Medicines are normally available at CGHS Wellness Centres and in case any medicine is not readily available, the same are procured through Authorized Local Chemist (ALC) and are supplied to the CGHS beneficiary.

In case any medicine is required urgently, there is a provision for issue of Authority Slip to CGHS beneficiaries to collect medicines directly from ALC without payment.

Medicines for chronic illness are issued upto 3 months for the convenience of CGHS beneficiaries.

Further, following steps have been taken by the Government to augment the availability of medicines at CGHS Wellness Centres:-

Indents have been placed through HLL Life Care Ltd. to procure rate contract generic medicines as an interim measure.

Additional Director of concerned CGHS City has been authorized to procure day to day required generic medicines from nearby Affordable Medicines and Reliable Implants for Treatment (AMRIT) stores till 31st March, 2019.

Treatment of Skin disorders under CGHS

CGHS empanels private General Hospitals, Eye Care Centres, exclusive Cancer Hospitals and Dental Clinics. The private General hospitals are empanelled for all facilities available in the hospital and CGHS does not empanel Speciality wise like Dermatology.

CGHS beneficiary can consult Dermatologist in empanelled hospitals having Dermatology Speciality after referral from CGHS Wellness Centre.

There is no such list of non-listed treatment procedure/investigations; which are not available in CGHS empanelled hospitals/diagnostic centres, under CGHS.

The listed treatment procedure/investigations along with its rates are available on CGHS website and any treatment procedure/investigation not included in such lists are considered unlisted for treatment/investigations in CGHS empanelled hospitals/diagnostic centres. Approval of Competent Authority i.e. from the Ministry/Department in case of serving employees and through Additional Director, CGHS in case of pensioner CGHS beneficiaries is required.

Following are the admissible items included under ‘CGHS package rate’ for empanelled hospitals:-

i) Registration Charges, ii) Admission Charges, iii) Accommodation charges including patient diet, iv) Operation Charges, v) Injection charges, vi) Dressing charges, vii) Doctor/consultant visit charges, viii) ICU/ICCU charges, ix) Monitoring charges, x) Transfusion charges, xi) Anaesthesia charges, xii) Operation theatre charges, xiii) Procedural charges/surgeon’s fee, xiv) cost of surgical disposables and all sundries used during hospitalization, xv) cost of medicines, xvi) Related routine and essential investigations, xvii) Physiotherapy charges etc., xviii) Nursing care and charges for its services.

In addition to the above mentioned items, some patients may require additional facilities/ provisions, which are admissible with proper justification in deserving cases. Therefore, it is not possible to give a comprehensive list of items, which are not admissible. However, the following items are not admissible for reimbursement:-

Toiletries
Sanitary napkins
Talcum powder
Mouth fresheners
CGHS Dispensaries

The number of Central Government Health Scheme (CGHS) Dispensaries/Wellness Centres functioning and proposed to be set up in the country are at Annexure-I and Annexure-II respectively.

The norms for establishment of new Wellness Centre under CGHS are as under:-

(i) In an existing CGHS City:- For opening of a new CGHS Wellness Centre in an existing CGHS City, there has to be a minimum of 2000 Card holders (serving employees of Central Government and Central Civil Pensioners).

(ii) Extension of CGHS to a new City: – For extension of CGHS to a new City, there has to be a minimum of 6000 Card holders.

This information was given by Shri Ashwini Kumar Choubey Minister of State for Health and Family Welfare in written reply to a question in Lok Sabha on 4.1.2019.

Source – Gconnect

   

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