Medical Facilities for Government Employees

Medical Facilities for  Government Employees

GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
DEPARTMENT OF HEALTH AND FAMILY WELFARE
RAJYA SABHA

UNSTARRED QUESTION NO. 2566

TO BE ANSWERED ON 9TH AUGUST, 2016

MEDICAL FACILITIES FOR GOVERNMENT EMPLOYEES

2566. SHRI RAM KUMAR KASHYAP:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state the details of medical facilities being provided to Central Government employees?

ANSWER

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

(i) Central Govt. employees drawing their salary from Central Civil Estimates of Government of India are covered under Central Govt. Health Scheme (CGHS) in the cities where CGHS is in operation.

Facilities available to Central Government employees under CGHS are as under :

1. OPD treatment and medicines from CGHS Wellness Centres
2. Specialist Consultation at Govt. Hospitals
3. Hospitalization at Govt. and CGHS empanelled hospitals
4. Investigations at Govt. and empanelled Diagnostic centres.
5. Medical consultation and dispensing of medicines in Ayurveda, Homeopathy, Unani and Siddha systems of medicine (AYUSH).
6. In case of emergency, CGHS beneficiaries can go to any hospital, empanelled or non-empanelled and avail medical treatment.
7. Reimbursement of expenses for treatment in Private unrecognized hospitals in case of emergency.
8. The beneficiary can go to any CGHS Wellness Centre in the country.
9. Reimbursement of expenses incurred for purchase of medical equipments such as hearing aid, hip/knee joint implants, artificial limbs, pace makers, ICD/Combo device, Neuro implants etc., as per the CGHS ceiling rates and guidelines.

(ii) Central Government employees who are not covered under CGHS are provided medical facilities under Central Service (Medical Attendance) Rules, 1944. They can avail treatment from Central Government / State Govt. Hospitals and hospitals recognised by the State Govt./CGHS/CS (MA) as well as the hospitals fully funded by either Central Govt. or the State Govt. with the approval of the Head of the Department on the basis of medical prescription issued by the concerned Authorized Medical Attendant.

http://rajyasabha.nic.in

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CGHS orders on issue of medicines, reimbursement of expenditure on investigations, treatment procedures, implants and other medical devices under CGHS

CGHS orders on issue of medicines, reimbursement of expenditure on investigations, treatment procedures, implants and other medical devices under CGHS

No. 2-2/2014/CGl-IS. HQ/PPT/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi

Dated: the 25th August , 2014

OFFICE MEMORANDUM

Sub- Issue of medicines / reimbursement of expenditure on investigations / treatment procedures / implants and other medical devices under CGHS- regarding

With reference to the above mentioned subject the undersigned is directed to state that this Ministry has examined the matter in detail and with a View to streamlines the procedures regarding issue of medicines, reimbursement of expenditure on investigations, treatment procedures, implants and medical devices and with a View to plug the loopholes in the system, it has now been decided that:

a) CGHS shall supply / indent only those medicines, which are included in the CGHS formulary, except for para (b) below. However, for medicines prescribed outside formulary, medicines with identical formulations and /or similar therapeutic effect may be supplied from CGHS formulary against such medicines. CGHS formulary containing 1447 generic and 622 branded medicines is available on CGHS Website at http://msotransparentnic.in/cghsnew/index.asp

b) Anti Cancer and other similar medicines are however supplied on a case to case basis. Only the medicines approved by DCGI for use in India shall be supplied. In case an Indian version is available, which is cheaper than the imported medicine, only the Indian medicine shall be supplied even if, an imported medicine has been prescribed.

c) Medicines shall be supplied for a maximum period of one month.
d)In case of CGHS beneficiaries going abroad, issue of medicines shall be restricted for a maximum period of three months.

e) CGHS shall hereinafter allow only the listed investigations / treatment procedures for which there are prescribed CGHS rates, to be under taken in CGHS empanelled diagnostic centres and hospitals.

f) Similarly, only listed implants / medical devices with a CGHS prescribed ceiling rate shall be permitted for treatment / reimbursement under CGHS.

g) In those cases where any unlisted investigation / treatment procedure is undertaken the reimbursement shall be limited to the rate of nearest similar investigation / treatment procedure under CGHS. Addl. Director of the city /zone shall take a decision based on justification in such cases, in consultation with experts in the field, if necessary.

h) In those cases where any unlisted implant / device is installed reimbursement shall be limited to the CGHS rate of nearest similar implant / device. Addl. Director of the city / zone shall take a decision based on justification in such cases in consultation with experts in the field, if necessary.

i) Registration of Mobile number with CGHS has been made compulsory as a guard against misuse of CGHS Card.

j) In order to provide a mechanism to update the investigations / treatment procedures / implants , etc., as an ongoing process , a Technical Committee is being constituted to consider inclusion / exclusion of investigations /treatment procedures / implants , etc., under CGHS.

sd/-

(RAVI KANT)
Under Secretary to Government of India
011-2306 1441

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File738.pdf

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List of new hospitals empanelled under CGHS – LUCKNOW

List of new hospitals empanelled under CGHS – LUCKNOW

The Department of Health and Family Welfare circulated a list of new addition of private hospitals applicable under CGHS in Lucknow city. This Department have already been circulated the complete list of empanelled private hospitals and revised package rates and are available on CGHS website. The package rates are indicated in three types such as super-specialty hospitals, another one for accredited hospitals with NABH and third one for non-accredited hospitals with NABH.

This Department has now decided to enclose the new list of hospitals under the fresh empanelment procedure, which is given below :-

S.No.	Name of the Hospitals/Diagnostic Centre	Empanelled for	Whether NABH/NABL accredited	Whether already empanelled and services empanelled for
1.	K.K.Hospital, 87/88, Nabiullah, River Bank Colony, Lucknow-226018 Tel:0522-2619049-50	General Purpose including Neurology & Neurosurgery, Urology including Lithotripsy, Orthopaedic surgery, Endoscopic/Laproscopic surgery	No	Yes for Multi-speciality general purpose and specialised purpose [Neurology & Neurosurgery, Urology including Lithotripsy, Orthopaedic surgery, GI surgery, Endoscopic/Laproscopic surgery].
2.	Lucknow Eye Hospital (A Unit of Perfect Vision Clinic Pvt. Ltd.), 82/40, Guru Goving Singh Marg, Lal Kuan, Lucknwo-226019 Tel:0522-4043272	Eye Care Centre	No	Yes

The above mentioned hospitals are approved under the scheme, will be eligible to treat CGHS beneficiaries and charge at the revised rates with effect from 30.04.2012. The empanelment shall be for a period of one year or till next empanelment, whichever is earlier.

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