News and Notice Details
Office memorandum No Z 15025 10 2019 DIR CGHS

Further these ordesr/instructions as already been issued by the MOH &FW F.No. Z- 15025/117/2017/DIR /CGHS/EHS dated 10.12.2018F.No.Z-15025/35/2019/DIR /CGHS/ CGHS(P) dated 29.05.2019, F.No.Z15025/35/2019/ DIR/CGHS/CGHS(P) dated 29.05.2019, F.No. Z15025/33/2018/DIR/ CGHS/CGHS(P) dated 17.06.2019, OM//Order No F-200019/01/2019-EHS/DIR/CGHS dated 21.08.2019,  OM//Order No- Z-15025/36/2019/DIR /CGHS dated 12.09.2019, OM//Order No- S.11011/29/2019-EHS dated 13.09.2019  F.No. Z. 15025/67/2019/ DIR/CGHS/ dated 18.09.2019 and  OM//Order No-1-40/2019-CGHS/C&P/ DIRC/GHS dated 19.09.2019   may please also be placed in the website   along with the following

 

All  CGHS beneficiaries need to aware about the following OM/Orders issued by the Ministry of Health and Family Welfare time to time (compiled by  FORUM OF CENTRAL GOVT.  EMPLOYEES AND PENSIONERS ASSOCIATIONS FOR CGHS BENEFICIARIES, KOLKATA)

Date of order

 

 Brief details of the OM /Order under which facilities to be provided

     

20.06.2014

On the point of issue of medicines at the time of discharge from empanelled hospitals, in case no medicine provided by the hospital then the patient  should purchase such prescribed medicines on the same date up to the limit of Rs.2000/- for 7days and  later on he should visit Wellness Centre for further medicine.

10.12.2018

In terms of OM//Order No Z15025/117/2017/DIR/CGHS/EHS issued by MOH&FW, New Delhi

Revised  guidelines issued for simplification of referral system under CGHS:

(1) Referral for consultation with  specialist empanelled hospital(same hospital)/CGHS shall be valid for 30 days and up to 3 consultations.(2) Referral shall be valid for consultation with maximum of 3 different specialist if required during a single visit..(3) Advise of the CGHS MO/Specialist for listed investigation shall be valid for 30 days, however, for listed treatment procedure it would be valid for 3 months.(4)  Any listed investigation advised by the specialist of empanelled hospital if required urgently as a medical emergency and certified as such , may be undertaken at the same hospital

29.05.2019

In terms of OM//Order No Z15025/35/2019/DIR/CGHS/CGHS(P) issued by MOH&FW, New Delhi, CGHS beneficiaries aged 75 and above shall be permitted to seek direct OPD consultation from Specialists of private hospitals empanelled under CGHS without referral from CGHS wellness Centre any investigations/procedures are advised and are required in emergency, no other authorization is required however in non emergency conditions approval of competent authority is required if any non listed investigations/procedures are advised. Prescribed medicines should be procured from CGHS wellness centre.

29.05.2019

In terms of OM//Order No Z15025/35/2019/DIR/CGHS/CGHS(P) issued by MOH&FW, New Delhi, In the case of Post operative follow-up treatment from hospitals empanelled under CGHS in respect of critically ill CGHS beneficiaries shall be permitted for follow-up in case of Cardiac Surgery  cases including coronary Angioplasty/organ transplant/End stage Renal decease etc. as per details mentioned in the referred OM.

17.06.2019

In terms of OM//Order No Z15025/33/2018/DIR/CGHS/CGHS(P) issued by MOH&FW, New Delhi,, In chronic cases where diagnosis has been made and line of treatment has already been decided by the specialist/Govt. /empanelled hospital, there is no need to refer the patients just for extension of validity period of prescription. However, when there is a need for modification of the diagnosis / treatment, beneficiaries required to be referred to the concerned specialist.

     

21.08.2019

In terms of OM//Order No F-200019/01/2019-EHS/DIR/CGHS issued by MOH&FW, New Delhi,    No referral required for treatment in Govt. Hospitals                                                                                                  

12.09.2019

In terms of OM//Order No- Z-15025/36/2019/DIR/CGHS issued by MOH&FW, New Delhi,, CGHS beneficiaries aged 75 years and above primary card holders are allowed to get annually medically checked up at CGHS empanelled hospitals.

13..09.2019

In terms of OM//Order No- S.11011/29/2019-EHS issued by MOH&FW, New Delhi, In emergency no empanelled hospitals will refuse to provide treatment to any bonafide  CGHS beneficiaries without any valid ground nor they will demand any advance payment and provide credit facility.

19.09.2019

In terms of OM//Order No-1-40/2019-CGHS/C&P/DIRC/GHS issued by MOH&FW, New Delhi, Before going abroad medicine for 6 months can be obtained

 

 CGHS beneficiaries required to know that in terms of the office memorandum F.No.4-27/2005-CGHS/C&P/Pt.l dated 22.02.2010 issued by the  Office of the Director(CGHS), Directorate General of Health Services, Central Govt.  Health Scheme, New Delhi, their genuine grievances/ complaints could  be get resolved with the help of Advisory Committee

1

Every wellness center should have one Advisory Committee consisting of 2 members from pensioners welfare association and 2 from service association for a term of two years  except CMO Incharge who shall approach for this purpose.

2

Such constituted  Committee will meet every 2nd Saturday of the month to

1)Open the complaint box and study the grievances/suggestions found in the box and record in the register.2) If need arises, call the complainant in the next meeting to sort out the grievances of the beneficiaries.

3

The Committee will suggest ways and means to improve the functioning of the dispensaries within the available resources

4

The Committee shall also inform the CMO I/C about any serious patient (CGHS beneficiaries) and  to organize for his/her treatment

5

The Committee shall also monitor the functioning of the Authorized Local Chemist and the Chemist will also be present in every meeting.

6

The Committee shall also be informed about the stock availability in WC store.

7

The Committee will also be apprised of MRC status/pendency of the claims.

8

The Committee shall also monitor the behavior of the staff and will identify the best worker on quarterly basis. His /Her photograph will be displayed prominently in the WC and will also be awarded certificate of appreciation by the

 committee.

 

04 November 2019