EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME (ECHS)
APPLICATION FORM FOR MEMBERSHIP (REV 2014)
GENERAL INSTRUCTIONS
1. Eligibility
(a) Should be an Ex-Serviceman and drawing pension/disability pension/family pension from Controller of Defence Accounts including Indian Coast Guard personnel.
(b) War Widows (Veer Naris) / NOK of Battle causalities.
(c) Personnel disabled in Operations.
(d) Recruits medically boarded out during training and in receipt of disability pension.
Notes : (i) Ex-Servicemen not drawing pension are NOT eligible.
(ii) To take benefits of ECHS you CAN NOT be drawing benefits of any other Government medical Scheme.
2. Dependents.
(a) Spouse including legally more than one spouse.
(b) Unemployed Son(s) / Brother up to 25 years of age.
(c) Unemployed/unmarried Daughter (3) / Sister including widow/ legally divorced irrespective of age.
(d) Physically/ Mentally handicapped child / brother / sister for life.
(e) Wholly dependant Parents whose combined monthly income from all source does not exceed Rs 3500/- plus DA and are generally residing with the member.
(f) Parents of deceased soldier can be eligible, subject to meeting dependency criteria.
(g) If both husband and wife are Defence Personnel, parents of both members are eligible if both pay subscription, subject to meeting dependency criteria
Notes : (i) Widow after remarriage in receipt of family pension is eligible for ECHS membership alongwith her children from first marriage. However, her present Husband and children born later are not entitled.
(ii) Grandparents/Grand children are not entitled.
(iii) Part II Orders endorsement by service Headquarters/respective Records for marriage/children born after retirement.
(iv) Please attach relevant medical documents of Drug Allergy (if any) and Blood Group.
(v) Responsibility of intimating Death/Non Dependency in respect of Father /Mother of the ESM lies with ESM/Family Pensioner.
3. ECHS Contribution.
(a) Ex-Servicemen Retired Prior to 01 Apr 03.
(i) Should deposit one time ECHS contribution in Govt treasury/Nationalised bank through MRO as per rates of subscription.
(ii) Four copies of MRO in Original to be prepared.
(b) Ex -Servicemen Retired/Retiring After 01 Apr 03. Subscription is being deducted directly by CDA (P) and reflected in PPO.
(c) Rates of Contribution w.e.f 01 Jun 2009 are as under (Subject to Revision by Govt)
| Grade Pay drawn at the time of retirement | RATES OF Contribution |
| Rs 1800/-, Rs 1900/-, Rs 2000/-, Rs 2400/- and Rs 2800/- per month |
Rs 15,000/- |
| Rs 4200/- per month | Rs 27,000/- |
| Rs 4600/-, Rs 4800/-, Rs 5400/- and Rs 6600/- per month | Rs 39,000/- |
| Rs 7600/- and above per month | Rs 60,000/- |
(d) Category of Ward
Officers – Private ward
JCO & Equivalent – Semi Private ward
ORs & Equivalent – General ward
Notes :- (i) War Disabled Pensioners/War Widows/NOK of Battle Casualties are exempted from paying ECHS subscription.
(ii) Fixed medical Allowance will be stopped from date of ECHS membership.
(iii) All pensioners who have retired prior to 01 Jan 1996 are exempted contribution.
(iv) Nb Sub to Sub Maj including Hony Ranks of Lt/Capt and Equivalent are authorized Semi Private
ward.
(v) Sep to Hav including Hony Ranks of Nb Subedar and Equivalent are authorized General ward.
4. Some important DO’s & DON’Ts for availing treatment are as tabulated below:
| DO’S | DONT’S |
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| ECHS Revised Application Form for Membership |
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| ECHS Revised Application Form for Membership – Dependents Details |
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| ECHS Revised Application Form for Membership – Last Page |
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| ECHS Revised Application Form – Sample of Affidavit |
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| ECHS Revised Application Form – Receipt for Documents cum Temporary Card |
Click here to download pdf file
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