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  #2  
9th March 2016, 03:17 PM
Super Moderator
 
Join Date: May 2012
Re: Crpf cghs

Hey the for the CGHS benefits a person is required to take treatment in CGHS dispensary.

CGHS Doctor’s reference and office permission required for taking treatment / test in recognized hospital / Diagnostic Centers.

Emergency treatment can be taken from hospital in case of no government / recognized hospital located nearby.

Medicines purchased from open market, in case of OPD treatment taken from recognized private hospital is not reimbursable, and the same is to be obtained from CGHS dispensary.

If test / investigations are carried out privately by CGHS beneficiary on the advice of a government specialist, a non-availability certificate from the government hospital concerned should be attached

GENERAL PURPOSE TREATMENT AND DIAGNOSTIC PROCEDURE:

The entitlement for indoor treatment would be as under:

i) Basic Pay upto Rs.7500/- General Ward

ii) Basic Pay Rs.7501/- to 10500/- Semi-pvt Ward

iii) Basic Pay Rs. 10501/- and above Private Ward


The maximum room rent for different categories would be:

i) General Ward Rs.500/- per day

ii) Semi private Ward Rs.1000/- per day

iii) Private Ward Rs. 1500/- per day

iv) Day Care Rs. 500/- per day


Points to be noted


Emergency treatment can be taken from private hospital in case no government / recognized hospital located nearby.

AMA beneficiaries can take OPD / Indoor treatment from Government Hospital without permission from AMA.

When amount of medical expenses exceeds Rs.1000/- in a financial year, a certificate from controlling officer in terms of GOI, MOH & FW OM No: S-14025/15/94-MS Dt: 12/08/1994 has to be furnished.

AMA beneficiaries are required to take OPD treatment from AMA located near his residence.

AMA is not authorized for giving indoor treatment at his own clinic / nursing home in any case. If inpatient treatment considered necessary, patient to be referred to Govt / Pvt. Recognized / referral hospital for further treatment.


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