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75 Years and above CGHS Beneficiaries getting more relaxation on referrel rules

May 31, 2019 admin Leave a Comment

75 Years and above CGHS Beneficiaries getting more relaxation on referrel rules

Consultation from Specialists at CGHS empanelled Hospital for beneficiaries aged 75 years and above

“CGHS beneficiaries aged 75 years and above shall be permitted to seek direct OPD Consultation from Specialists of private hospitals empanelled under CGHS without referral from CGHS Wellness Centre”

Z.15025/35/2019/DIR/CGHS/ CGHS(P)
Government of India Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 29th May, 2019.

OFFICE MEMORANDUM

Sub: Consultation from Specialists at CGHS empanelled hospitals in respect of CGHS beneficiaries aged 75 years and above -regarding

With reference to the above mentioned subject the undersigned is directed to state that the matter related to relaxation of consultation norms in respect of elderly CGHS beneficiaries was under consideration of this Ministry and it has now been decided that hereinafter, CGHS beneficiaries aged 75 years and above shall be permitted to seek direct OPD Consultation from Specialists of private hospitals empanelled under CGHS without referral from CGHS Wellness Centre.

2.If any investigations / procedures are advised and are required in emergency, no other authorization is required and the same may be undertaken. However, in non-emergency conditions approval of competent authority is required if any non-listed investigations/procedures are advised. Medicines prescribed are to be procured from CGHS Wellness Centre.

3.Private hospitals empanelled under CGHS shall provide such facilities on cashless basis at CGHS rates to pensioners, ex-MPs , Members of Parliament and such other Categories of CGHS beneficiaries, who are eligible for treatment /investigations on credit basis. More than 75 year old dependents of serving CGHS beneficiaries, who are otherwise not eligible for Cashless treatment shall claim the reimbursement from concerned Ministry /Department. Beneficiaries of Autonomous Bodies /Statutory Bodies covered under CGHS shall claim reimbursement from the respective organization.

4.These orders are in supersession of the earlier guidelines on the subject.

sd/-
Dr.Manoj Jain
Addl.DDG(HQ)CGHS

View Order


Also Check: Central Government Pay Matrix Table 2022 PDF
Related updates:

    Guidelines for special provisions to CGHS beneficiaries aged 80 years and above
    Simplification of Referral System Procedure for CGHS Beneficiaries
    CGHS issued guidelines for issue of medicines to CGHS beneficiaries from CGHS Wellness Centres for Chronic illness
    Cashless Facility TO CGHS Beneficiaries
    CGHS formalities have been modernized
    CREDIT TO CGHS BENEFICIARIES IN EMPANELLED PRIVATE HOSPITALS TO CONTINUE
    Referral Mechanism by CGHS – Guidelines on referral system in CGHS

Filed Under: CGHS, CGHS HCO 2019

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