Monday, 3 March 2014

Facilities to CGHS Beneficiaries

Government of India
Under Central Government Health Scheme, there is no provision for treatment abroad. However, the treatment abroad facility is available under the Central Services (Medical Attendance) Rules, 1944. 

Permission for treatment abroad is granted with the approval of Standing Committee headed by the Director General of Health Services only in the cases in which the treatment is not available in India. 

The facility is available to all Central Government employees. On an average, 2 cases have been allowed per year in last three years for availing treatment abroad with the approval of the Standing Committee.

Every Department has separate budget provision for providing medical treatment to their employees.

 Accordingly, the expenses incurred on availing medical treatment by the serving employees under CGHS or CS (MA) Rules are reimbursed by the Department concerned to their employees. 

The employees of Ministry of Health and Family Welfare covered under CGHS have been allowed credit facility in empanelled hospitals for the sake of administrative convenience as the payments to the CGHS empanelled hospitals for providing medical treatment to the pensioner beneficiaries are also released by this Ministry. 

However, as per the terms and conditions of empanelment under CGHS, the empanelled hospitals are to provide treatment on cashless basis to all serving employees covered under CGHS for treatment under medical emergency.

The CGHS package rates for Angioplasty and Angioplasty with Balloon were revised in February, 2013 as per the advice of experts. The empanelled hospitals are expected to provide treatment as per the approved package rates. 

The ceiling rates for implants are revised from time to time and if any beneficiary intends to have implants of a specific brand, he/she can opt for the same if he/she agrees in writing to bear the additional expenditure.

This was stated by Shri Ghulam Nabi Azad, Union Minister for Health and Family Welfare in a written reply to the Lok Sabha today. 

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