Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts

Reimbursement of Medical Claims to Pensioners under CS(MA) Rules 1944 as directed by various CATs and Courts

No. 5.14025/23/2013-MS.EHSS
Government of India
Ministry of Health and Family Welfare
Department of Health and Family Welfare

Nirman Bhavan, New Delhi
Dated the 29 September, 2016

OFFICE MEMORANDUM

Sub:- Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts - Regarding.

The undersigned is directed to state that various references are being received in Ministry of Health and Family Welfare on the above mentioned subject. it is hereby clarified that CS (MA) Rules, 1944 are not applicable to pensioners till date.

2. It is further informed that the following options to avail medical facilities are available to Central Government pensioners:

a) Pensioners residing in CGHS covered areas:
1) They can get themselves registered in CGHS dispensary after making requisite contribution and can avail both OPD and IPD facilities.
2). Pensioners residing in CGHS areas cannot optout cf CGHS and avail anyother medical facility {i.e. Fixed Medical Allowance). Such pensioners, if they do not choose to avail CGHS facility by depositing the required contributions, cannot be granted Fixed Medical allowance in lieu of CGHS.

b) Pensioners residing in non - CGHS areas:
1). They can avail Fixed Medical Allowance (FMA) @ Rs.500/- per month
2) They can also avail benefits of CGHS- [OPD and IPD] by registering themselves in the nearest CGHS "city after" making the required subscription.
3) They also have the option to avail FMA, for OPD treatment and CG HS for IPD treatments after making the required subscriptions as per CGHS guidelines.

3. In view. of the above, reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts, need not be referred to the Ministry of Health and Family Welfare. The respective Administrative Department/Ministry may take their own decision in this regard.

4. Further, all Departments/Ministries are requested to intimate their employees proceeding for retirement regarding the above options for medical facilities available to the Central Government pensioners.

5. This issues with the approval of competent authority.

(SUNIL KUMAR GUPTA)
UNDER SECRETARY TO THE GOVT. OF INDIA

Source: [CGHS.GOV.IN]

CS(MA) Rules 1944 are not applicable to pensioners – Health Ministry

CS(MA) Rules 1944 are not applicable to pensioners – Health Ministry

Medical Facilities to Government employees

Central Government Health Scheme provides medical care to its beneficiaries which include serving as well as retired Central Government employees. The CGHS provides its services through a network of CGHS Wellness Centers which are in operation presently in 25 major cities of the country. Expenditure on medical reimbursement in respect of pensioners is borne by CGHS and in respect of serving employees it is borne by concerned Ministry/ department/office. The pensioner beneficiaries are eligible for credit facility for treatment in CGHS empanelled hospitals.

Central Services (Medical Attendance) Rules, 1944 are applicable to serving Central Government employees only who are residing in non-CGHS covered areas. Medical attendance is provided by the Authorized Medical Attendant appointed by concerned department. The CS(MA) Rules 1944 are not applicable to pensioners. As per these Rules, there is no provision for issue of medicines and medical reimbursement claims are to be settled by the concerned department/ Ministry.

The Health Minister stated this in a written reply in the LokSabha here today.

Source: PIB

Criteria fixed for setting up a Central Government Health Scheme (CGHS) dispensary

Criteria fixed for setting up a Central Government Health Scheme (CGHS) dispensary

 

The below information is tabled to a question in Lok Sabha on 11th July 2014 by the Minister of Helath and Family Welfare Shri Harsh Vardhan as follows…

 

The criteria fixed for setting up a Central Government Health Scheme (CGHS) dispensary in a particular area are as under:-

(i) In an existing CGHS city:- For opening of a new Allopathic CGHS dispensary in an existing CGHS city, there has to be a minimum of 2000 Card holders (serving employees of Central Government and Central Civil pensioners).

(ii) Extension of CGHS to a new City:- For extension of CGHS to a new city, there has to be a minimum of 6,000 Card holders. However, due to financial and other resource constraints it is not always possible to adhere to the above criteria.

(b): The details about number of CGHS allopathic/AYUSH dispensaries and Hospitals in the country, State/UT-wise are at Annexure.

 

Keeping in view the financial and other resource constraints, a decision has been taken not to expand CGHS to cover new cities/ areas. There are some States and UTs which do not have the presence of CGHS as yet. Accordingly, the Ministry has mooted a proposal to open at least one CGHS dispensary in the capital city of such States/UT’s namely, Himachal Pradesh, Chhattisgarh, Goa, Arunachal Pradesh, Tripura, Manipur, Mizoram, Sikkim, Nagaland, Gujarat and Pudduchery.

 

In addition, there is also a proposal to open one CGHS dispensary in Indore in compliance of the High Court’s directions.

 

ANNEXURE

STATEMENT SHOWING DETAILS OF CGHS HOSPITALS/WELLNESS CENTRES

S.No.	City	ALLOPATHY	POLYCLINIC	AYUSH	CGHS HOSPITALS
1	AHMEDABAD	8	1	2	0
2	ALLAHABAD	7	1	2	0
3	BANGALORE	10	1	4	0
4	BHOPAL	2	0	0	0
5	BHUNESHWAR	3	0	1	0
6	CHANAI	14	2	4	0
7	CHANDIGARH	1	0	0	0
8	DEHRADOON	2	0	0	0
9	GUWAHATI	5	0	1	0
10	HYDERABAD	13	2	6	0
11	JAMMU	2	0	0	0
12	JAIPUR	7	1	2	0
13	JABALPUR	4	0	0	0
14	KANPUR	9	0	3	0
15	KOLKATA	18	1	4	0
16	LUCKNOW	9	1	3	0
17	MEERUT	6	0	2	0
18	MUMBAI	26	2	5	0
19	NAGPUR	11	1	3	0
20	PATNA	5	1	3	0
21	PUNE	9	1	3	0
22	RANCHI	3	0	0	0
23	SHILLONG	2	0	0	0
24	TRIVENDRUM	3	0	2	0
25	DELHI	94	4	36	4
	TOTAL	273	19	85	4

Extension of CGHS facility to State Govt Employees..?

 Extension of CGHS facility to State Govt Employees..?

While answering to a question in Parliament, Minister Shri.Ghulam Nabi Azad said that the Central Government Health Scheme is primarily meant for the Central Government employees and pensioners receiving salary / pension from Central Civil Estimates of Government of India.

The State Government employees and other members of public are not eligible to join CGHS. However, no requests from State Governments including Kerala have been received for improvement in CGHS.

CGHS is basically providing the dispensary services through its Wellness Centres manned by the General Duty Medical Officers. However, CGHS also provides the services of medical specialists through the Polyclinics and Central Government hospitals. In addition, the CGHS medical specialists also visit designated dispensaries on stipulated days in each week to provide medical consultation to the beneficiaries. Due to shortage of specialists in CGHS it is practically not feasible and financially viable to provide Specialist facilities in each CGHS Wellness Centre. Moreover, CGHS is also engaging contractual specialists against the vacant posts of specialists to provide the medical consultation services to its beneficiaries.

CGHS has a dedicated wing of specialists at the Safdarjung Hospital, New Delhi for its beneficiaries. The CGHS beneficiaries are also allowed to consult specialists at Dr. RML Hospital and other Government hospitals in NCR in respective specialties. In addition, CGHS has empanelled a large number of private hospitals to provide inpatient medical care to its beneficiaries on the advice of Government specialists.

As per the Terms & Conditions for empanelment under CGHS, all empanelled private hospitals are required to provide credit facilities to the CGHS beneficiaries in case of emergency. Pensioners and other specified category of beneficiaries are entitled for credit facilities under normal circumstances also. Non-compliance of the said provision attracts penalty as per the Memorandum of Agreement signed by them.

Source:  90pasia.blogspot.in
[http://90paisa.blogspot.in/2014/01/extension-of-cghs-facility-to-state.html]

Grant of fixed medical allowance to Defence civilians who residing in area not covered under CGHS - PCDA Orders

Grant of fixed medical allowance to Defence civilians who residing in area not covered under CGHS - PCDA Orders

OFFICE OF THE PR. CONTROLLER OF DEFENCE ACCOUNTS (PENSIONS)

DRAUPADI GHAT, ALLAHABAD- 211014

 

Circular No. 117

Dated: 16 /01/2014

 

Subject: : Grant of fixed medical allowance to Defence civilians who residing in area not covered under CGHS.

Reference : This office circular No. 03 dated 30-03-1999.

 

Please refer to this office circular No. 03 dated 30.03.1999 under which Min. of PPG & P, Deptt of P & PW OM No. 45/57/97-P & PW (C) letters dated 24.08.1998 and 30.12.1998 were circulated for implementation of Govt. decision. As per P & PW OM dated 30.12.1998, pensioners who adopted Fixed Medical Allowance or medical facilities under CGHS or corresponding health scheme in accordance to P & PW OM No. 45/57/97-P & PW (C) dated 19.12.1997 circulated under this office circular no. G1/C/195/Vol-I/Tech dated 25.02.1998, can change their option once in the life time. As per existing procedure for change in option, pensioners submit their option to their PDA and PDAs take action accordingly.

 

In this context, it has been decided that pensioners who had originally opted for medical facilities under CGHS or corresponding health scheme may desire to change their option to draw Fixed Medical Allowance, in such cases Fixed Medical Allowance will be authorized by this office from the date of option, through Corr. PPO.

 

For issue of Corr. PPO, pensioners are required to submit their application with revised option (Specimen enclosed as annexure-A) to this office, duly supported with a certificate from PDA to the effect that above named pensioner has not opted for Fixed Medical Allowance (specimen of the certificate enclosed as Annexure-B).

 

In cases where pensioners have originally opted for Fixed Medical Allowance and now want to avail medical facilities, they will submit their revised option to their PDA and after receipt of revised option PDA will stop the payment of Fixed Medical Allowance from the following month of the receipt of the revised option and issue a certificate for stoppage of Fixed Medical Allowance.

 

sd/-

(S B Mathdevaru)

DyCDA (P)

 

 

Annexure - A 

 

Certificate 

 

It is certified that Shri.................................................................................................................. (holder of original PPO no...................................................................................................) has not opted Fixed Medical Allowance till the date. 

 

PDA 

(Signature with seal) 

 

Annexure-B 

 

Form of option 

 

I.......................................................................................................hereby opt to claim fixed medical allowance as I am now, residing in area where no C.G.H.S. medical facilities are available. 

 

Existing address:- 

..................................................................................................... 

..................................................................................................... 

..................................................................................................... 

..................................................................................................... 

 

Signature........................................................ 

Name............................................................. 

PPO No......................................................... 

Head office from which retired......................... 

 

Date: 

Station: 

 

Source: www.pcdapension.nic.in

[http://pcdapension.nic.in/6cpc/Circular-117.pdf]

CGHS Orders : Approval for Photo selective Vaporization of Prostate (PVP) Surgery using Green Light HPS Fibre (Angled Delivery Device) to be used with HPS Laser System 120 watt (AMS) under CGHS/CS(MA) Rules

CGHS Orders : Approval for Photo selective Vaporization of Prostate (PVP) Surgery using Green Light HPS Fibre (Angled Delivery Device) to be used with HPS Laser System 120 watt (AMS) under CGHS/CS(MA) Rules

F.No.25-09/2013-14/CGHS/Hospital Cell/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi-110 108 dated 8th August, 2013

OFFICE MEMORANDUM

Sub: Approval for Photo selective Vaporization of Prostate (PVP) Surgery using Green Light HPS Fibre (Angled Delivery Device) to be used with HPS Laser System 120 watt (AMS) under CGHS/CS(MA) Rules regarding;

With reference to the above mentioned subject the undersigned is directed to state that this Ministry has been receiving requests for grant of permission for Green light HPS laser fibre for Laser Prostactomy. The matter has been examined in consultation with specialists in the field and it was now been decided to permit Photo selective 'Vaporization of Prostate (PVP) Surgery using Green Light HPS Fibre (Angled Delivery Device) to be used with HPS Laser System 120 watt (AMS) under CGHS/CS(MA) Rules on the recommendations of a Government Specialist in the following conditions:

a. Patients or anti-coagulants, which cannot be withdrawn even for a short duration

b. Patients suffering from bleeding diathesis.

c. Patients with Iarge prostate gland, weighing more tnan 60-80 gm.

d. Patients wth CCF anc renal failure, were fluid overload is to be avoided. In other BHP cases the standard line of treatment shall be TURP.

2. The ceiling rate of Green Light HPS Fibre (Angled Delivery Device to be used with HPS Laser System 120 watt (AMS) for reimbursement / approval under CGHS / CS(MA) patients shall be Rs.6.000/- (incl. of all taxes) or actual, whichever is lower. The ceiling rate shall be effective for one year or till further order whichever is earlier.

3. CGHS - Package rate for surgery shall be the same as for Holmium Laser prostatectomy and the cost of Green Light HPS Fibre (Angled Delivery Device) shall be permitted in addition, as per the above prescribed ceiling rate or actual, whichever is lower.

4. This issues with the concurrence of Integrated Finance Division, Ministry of Health & Family Welfare vide CD No. 837 dated 06/08/2013.

5. Hindi version will follow.

sd/-
(V. P. SINGH)
DEPUTY SECRETARY TO THE GOVERNMENT OF INDIA

Source: http://msotransparent.nic.in/cghsnew/index.asp
[http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File639.pdf]

Dental Clinics in CGHS Dispensaries

Dental Clinics in CGHS Dispensaries

The dental services in CGHS Delhi have been outsourced in 13 Wellness centres (5 under Central Zone and 8 under South Zone) for 22 dental procedures. The location wise details are at Annexure-A.

The details of payments made to the service provider in respect of these clinics from the starting of the services till July, 2013 are at Annexure-B.

No specific complaint has been reported about irregularities committed by the dental clinics in connivance of CGHS officials. However, deficiency in services has been reported from the beneficiaries. An Inspection Committee has been constituted for regular inspection of the dental units to ensure proper delivery of services as per the terms and conditions of the agreement.

This information was given by the Union Minister of Health & Family Welfare ShriGhulamNabi Azadin written reply to a question in the LokSabha yesterday.
ANNEXURE -A
Details of  CGHS Wellness Centers where the Dental Care Services have been  outsourced

Central Zone: New Delhi

S.No.	Wellness Centers Name	Address
1	Dr. Z.H. Road (D44)	CGHS Building , Dr. Z.H. Road, New Delhi.
2	Chitra Gupta Road (D51)	CGHS Building, Near Aram Bagh. New Delhi.
3	Aliganj, Lodi Road 1(D9)	CGHS Building , Near Lodhi Road, New Delhi.
4	Kali Bari (D76)	CGHS Building, Kali Bari Marg, DIZ Area, New Delhi.
5	CGHS Dispensary Chanakyapuri	CGHS Dispensary Chanakyapuri. New Delhi.

South Zone : New Delhi

S.No.	Wellness Centers Name	Address
1	Sadiq Nagar (D63)	CGHS Dispy., Behind Siri Fort Road, Near G.K.-I, New Delhi.
2	SriniwasPuri	CGHS own Building, Sriniwaspuri, New Delhi.
3	PushpVihar (D78)	A-B/125, 126, 127 – Sector-IV, PushpVihar, New Delhi.
4	R.K. Puram-V (57)	CGHS Dispensary Building, Sector-XII, R.K. Puram.
5	MotiBagh (D16)	CGHS own Building near Begum Zaidi Market, MotiBagh, New Delhi.
6	Kidwai Nagar (D12)	CGHS Own Building, 61-63, Kidwai Nagar.
7	Kalkaji-I (D42)	CGHS Maternity Centre &Dispy., Kalkaji.
8	Faridabad (D70)	CGHS Dispensary Building, NH-4, Faridabad.

ANNEXURE –B

Details of Expenditure on Outsourced Dental  Units in CGHS Delhi

(Figures in Rs)

Sr.No	Month	Central Zone	South Zone	Total
1	Oct-11	448956	-	448956
2	Nov-11	497881	-	497881
3	Dec-11	4043711	-	4043711
4	Jan-12	-	-	-
5	Feb-12	-	-	-
6	Mar-12	176163	-	176163
7	Apr-12	1179142	2586424	3765566
8	May-12	13006909	-	13006909
9	Jun-12	1303705	5290870	6594575
10	Jul-12	484770	1928530	2413300
11	Aug-12	3552947	7443269	10996216
12	Sep-12	2663951	941197	3605148
13	Oct-12	2425373	-	2425373
14	Nov-12	3272900	-	3272900
15	Dec-12	2359883	-	2359883
16	Jan-13	1740479	2075111	3815590
17	Feb-13	298461	2490650	2789111
18	Mar-13	6519138	14361771	20880909
19	Apr-13	2582860	2586424	5169284
20	May-13	5579933	3251084	8831017
21	Jun-13	2628854	12823634	15452488
22	Jul-13	4296128	7420154	11716282

PIB News

Treatment from CGHS Empanelled Hospitals

Treatment from CGHS Empanelled Hospitals

Ministry of Health and Family Welfare

Treatment from CGHS Empanelled Hospitals

As per the existing guidelines, a CGHS beneficiary is required to obtain permission from his administrative Department / Office or CMO in charge (in case of pensioner beneficiary) to avail medical treatment in a CGHS empanelled private hospital. However, in case of emergency he can go to any hospital whether empanelled or not, to avail medical treatment. This provision is necessary to ensure proper medical treatment of a CGHS beneficiary in consultation with the Government specialists. This is also a measure of ‘checks and balances’ to ensure financial propriety and optimum utilization of public money.

This Ministry has been receiving representations from the individuals; Pensioners Associations etc. to allow the CGHS beneficiaries to take treatment from the CGHS empanelled private hospitals without obtaining the requisite permission. However, their requests have not been acceded to as the present referral system is considered necessary in the interest of the beneficiaries and it is also necessary as a check and balance measure to ensure financial propriety.

CGHS is already providing comprehensive and hassle free healthcare services to its beneficiaries through its large network of Wellness Centres and empanelled private hospitals and diagnostic /imaging centres. With a view to further simplify and liberalize the procedures in CGHS to make its services more hassle free, the requirement of mandatory permission for undertaking diagnostic tests and investigations has been done away with w.e.f. 1st January, 2013. In addition, ‘Continuous Empanelment Scheme’ has also been revived at all CGHS locations to empanel more number of eligible private hospitals to enhance accessibility and availability of medical services to the beneficiaries in a hassle free manner.

This information was given by the Union Minister of Health & Family Welfare ShriGhulamNabi Azadin written reply to a question in the LokSabha yesterday.

Source: http://90paisa.blogspot.in/2013/08/treatment-from-cghs-empanelled-hospitals.html

CGHS: Empanelment of private hospitals (including dental clinics) and diagnostic centres under CGHS Delhi & NCR

CGHS : Empanelment of private hospitals (including dental clinics) and diagnostic centres under CGHS Delhi & NCR

No: S.11045/23/2013-CGHS D.II/HEC/CGHS(P)
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 May, 2013

OFFICE MEMORANDUM

Subject: Empanelment of private hospitals (including dental clinics) and diagnostic centres under CGHS Delhi & NCR

In continuation of this Ministry’s Office Memorandum of even no. dated 30.4.2013 on the above mentioned subject, the undersigned is directed to convey that in addition to the list of the hospitals (including dental clinics), diagnostic laboratories and Imaging Centres already empanelled, the hospitals (including dental clinics), diagnostic laboratories and Imaging Centres as per the list attached have also been empanelled under the continuous empanelment scheme under CGHS in Delhi & NCR. The newly empanelled hospitals (including dental clinics), diagnostic laboratories and Imaging Centres may be treated as included in the existing list with same terms and conditions as has been Indicated in the Office Memorandum dated 30.4.2013.

 

Encl: As above

sd/-
[RAVI KANT]
Under Secretary to Government of India

 

 

ADDITIONAL LIST OF NEW HOSPITALS / DIAGNOSTIC CENTRES EMPANELLED

UNDER CGHS

DELHI & NCR: category wise

NEW HOSPITALS NABH APPLIED FOR
S.No.	Name of the hospital	Facilities available
NEW EMPANELLED SUPER SPECIALITY HOSPITALS
1	Saroj Hospital & Heart Institute, Sector 14 Extn, Madhuban Chowk, Rohini, New Delhi-1100085	General Medicines & General Surge Cardiology & Cardio-thoracic surgery, Orthopaedics including Joint Replacement. GI-Surgery, Neurology. Neuro-surgery. Nephrology Urology, Eye, ENT, Gynae & Obstetrics, Laparoscopic surgery, Dialysis, Dental, Medical Oncology & Lab & Imaging Services

NEW DENTAL CLINICS NON-NABH
S.No.	Name of the hospital	Facilities available
1.	Sure Cure Multispecialty Dental Clinic & Implant Centre, 345, Sector-34, Vaishali, Ghaziabad (UP).	As a Dental Clinic
2.	S.N.Dental Hospital & Implant Centre, Shop 5,8-13, Sector-34, Mother Delry Market, Noida.	As a Dental Clinic

EYE CARE CENTRES NON-NABH
S.No.	Name of the hospital	Facilities available
1.	Medfort Hospitals Pvt. Ltd, A3/24, 3rd Floor Janakpuri, New Delhi-110058	As Eye Centre for all available facilities.
2.	Drishti Eye Care Centre Shop Plot No.4, Floor, Anand Complex, Pandav Nagar Patparganj Rd. Opp, Mother Dairy, Delhi-110092	As Eye Centre for al available facilities

NEW DIAGNOSTIC CENTRES
NABL (Not required for Imaging Centres)
S.No.	Name of the hospital	Facilities available
1.	Dr Gulati Imaging institute, Unit of S.M. Imaging Institute Pvt, Ltd., J-16, Hauz Khas Enclave, Main Aurobindo Marg, New Delhi-110016	X-ray, Mammography, Ultrasound with Colour Doppler, MRI, CT, BMD (Dexa) Cardiac - ECG, ECHO, TFT, TMT, PFT
2.	Dr.Suri Lab Pvt. Ltd., 23 B. Pusa Road, New Delhi-110005	Laboratory Services
3.	Dr.D.K.Gulati's Path Lab, 20, Commnunity Centre, Ashok Vihar Ph.II, opp. Satyavati, College Ph-II Delhi-52	Laboratory Services

Source: msotransparent.nic.in/cghsnew/index.asp
[http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File599.pdf]

Promotion Scheme for CGHS Homoeopathic and Unani Doctors

Promotion Scheme for CGHS Homoeopathic and Unani Doctors

As per the 5th Central Pay Commission’s recommendation, career progression had been granted to the ISM&H (Indian Systems of Medicine & Homeopathy) Physicians possessing the medical qualifications approved by the Central Council for Indian Medicines/Central Council of Homoeopathy on the pattern available to the Allopathic doctors//General Duty Medical Officers of Central Health Service (CHS).


According to the Recruitment Rules for Chief Medical Officer (Non Functional Selection Grade), Union Public Service Commission has to conduct the Departmental Promotion Committee (DPC) process for promotion to this grade. In respect of the Unani Doctors, the CMO (NFSG) grade has already been granted to 8 eligible Unani doctors. In respect of Homoeopathic doctors, UPSC has asked for certain information / documents in respect of the officers under consideration.

This information was given by the Minister for Health & Family Welfare Shri Ghulam Nabi Azad in written reply to a question in the Rajya Sabha today.

PIB

CGHS: Cost of CD records of Coronary Angiography and Coronary Angioplasty in CGHS package rates

CGHS: Cost of CD records of Coronary Angiography and Coronary Angioplasty in CGHS package rates

The below information was givne as written reply to a question by the Minister of Health and Family Welfare Shri.Ghulam Nabi Azad in Parliament on 22nd March, 2013. 

 

Cardio Hospitals on CGHS Panel

 

There was no specific mention about inclusion of the cost of CD records of Coronary Angiography and Coronary Angioplasty in the CGHS package rates for the above procedures. 

 

The matter has since been clarified vide Office Memorandum No. S-11045/ 13/2013/ HEC/CGHS(P) dated 04.03.2013 that the package rates for Coronary Angiography and Coronary Angioplasty also include the cost of CD record and the medical report for the procedures performed.

Empanelled Private Hospitals under CGHS in Delhi

Press Information Bureau
Government of India
Ministry of Health and Family Welfare

15-March-2013 13:05 IST

CGHS Empanelled Hospitals

Some private hospitals in Delhi NCR are no longer on the list of CGHS empanelled private hospitals. The details are as under:

1.The following hospitals have opted not to renew their empanelment with CGHS after completion of two years of empanelment. Accordingly they have been removed from CGHS panel w.e.f. 13.02.2013:
(i) Escort’s Heart Institute & Research Centre, New Delhi
(ii)Max Super Specialty Hospital, New Delhi

2. Empanelment of following two hospitals has been suspended:
(i) Max Devki Devi Heart & Vascular Institute, New Delhi (w.e.f. 13.02.2013) as the hospital stopped credit facility to eligible CGHS beneficiaries;
(ii) Bapu Nature Cure Hospital, New Delhi (w.e.f.12.09.2013) on account of deficiency in services.

In addition, the following hospitals in Delhi NCR have been removed w.e.f. 18.12.2012 from the CGHS panel for non-compliance of the terms and conditions of their empanelment with CGHS.
(i) Garg Multispecialty Dental & Research Centre, Ghaziabad
(ii) Jain Hospital, Jagriti enclave, New Delhi
(iii) Kalra Hospital, New Delhi
(iv) Orthonova  Hospital, New Delhi

CGHS beneficiaries already admitted and undergoing inpatient treatment with prior permission at the time of removal are permitted to complete their treatment at those hospitals.

There is no provision for allowing regular treatment from any private non empanelled hospitals under normal circumstances.

Government has revived continuous empanelment scheme on 14.2.2013 for empanelment of more number of eligible hospitals under CGHS.

The above information was given by the Union Minister for Health & Family Welfare, ShriGhulamNabi Azad in a written reply to a question in the LokSabha today.

486 PRIVATE HOSPITALS EMPANELLED UNDER CGHS AS ON DATE

486 PRIVATE HOSPITALS EMPANELLED UNDER CGHS AS ON DATE.

EMPANELLED HOSPITALS UNDER CGHS

Whether the Government proposes to substantially increase the number of empanelled hospitals under the Central Government Health Scheme (CGHS) to ensure effective coverage of the scheme..?

The below information was given by the Minister of Health and Family Welfare Shri.Ghulam Nabi Azad in a written reply in Lok Sabha...

Government empanels private hospitals under CGHS periodically and last such empanelment under e-tender and continuous empanelment scheme was completed in 2011. 486 Private hospitals and 134 Diagnostic centres are empanelled under CGHS as on date.

Government appointed UTI-ITSL as Bill Clearing Agency for speedy settlement of the bills of empanelled private hospitals and diagnostic centres. Under this arrangement, hospitals and diagnostic centres are required to submit their bills electronically to UTI – ITSL after discharge of the patient, followed by submission of the bills in physical format. UTI– ITSL makes payments to the hospitals and diagnostic centres as per the approved CGHS package rates within ten days of receipt of the physical bills. To enable UTI – ITSL to make payments to hospital, an advance of Rs.70 crore has been placed at the disposal of UTI-ITSL as a Rolling Fund by CGHS. After UTI-ITSL makes payments to the hospitals, the bills are submitted to CGHS periodically for scrutiny and final settlement. The final settlement amount is then recouped to UTI-ITSL.

Recognition of Chaitanya Hospital, Chinchwad, Pune (Maharashtra) for treatment of Central Government employees under CS(MA) Rules, 1944

Recognition of Chaitanya Hospital, Chinchwad, Pune (Maharashtra) for treatment of Central Government employees under CS(MA) Rules, 1944

Recognition of Chaitanya Hospital, Chinchwad, Pune (Maharashtra) for treatment of Central Government employees under CS(MA) Rules, 1944

RECOGNITION OF CHAITANYA HOSPITAL UNDER CGHS HOSPITAL LIST – Orders issued by Health & Family Welfare … 

Recognition of one more private hospital empanelled by the Ministry for getting treatment for Central Government Employees and their family members with effect from 7th November, 2012. The schedule of charges for the treatment of Central Government employees and the members of their family under the CS(MA) Rules will be rates fixed for CGHS, Pune. The apprvoed rates are available on the official website of CGHS.

To view the official order, pl. click the link

 

LIST OF HOSPITALS – CGHS PUNE

 

	General Purpose		Whether accredited by NABH	Whether already on the panel of CGHS
1.	Grant medical foundation Ruby Hall Clinic, 40 Sassoon Road, Pune 411 001 w.e.f. 30 th December 2010	General Purpose including Joint replacement, Cardiology & Cardiothoracic	YES w.e.f. 05.11.2009	YES General Purpose, specialised purpose [Cardiological investigation, cardiothoracic surgery, haemodialysis, Lithotripsy / TURP, Laparoscopic surgery, IOL implant, Joint replacement and Radiotherapy
2	Kotbagi Hospital, 163 D. P. Road, Pune w.e.f. 30 th December 2010	General Purpose including Joint replacement	No	Yes General Purpose
3	Deendayal Memorial Hospital, 926 F. C. Road, Shivajinagar, Pune 411 004 [Tel: 020 – 2565 2497 / 2565 1613] w.e.f. 30 th December 2010	General Purpose	No	YES General and Specialised purpose (Cardiology and Cardio-thoracic Surgery, Lithotripsy, Haemodialysis, Oncology, Chemotherapy)
4	Jahangir Hospital, 32 Sassoon Road, Pune-411001. w.e.f. 5 th July, 2011	General Purpose except cardiology & Cardio-thoracic and Joint Replacement.	No	No
5	Sadhu Vasmani Mission’s Medical Complex, Inlaks & Budhrani Hospital, M.N. Budhrani Cancer Institute, 7-9 Koregaon Park, Pune – 411001. w.e.f. 5 th July, 2011	General Purpose except cardiology & Cardio-thoracic and Joint Replacement.	No	No
6	Bharti Vidyapeet Medical Foundation’s, Bharti Hospital and Research center , Pune Satara Road, Dhankawadi, Pune-411004 Tel: 020- 40555555 w.e.f. 1 ST November, 2011	General Purpose	No	No
7	Lokmanya Hospital, Sector No. 27, Tilak Road, Pradhi Karan Nigdi, Pune – 411044. Tel. No. 020- 30612000 w.e.f. 5th January, 2012	General Purpose	No	Yes for General purpose, specialised purpose (Laproscopic surgery, IOL Implant, Joint replacement) and diagnostic purpose (USG/Colour Doppler).
8	Sanjeevan Hospital, 23, off, Karve Road, Pune – 411004. Tel. No. 020-67250000 w.e.f. 5th January, 2012	General Purpose	No	Yes for Multispecialty General Purpose
9	Medipoint Hospitals Pvt. Ltd., 241/1, New D.P. Road, Aundh, Pune – 411007.Tel. No. 020- 39841200. w.e.f. 5th January, 2012	General purpose including Orthopedic Surgery, arthroscopic surgery and Joint Replacement	No	Yes for General purpose and super-specialty in Neurology and Neurosurgery, Orthopedic surgery including Joint Replacement, Gastroenterology and GI surgery, Paediatrics and Paediatrics surgery, Endoscopic surgery and ENT.
10	Noble Hospital Pvt. Ltd., 153, Magarpatta City Road, Hadapasar, Pune – 13. Tel. No. 020-43285000. Tel. No. 020-43285000. w.e.f. 5 th January, 2012	General purpose including Orthopedic Surgery, arthroscopic surgery and Joint Replacement	No	Yes for Multispeciality General Purpose and super speciality (Neurology & neurosurgery; Urology including dialysis; Orthopaedic surgery including arthroscopic sugery and joint replacement; Gastroenterology and GI surgery; Oncology surgery and chemotherapy; Endoscopic surgery and ENT including specialised surgeries.)
11	Lokmanya Medical Foundations, Lokmanya Hospital, 314B, Telco Road, Near Chinchwad Station, Chinchwad, Pune -411033. Tel. No. 020-27452518 w.e.f. 5 th January, 2012	General Purpose	No	Yes for General purpose, Specialised purpose [Cardiological investigation, Cardiothoracic surgery, TURP, Laparascopic surgery, IOL implant, joint replacement] and diagnostic services [Laboratory medicine, USG / Colour Doppler].
12	Sant Dyneshwar Hospital Pvt. Ltd., Hira Plaza, NR Rupee Coop Bank, Pune-Nasik Highway, Bhosari, Pune – 411039. Tel. No. 020- 27119494 w.e.f. 5 th January, 2012	General Purpose including Lithotripsy and Laparoscopy	No	Yes for General and Specialised purpose (Lithotripsy and Laparoscopy) and Diagnostic services (Clinical Pathology, Biochemistry, CT Scan and USG / Colour Doppler).
SPECIALITY (SELECTIVE)
1	Ranka Hospital, Mukund Nagar, Pune. w.e.f. 5 th July, 2011	Orthopedics	No	Yes Orthopedic surgery including Arthroscopic surgery and Joint replacement.
2	N M Wadia Institute of cardiology, Pune ,Phone No- 02026058136 w.e.f. 1 ST November, 2011	Cardiology, Cardiovascular and Cardiothoracic Surgery	No	Yes for Cardiology, Cardiovascular and Cardio-thoracic Surgery
3	Kulkarni Hospital And Diagnostic Centre, Phone No - 25230019 w.e.f. 1 ST November, 2011	Orthopedic Surgeryincluding arthroscopic surgery and joint replacement	No	No
4	Rakshak Hospital, 52/1/1-Shree Ram Nagr, Society Kharadi Chandan Nagar, Pune-411014 w.e.f. 1 ST November, 2011	Orthopedic surgery including Arthroscopic surgery and joint replacement	No	Yes for Orthopedic surgery including Arthroscopic surgery and joint replacement.
5	Dr. Bansal Hospital, Mumbai Pune Road, Iehu Road-Pune- 412101 w.e.f. 1 ST November, 2011	Maternity and Gynaecology	No	Yes for Maternity and Gynaecology
6	OM Hospital Survay No.201/5 Hutatma Chowk, Alandi Road Bhosari Pune-411039 w.e.f. 1 ST November, 2011	Cardiothoracic surgery and Endoscopic Surgery.	No	No
7	Karne Hospital Pvt. Ltd, P-4 FP 415/8 Office No.6 T0 12 Shrikrishna Chambers, Pune- 411037 Tel: 020-24266615 w.e.f. 1 ST November, 2011	Orthopedic –surgery -including arthroscopic surgery and joint Replacement	No	No
8	Chaitanya hospital, Near chinchwadgaon police chowk chinchwad Pune -411033 Telno- 020-27353333 w.e.f. 1 ST November, 2011	Orthopedic surgery including Arthroscopic surgery and joint replacement	No	No
9.	Satyanand Hospital, opp. konark poor am kondhwa khurd, Pune Tel.No-202- 6838194 w.e.f. 1 ST November, 2011	Orthopedic –surgery -Including Arthroscopic surgery and joint Replacement	No	No
10.	Samarth Hospital 48416,Mitramandal co Lony paruati ,Pune -411009 Tel.No- 020-24422919 w.e.f. 1 ST November, 2011	Orthopedic –surgery -including Arthroscopic surgery and Joint Replacement	No	No
11	Dr. Arun Limaye Memorial Nandadeep Hospital & Research Centre Pvt. Ltd., 1195/1 Fergusson Coll, EGE Road, Shivaji Nagar, Opp. Ing Vaisya Bank, Pune - 411005. Tel. No. 020-66817171 w.e.f. 5 th January, 2012	Cardiology, Cardiovascular and Cardiothoracic surgery	No	No
12	Shashwat Hospital, 22, Happy Colony, Kothrudi, Pune – 020- 64017838. w.e.f. 5 th January, 2012	Endoscopic Surgery	No	No
13	Krishna Hospital, Managed by Shashwat Hospitals Pvt. Ltd., Anjanwel, Plot No. 2, Prashant Society, Paud Road, Pune - 411029. Tel. No. 020-41403700 w.e.f. 5 th January, 2012	Orthopedic Surgery including arthroscopic surgery and Joint Replacement.	No	No
14	Dhanshree Hospital, GP-66, Opp. K Bajaj School, G-Block, Midc Chinchwad , Pune -411019. Tl. No. 020-27370583. w.e.f. 5 th January, 2012	Orthopedic Surgery including arthroscopic surgery and Joint Replacement (as existing hospital)	No	No
15	Sai Shree Orthopedic Super- Speciality & Joint Replacement Center, 251/252, Opp. BSNL Tel. Exchange, Near Dav Public School, Aundh, Pune – 411007. Tel. No. 020-41088600. w.e.f. 5 th January, 2012	Orthopedic Surgery including arthroscopic surgery and Joint Replacement	No	No
16	Sushrut Medical Care and Research Societys Hardikar Hospital, 1160/61, Shivaji Nagar, University Road, Pune – 411005. Tel. No. 020-41095000 w.e.f. 5 th January, 2012	Orthopedic Surgery including arthroscopic surgery and Joint Replacement	No	No
SUPER SPECIALITY
	Nil
	CANCER HOSPITAL
	NIL
	EYE CARE Centres
1	Ameya Netralaya, 2nd Floor, Santbhoomi Co-operative Society, Behind Nigdi Bus Stop, Nigdi, Pune 411 044 w.e.f. 30 th December 2010	Eye Care	No	YES Eye Care [Cataract / Glaucoma, Strabismus, Occuloplasty & Adnexa and other specialised treatment
2	Dr. Jadhav Eye Foundation, Vadaqgaonsheri, Nagar Road, Pune 411 014 w.e.f. 30 th December 2010	Eye Care	No	YES Eye Care [Cataract / Glaucoma, Strabismus, Occuloplasty & Adnexa and other specialised treatment].
3	SADHU VASWANI MISSION’S MEDICAL COMPLEX, I&BH , MNBCI, KKEI, FBHI w.e.f. 30 th December 2010	Eye Care & Dental Also	No	No
4	National Institute of Opthalmology, 187/30, Shivaji Nagar, Pune. w.e.f. 5 th July, 2011	Eye Care	No	Yes Eye Care [ Cataract / Glaucoma, Retinal Medical and Vitreoretinal surgery, Strabismus, Occuloplasty & Adnexa and other specialized treatement].
5	Divya Eye Clinic, Shakun Apt. Above Bank of Maharashtra Sanghavi Nagar, Aundh Pune- 41007. Tel.020-2581689 w.e.f. 1 ST November, 2011	Eye Care Centre	No	No
6	PBMA’S HV Desai Eye Hospital, 93, Tarwade Vasti, Mohammadwadi Hadapsar, Pune - 411028. Tel. No. 020-26970043 w.e.f. 5 th , January, 2012	Eye Care Centre	No	Yes
7	Gadkari Eye Care w.e.f. 5 th , January, 2012	Eye Care Centre	No	No
	DENTAL CLINICS
1	Teethzz Dental Clinic, Pune. w.e.f. 5 th January, 2012	Dental Care Centre	No	No
	DIAGNOSTIC AND IMAGING CENTRE
1	MEDINOVA DIAGNOSTIC SERVICES, No 95 D, Plot 8256, Bhambudra, Shivaji Nagar, Pune, w.e.f. 12 th July, 2011	Radiology only	NR
2	SUPER RELIGARE LABORATORIES, IInd Floor, Mitruchaya , 1258, Deccan Gymkhana, Pune. Tel 020- 251200 / 3940 w.e.f. 12 th July, 2011	Diagnostic Laboratory and Radiology	Yes
3	Pai Clinic & Diagnostic Centre,778/B-1, Abhinav Apartments, Next To Congress House, Shivaji Nagar, Pune- 411005 w.e.f. 1 ST November, 2011	Laboratory services and Mammography, USG/Color Doppler, Endoscopic Procedure	No	Yes for (Laboratory, Mammography and USG / Color Doppler).
4	N.M. Medical Centre, Unit No. 1-10, 1st Floor, Amenity Bldg, Plot 72, astalisa, Kalyani Nagar, Pune – 06. Tel. No. 022- 26600505 w.e.f. 1 ST November, 2011	CT Scan, MRI, Ultra Sound, Mammography, USG/Color Doppler, X-ray, Bone Densitometry)	No	No

* Empanelment provisional subject to inspection of centre by QCI