WAITING TIME IN CGHS
DISPENSARIES AND TREATMENT OF SKIN DISORDERS UNDER CGHS
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 Specialty wise like
Dermatology.
CGHS beneficiary can
consult Dermatologist in empanelled hospitals having Dermatology Specialty
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.
