CGHS Issue of OPD Medicines for CGHS beneficiaries going abroad

CGHS

Issue of OPD Medicines for 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.

(Dr. Atul Prakash)
Director, CGHS

Source: CGHS

Read More

CGHS - Enhancement of Financial Powers of HoD from Rs. 2 Lakhs to Rs. 5 Lakhs

CGHS - Enhancement of Financial Powers of HoD from Rs. 2 Lakhs to Rs. 5 Lakhs

No.S.11011/20/2014-CGHS (P)/EHSS
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
EHS Section

Nirman Bhawan, New Delhi
Dated: the 23 November, 2016

OFFICE MEMORANDUM

Subject: Delegation of powers to Heads of Departments in various Ministries/Departments for settling permission cases and post facto approval relating to referral system and medical reimbursement under CGHS - Enhancement of ceiling rate from Rs. 2 Lakhs to Rs. 5 Lakhs without consultation of IFD of concerned Ministry - Reg.

The undersigned is directed to refer to this Ministry’s OM No. S.12020/4/97-CGHS (P), dated 27.12.2006 and its clarification issued vide this Ministry's OM No. S.11011/20/2014-CGHS (P), dated 20.06.2014, wherein financial powers were delegated to the Heads of Departments/Ministries to settle all such cases where there is no relaxation of rules involved and admissibility of claim was worked out with reference to the CGHS approved rate list and guidelines.

2. This Ministry has been receiving requests from different Ministries/Departments for enhancement of delegation of financial powers to Head of Departments to settle medical claims/medical advance cases involving financial implications upto Rs. 5 Lakhs without referring the case to Internal Finance Division (IFD).

3. The matter regarding enhancement of delegation of financial powers to the Heads of Departments/Ministries has been examined in this Ministry and it has been decided with the approval of the competent authority to enhance the existing limit of Rs. 2 Lakhs to Rs. 5 Lakhs to settle all cases where there is no relaxation of rules and the entitlement was worked out with reference to the rate list prescribed.

In respect of cases involving payment exceeding Rs. 5,00,000/- (Rupees 5 Lakhs only) but as per the prescribed rate list, the concerned Departments/Ministries may settle such cases in consultation with their respective Internal Finance Division. Only in those cases where the settled scheme/rules are required to be relaxed, should the case be referred to the Ministry of Health and Family Welfare.
4. This issue with concurrence of Internal Finance Division vide FTS No. 91725, dated 01.11.2016.

(Sunil Kumar Gupta)
Under Secretary to the Govt. of India
(Tel 2306 1986)

Source: www.cghs.gov.in

Read More

CGHS withdraws the OM dated 25-08-2014 regarding issue of Medicine/ reimbursement of expenditure on investigations / treatment procedures / implants and other medical devices

CGHS withdraws the Office Memorandum dated 25-08-2014 regarding issue of Medicine / reimbursement of expenditure on investigations / treatment procedures / implants and other medical devices

No. 2-2/2014/CGHS(HQ)/PPTY/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated: the 13th March, 2015

OFFICE MEMORANDUM

Subject: Clarification regarding issue of Medicine under CGHS

With reference to the above mentioned subject the under signed is directed to state that the situation arising out of issue of office memorandum NO 2-2/2014/CGHS(HQ)/PPTY/CGHS(P) dated the 25th August, 2014 has been engaging the attention of government for quite some time. Although the guidelines were modified subsequently vide Office Memorandum of even number date 01.10.2014 and 23.12.2014, this Ministry is in receipt of representations seeking clarifications. The matter has been reviewed and it has now been decided to withdraw the OM of even no. dated 25.08.2014.

(Sunil Kumar)
Under Secretary to the Govt. of India

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File953.pdf

Read More

Revision of Income limit for dependency for the purpose of providing CGHS coverage to family members

Revision of Income limit for dependency for the purpose of providing CGHS coverage to family members of the CGHS covered employees subsequent to implementation of recommendations of the VI CPC - Clarification regarding

No. 9(6)/2014/D(Civ-II)

Government of India

Ministry of Defence

Sena Bhavan, New Delhi

Dated, 30th December, 2014

OFFICE MEMORANDUM

Subject: Revision of Income limit for dependency for the purpose of providing CGHS coverage to family members of the CGHS covered employees subsequent to implementation of recommendations of the VI CPC-Clarification regarding.

The undersigned is directed to refer to the above mentioned subject and to state as follow:

As per MoH&FW ()M No. S-11012/1/98-(‘GHS‘(P) dated 10.12.2008 issued with the commence of Deptt of Expenditure vide ID No. 566/EV/2008 dated 4.11.2008- “It has been decided, in consultation with the Department of Expenditure, to revise the income limit for the purpose of providing CGHS coverage to the family members of the CGHS covered Central  Government employees to “Rs. 3500/- glus the amount of dearness relief on basic pension of Rs. 3500/- as on the date of consideration.

The income limit for dependency of Rs. 3500/- plus amount of the deamess relief on the basic pension of Rs. 3500/- as on the date of consideration Shall also be applicable for the cases covered under CS(MA) Rules, 1944 for the purpose of examining divisibility of family members of the Central Government emplqvee for medical facilities under the Rules.

2. However, the Note 1 below sub-section 1(1) of Section 4 of Swamy’s Compilation of the Medical Attendance Rules as amended vide Deptt of Expenditure ID No. 566/E.V/2008 dated 4.11.2008 states that “A member of the family is treated as dependent only if his/her incomes from all sources including pension/family pension is less than Rs. 3500/- (excluding dearness relief on the basis pension of Rs. 3500/)”.

3. Since, the Note 1 below sub-section 1(1) of Section 4 of Swamy’s Compilation of the MA Rules is contradictory to the MoH&FW’ OM dated 10.12.2008, it is requested that the necessary clarification on the dependency of family members may be furnished to this Ministry immediately.

(Gurdgep Singh)

Under Secretary to e Govt. of India

To

Ministry of Health & Family Welfare,

[CGHS(P) Section],

Nirman Bhavan New Delhi.

Ministry of Health & Family Welfare,

(MS Section),Nirman Bhavan,
New Delhi.

Copy to: Shri Mukesh Singh, Secretary, Bharatiya Pratiraksha Mazdoor Sangh (BPMS), 2-A Naveen Market, Kanpur -20001

Read More

Clarification of CGHS rates on 2014 which have been placed on CGHS website for information and acceptance only

Clarification of CGHS rates on 2014 which have been placed on CGHS website for information and acceptance only

F. No. S. 11011/20/2014-CGHS (HEC)
Directorate General of Central Govt. Health Scheme
Ministry of Health & Family Welfare

Nirman Bhavan, New Delhi
Dated, 16th July, 2014

CLARIFICATION

It has been brought to the notice of the undersigned that some of the CGHS empanelled Health Care Organizations have started charging new CGHS rates 2014 which have been placed on CGHS website for information and acceptance only. Since these rates have not yet been notified by Ministry of Health and Family Welfare, the empanelled HCOs cannot charge these new rates and CGHS 2010 rates would prevail. Charging these new rates 2014 from CGHS beneficiaries by empanelled health care organizations would amount to overcharging and suitable action including recovery of overcharged amount and forfeiture of performance bank guarantee would be initiated against those HCOs by CGHS.

Dr. (Mrs.) Sharda Verma
Director (CGHS)

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File712.pdf

Read More