Unmarried permanently disabled and financially dependent sons to use CGHS facility
CGHS
No. 4-24/96-C&P/ CGHS (P)/ EHS
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare EHS Section
Nirman Bhawan, New Delhi
Dated: the 1st January 2020
OFFICE MEMORANDUM
Subject: Eligibility of Permanently Disabled Son of a CGHS Beneficiary to avail CGHS
facility.
In terms of the Office Memorandum of even number dated 07.05.2018, unmarried permanently disabled and
financially dependent sons of CGHS beneficiary suffering 40% or more of one or more disabilities as specified
in the O.M. will continue to avail CGHS facility even after attaining the age of 25 years. However, the son above the age of
25 years, in cases where disability has occurred after attaining the age of 25 years, is at present not
considered as dependent for availing medical facilities under CGHS as per extant policy.
2. The matter has been engaging the attention of this Ministry for quite some past. It has now been decided
that such son(s) above 25 years, in cases where the disability has occurred after attaining the age of 25
years can be considered as dependent for availing medical facilities under CGHS, subject to fulfillment of
all other conditions as mentioned in the O.M. dated 07.05.2018.
3. This issues with the approval of Competent Authority.
Clarification on billing queries in respect of CGHS Rate List 2014
ESIC
U-16/30/580/2016-Pro.Cell(SST)/WUL-290
Dated: 05/04/2017
To,
Director (Med.) Delhi, Director (Med.) Noida
MS's- All ESIC Hospitals
SSMC's/SMC's- All States
Sub: Clarification on billing queries in respect of CGHS Rate List 2014- reg
Sir/Madam,
As per policy, ESI Corporation follows listed rates of CGHS for clearing bills of Empanelled Hospitals. In this context, ESIC Headquarters is receiving numerous representations from field units as well as tie-up hospitals regarding issues pertaining to defined CGHS package rates. As per clarifications received from CGHS Hqrs, New Delhi, the decisions are as under:
S.No. / Queries Raised / Decisions
1.Whether 10% deduction on rates admissible for General Ward is done for Radiotherapy, Physiotherapy Echocardiography, Dobutamine Stress Echocardiography.
No deduction or enhancement for Radiotherapy, Physiotherapy Echocardiography, Dobutamine Stress Echocardiography.
2.Whether immunosuppressant therapy for Kidney Transplantation (Related) is included within the package rates.
Yes, the rate is inclusive of immunotherapy.
3.Whether any charges for the consumable (balloon) are to be paid additionally over the package rate for Balloon Mitral Valvotomy/PTMC- (CGHS 547)
No additional Charges need to be paid.
4.Whether charges for the dye/medicine are to be paid additionally over the Package rates for Radio-Isotope Therapy- (CGHS 1364-1370)
Rates are inclusive of the dyes. No additional charges need to be paid.
These instructions will be valid from 01.04.2017.
This issues with the approval of Director General.
Your faithfully
sd/-
(Dr.Sangeeta Mathur)
Dy. Medical Commissioner (SST)
Clarification on billing queries in respect of CGHS Rate List
2014
U-16/30/580/2016-Pro.Cell(SST)/WUL-290
Dated: 05/04/2017
To,
Director (Med.) Delhi, Director (Med.) Noida
MS's- All ESIC Hospitals
SSMC's/SMC's- All States
Sub: Clarification on billing queries in respect of CGHS Rate List
2014- reg
Sir/Madam,
As per policy, ESI Corporation follows listed rates of CGHS for
clearing bills of Empanelled Hospitals. In this context, ESIC
Headquarters is receiving numerous representations from field units as
well as tie-up hospitals regarding issues pertaining to defined CGHS
package rates. As per clarifications received from CGHS Hqrs, New
Delhi, the decisions are as under:
S.No. / Queries Raised / Decisions
1.Whether 10% deduction on rates admissible for General Ward is done
for Radiotherapy, Physiotherapy Echocardiography, Dobutamine Stress
Echocardiography.
No deduction or enhancement for Radiotherapy, Physiotherapy
Echocardiography, Dobutamine Stress Echocardiography.
2.Whether immunosuppressant therapy for Kidney Transplantation
(Related) is included within the package rates.
Yes, the rate is inclusive of immunotherapy.
3.Whether any charges for the consumable (balloon) are to be paid
additionally over the package rate for Balloon Mitral Valvotomy/PTMC-
(CGHS 547)
No additional Charges need to be paid.
4.Whether charges for the dye/medicine are to be paid additionally
over the Package rates for Radio-Isotope Therapy- (CGHS 1364-1370)
Rates are inclusive of the dyes. No additional charges need to
be paid.
These instructions will be valid from 01.04.2017.
This issues with the approval of Director General.
Your faithfully
sd/-
(Dr.Sangeeta Mathur)
Dy. Medical Commissioner (SST)
