a) & (b): CGHS beneficiaries are provided quality health care facilities through its large network of dispensaries in various systems of medicine. In addition, inpatient facilities are provided through the Government hospitals and a large number of empanelled private hospitals. The hospitals are under the contractual obligation to follow the terms and conditions of empanelment which include following the CGHS guidelines and the approved package rates for providing medical treatment to CGHS beneficiaries. The scope and coverage of CGHS is quite exhaustive and many public sector organisations are broadly following the CGHS guidelines in providing healthcare facilities to their employees.
(c) & (d): CGHS has received various complaints against private hospitals empanelled under CGHS regarding overcharging, denial of credit facilities, dishonoring the permission letter and pressurizing for shifting the patients before complete treatment etc.
(e): Appropriate actions are taken as per the terms and conditions of empanelment against the erring hospitals which include forfeiture of performance bank guarantee, suspension of empanelment, depanelment and even blacklisting of hospital for future empanelment under CGHS. Surprise inspections of empanelled private hospitals are also done on regular basis by the senior officers of CGHS to ensure that the CGHS beneficiaries get quality healthcare services as per the CGHS guidelines and the terms and conditions of empanelment.
The above information was submitted by MoHFW in reply of undermentioned Lok Sabha Question:-
GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA
UNSTARRED QUESTION NO 3677
ANSWERED ON 14.12.2012
UNIFORM FACILITIES TO CGHS INSURANCE BENEFICIARIES
3677 . Shri MAHABAL MISHRA
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-
(a) whether Central Government Health Scheme (CGHS) beneficiaries are liable to get the health care facilities in empanelled hospitals at par with those in Public Sector Undertakings (PSUs) and also health insurance beneficiaries;
(b) if so, the details thereof and if not, the reasons therefor;
(c) whether the Government has received complaints regarding harassment of patients admitted under the CGHS schemes and discrimination against them;
(d) if so, the details thereof; and
(e) the corrective steps taken/proposed by the Government in this regard?
ANSWER
MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD)
Source Link: http://164.100.47.132/LssNew/psearch/QResult15.aspx?qref=132772
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COMMENTS
NO RESPONSE TO MY LETTER BELOW TILL DATE
To
Desun Hospital,Kolkata
[email protected]
Sir,
I am eagerly awaiting for your response. While Govt. policy is not to refuse any patient your hospital refused admission to a DENGU Patient – a CGHS Pensioner Benificiary – who is entitled to cash less treatment from your hospital as your hospitalis enlisted one under CGHS Scheme. This is deficiency of service,is it not ? Sukumar Mondal Card No.P74506
21 01 2013
>> >
Desun refused to admit me
Complain to CGHS and to DESUN HOSPITAL isyet to be addressed
copy Desun Hospital,Kolkata
>> > [email protected]
>> > Sir,
>> > I am eagerly awaiting for your response. While Govt. policy is not to refuse any patient your hospital refused
>> > admission to a DENGU Patient – a CGHS Pensioner Benificiary – who is entitled to cash less treatment from your hospital as your hospital is enlisted one under CGHS Scheme.
This is deficiency of service,is it not ?
Sukumar 21 01 2013
The CGHS beneficiaries are provided quality healthcare facilities through its large network of dispensaries in various systems of medicine. The DGHS(Delhi Govt.) on the other hand does not provide any facility to its employee such as a separate dispensary, plastic card for the individual as in CGHS, but the employee has to go to the same dispensary where the lowest class i.e. rickshaw wala, settlement colony personnel, personnel from the slums are treated BUT the Govt. deducts the same amount from the pay i.e. Rs.500(Grade Pay 7600) every month from my pay. Is it Justified?