Lok Sabha: Procedural Impediments of CGHS Beneficiaries
GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA
UNSTARRED QUESTION NO: 780
ANSWERED ON: 14.12.2018
Procedural Impediments of CGHS Beneficiaries
JANARDAN SINGH SIGRIWAL
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-
(a)
whether the Government has made it mandatory for the CGHS beneficiaries
who have been referred to CGHS empanelled hospitals, to report back to
the concerned wellness centre to endorse investigations advised by the
specialists at empanelled hospitals and if so, the details thereof;
(b)
whether the Government has taken note of inconvenience and harassment
being faced by CGHS beneficiaries who have to visit dispensaries time
and again for endorsement of such investigations and if so, the reaction
of the Government thereto;
(c) whether the Government has received representations in this regard and if so, the details thereof; and
(d)
the corrective measures taken/ proposed to be taken by the Government
to simplify/change the procedure in this regard in the interest of sick
people, pensioners and serving employees?
ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND
FAMILY WELFARE
(SHRI ASHWINI KUMAR CHOUBEY)
(a)
& (b): Yes; The Government vide its Office Memorandum No.
Z.15025/117/2017/DIR/CGHS/EHS, dated the 15th January, 2018 permitted
all CGHS beneficiaries to seek OPD consultation from Specialists at
Private Hospitals empanelled under CGHS after being referred by any
Medical Officer/CMO of CGHS Wellness Centre. After consultation at
empanelled hospitals beneficiary shall report back to concerned Wellness
Centre, where Medical Officer/CMO would endorse listed investigation
and issue medicines.
The Government has reviewed the matter and issued revised guidelines.
(c):
Yes; some representations were received for permitting investigations
on the advice of Specialist of Private Hospitals empanelled under CGHS.
(d):
The guidelines for referral issued vide Office Memorandum No.
Z.15025/117/2017/DIR/CGHS/EHS, dated the 15th January, 2018 have been
modified vide Office Memorandum No. Z.15025/117/2017/DIR/CGHS/EHS, dated
the 10th December, 2018 and the following modifications have been made
in the interest of sick people, pensioners and serving employees:-
- The referral shall be valid for consultations upto 3 times in the same hospital within 30 days.
- CGHS beneficiaries have been permitted to consult upto 3 Specialists, if required during a single visit.
- Investigations
advised by Specialist of Private Empanelled Hospitals may be undertaken
if they are required in emergency as certified by Specialist without
endorsement by CGHS.
Source: LokSabha
