ECHS beneficiaries to be given up to 7 days medicines after discharge

No.22D(07)/2014/ (WE)/D(Res)

Government of India

Ministry of Defence

Sena Bhawan, New Delhi

Dated : 22nd April, 2015

ADDENDUM

With reference to Govt. of India, Ministry of Defence letter No.24(8)/03/US(WE)/D(Res) dated 19th December 2003, I am directed to convey the sanction of Competent Authority for adoption of modification in procedure for reimbursement of medical expenses.

2. With a view to alleviate the inconvenience to ECHS beneficiaries in getting medicines immediately after discharge from empanelled private hospitals, it has been decided that ECHS beneficiaries who had taken inpatient medical treatment from a ECHS empanelled private hospital will be issued medicines from the treating private hospital at the time of discharge for a period up to seven (7) days. The hospital will raise bill for the medicines separately and submit it along with the hospital bill for inpatient treatment to ECHS for payment in case of ECHS beneficiaries who are entitled to avail cashless medical treatment at the hospital.

The above facility will however, be subject to the following conditions.

(i) Only essential medicines in generic form for continuity of treatment will be issued by the hospital. :

(ii) No Nutritional supplements, tonic, cough syrup, vitamins, irijections will be issued by the hospital. These are not allowed.

(iii) No non-drug items/equipments/appliances will be issued.

(iv) Total cost of such medicines issued by the hospital must not exceed Rs.2000/- in any case.

4. This facility will be applicable to only those bills raised by empanelled hospitals providing cashless medical treatment to ECHS beneficiaries for all diseases and treatments. However, the conditions as mentioned in Para 6 & 7 of letter under reference wili continue to be applicable for re-imbursement claims of ECHS beneficiaries for the period beyond 7 days from the date of discharge provided empanelled hospitals have issued medicines under this letter.

5. The provisions in this letter will be effective from date of issue of this letter.

6. Sanction of competent authority is hereby granted to regularize the issue of medicines in response to Central Organisation ECHS policy letter B/49761/ AG/ECHS/Eqpt/G-Corres dated 14 Nov. 2012. The re-imbursement of bills of the period from 14 Nov. 201,2 to the date of issue of this letter will be governed by provisions of this letter.

7. This issues with the concurrence of Ministry of Defence (Finance) vide their U.O. No 33(207)/2014.Fin/Pen dated 8-4-2015.

Yours faithfully,

(H.K. Mallick)

Under secretary to the Govt. of India

Clich here for Original Order from EGHS

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