Medical facilities for in-patient treatment and post-operative follow-up treatment to ECHS beneficiaries residing in districts not covered by ECHS

No. 22D (09)12013/US (WE)/D (Res)

Govornment of India

Deptt of Ex-Servicemen Welfare

Ministry of Defence

New Delhi

Dated the 21st August, 2013

To
The Chief of the Army Staff The Chief of the Naval Staff The Chief of the Air Staff

Subject:- Medical facilities for in-patient treatment and post-operative follow-up treatment to ECHS beneficiaries residing in districts not covered by ECHS.

Sir.

1, The undersigned is directed to invite attention to Govt. of India, Ministry of Defence letter No. 24(48)/03/US(WE)D(Res) dated 19th December, 2003 and to state that keeping in view, the difficulties being faced by the ECHS beneficiaries residing in districts not covered by ECHS it has now been decided to liberalise the ECHS Rules as follows to enable them to avail medical facilities for in-patient treatment and post- operative follow-up treatment-

(a) (i)   ECHS beneficiaries who are holding a valid ECHS Card and are residing in districts not covered by ECHS shall be eligible to obtain treatment from Govt. (Central/State/Local Self Government) hospitals and submit the medical re-imbursement claim to the ECHS Polyclinic (i.e. they can avail the treatment without obtaining referral from Polyclinic located outside their district),

(ii) Re-imbursement shall be limited to the CGHS rates applicable to the nearest ECHS Polyclinic and as per the ceiling rates and ward entitlements or as per actuals whichever is lower.

(b) (i)  ECHS beneficiaries who are holding a valid ECHS card and are residing in districts not covered by ECHS shall be eligible to obtain post¬operative follow-up treatment from Govt. (Central/State/Local Self Government) hospitals in follow up cases of Renal Transplant Surgery Knee and Hip Joint Replacement, Cancer Treatment Neuro Surgery and Cardiac Surgery. However, prior permission (referral) is to be obtained from the OIC of nearest ECHS Polyclinic.

(ii) Permission shall be issued for 3 to 6 months at a time and may be extended based on medicalrequirement. Reimbursement for consultation, procedures and investigations shall be limited to CGHS rates applicable to the nearest ECHS polyclinic and as per the ceiling rates and ward entitlements or as per actuals ,whichever may be lower. OPD medicines shall be obtained from the concerned Polyclinic for a maximum period of 3 months at a time.

2. These order will come into effect from date of issue.

3. This issues with the concurrence of MoD (Finance) vide U.O. 1574/13/Fin/Pen dated 11th July, 2013.

Yours faithfully,

sd/-

( HK Mallick)

Under Secretary to the Govt. of India

Source: http://www.desw.gov.in

[http://www.desw.gov.in/sites/upload_files/desw/files/pdf/in-%20patients.pdf]

Read More

PROVISION OF ECHS FACILITIES TO EX-SERVICEMEN OF ARMY POSTAL SERVICE (APS) WHO WERE REPATRIATED TO THEIR PARENT DEPARTMENT OF POSTS AFTER COMPLETION OF AGE LIMIT/PENSIONABLE SERVICE/ON COMPLETION OF INITIAL TERMS OF ENGAGEMENT.

Tele: 23336735                                                                      Central Orgonisation ECHS

ASCON: 36735                                                                      Adjutant General’s Branch

                                                                                                Integrated HQ og MoD(Army)

                                                                                                Maude Lines

                                                                                                Delhi Cantt-10

                                                                                                                                   

B/49701-PR/AG/ECHS/                                                                                         20 Mar 2012

IHQ of MoD (Navy)/Dir ECHS (N)

Air HQ(VB)/DPS

HQ Southern Command (A/ECHS)

HQ Eastern Command (A/ECHS)

HQ Western Command (A/ECHS)

HQ Central Command (A/ECHS)

HQ Northern Command (A/ECHS)

HQ South Western Command (A/ECHS)

HQ Andman & Nicobar Command (A/ECHS)

All Regionnal Centres

PROVISION OF ECHS FACILITIES TO EX-SERVICEMEN OF ARMY POSTAL SERVICE (APS) WHO WERE REPATRIATED TO THEIR PARENT DEPARTMENT OF POST AFTER COMPLETION OF AGE LIMIT/PENSIONABLE SERVICE/ON COMPLETION OF INITIAL TERMS OF ENGAGEMENT.

1.         Ref Hon’ble Armed Forces Tribunal (AFT), Regional Branch, Chandigarh Order dt.  26 Mar 2010 in TA No. 110 of 2009 (arising out of CWP No. 15237 of 2009, TA No. 52 of 2009 (arising of CWP No. 14112 of 2009 and GOI, MoD OM No. 1(a)/2010/D (Res-1) dt. 20/21 Jul 2011 (Copies enclosed)

2.         Ex-Servicemen status has been granted to personnel of Army Postal Service (APS) who were on deputation in Army for more than six months prior to 14 Apr 1987 vide GOI, MoD OM No under ref with all consequential  benefits. List of the affected personal is attached as APPX A. Consequent to AFT Orders and MoD OM the above personal can now approach various Stn. HQ / Regional Centres for grant of ECHS membership.

3.         All concerned are requested to scrutinize the  documents mutinously and accept applications for ECHS membership only from individuals who full fill the twin conditions of being an ex-servicemen and a Govt. pensioners.

(Gulshan Chadha}

                                                                                                         Lt. Col.

                                        Jt. Director(Pers)

                                                                                                                     For MD ECHS

Copy to :

Addl. Director General of APS   : for information please.

PIN-908700 C/O 56 APO

Read More

ECHS Facilities to Ex-Servicemen

The Government has sanctioned 426 Polyclinics for Ex- Servicemen Contributory Health Scheme (ECHS). 227 Polyclinics were sanctioned in the year 2002, all of which are functional. Due to increasing ESM population an additional 199 Polyclinics including 17 Mobile Clinics were sanctioned in October 2010, out of which 43 Polyclinics are operational, thus at present 270 Polyclinics are functioning. In addition the Government has sanctioned 15 new Regional Centers to strengthen the ECHS Services, out of which 6 Regional Centers are already functional. As on 1st March, 2012, there are 39,46,898 beneficiaries which include 12,34,069 ex-servicemen and 27,12,829 dependents.

The ECHS beneficiaries can avail treatment at state Government hospitals/Clinics. The cost of treatment at Government hospitals is reimbursed at the approved rates and 80% advance of the estimated cost of the treatment at Government hospitals/Clinics is admissible to the ECHS beneficiaries.

At present 1383 Private hospitals/Dental Clinics/Diagnostics Centers and Eye clinics throughout the country are empanelled with ECHS, where the ECHS beneficiaries can avail cashless treatment. In emergency cases, reimbursement is made at approved rates, even for treatment in non-empanelled hospitals.

This information was given by Minister of State for Defence Dr MM Pallam Raju in written reply to Shri Virender Kashyap and Shri Kuldeep Bishnoi in Lok Sabha today.

Source:pib

Read More