Sunday, July 20, 2014

1)CS(MA) Rules 1944 are not applicable to pensioners - Health Ministry 2)CGHS Rates 2014 not yet been notified by Health Mi





CS(MA) Rules 1944 are not applicable to pensioners - Health Ministry

Medical Facilities to Government employees 

Central Government Health Scheme provides medical care to its beneficiaries which include serving as well as retired Central Government employees. The CGHS provides its services through a network of CGHS Wellness Centers which are in operation presently in 25 major cities of the country. Expenditure on medical reimbursement in respect of pensioners is borne by CGHS and in respect of serving employees it is borne by concerned Ministry/ department/office. The pensioner beneficiaries are eligible for credit facility for treatment in CGHS empanelled hospitals. 

Central Services (Medical Attendance) Rules, 1944 are applicable to serving Central Government employees only who are residing in non-CGHS covered areas. Medical attendance is provided by the Authorized Medical Attendant appointed by concerned department. The CS(MA) Rules 1944 are not applicable to pensioners. As per these Rules, there is no provision for issue of medicines and medical reimbursement claims are to be settled by the concerned department/ Ministry. 

The Health Minister stated this in a written reply in the LokSabha here today. 

Source: PIB
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CGHS Rates 2014 not yet been notified by Health Ministry

CGHS Rates 2014 not yet been notified by Health Ministry, which have been placed on CGHS website for information and acceptance only. Some of the CGHS empanelled hospitals have started charging new CGHS rates 2014. It is clarified by the Health Ministry, the empanelled hospitals cannot charge these new rates and also clarified that action will be taken against the hospitals to recovery of overcharged amount. The clarification order is reproduced below for your information...

F. No. S. 11011/20/2014-CGHS (HEC)
Directorate General of Central Govt. Health Scheme
Ministry of Health & Family Welfare
Nirman Bhavan, New Delhi
Dated, 16th July, 2014
CLARIFICATION

It has been brought to the notice of the undersigned that some of the CGHS empanelled Health Care Organizations have started charging new CGHS rates 2014 which have been placed on CGHS website for information and acceptance only. Since these rates have not yet been notified by Ministry of Health and Family Welfare, the empanelled HCOs cannot charge these new rates and CGHS 2010 rates would prevail. Charging these new rates 2014 from CGHS beneficiaries by empanelled health care organizations would amount to overcharging and suitable action including recovery of overcharged amount and forfeiture of performance bank guarantee would be initiated against those HCOs by CGHS.

Dr. (Mrs.) Sharda Verma
Director (CGHS)

Source: www.msotransparent.nic.in
[http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File712.pdf]

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