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Thread: Request for revising the procedure for Central Government Health Scheme Beneficiaries

  1. #1
    Junior Member rajivpathak
    Join Date
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    Default Request for revising the procedure for Central Government Health Scheme Beneficiaries

    Dated.09-11-2009.

    To,

    Dr.Manmohan Singh,
    Hon`ble Prime Minister of India,
    Prime Ministers Secretariat, South Block,
    Raisina Hill, New Delhi-110 011.

    Sh.Ghulam Nabi Azad,
    Hon`ble Union Minister,
    Ministry of Health and Family Welfare,
    1st Floor, Nirman Bhawan, New Delhi.
    E-mail : azadg@sansad.nic.in

    The Secretary,
    Ministry of Health and Family Welfare(CGHS),
    Nirman Bhawan, New Delhi.

    Subject:- Request for revising the procedure for Central Government Health Scheme Beneficiaries (i.e. For Both Serving Government Servants and Retired Pensioners / Family Pensioners) for Medical Treatment in a Recognized CGHS Empanelled Private Hospitals of their choice for all Governments Servants / officials of Government of India.


    Respected Sir,

    I wish to bring to your kind attention the difficulties being faced by all the groups of Governments Servants / officials of Government of India. i.e. the Beneficiary’s of Central Government Health Scheme (i.e. For Both Serving Government Servants and Retired Pensioners/Family Pensioners) for taking Medical treatment in CGHS Recognized/ empanelled private Hospitals of their choice. They cannot directly visit the CGHS Recognized/ empanelled private Hospitals of their choice without being first asked to going to a Government Hospital and than to a CGHS recognized Hospital. The purpose of providing timely and urgent Medical treatment available/accessible to the patients of a Government servants under the CGHS Scheme is totally defeated when the government servant is made to run from one organization to another before any Medical treatment in CGHS Recognized/ empanelled private Hospitals of their choice could be started for his patient. Without obtaining any permission for Medical Treatment, he cannot go to any CGHS Recognized/ empanelled private Hospitals of their choice. And by the time, the government servant is successful in obtaining permission from any CGHS Recognized/ empanelled private Hospitals of their choice, he is already so exhausted to the core, that he does not have that extra stamina left to fight the dreaded disease.

    The initial procedure for taking the medical treatment from CGHS recognized hospital/ Empanelled Private Hospitals of his choice is very long and time consuming. Firstly, the patient is required to visit the Government Hospital for consultation and for medical treatment with the Specialist of the disease after being referred from a CGHS dispensary. When the required prescription/line of treatment has been obtained in the form of a prescription from a Government Hospital Specialist, he is required to apply for obtaining the required permission from his office for taking the required treatment from the recognized CGHS hospital of his choice. This step is time consuming for the Patients of the group B and c governments and the Patient have to undergo unnecessary delay in getting the benefit of treatment directly from a CGHS recognized hospital/ Empanelled Private Hospitals of his choice. They are unnecessarily made to run to Government Hospitals,stand in long ques for hours even though there are prescribed CGHS recognized hospital/ Empanelled Private Hospitals declared by the Government of India.

    In the case of Specially the Pensioners the Method for obtaining Permission from a CGHS Dispensary is very unique. In case of a Pensioners, when they obtain the required permission from the CGHS Dispensary for once visiting the CGHS recognized hospital/ Empanelled Private Hospitals of his choice, than again the Pensioner is required to go back to the same Government Hospital for obtaining further Prescription for the follow-up action and then revert back again to the CGHS Dispensary for further obtaining the required Permission .In this way the Pensioner is being harassed time and again and in a way is forced to withdraw his/her approaches to the CGHS Dispensaries / Government Hospitals time and again for their Medical Treatment on regular basis from the CGHS recognized hospital/ Empanelled Private Hospitals of his choice. I hope the Department of CGHS and the Ministry of Health and Family Welfare would sympathetically look into the matter and resolve the crisis for all times.

    In view of the circumstances mentioned above, I would be grateful, necessary steps are taken by the Government to simplify the procedure by doing away with the procedure of first obtaining the prescription for the line of treatment from a Specialist of a Government hospital. The Patients of all the governments servants may be allowed to straight away approach the CGHS recognized Hospitals / Empanelled Private Hospitals of his choice, directly and then he may be asked to inform his office in writing, that he has opted to take the Medical treatment from the particular CGHS recognized/ Empanelled Private Hospital of his choice, so that the medical reimbursement expenses could be paid to the government servant by his office.

    I would be grateful, kind consideration is given by your office for taking urgent action in the matter with recommendations to the Ministry of Health for redrafting and revising the Government Policy of Medical Treatment of CGHS Beneficiary’s (i.e. Both Serving Government Servants and Retired Pensioners/Family Pensioners) under the Central Government Health Scheme for CGHS Recognized Private Hospital/ Empanelled Private Hospitals of his choice for all groups of Central Government servants. These Government servants may be allowed credit facilities immediately by the CGHS Recognised Private Hospital/ Empanelled Private Hospitals once he visits them and allowed to undergo Medical treatment continuously till he is required to attend the hospital for curing his disease.
    Thanking you.
    Kindly acknowledge receipt.
    Yours faithfully,
    (RAJIV PATHAK)
    Last edited by rajivpathak; 09-11-2009 at 07:33 PM.

  2. #2
    Member Imayan is on a distinguished road
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    Feb 2013
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    Default

    Dear Shri Rajiv Pathak,
    Was there any response from CGHS/Govt. ?
    Are there any changes in procedures?
    You can send me the inputs as I want to prepare a representation to 7th Central Pay Commission re: improvements in CGHS facilities

    Thanks,

    Imayan

    PS: As about 4 years have elapsed since your thread on this subject, I am sending this message for an update.
    Last edited by Imayan; 30-09-2013 at 05:58 PM.

  3. #3
    Member Imayan is on a distinguished road
    Join Date
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    Default

    Following is an alarming news affecting serving personnel / pensioners of central govt.
    how do we solve this crisis ?
    Cashless treatment may be stopped for central govt employees
    The Hindu Business Line HYDERABAD, OCT 12:

    Corporate hospitals across the country have threatened to stop cashless treatment to lakhs of central government employees from January 1.

    Protesting against ‘unviable’ rates being given to them under the CGHS (Central Government Health Scheme), the Association of Healthcare Providers (India) has said that it will give three months time to the Government to revise the rates.

    “After that we will stop all cashless services at our hospitals. We will however continue to provide services on paying cash (at the hospital rates). They can seek reimbursement later,’’ the association leaders said.



    Addressing a press conference here on Saturday, they said that the government should come out with a scientific method to arrive at proper packages for various treatments.

    Source: http://www.thehindubusinessline.com

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