Cashless Treatment Benefits for Serving Employees Under CGHS
Government of India
Ministry of Health & Family Welfare
Office of the Additional Director
Central Government Health Scheme
6-Esplanade East, Ground Floor, Kolkata – 700069
No.51-31/CGHS/KOL/Empanelment/2014/4967
Date: 30th JUN 2017
To
The D.C. of A.(Fys),
Office of the Principal Controller of Accounts (Fyfs)
(AN Med section),
Ministry of Defence,
Government of India,
10A, S.K. Bose Road, Kolkata – 700001.
Subject: Cashless treatment benefits for staff – regarding.
Sir,
With reference to your letter No. 883/AN-Med/Genl dated 13-06-2017 on the subject cited above it is stated that necessary instructions in this regard have already between issued to the empanelled private hospitals (empanelled under CGHS, Kolkata) vide this Office e-mail dated 04th Jan, 2017 and OM No. 51-31/CGHS/KOL/ Empanelment/2014/3790-97 dated 04th May, 2017.
You are requested to take up such cases of refusal directly with the HCO concerned in view of the above OM issued to them.
Enclosure : As stated above.
Yours faithfully,
sd/-
(Dr. A.K.Sikdar)
Additional Director.
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Government of India
Ministry of Health & Family Welfare
Office of the Additional Director
Central Govenment Health Scheme
6-Esplanade East, Ground Floor, Kolkata – 700069
No.51-31/CGHS/KOL/Empanelment/2014/3790-97
Date: 04 May 2017
OFFICE MEMORANDUM
In pursuance of Directorate General of CGHS, New Delhi OM No. H.11021/26/2016-CGHS-III dated 17th January, 2017 the following Hospitals empanelled under CGHS, Kolkata are hereby instructed to honour the terms and conditions of MOA for providing treatment on cashless basis to serving employees under emergency as per terms and conditions of MOA and in case of any complaint in this regard, suitable action including removal from CGHS panel may be initiated against defaulters.
1) RN. Tagore International Institute of Cardiac Sciences, Kolkata
2) B.M. Birla Heart Research Centre, Kolkata.
3) Desun Hospital & Heart Institute, Kolkata
4) Charnocl Hospitals Pvt. Ltd., Kolkata.
5) Disha Eye Hospitals Pvt. Ltd., Kolkata
6) Dr. Nihar Munsi Eye Foundation, Kolkata.
7) Susrut Eye Foundation & Research Centre, Kolkata.
8) Silverline Eye Hospital, Kolkata.
sd/-
(Dr. AK. Sikdar)
Additional Director
Don’t fool us by creating confusion with free cashlesstreatment facility vs customized cashless insurance scheme as recommended by 7th CPC. CABINET accepted the recommendation for custmized insurance scheme and directed MOF to implement the same.Implement the scheme immediately and initiate action against MOF for noncompliance of CABINET direction.
Don’t confuse with csshless free treatment facility at CGHS WELLNESS CENTER and customized cashless group insurance scheme recommended by the CABINET in their meeting held on 29th June 2016 vide para 9 while accepting 7thCPC RECOMMENDATIONS by way of directinf MOF to implement the same. There has been considerable delay reflecting inefficiency of the govt .
Don’t make mockery of taking decision and not bothering for implementation. 7th CPC recommended CASHLESS INSURANCE SCHEME and not for CASHLESS TREATMENT FACILTY (that was existing) .CABINET ACCEPTED THE SAME IN THEIR meeting held on 29th June 2016 vide para 9A while accepting 7th CPC RECOMMENDATIONS and directed MOF to implement the same.Then why the same is not implemented. For the failure either Finance Minister should be sacked or Cabinet should resign for the failure of non implication of Cabinet direction by the MOF.
Implement Cabinet decision for insurance scheme to cover high risk at low premium (premium will be paid by the insured and not govt) as recommended by 7th CPC and directed MOF for implementation vide para 9 while accepting CPC recommendations on 29th june 2016. This recommendation was made by 6th CPC also.But it appears Politicians are least bothered to take any measure to cross cheque to see whether their own decisions and directives are getting implemented or not as because their intersts are well protected. Then why Cabinet meeting and decisions are taken at the cost of public money is not understood.
Refer para 9 of Cabinet meeting held on 29th June 2016 while accepting 7th CPC recommendations regarding cashless insurance scheme which reads “HOWEVER CONSIDERING THE NEED FOR SOCIAL SECURITY OF EMPLOYEES, THE CABINET HAS ASKED MOF TO WORK OUT A CUSTOMIZED GROUP INSURANCE SCHEME FOR CENTRAL GOVERNMENT EMPLOYEES WITH LOW PREMIUM AND HIGH RISK COVER “. It is most unfortunate that decisions taken by the CABINET are not being implemented. Then why meetings are held if decision taken could not be implemented and by that wasting public money. Request to implement the decisions taken and avoid dramatic speech.
I want immediate implementation of the Cabinet directive to MOF in their meeting of acceptance of 7thCPC recommendations vide para 9held on 29th June 2016 where it is stated “However, considering the need for social Security of employees, the CABINET has asked MOF to work out a customized group insurance scheme for CGEmployees with low premium and high risk cover.
You’re referring empaneled hospitals of CGHS which are taking care only under emergency. It is not understood why cashless group insurance as recommended by the 7thCPC and accepted by the CABINET by directing MOF to implement the same in their meeting held on 29th June 2016 vide para 9 while accepting 7ThCPC Recommendations which will not only help emergency condition but also preventive treatment with flexible choice for the employees/ retirees at low cost for which no expenditure will be incurred by the government. Similar scheme is existing for LICI EMPLOYEES. Government is not serious and negligent on their part and simply interested for maintaining their political dynasty. Why their own decision taken in their meeting held on 29th June 2016 is not implemented is not understood.