services with immediate effect

The office order published by the Office of the Additional Director on 9th July, 2019 regarding the empanelment of Ayushman Hospital & Health Services.

The order said, the Ayushman Hospital & Health Services, Sector-10, Dwarka, New Delhi was asked to submit reply to a Show Cause Notice issued regarding discrepancy in billing of one CGHS pensioner’s beneficiary.

However, the reply submitted by the hospital has not been found to be satisfactory and so it has been decided to suspend empanelment of Ayushman Hospital & Health Services, Sector-10, Dwarka, New Delhi from CGHS with immediate effect till further orders.

The CGHS beneficiaries already admitted in the hospital for treatment prior to the issue of this order shall continue to be provided treatment at CGHS rates till their discharge within a period of 07 days.

Bill of patients discharged after 07 days of issue of this order shall be submitted with proper justification for consideration by CGHS.

View order

75 Years and above CGHS Beneficiaries getting more relaxation on referrel rules

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75 Years and above CGHS Beneficiaries getting more relaxation on referral rules

Consultation from Specialists at CGHS empanelled Hospital for beneficiaries aged 75 years and above

“CGHS beneficiaries aged 75 years and above shall be permitted to seek direct OPD Consultation from Specialists of private hospitals empanelled under CGHS without referral from CGHS Wellness Centre”

Z.15025/35/2019/DIR/CGHS/ CGHS(P)
Government of India Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 29th May, 2019.

OFFICE MEMORANDUM

Sub: Consultation from Specialists at CGHS empanelled hospitals in respect of CGHS beneficiaries aged 75 years and above -regarding

With reference to the above mentioned subject the undersigned is directed to state that the matter related to relaxation of consultation norms in respect of elderly CGHS beneficiaries was under consideration of this Ministry and it has now been decided that hereinafter, CGHS beneficiaries aged 75 years and above shall be permitted to seek direct OPD Consultation from Specialists of private hospitals empanelled under CGHS without referral from CGHS Wellness Centre.

2.If any investigations / procedures are advised and are required in emergency, no other authorization is required and the same may be undertaken.

However, in non-emergency conditions approval of competent authority is required if any non-listed investigations/procedures are advised. Medicines prescribed are to be procured from CGHS Wellness Centre.

3.Private hospitals empanelled under CGHS shall provide such facilities on cashless basis at CGHS rates to pensioners, ex-MPs , Members of Parliament and such other Categories of CGHS beneficiaries, who are eligible for treatment /investigations on credit basis.

More than 75 year old dependents of serving CGHS beneficiaries, who are otherwise not eligible for Cashless treatment shall claim the reimbursement from concerned Ministry /Department.

Beneficiaries of Autonomous Bodies /Statutory Bodies covered under CGHS shall claim reimbursement from the respective organization.

4.These orders are in supersession of the earlier guidelines on the subject.

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Dr.Manoj Jain
Addl.DDG(HQ)CGHS

Post-Operative Follow-up Treatment at CGHS Hospitals

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Post-Operative Follow-up Treatment at CGHS Hospitals

Post-operative Follow-up treatment from Hospitals empanelled under CGHS in respect of critically ill CGHS beneficiaries

Z.15025/35/2019/DIR/CGHS/ CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 29th May, 2019.

OFFICE MEMORANDUM

Sub: Post-operative Follow-up treatment from Hospitals empanelled under CGHS in respect of critically ill CGHS beneficiaries-regarding

With reference to the above mentioned subject the undersigned is directed to state that in view of the difficulties being faced by critically ill CGHS beneficiaries in getting post-operative follow-up treatment at CGHS empanelled hospitals, the matter was reviewed and it has now been decided that critically ill CGHS beneficiaries shall be permitted for follow up treatment in CGHS empanelled hospitals as per the details given under:

i.Permission for post-operative follow-up treatment in respect of the following post – operative conditions requiring frequent Consultations from Specialists at private hospitals empanelled under CGHS, need not be re validated from time to time and follow-up treatment may be under taken at CGHS rates without time limit.

ii. The consultation /investigations are permitted under these follow-up cases. The conditions covered are:
a. Post Cardiac Surgery Cases including Coronary Angioplasty
b. Post Organ Transplant Cases (Liver, Kidney, Heart, etc.,)
c.Post Neuro Surgery Cases/Post Brain Stroke cases requiring regular follow-up treatment
d. End Stage Renal Disease/follow up cases of Liver Failure
e. Cancer treatment
f. Auto-immune disorders like Rheumatoid Arthritis requiring regular follow-up
g. Neurological disorders like Dementia, Alzheimer’s disease, Parkinsonism, etc.,
Medicines prescribed are to be procured from CGHS Wellness Centre.

iii. The beneficiaries shall have to submit a self-attested photo copy of the permission letter to the hospital to enable the hospitals to provide credit facility in respect of pensioners and other categories of CGHS beneficiaries entitled for credit facility.

Serving employees (and their dependents) who may not be entitled for cashless facilities shall enclose a self-attested photo copy of permission letter to claim reimbursement from the concerned Ministry /Department. Permission in respect of Pensioner CGHS beneficiaries, Ex-MPs (and other categories of CGHS beneficiaries, whose medical expenditure is borne by CGHS) etc., shall be granted by CGHS.

Permission in respect of Hon’ble Members of Parliament shall be granted by Rajya Sabha Secretariat/Lok Sabha Secretariat as the case may and by concerned Ministry /Department in respect of serving beneficiaries and by concerned Autonomous Body / Statutory Body in respect of serving /pensioner beneficiaries

iv. However, if any non-listed investigations / procedures are advised permission from competent Authority shall be required, except in emergency.

These orders are in supersession of the earlier guidelines on the subject.

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(Dr. Manai Jain)
Addl. DDG(HQ), CGHS

Circular for Medical Reimbursement Cases with Dr.Lal Path Lab

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Circular for Medical Reimbursement Cases with Dr.Lal Path Lab

“who have paid an overcharged amount to Dr. Lal path Lab against Dengue serology test, would be prepared and sent to Dr. Lal path Labs to process the refund of excess charges levied against the said test”

GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
Railway Board

File No.2019/ERB-IIl/l(9)/3

Date: 15.05.19

CIRCULAR

While examining the Medical Reimbursement cases of the employees working in this Ministry, it is observed that Dr. Lal Path Lab is regularly overcharging Rs.1200/- against the CGHS prescribed rate of Rs.600/- for Dengue Serology test, even though the employee has valid CGHS prescription.

2. The matter was taken up with Ministry of Health & Family Welfare and as per their advice, it has been decided that a data of employees, who have paid an overcharged amount to Dr. Lal path Lab against Dengue serology test, would be prepared and sent to Dr. Lal path Labs to process the refund of excess charges levied against the said test.

3. It is hereby advised that employee, who has paid Rs.1200/- against Dengue IgG and Dengue lgM (Rs.600/-) tests conducted from Dr. Lal path Labs, may approach ERB-III branch within 30 days from date of issue of this letter along with copies of enlisted documents and required information in prescribed proforma attached herewith, to process his/her refund case.

The requests of refund shall not be entertained afterwards and the employee will have to approach directly to Dr. Lal Path labs for the same.

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(Rakesh Rawat)
Under Secretary (Admn.)-ll