Feedback of the meeting of NC JCM with Secretary MoH&FW held on 16th May, 2019 | Issues related to CGHS, Ward Entitlement, Medical Reimbursement etc.

Feedback of the meeting of NC JCM with Secretary MoH&FW held on 16th
May, 2019 | Issues related to CGHS, Ward Entitlement, Medical Reimbursement etc.

Shiva Gopal Mishra
Secretary
Ph.: 23382286
National Council (Staff Side)
Joint Consultative Machinery
for Central Government Employees

13-C, Ferozshah Road, New Delhi – 110001
E Mail : ncjcm.np @ gmail.com
May 16, 2019


Dear Comrades,

A meeting with the Staff Side of the National Council JCM under the
Chairmanship of Secretary, Ministry of Health & FW was held today at Nirman
Bhawan, New Delhi. The Staff Side was represented by Comrades Shiva Gopal Mishra,
Guman Singh, KKN Kutty, C. Srikumar, M.S. Raja and R. Parashar. The following
agenda points were taken up for discussion and the decisions taken are given
below for your information.


Item No.

Agenda Points

Decision
1. Non grant of 90% Medical Advance for all type of treatments by the Audit
Authorities in the Ministry of Defence in violation of Ministry of
Health and Family Welfare Letter No. S. 14025/I 8/2015-MS/EHSS dated
17.10.2016
It was clarified by the Official Side that 90% advance even in the case
of other than package can be made to the employees as per Ministry of
Health OM dated 17.10.2016. In case the Accounts Authorities of the MOD
is not allowing the same the MOD may be requested to refer the matter to
Ministry of Health .
2. Review of ward entitlement for Central Government Employees It was agreed to reconsider the wage limit for Ward entitlement and also
to streamline the same as per the 7th CPC pay matrix.
3. Withdrawal of the condition imposed in Ministry of Health OM No.
S.14011/1/73-M.C., dated 23rd August, 1973 with regard to diabetic
treatment.
The condition to produce certificate from DMO/ Civil surgeon for
continuing the treatment for diabetics etc. has been removed and any
Government Doctor can issue certificate in this regard.
4. Review of package rate for Organ Transplantation The actual cost of organ transplantation will be considered depending on
merit of each individual case
5. In-patient treatment m Hospitals without going through the AMA. The Ministry of Health OM dated 2nd May 1953 will be re-circulated to
all the Ministries which permits the in-patient treatment without AMA
sanction
6. Reimbursement of preventive Vaccination charges This is a policy matter which Government will have to decide
7. Emergency Treatments in CGHS recognized Hospitals. At present the CGHS beneficiary can directly approach the recognized
hospital with the CGHS Card without any referral memo. The proposal of
the Staff Side to avoid hardship to the patient for subsequent dealings
with the CGHS Wellness centre would be considered the concerned
hospitals will be asked to get the approval of the concerned dispensary
doctor.
8. Reimbursement of Medical expenses not covered under the CGHS Package
Rates.
Steps are being taken to revise the CGHS packages and at that time the
inclusion of new procedure etc would be considered.
9. Issue of Medicines to CS(MA) beneficiaries availing inpatient treatment
in CGHS recognized Hospitals.
Not agreed. CS(MA) beneficiaries has to get reimbursement of the
Expenses
10. Permission / Ex-post facto approval for elective treatment /
investigation taken in non-empanelled Hospitals / Diagnostic Centers for
CS(MA) beneficiaries at par with CGHS beneficiaries.
Not Agreed
11. Treatment of dependents of the deceased Employees / Employees who have
taken voluntary retirement / premature retirement / medical invalidation
/ compulsory retirement etc.
Provisional CGHS Card will be issued to the above category of employees
based on the Last Pay Certificate
12. Opening of CGHS Dispensaries in AGRA, Barrackpore (Kolkata) and Kochi Government orders are already issued in this regard. As regards Kochi,
Kozhikode and Kannur steps are taken to acquire accommodation for the
wellness Centre. At Kochi the BSNL Quarters have been identify.
Formalities to access the same is under way. The doctor shortage of Agra
would be looked in to. At present Barrackpore wellness Centre is
functioning as an extension counter. Depending upon its utility the
demand for establishing the same as a permanent wellness centre would be
considered.
13. Central Government health Scheme. Empanelling of hospitals –
streamlining the procedure to provide in-patient treatment to the
beneficiaries.
More than Rs. 300 crores are due to the hospitals are being cleared and
under way to clear the same. steps are taken to streamline the payment
procedure for the Hospitals
14.

DISPROPORTIONATE REVISION OF SUBSCRIPTION UNDER CGHS DUE TO REVISION OF
PAY AND ALLOWANCES OF CENTRAL GOVT EMPLOYEES ON ACCOUNT OF
IMPLEMENTATION SEVENTH PAY COMMISSION.

Not Agreed
15. Direct consultation with Specialists in CGHS/Central Government/State
Government Hospitals /Polyclinics. Continuation of the facility to those
CGHS beneficiaries who were eligible for direct consultation before
revision of the Monetary Ceiling
The monetary ceiling is already removed
16. Revision of monetary Ceiling for direct consultation with Specialists in
CGHS/ Central Government/ State Government Hospitals /Polyclinics in
respect of Pensioners and Family Pensioners.
The monetary ceiling is already removed
17. Plastic Cards Settled
18. Indication of Ward entitlement in plastic cards of pre-1-6-2009
Beneficiaries
Would be considered
19. Grant of one time option to CGHS Beneficiaries to opt for ward
entitlement as per their revised Pay in Pay Band.
Would be considered
20. Provision of CGHS facility for life time to dependent disabled/mentally
retarded children of Central Government Employees/Pensioners
Agreed to consider the demand in consultation with Department of
Expenditure
2 1. Extension of CGHS facilities to retired BSNL employees – follow up
action by the Ministry of Health and family Welfare & fixation of rates
of contribution & ward entitlement.
Settled

 

The
remaining twelve fresh agenda points would be discussed later. The Health
Ministry will fix the date for the said meeting.

The
issue of inadequacy of CGHS empanelled hospitals at Mumbai was seriously
discussed in the meeting. After discussion the official side agreed to re visit
the issue considering the difficulties being faced by the Central Government
Employees posted in Mumbai it was also agreed that the demand of the Staff Side
for establishing a Central Government Hospital at Mumbai would be considered
again and the proposal of the Staff Side to locate the said hospital at Antop
Hills was favourably responded
With Greetings,
Yours Comradely,
(Shva
Gopal Mishra)
Secretary

Source: Confederation

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