ECHS Orders 2019

Preventive Health checkup for ECHS Beneficiaries

Age & Frequency Table

INTRODUCTION OF PREVENTIVE HEALTH CHECKUP FOR ECHS BENEFICIARIES

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

B/49770/AG/ECHS/Treatment/Policy

16 Apr 2019

IHQ of MoD (Navy)/Dir ECHS (N)
DAV Subroto Park
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)
AMA ECHS, Embassy of India, Nepal
All Regional Centres

INTRODUCTION OF PREVENTIVE HEALTH CHECKUP FOR ECHS BENEFICIARIES

1. Ref Para 9 (h) of Gol (MoD) letter No 24 (8)/03/US (WE)/D(Res) dt 19 Dec 2003.

2. With operationalisation of all PCs, Medical Examination/ Health Check up/ Screening test within the available facilities in the ECHS PCs is to be implemented.

Some tests like Hb A1C , Thyroid, Pulmonary, Cardiac & Renal Function Test etc are not available in ECHS PCs whereas other tests are available in varying degrees.

While comprehensive annual health check on outsourced basis will be implemented once our proposal is approved by MoD (DoESW), Health check up limited to available facilities at PC without affecting medical treatment will be implemented.

3. ECHS aims to provide quality healthcare to ESM pensioners and their dependents through a network of ECHS Polyclinics, Service Medical Facilities and Civil Empanelled/ Govt hospitals spread across the country. Keeping in view of the importance of diagnosis of chronic non communicable health problems at the preventive level, it is necessary to introduce preventive health check up for all ECHS beneficiaries above the age group of 40 yrs.

4. Since a large population of ECHS beneficiaries are above 40 yrs of age and are in high risk age group to develop various diseases, it is essential that a system be put in place wherein timely preventive screening for various ailments like life style diseases, screening for common cancers in men and women, age related ailments etc may be done.

This aids in early detection, monitoring, mgmt and follow up of most of the common ailments besides being cost effective in long term.

5. Time tested old concept of ‘Prevention is better than cure’ has already been adopted by CGHS vide Gol, Ministry of Health and Family Welfare letter No A. 17020/1/2010-MS dated 21 Oct 2011.

It’s importance has been well accepted by private sector too wherein comprehensive preventive health check up/ Executive preventive health check up etc are being adopted.

6. Presently, since majority of population are seeking medical advice very late after already having got affected by ailments due to non existence of preventive health checkups in initial stages, the same is resulting in long term continuous advocation of multiple drugs, prolonged periods of hospitalization with poor outcomes and this has been adversely affecting health care of our esteemed veterans .

7. Investigations as at Para 8 below as per age group are considered essential taking into consideration Gol, Ministry of Health and Family Welfare letter No 11-25/2009 CGHS/SZ/CGHS(P) dated 22 Dec 2011 and have been forwarded for approval by Govt.

8. Age & Frequency Co-relation.

(a) Age. It will be counted with recorded date of birth and will entitle an ECHS beneficiary for the said tests after completion of years in which tests are specified.

For example, if DOB of an ECHS beneficiary is 15 Feb 76 then he/she becomes entitled for first test after the scheme is implemented since he/she is already more than 40 years old.

(b) Frequency. Once tests is done say on 01 May 19 then next test can be done only after 01 May 24 with DOB of 15 Feb 76 as frequency between 40 to 59 years is recommended once in five years

Age	Frequency	Male
40-59 Yrs	Once In 5 Yr	Hb, TLC, DLC, ESR Urine-RE/ME,BS-F/ PP, ECG Lipid Profile Urea, Creatinine, Uric Acid, X-Ray Chest (PA View) HbA1C
60-79 Yrs	Once In 2 Yr	Hb, TLC , DLC,ESR Urine-RE/ME,BS-F/ PP, ECG, Lipid Profile Urea, Creatinine, Uric Acid, X-Ray Chest (PA View). HbA1C PSA Test
80 & Above	Every Year	Hb, TLC, DLC, ESR Urine-RE/ME,BS-F/ PP, ECG, Lipid Profile Urea, Creatinine, Uric Acid, X-Ray Chest (PA View) HbA1C PSA Test

Age	Frequency	Female
40-59 Yrs	Once In 5 Yr	Hb, TLC, DLC,ESR Urine-RE/ME ,BS-F/ PP, ECG, Lipid Profile Urea, Creatinine, Uric Acid, X-Ray Chest (PA View) HbA1C, Pap Smear, HPV Test, Mammography
60-79 Yrs	Once In 2 Yr	Hb, TLC , DLC, ESR Urine-RE/ME,BS-F/ PP, ECG Lipid Profile Urea, Creatinine, Uric Acid, X-Ray Chest (PA View). HbA1CP Ap Smear, HPV Test Thyroid Profile Mammography
80 & Above	Every Year	Hb, TLC, DLC, ESR Urine-RE/ME,BS-F/ PP, ECG Lipid Profile Urea, Creatinine, Uric Acid, X-Ray Chest (PA View). HbA1C Pap Smear, HPV Test

9. Preventive health care and checkups are an important and accepted public health issue in present day scenario. Introduction of such facility for veterans shall go a long way in sensitizing the ECHS beneficiaries towards timely adoptions of life style modification.

It also aids health care providers in early detection, mgt and prevention of aggravation of chronic ailments there by increasing the quality, life expectancy and satisfaction of the target clientele.

10. Entitlement of Health Checkup.

(a) All ECHS beneficiaries meeting twin criteria of being ESM and drawing pension from Defence Budget.

(b) Those drawing FMA in lieu of OPD treatment will not be eligible.

11. Salient Aspects of Execution.

(a) The Preventive Health Check up will be limited to facilities in ECHS Polyclinics subject to medical treatment of patients not being adversely affected.

(b) No referral for these tests will be issued to anyone either for Service Hosps/ Empanelled facilities till approved by Govt.

(c) HQ Comds/ controlling HQs can nominate days/ timings for these health checkups in PCs without affecting the healthcare of veterans requiring medical treatment.

12. The instrs will be modified based on environmental feedback .

(DK Dubey)
Gp Capt
Offg Dir (Med)
for MD ECHS

Income Eligibility of ECHS Smart Card for Dependents

ECHS Smart Card: Documents required as proof of income to check eligibility of dependents

Central Organisation ECHS
Adjutant General’s Branch
Integrated Headquarters of MoD (Army),
Thimayya Marg, Near Gopinath Circle,
Delhi Cantt- 110 010
B/ 49711-NewSmartCard /AG/ ECHS
29 Apr 2019

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)
HQ ANC
Regional Centres ECHS

DOCUMENTS REQUIRED AS PROOF OF INCOME TO CHECK ELIGIBILITY OF DEPENDENTS FOR ECHS MEMBERSHIP

1. Refer to Central Organisation ECHS letter No B/ 49701-PR /AG/ ECHS/ 2017 dated 27 Sep 2017 and 8/49701-PR/ AG/ ECHS/ 2017 dt 16 Nov 2017(Not to all).

2. A policy on eligibility criteria for ECHS membership was promulgated vide letters under reference. The following documents are required to be produced by the ESM for all dependents above 18 years of age (except spouse) at the time of collection of their Cards:-

(a) Self attested copy of PAN Card.

(b) Self attested copy of Form 26AS for the last two financial years.

3. In case the documents given at Para 2(a) & (b) can not be produced by the ESM, then he will have to furnish a self attested certificate for dependent above 18 Years of age. Specimen proforma is attached as Appx ‘A’.

4. In case of income of dependents above 18 years of age (except spouse) is more than Rs 9000/ – from all sources (excluding DA) per month, then the ECHS Cards for such dependents will not be handed over to the beneficiary/ ESM.

Such Cards will be destroyed by a board of officers every month and record be maintained at the Station HQ’s. Details of such destruction be forwarded to Regional Centre concerned, Central Organization, ECHS and M/ S SourceDotCom Private Limited. Cases will be initiated in such cases for cancellation of cards permanently.

5. It is further reiterated that the Cards of all dependants will be blocked automatically by the system on completion of one year. The ESM will have to submit an online self declaration certificate by using his login credentials.

A specimen ECHS self attested certificate for dependent above 18 years of age is attached as Appx ‘B’. The fields marked as ‘A’ will be auto populated and in the balance fields the beneficiary will have to upload the required certificate/ enter details.

This renewal facility will be available one month in advance from completion of one year from the date of issue of Card/ last renewal.

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

One time contribution for ECHS membership for World War II veterans, ECOs, SSCOs and Pre-Mature Retires

One time contribution for ECHS membership and entitlement of Ward in empanelled Hospitals / Medical facilities in respect of World War II veterans, ECOs, SSCOs and Pre-Mature Retires

No.17(11)/2018/WE/D(Res-I)
GOVERNMENT OF INDIA
MINISTRY OF DEFENCE
(DEPARTMENT OF EX-SERVICEMEN WELFARE)
B WING, ROOM No.221
SENA BHAVAN, NEW DELHI

Dated 12th April, 2019

The Chief of Army Staff
The Chief of Naval Staff
The Chief of Air Staff

Subject : One time contribution for ECHS membership and entitlement of Ward in empanelled Hospitals / Medical facilities in respect of World War II veterans, ECOs, SSCOs and Pre-Mature Retires.

Sir,

In continuation of MoD letter No.17(11)/2018 ANE/D(Res-I) dated 7.3.2019, I am directed to convey the sanction of the Government prescribing one time contribution for ECHS membership and entitlement of ward in empanelled hospitals / medical facilities in respect of World War-II Veterans, Short Service Commissioned Officers (SSCOs), Emergency Commissioned Officers (ECOs) and Pre-mature Retirees (PMR) and their spouses as under :-

2. All other provisions of this Ministry’s letter referred above, unaffected by this order, will remain unchanged.

3. This issues with the concurrence of Ministry of Defence (Finance) vide their U.O. No.31(02)/2019/Fin/Pen dated 12.04.2019.

Yours faithfully,
sd/-
(A.K. Karn)
Under Secretary to the Govt. of India