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 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 alogwith 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) Accomodation 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) Anesthesia 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.
