CGHS Role in availing Medical Facility

CGHS/ECHS suite will offer the functionalities to deal with the Central Government Health Insurance Scheme as well as Ex-servicemen Contributory Health Scheme. Solutions Suite presents the advanced framework for the mechanization of health insurance Pre-auth and claims administration management.

CGHS rules:

CGHS Doctor's reference along with office permission compulsory for taking treatment / investigation in recognized hospital / Diagnostic Centers. Emergency therapy can be taken from hospital in case of no government / renowned hospital situated close by.

Can CGHS beneficiary visit directly to the Empanelled hospital?

CGHS recipients have the choice to go to a close by Government hospital / empanelled private hospital or else even any private hospital, in case of any emergency.

Can CGHS card be employed anywhere in India?

Serving employee in related cases shall submit the medical claim to his unit. In case of his family members, other Performa will be followed. For example, my husband/wife was a CGHS major card holder. He/she was ill and died at the same time as in hospital.

Can CGHS beneficiary avail treatment in a private hospital?

In emergency CGHS recipient may be admitted to any Government/private hospital, however the reimbursement will be made as per CGHS rates. On the other hand, full reimbursement may be permitted in specific cases on the reference of Technical Standing.

Is dental treatment covered in ECHS?

In ref to the letter ECHS Polyclinic, through a functional best dental clinic in gurgaon, offering dental care to ECHS beneficiaries are to pursue the guidelines issued vide the a/m letters, at the same time as providing dental treatment as well as while referring patients for additional treatment to the service hospitals/employee facilities

What deals with ECHS?

Ex-Servicemen Contributory Health Scheme (ECHS) is intended to supply health care, together with high-quality, complete cancer care, to all Armed forces ex-servicemen along with their dependents. This facility is extended either in the course of ECHS polyclinics, regional centers, as well as approved private hospitals.

Which is better CGHS or ECHS?

CGHS promises inclusive medical care to about 35 lakh central government employees as well as pensioners. ECHS, which offers allopathic Medicare to ex-servicemen pensioners in addition to their dependents, is prearranged on the lines of CGHS to guarantee cashless transactions.

How do you refund medical expenses in CGHS?

Claim submission: The claim has to be submitted to the related department by serving employees along with to the CMO I/C of your CGHS wellness Centre (where the CGHS card is listed) by the pensioner recipient within three months of discharge from the related hospital. The claim is to be submitted in second copy in the set form.

Our clinic is empanelled under CGHS plan benefit and hence, you can approach us directly if you want to avail the advantages of dental treatment and CGHS privilege simultaneously.