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 medical requirement. 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
