CGHS : Beneficiaries aged 75 years and above may take direct OPD Consultation from Specialists of private hospitals empanelled under CGHS without referral

CGHS : Beneficiaries aged 75 years and above may take direct OPD Consultation from Specialists of private hospitals empanelled under CGHS without referral

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.
Read also :  केन्द्रीय कैबिनेट ने न्यू पेंशन स्कीम में बदलाव को दी मंजूरी
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.
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4.These orders are in supersession of the earlier guidelines on the
subject.
Sd/-
Dr.Manoj Jain
Addl.DDG(HQ)CGHS
consultation-directly-in-private-empanelled-hospitals

Source: Click to view/download the PDF
[https://cghs.gov.in/showfile.php?lid=5414]

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