~~

¥ "'l'~
ICAR
.
C;~ ~

INDIANlleOUNCIL OF AGRICULrURAL RESEARCH

~ ~==:f~
'Q'1:4 "1'1'1, 'l~ 1~C't11

" KRISHI BHAVAN, NEW DELHI

No. 21-612008 - CON Dated the ;2 2 Feb., 2008.

To

. All DirectorS/Project Directors of ICAR

Research Institute/NAC/PD/Bureau/ZCU.

Sub :- Follow-up treatment of CGHS beneficiaries in recognized hospitals - regarding.

The O. M. No. S.11011/1/2000 - CGHS(P)(Pt.) dated 14.12.2007 of

Ministry of Health & Family Welfare on the above cited subject has been down loaded at
the ICAR Web-Site (www.icar.org.in) for information and further guidance.

'f-<C\\~~~
(PANKAJ KUMAR)
UNDER SECRETARY ( GAC & CON)

DISTRIBUTION:

1. OSD to DG., ICAR.

2, PPS to Secy., ICAR.
3. Director(Fin.)/Director(Per.)/D.S.(A), ICAR.
4. Shri Hans Raj, Information System Officer, (DIPA) KAB - I for puting in the
ICAR Web - Site.
5. All officers/sections at ICAR ·Krishi BhawaniKAB - I & II
6. Secy (Staff Side) HJSC, ICAR, Krishi Shavano
7. Secy., (Staff Side). CJSC, NCIPM, Pusa, New Delhi.
 I
,F. No.S.11011/11200o-CGHS (P)(pt) I
Government of Indla~
Ministry of flealth & Family Welfare I
Department of Health & Family Welfare
~ '***' I
. Nli'man Bhawan, New Deihl I
--, 9atedthe 14th December, 2007.
I
OFFICE MEMORANDUM
I
Subject: Follow-up treatment of Central Government· Health Scheme
beneficiaries in recognized hospitals- regarding I
I
The undersigned is directed to enclose a copy of this Ministry's OM of even
number dated 10.4.2001 on the above subject and to re-iterate the instructions I
contained therein.
.. /'
/~
A ........-
.-.,- I
,,,' ;l~T H-;::::':'-'--'
I
f(:R~VI)
DEPUTY SECRETARY TO THE GOVERNMENT OF INDIA I
[Tel: 2306 3483]
To I
1 All Ministries I Departments of Government of India. I
2. Director, CGHS. Ninnan Bhawan, New Delhi
'3~ All Pay & Accounts Officers under CGHS I
. ..
,,""
'-
4. Additional Directors I Joint Directors of all CGHS Cities
I
' ,

5. JD (Gr.) I JD(R&H), CGHS, Delhi

6. CGHS Desk-II Desk-III CGHS-II CGHS-II, Directorate General of
Health Services. Nirman Bhawan, New Delhi I
7. Estt.-1J Estt.-II / Estt.-1II1 Estt.-IV Sections, Ministry of Health & Family
Welfare I
- 8. Admn. II Admn. II Sections of Directorate General Health Services
9. M. S. Section, Mini3try of Health & Family Welfare I
10. Rajya Sabha I Lok Sabha Secretariat
11. Registrar. Supreme Court of India I Delhi High Court, Sher Shah R02::' I
New Delhi
12. U.P.S.C. I
13. Finance Division, Ministry of Health & Family Welfare
14. Deputy Secretary (Civil Service News), Department of Personnel & I
training, 5th Floor, Sardar Patel Bhawan, New Delhi
15. PPS to Secretary (H&FW)/ Secretary (AYUSH) Min. of Health & F.W. I
16. PPS to DGHS / AS&FA I AS (OG) I AS & DG, NACO
17. MS of all hospitals' and diagnostic centres being empanelled. :~ ~
I
18. Swamy Publishers (P) Ltd., P. B. No.2468, R. A. Puram, Chennai ('

600028. I
I
I
I
I
I
~----- -~--~--------
~--._----------

19. Swamy Publishers (p)Ltd., 4855, 24, AO$art. Road, Near Sanjeevan
Hospital, Daryaganj, New Delhi 110002.' ,
21 Mis Bahri Brothers, 742 Lajpat.Rai Market, Delhi. 110..006
22. Shri. Umraomal Purohit. Secretary, Staff Side, 13-G, Ferozshah Road,
New Delh~001 .
....a3. AU staff side members ,of National Council (JCM).
24. Office of the Comptroller & Auditor General of India, 10 Bahadur
Shah Zafar Marg, New Delhi.
25. AU Officers I Sections I Desks in the Ministry.
('''ro- 26. Office order 'folder ". ,
27. Guard file
 FNo S. IIOII/l/:;OOO-CGIIS(P)
Government of (ndia
~fillistry
of Hcnlth llod Family Welfare
Department of Health
Nirnlan Shawan, New Delhi-II.
!.

Dated the: 10.4.2001

OFFICE MEMORANDUM.
4P
Sub: . FO~-lIp treatment of Central Government Health Scheme beneficiaries in recognized hospitals
tregarding. ~

The undersigned is directed to refer to Office Memorandum No. S. II0I7/1/95-CGHS(P) dated

September 20. 1995 and to say that it has been decided to modify the order in view of difficulties
. being faced by Central Government Health Scheme beneficiaries.

It has·now been decided that the C.G.H.S. beneficiaries will be eligible for follow-up treatment
relating to Neuro Surgery, Cardiac Surgery (including Coronary Angioplasty & implants),
Cancer Surgery/ChemothreapylRadiothreapy, Kidney transplantation, Hip/Knee replacement
Surgery and Accident cases in the same InstitutionsIHospitals where the treatment was earlier
eamed out with prior permission of competent authority. The follow-up treatment will however,
be subject to the following conditions:-

1. The reimbursement of expenditure for Consultationffreatment including hospitalization if

required/Investigations will be limited to rates as fixed under Central Government Health
Scheme.
2. The beneficiary should collect all the OPO medicines prescribed in connection with the
treatment from the dispensary concerned in normal timing. In emergency these could be
procured from market
3. In case there is no approved C.G.H.S. rates for any·. procedure, or test, reimbursement will be
made as per All India Institute of Medical Sciences rates, if any, or actual whichever is less or as
per actual in case there is no AIlMS rates also.
4. Reimbursement in respect of Central Government Employees and other working employees and
pensioners of autonomous bodies which were covered under CGHS will be made by respective
departments from Service Head~ from Rajya SabhaILok Sabha Secretariat as the case may be in
case of Member of Parliament and Ex-Member of Parliament.. In respect of Central Govt.-
pensioners, Freedom fighters etc. covered under Central Govemment Health Scheme, the
reimbursement will be made by respective Additional/Joint/Deputy Director of CGHS of
concerned City from CGHS Head.
5. Pcnnission for follow-up treatment may be granted by the Head of the Department in case of
Central Government Employees, working employees and pensioners of Autonomous Bodies
admitted under the S«heme and by Rajya Sabha Secretariat/Lok Sabha Se~etariat as the case
may be in case of Members of Parliament and Ex-MPs and by C.M.O. Incharge of concerned
CGHS Dispensary in case of Pensioners, Freedom Fighters etc. for 3-6 months at a time, which
may be c;xtcnded if required on the basis of medical record.

Contd/...
~----------;-------------------------"----~- -~ ----"

,
'·0
,... k,.. , .In ,~i\~<;;. pLoth.CT;i.cpndilio.ns
-:2:-

(othc~ .\tl-tClp.,:,thosc. mentioned eaj-Jj~r) where prior pennission lor

I

.1 . ~

." ,~. tr~<!tt;l)e.t)t:.injt.JlriYilte~h,osp.itl\l T~cogRized und~r C;GHS is' granted, regular follow-up treatment is
c" to·.bcoblained from. CGHS Dispensary/CGHS/Govt.specialist only.. However the OPD
medicines. prescribed on discharge summary may be issued by concerned CGHS dispensary up
to s maximum period of one month.
7. Permission for follo~treatment in case of accidents, where patients were admitted under
eme~cy. without prior pennission .in recognized hospitals under CGHS may be considered by
Head. 0 CGHS Organiption of city concerned subject to Ex-post facto sanction for initial
treatment .~. on qisc"'arge summary and possession of a valid CGHS card. In such cases
Medical reimbursement claim may be accompanied by a copy of the Permission letter.
S. ,In exceptional cases where pennission for treatment of the above mentioned conditions in a
private un-recognjzed hospital was granted by Ministry of Health and Family Welfare,
permission for follow-up treatment may be considered by Head of CGHS organization of
concerned city on a case to case basis and HOD in respective cities.
Q. This issUes with the concurrence of Finance Division vide Dy. No.2266/JS(FA) dated 4.4.2001 .
..,.

(8.B. BHA11ACHARJEE)
UNDER SECRETARY TO THE GOVERNMENT OF INDIA.
~

AU MinistrieslDepartments of Government of India.

Director General of Health Services.•
Director. CGHS.
AU AdditionallJointmeputy Directors
ofCGHS (as per address list).
Registrar. ,Supreme Court. New Delhi.
. .
J. Shri U. M. Purohit, Secretary. Staff Side,
I)-C. Ferozshah Road, New Delhi-I.
i All OfficersfSectionsIDesks in the Ministry ofHeaIth & Family Welfare.
,.
.,
C&AG ofIndia., 1O,Bahadur Shah Zafar Marg, New Delhi-2
Copy fOf-folder.

:opy for information to:-

(1) Secretary (H)

(2) Add!. Secretary (P)
(3) Chief Controller of Accounts
oL:Y'''':~
(B.B. BHAITACHARJEE)
tJNDER SECRETARY TO THE GOVERNMENT OF INDIA.