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Central Government Health Scheme has empanelled 750 Health Care Organizations all over the country

Central Government Health Scheme has empanelled 750 Health Care Organizations all over the country

While answering to a unstarred question No.695 in Lok Sabha on 27th Feb 2015, Minister of Health and Family Welfare Shri.Jagat Prakash Nadda said there is no CGHS rates for implant then that implant is reimbursed as per AIIMS/GB Pant Hospital rates. However, if a benefi- ciary opts for a specific brand of implant, he/she shall have to give a written under- taking to bear the difference between the cost of that specific brand and the pres- cribed ceiling rate.

The detailed reply is reproduced and given below for your ready reference…

“The total number of CGHS beneficiaries in the country as on date are 36,67,795.

The CGHS has empanelled 750 Health Care Organizations all over the country.

As per reports received from the field, Grants Medical Foundation Pune has restricted the cashless facilities to serious/emergency cases only. Another hospitals in Ranchi ‘Shree Jagannath Hospital and Research Centre’, which was empanelled recently on 17/11/2014 has stopped this facility.

The reason for pendency of payment of hospital bills is insufficient balance of funds available with UTI-ITSL (Bill Clearing Agency) CGHS recoups funds to UTI-ITSL. There was delay in recoupment due to technical reasons. However, efforts are being made to recoup the funds to UTI-ITSL to avoid pendency.

In addition, through internal adjustment, additional funds are being allocated to Pune & Ranchi to clear the pending bills.

CGHS fixes rates for various treatment procedures and investigations through tender process and rates were last notified on 01.11.2014 for Delhi/NCR and on 17.11.2014 for CGHS cities outside Delhi/NCR. AS per the Memorandum of Agreement signed by empanelled hospital with CGHS at the time of their empanelment they are expected to charge as per CGHS package rates only.

CGHS has fixed up ceiling rates for certain implants without specifying any brand name. If there is no CGHS rates for implant then that implant is reimbursed as per AIIMS/GB Pant Hospital rates. However, if a benefi- ciary opts for a specific brand of implant, he/she shall have to give a written under- taking to bear the difference between the cost of that specific brand and the prescribed ceiling rate”.

CHECK ALSO: CGHS Package Rates 2020

READ ALSO: CGHS Rate List 2020

Latest List of CGHS Empanelled Hospitals 2020

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ALSO READ: ECHS Empanelled Hospitals and Nursing Homes 2020

Related News:

  1. New List of CGHS Hospitals comes into effect from October 2014
  2. Revision of Income limit for dependency for the purpose of providing CGHS – MoD Orders
  3. Latest list of CGHS Hospitals & Revised Package Rates effective from 1.10.2014
  4. Fresh empanelment of private Health Care Organizations (HCOs) and revision of package rates applicable under CGHS Delhi & NCR
  5. Medicines under CGHS can be issued for up to 3 months at a time in chronic diseases – Amendment CGHS Order on 21.10.2014
  6. Suspension of empanelment of Dr. Khanna’s Path Care Pvt. Ltd. Delhi
  7. CGHS Hospitals under surveillance by the aegis of CGHS Officer to check irregularities including exploitation of patients
  8. Accreditation Certificate for Clinical Laboratories
  9. Pensioners take treatment immediately after Retirement before getting CGHS Cards
  10. Empanelment of private hospitals (including dental clinics and eye centres) and diagnostic centres under CGHS Delhi & NCR

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