CGHS beneficiaries residing in non-CGHS covered areas, it has now been decided to liberalise the CGHS Rules with regard to pensioner CGHS beneficiaries and serving employees, as below, to
enable them to avail medical facilities for in-patient treatment and post-operative follow-up treatment
"Now that computerisation of all CGHS covered cities has been completed the plastic Cards are valid in all CGHS cities in India and there is no need for obtaining temporary attachment while on a visit to another CGHS City. Since, the data is available online CGHS beneficiaries are permitted to obtain medicines (including indented medicines) from any Wellness Centre located in the same city, where the card is registered or from any wellness centre located in any other CGHS city while on a visit (Official as well as personal)."
Central Government servants on their retirement from service are entitled to CGHS facility, if they retire from office Ministries / Departments / Offices covered by CGHS. For availing CGHS facility, if eligible, after retirement from service, pensioners are required to fill up the requisite form and deposit the appropriate amount [lump sum amount equivalent to one year's contribution for availing CGHS facility for one year (which can be extended on an annual basis on payment of the appropriate contribution as applicable at the time of renewal) or pay in lump sum equivalent to ten years' contribution for availing CGHS facility with life-time validity). The process of issuing of pensioner CGHS cards starts only after the Government servant retires from service and only after the Pension Pay Order (PPO) and Last Pay Certificate (LPC) are issued by the Ministry I Department / Office. The completion of the formalities takes two to three months, which puts pensioners in a problematic condition for getting treatment from the date on which they retire from service and the time when a pensioner CGHS card is issued to them.
It is accordingly clarified that expenditure incurred on engagement of Ambulance by CGHS beneficiaries, comprising both serving Govt. employees and pensioners , is reimbursable provided that:
(i) The doctor treating the patient certifies in writing that conveyance of patient by any other mode would definitely endanger the patient's life or would grossly aggravate his / her condition and
(ii) That the journey is undertaken within the same city.
The undersigned is directed to state that CGHS had initiated action for fresh empanelment of private hospitals under CGHS and also for the revision of package rates (which were fixed in 2006-07), to be paid to hospitals, by floating tender for the same. On the basis of the responses received package rates for various procedures / treatments have been arrived at and have been uploaded in the website of CGHS:www.mohfw.nic.in\cghsnew\index.asp and can be downloaded.
The question of streamlining the functioning of CGHS dispensaries has been engaging the attention of the Ministry of Health & Family Welfare for some time now. After considering the suggestions received from various quarters and after discussing the matter with officials of CGHS, it has been decided, as an initial measure, to streamline the functioning of CGHS dispensaries as below :-
Central Government Health Scheme (CGHS) pensioners in the city may have to wait for a while till the government sends an order regarding the number of empanelled hospitals recognised under the scheme. Presently, Deendayal and Kotbagi hospital have agreed to the new rates while Ruby Hall Clinic has categorically refused
A ‘Standalone Haemodialysis Centre’ at Sadiq Nagar CGHS Wellness centre exclusively for CGHS beneficiaries has been inaugurated by Ms K Sujatha Rao, Secretary Health & Family Welfare , Govt of India in presence of Dr RK Srivastava, Director General Health Services and Chairman Apollo Group of Hospitals Sh Pratap C. Reddy on 25th August 2010 . This is being started as a pilot project in collaboration with M/S Alliance Medicorp (India) Limited,Chennai a JV company of Apollo Health and Lifestyle Ltd. (Apollo Group of Hospitals) under Public Private partnership.
The undersigned is directed to state that CGHS beneficiaries in Delhi who have to undergo maintenance haemodialysis are finding it difficult to have the same done either in Government hospitals or in private hospitals empanelled under CGHS, Delhi. Considering the sparse available haemodialysis facility available, it was decided by the CGHS to start maintenance haemodialysis in partnership with private sector service provider on a PPP mode. After a thorough examination of the available resources in Delhi, CGHS has been successful in setting up a stand-alone dialysis unit in Sadiq Nagar Wellness Centre (a.k.a. dispensary), in collaboration with M/s Alliance Medicos (India) Limited, which will commence functioning with effect from Monday the 6th September, 2010.
