Grant of Advance for Cancer treatment in Non-Empanelled Private Hospitals / Private Nursing Home under CGHS / CS (MA) Rules

Grant of Advance for Cancer treatment in Non-Empanelled Private Hospitals / Private Nursing Home under CGHS / CS (MA) Rules

BHARATIYA PRATIRAKSHA MAZDOOR SANGH
(AN ALL INDIA FEDERATION OF DEFENCE WORKERS)
(AN INDUSTRIAL UNIT OF B.M.S.)
(RECOGNISED BY MINISTRY OF DEFENCE, GOVT. OF INDIA)

REF: BPMS / MH&FW / Advance / 156 (8/1/L)

Dated: 25.11.2016

To,
The Secretary,
Govt. of India, Min. of Health & Family Welfare,
156 - A, Nirman Bhawan,
New Delhi 110001.

Subject: Grant of Advance for Cancer treatment in Non-Empanelled Private Hospitals / Private Nursing Home under CGHS / CS (MA) Rules.

Respected Sir,
Considering the hardships being faced by cancer patient, vide O.M. No.1967/2013/DEL/CGHS/SZ/D52/CGHS(P) , Dated 30.12.2014 Department of Health & Family Welfare, CGHS (Policy) Division delegated the powers to HOD’s for permission / ex-post facto approval for cancer treatment taken in non-empanelled hospitals subject to reimbursement being restricted to CGHS rates or actual expenditure, whichever is less.

Further, as per O.M. No. s.12020/4/97-CGHS (P), Dated 07.03.2000 of Ministry of Health & Family Welfare (Department of Health) the Heads of Departments (HODs) may decide the cases of reimbursement of medical claims in respect of treatment obtained in emergency at private hospitals/private nursing home/private clinic, subject to item-wise ceiling as per rates prescribed for CGHS beneficiaries without financial limit on the total amount to be reimbursed.

Now, it has been experienced that a government employee covered under CGHS / CS(MA) Rules and resides in Kanpur, obtains the permission of Head of Department for treatment in Non-Empanelled Private Nursing Home/Hospital (for example Rajiv Gandhi Cancer Institute & Research Centre, New Delhi). After surgical treatment of Cancer, he needs post operative treatment (Chemotherapy) and he wants to continue his treatment from the same non-empanelled private nursing home/hospital. But the HOD refuses to grant advance for post operative treatment on the plea that advance may be granted in emergency for treatment in non-empanelled private nursing home and post operative treatment of cancer (Chemotherapy) does not fall under the category of emergency. In absence of advance, such employee finds himself unable to get treated and cured and that add insult to injury.

In such circumstances, you are requested to issue necessary orders so that the beneficiaries covered under CGHS / CS (MA) Rules may be granted medical advance being restricted to CGHS rates for post operative treatment of Cancer obtained from nonempanelled private nursing home/hospital.
Thanking you,

Sincerely yours
(MUKESH SINGH)

Enclosed: As mentioned

Copy to:
1. The DHS, OFB, Kolkata Secretary/BPMS &
2. The US D(Civ-I), MoD, New Delhi Member, JCM-II Level Council (MOD)
-With request to take appropriate action.

Source: BPMS

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Grant of Advance for Cancer treatment in Non-Empanelled Private Hospitals / Private Nursing Home under CGHS / CS (MA) Rules

Grant of Advance for Cancer treatment in Non-Empanelled Private Hospitals / Private Nursing Home under CGHS / CS (MA) Rules

BHARATIYA PRATIRAKSHA MAZDOOR SANGH
(AN ALL INDIA FEDERATION OF DEFENCE WORKERS)
(AN INDUSTRIAL UNIT OF B.M.S.)
(RECOGNISED BY MINISTRY OF DEFENCE, GOVT. OF INDIA)

REF: BPMS / MH&FW / Advance / 156 (8/1/L)

Dated: 25.11.2016

To,
The Secretary,
Govt. of India, Min. of Health & Family Welfare,
156 - A, Nirman Bhawan,
New Delhi 110001.

Subject: Grant of Advance for Cancer treatment in Non-Empanelled Private Hospitals / Private Nursing Home under CGHS / CS (MA) Rules.

Respected Sir,
Considering the hardships being faced by cancer patient, vide O.M. No.1967/2013/DEL/CGHS/SZ/D52/CGHS(P) , Dated 30.12.2014 Department of Health & Family Welfare, CGHS (Policy) Division delegated the powers to HOD’s for permission / ex-post facto approval for cancer treatment taken in non-empanelled hospitals subject to reimbursement being restricted to CGHS rates or actual expenditure, whichever is less.

Further, as per O.M. No. s.12020/4/97-CGHS (P), Dated 07.03.2000 of Ministry of Health & Family Welfare (Department of Health) the Heads of Departments (HODs) may decide the cases of reimbursement of medical claims in respect of treatment obtained in emergency at private hospitals/private nursing home/private clinic, subject to item-wise ceiling as per rates prescribed for CGHS beneficiaries without financial limit on the total amount to be reimbursed.

Now, it has been experienced that a government employee covered under CGHS / CS(MA) Rules and resides in Kanpur, obtains the permission of Head of Department for treatment in Non-Empanelled Private Nursing Home/Hospital (for example Rajiv Gandhi Cancer Institute & Research Centre, New Delhi). After surgical treatment of Cancer, he needs post operative treatment (Chemotherapy) and he wants to continue his treatment from the same non-empanelled private nursing home/hospital. But the HOD refuses to grant advance for post operative treatment on the plea that advance may be granted in emergency for treatment in non-empanelled private nursing home and post operative treatment of cancer (Chemotherapy) does not fall under the category of emergency. In absence of advance, such employee finds himself unable to get treated and cured and that add insult to injury.

In such circumstances, you are requested to issue necessary orders so that the beneficiaries covered under CGHS / CS (MA) Rules may be granted medical advance being restricted to CGHS rates for post operative treatment of Cancer obtained from nonempanelled private nursing home/hospital.
Thanking you,

Sincerely yours
(MUKESH SINGH)

Enclosed: As mentioned

Copy to:
1. The DHS, OFB, Kolkata Secretary/BPMS &
2. The US D(Civ-I), MoD, New Delhi Member, JCM-II Level Council (MOD)
-With request to take appropriate action.

Source: BPMS

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Consolidated List of empanelled Private Hospitals as on 2.5.2013 for BSNL Employees

Consolidated List of empanelled Private Hospitals as on 2.5.2013 for BSNL Employees

List of Empanelled Private Hospitals Validity of agreement is for 2 years from date of agreement / renewal as on 2nd May 2013 :-

Bharat Sanchar Nigam Limited published a new list of private hospitals to take treatment permissible under CGHS from 2nd May 2013 for its employees. The validity of agreement is for two years from 2.5.2013 and the list contains the empanelled hospitals at New Delhi...

S.NO	"Name of the Hospital/Diagnostic Centre"	"Recognized for treatment"	"Date of agreement/ Renewal"	"NABH Accreditation valid upto"	"On CGHS panel"
GENERAL PURPOSE HOSPITALS
Central Delhi
1	Delhi Heart and Lung Institute  3 MM II Panchkuian Road New Delhi 110 055	General purpose	6th February 2012*	22nd Feb. 2014
2	Jeewan Nursing Home & Hospital 2-B, Pusa Road New Delhi	General Purpose	19th April 2011*	26th Oct. 2013	Yes
North Delhi
1	Jeewan Mala Hospital Pvt. Ltd.,  New Rohtak Road, New Delhi 110 005 Mrs. Sweta, Panel Manager, Ext. 4109 23523275, 23511474-77, 25734533-37 www.jeewanhospital.in"	"General Purpose and cardiology, cardio-vascular surgery and Orthopedics"	23rd June 2011*	No	Yes
2	Sunderlal Jain Charitable Hospital, Ridge Heart Centre Ashok Vihar Phase III Delhi 110 052 Contact person: Shri Dinesh K. Khandelwal Tel. No. 9811958500"	"General Purpose and cardiology, cardio-vascular surgery and Orthopedics"	23rd June 2011*	No	Yes
West Delhi
1	Park Hospital  Outer Ring Road,  West Delhi (Near Kesavpur Depot), New Delhi Tel. No. 28332424 – 27; 55956767 9891424242; 9891747372"	General purpose	19th May 2011*	28th July 2014	Yes
2	Kukreja Hospital  C-1,3,4,14, Vishal Enclave Rajouri Garden, New Delhi 110027"	General purpose	23rd June 2011*	No	Yes
3	RLKC Hospital Metro Heart Institute  Naraina Road, Pandav Nagar New Delhi"	General purpose	17th June 2011*	2nd Oct. 20	Yes
4	Maharaja Agrasen Hospital  Punjabi Bagh New Delhi"	General purpose	10th January 2012*	No	Yes
5	Shree Jeewan Hospital  67/1, New Rohtak Road New Delhi 110 005"	General purpose	5th May 2010*	No	Yes
6	Kalra Hospital SRCNC Pvt. Ltd.  A4,5 & 6, Kirti Nagar, Main Najafgarh Road, New Delhi 110 015"	General purpose	19th April 2011*	No	Yes
South Delhi
1	G.M. Modi Hospital & Research Centre for Medical Sciences  Mandir Marg, Saket, New Delhi 110017 Phone: 26852112-16, 26568110 Fax 26963801"	"General Purpose including joint replacement"	9th July 2011*	2nd Feb. 2015	Yes
2	Primus Ortho & Spine Hospital Chandra Gupt Marg, Chanakyapuri New Delhi 110 021 Tel. Nos. 66206630; 66206640 fax 66206650; 26112633 Contact Person: Dr. Dinesh Batra, CEO, 9811051157 Website: www.primushospital.com"	"Orthopedic surgery including Arthroscopic surgery and joint replacement."	12th August 2010*	5th Dec. 2013	Yes
3	Bansal Hospital  A-1, New Friends Colony New Delhi 110 025"	General purpose	17th June 2011*	No	Yes
4	Rockland Hospital  B-33-34, Qutab Institutional Area New Delhi 110 016"	General purpose	17th October 2012*		No
East Delhi
1	Jeevan Anmol Hospital Mayur Vihar Phase I, Delhi Mr. Bhupesh, PRO 9811580403 22750380; 22795237 Telefax: 22755993"	General purpose	9th April 2011*	No	Yes
2	Garg Hospital  8-9 AGCR Enclave, Opp. Kakardooma Courts, Delhi 110092"	General purpose	25th June 2011*	No	Yes
3	Khandelwal Hospital & Urology Centre B-16 Main Road, East Krishna Nagar Delhi 110 051"	"General purpose, Urology and Uro surgery"	22nd May 2012*	No	Yes
4	Malik Radix Health Care  C-218, Nirman Vihar, Vikas Marg Delhi 110 092"	"Laparoscopic Endoscopy surgery"	27th November 2012*	No	Yes
NCR Region
1	Narinder Mohan Hospital  Mohan Nagar, Ghaziabad 201007 Phone: 95120-24732522, 24732522, 24732523, 24732718 Fax 24732659 Website: www.narindermohanhospital.com"	General purpose	7th May 2011*	No	Yes
2	Yashoda Hospital & Research Centre  III M, Nehru Nagar, Ghaziabad Sekhar – 9717491011"	"General and all purpose hospitalization"	27th Jan. 2013*	13th June 2015	"Yes as super- specialty hospital"
3	Yashoda Super speciality Hospital  H-1, Kaushambi, Ghaziabad Sekhar – 9717491011"	"General and all purpose hospitalization"	27th Jan. 2013	26th Oct. 2013	Yes
4	Metro Hospital & Heart Institute X-1, Sector 17, Noida 201301"	General purpose	20th March 2013

SPECIALITY (SELECTIVE) HOSPITALS
DELHI
1	National Heart Institute  49-50, Community Center, East of Kailash New Delhi 110 065 Contact person: Sushima Gopal Tel. No. 9810379455	Cardiology & Cardio Vascular Surgery, and all purpose hospitalization except,obs.gyne, eye, ENT, Dental	1st June 2011*	10th Aug. 2014	Yes
2	SMH-Curie Cancer Centre Shanti Mukund Hospital, # 2, Institutional Area, Vikas Marg Extn., Kakardooma, Delhi 92	Cancer and Comprehensive oncology (medical, surgical and radiation)	25th July 2012*	No	Yes
3	RG Stone Urology & Laparoscopy Hospital F-12, East of Kailash New Delhi 110065	Urology & Minimal surgery	15th October 2012*	20th June 2015	No

NCR Region
1.	Metro Heart Institute  Sector 16-A Faridabad 0129-4277777 fax 4277799 Contact person: Shri Deepak Kumar 9650592111	General and all purpose hospitalization Cardiology & Cardiothoracic Surgery and Pulmonary Function Test	29th December 2011*	2nd June 2015	Yes
2.	Sarvodaya Hospital & Research Centre  YMCA Road, Sector 8 Faridabad Contact person: Aakash Bhatia (head Institutional Marketing) 0129-4184444 Mobile No. 7838858517	General and all purpose hospitalization	13th March 2012	19th June 2014	Yes

  

SUPER SPECIALITY HOSPITALS
EYE CARE CENTRES
1	Mohan Eye Institute  11-B, Ganga Ram Hospital Marg New Delhi 110 060 Tel. Nos. 25787655; 25852048; 25781357, 25728969, Fax: 25813676 Contact Person: Arvind Gupta – 9818435778"	Eye	14th May 2012* No	Yes
2	Sharp Sight Centre  (East) 81, Defence Enclave, Opp. Preet Vihar Vikas Marg, New Delhi 110 092 Tel. Nos. 65259615; 22461134; Fax – 22461150 Contact Person: Ms. Deepshikha Shukla 9873320777"	Eye	25th May 2012* No	Yes
3	Centre for Sight (New Delhi Centre for Sight Pvt. Ltd.)  B-5/24 Safdarjung Enclave New Delhi Contact Person: Ms. Kawaljit Kaur Tel. 41644000, 41653401-07"	"All eye related ailments hospitalization"	24th June 2011* No	Yes
4	Chaudhary Eye Centre & Laser Vision  4802, Bharat Ram Road, 24 Darya Ganj, New Delhi 110 002"	Eye and Eye care services	3rd July 2012* No	Yes
5	Dr. Kapur’s The Healing Touch Eye Centre  D-8, Vikaspuri, New Delhi Contract person: Shri Mohit Arora Contact No. 9871789999"	Eye and Eye care services	27th July 2012* No	Yes

PATHALOGICAL LAB/DIAGNOSTIC FACILITIES

The agreement shall be valid if not renewed for a period of one year beyond 2 years on the same terms & conditions unless not specifically revoked by BSNL. 

List of Specialized Hospitals providing services on Cash payments allowing discounts on the hospital rates to BSNL employees.
Employees can avail services of the hospital with prior authorization and thereafter prefer claim for reimbursement as per CGHS rates:

S.NO	"Name of the Hospital Contact Person"	"Services on CGHS Rates"	Other Services	"Date of empanelment/ Renewal"	"NABH Accreditation valid upto"	On CGHS Panel
1	Moolchand Hospital  Lajpat Nagar III New Delhi Phone 4200 0000, Fax 4200 0300 Contact Person – Praveen Chauhan, Sr. Executive 9811891737"	"a) Cardiac Specialities b) Joint replacement surgeries (Hip, Knee, Ankle,Shoulder, elbow & Wrist) c) Opthalmology d) Medical Oncology e) ENT f) Nephrology with renal transplant Credit facility is extended for treatment under CGHS rates"	"For other specialities: 10% discount in in-patient treatments other than the treatments agreed to undertake on CGHS rates (except drugs, consumables, disposables, blood components packages and implants)"	26th April 2011	"18th Mar. 2013 (NABL valid upto 7-July-12)"	Yes
2	Dr. B.L. Kapur Memorial Hospital,  Pusa Road, New Delhi Contact person – Shri M. Affan Atiq, Area Sales Manager 9810500813"	"a) Cardiology & Cardio-thoracic surgery b) Joint Replacement (knee & hip) c) Nephrology & Urology d) Endocrinology e) Gastroenterology & GI Surgeries f) Neurosurgery g) Oncology as per CGHS super specialty rates as applicable to CGHS beneficiaries h) All services as notified in CGHS rate list**"	"For other specialities:  10% discount on Indoor treatments excluding drugs, consumables, implants & packages.  10% discount on all OPD’s diagnostic & Laboratory services. 15% discount on preventive health checkups."	7th April 2012*	"8th Sept. 2013 (NABL valid upto 26th October 2012)"	Yes
3	St. Stephen’s Hospital,  Tis Hazari, Delhi 110054"	All Services on cash basis		"26th November 2012"	No	Yes
NCR Region
1	Medanta – The Medicity (Hospital) Sector 38 – Gurgaon 122001 Tel. No. 0124-4141414 Fax No. 0124-4834111 Contact Person: Paras Duggal Dy. Manager 9818971007 (renewal approved agreement is to be signed)"	"a) Cardiology, Cardiac Surgery, Vascular Surgery, Thoracic Surgery b) Orthopedics & Joint replacement Credit facility extended for treatments under CGHS rates s ubject to settlement of bills within a period of 35 days from the date of receipt of the bill from the Hospital."	"Other Specialties:  15% discount in in-patient treatments (except drugs, consumables, disposables, blood components packages and implants)  15% discount on OPD investigations  15% discount Medanta Health Checkups"	10th January 2011	22nd March 2014	Yes

Source: www.intranet.bsnl.co.in
[http://intranet.bsnl.co.in/retired/circulars/List%20of%20empanelled%20Hospitals%20as%20on%202nd%20May%202013.pdf]

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Fresh empanelment of private hospitals and diagnostic centres and revision of package rates applicable under CGHS BANGALORE AND HYDERABAD

Fresh empanelment of private hospitals and diagnostic centres and revision of package rates applicable under CGHS BANGALORE AND HYDERABAD

No: S.11011/23/2009-CGHS D.II/Hospital Cell / Part IX
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 Dated the 17th January, 2012.

OFFICE MEMORANDUM

Subject: Fresh empanelment of private hospitals and diagnostic centres and revision of package rates applicable under CGHS BANGALORE AND HYDERABAD.

The undersigned is directed to invite reference to this Ministry’s Office Memoranda of even number dated the 8th December 2010 and the 19th January 2011 vide which continuous empanelment scheme has been initiated under CGHS, BANGALORE AND HYDERABAD for treating CGHS beneficiaries. The CGHS rates applicable have already been notified and are available on CGHS website. Three rates were notified, one for super-speciality hospitals, the second for hospitals that were accredited with the NABH and the third for hospitals not accredited with the NABH.

2. The undersigned is directed to enclose further list of hospitals and diagnostic centres under the categories mentioned in the application for continuous empanelment and tender document that have conveyed their acceptance of the CGHS rates notified under different CGHS Cities and have signed the Memorandum of Agreement with CGHS and have also furnished the appropriate performance bank guarantee. These hospitals and diagnostic centres are now taken as included in the list of approved hospitals for empanelment under CGHS, BANGALORE AND HYDERABAD.

3. It has now been decided that in the list of hospitals and diagnostic centres enclosed, and have now been approved under the fresh empanelment procedure and have now signed the fresh Memorandum of Agreement and submitted the appropriate performance guarantee will be eligible to treat CGHS beneficiaries and charge at the revised rates with effect from the date of issue of this Office Memorandum. The empanelment shall be for a period of one year or till next empanelment, whichever is earlier.

4 Reference is invited to the list of hospitals in the annexure II of OM No: S.11011/23/2009-CGHS D.ll/Hospital Cell / Part IX dated 1st November 2011 and to state that the hospitals which did not sign MOA and which are not notified as CGHS empanelled hospitals in Hyderabad and Pune stand removed from the list of approved hospitals empanelled under CGHS in Hyderabad and Pune without any further notice.

5. This Office Memorandum and the rates applicable under CGHS for hospitals and diagnostic centres can be downloaded from the website of CGHS, http://msotransparent.nic.in/cghsnew/index.asp

sd/-
[Jai Prakash]
Under Secretary to Government of India

Source: http://msotransparent.nic.in/cghsnew/index.asp
[http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File444.pdf]

LIST OF HOSPITALS/DIAGNOSTIC CENTRES EMPANELLED CATEGORY WISE:
BANGALORE

S.No.	Name of the Hospital/Diagnostic Centre	Empanelled for	Whether NABH/NABL accredited	Whether already empanelled and services empanelled for

EYE CARE CENTRE
1.	Sankara Eye Hospital, Varthur Road, Kundalahalli Gate, Bangalore-560037	Eye Care Centre	No	No

2. LIST OF HOSPITAL/IDIAGNOSTIC CENTRES EMPANELLED CATEGORY WISE:
HYDERABAD
 

S.No.	Name of the Hospital/Diagnostic Centre	Empanelled for	Whether NABH/NABL accredited	Whether already empanelled and services empanelled for

GENERAL PURPOSE
1.	Global Hospital (A Unit of Ravindranath GE Medical Associates Pvt. Ltd.), 6-1-1070, Lakadi Ka pool, Hyderabad. Tel. No. 040-23244444	General Purpose Including Cardiology, Cardiovascular & Cardiothoracic and Joint Replacement	No	Yes for General and Specialised purpose (Cardiology and Cardio-thoracic Surgery, Renal Transplantation, Haemodialysis, Laparoscopic Surgery, Liver Transplantation, Joint Replacement) and Diagnostic Services (Laboratory CT, USG/Colour Doppler and X-Ray).

SPECIALITY (SELECTIVE)
1.	Pragna Childrens Hospitals, # 6-3-347/22/B/1, Dwarkapuri Near Sai Baba Temple, Punjaguta, Hyderabad - 500082. Tel. No. 040-66827999	Paediatrics and Paediatrics Surgery	No	Yes for Paediatrics and Paediatrics Surgery.

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