National Council (JCM) demands for CGHS beneficiaries in the 46th National Council Meeting (JCM)

GOVERNMENT OF INDIA
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Nirman Bhavan, Maulana Azad Road
New Delhi 110 108

12020/1/2010-CGHS (P) (Pt)

Date: June 8, 2010

OFFICE MEMORANDUM

Subject:        Demand of the Staff Side, National  Council (JCM) for permission for OPD consultation for CGHS beneficiaries in hospitals run by public sector undertakings  – Consideration of the

           The undersigned is directed to state that as per the procedure prescribed, CGHS beneficiaries are required to be referred b7y doctors in CGHS wellness centres (also known as dispensaries) for obtaining advice from a Government specialist before they are permitted to avail treatment / undertake tests, etc., in Government / private hospitals and diagnostic centres, as per their choice. Staff Side, National Council (JCM), had raised the following demand for discussion in the 46th Ordinary Meeting of National Council (JCM) held under the chairmanship of Cabinet Secretary on
15th May, 2010:

            “Of late all beneficiaries of Ranchi are being asked to take specialized consultation only in RIMS hospitals which is 12 km away from residences of pensioners from Doranda, Kadrn & Hindoo (Ranchi City). This is very inconvenient particularly for pensioner beneficiaries who have to travel this long distance and then to stand for long time in a queue. If they are referred to any of the public sector corporation hospitals (like Ispat, HEC & CCL HOSPITALS), which are nearby, they can get the consultation there in no time.”


2.            The demand of the Staff Side, National Council (JCM) has been examined in the Ministry of Health & Family Welfare, on consultation with IFD (Health) and it has been decided that CGHS beneficiaries in Ranchi can also be referred to hospitals run by public sector undertakings, in addition to the present practice of referrals to Government hospitals for consultation with specialists, subject to the following conditions:

      (i)     Reimbursement of charges for consultation undertaken in hospitals run by public sector undertakings will be as per rates fixed for CGHS, Ranchi, or actual consultation charge paid, whichever may be less; and

     (ii)      In so far as medicines to be supplied to the beneficiaries is concerned, CGHS will supply medicines of similar salt combination / potency from its’ own formulary / store, not necessarily the branded medicine that is prescribed by the specialists of the hospitals run by public sector undertakings.

3.      These instructions come into force from the date of issue of the Office Memorandum.

4.      This issues with the concurrence of IFD (Health), vide ID No.Dy.2115/10 dated the 14th May, 2010.

(R Ravi)
Deputy Secretary to the Government of India

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