Proposed Scheme for cashless treatment of RELHS beneficiaries in private empanelled hospitals

Proposed Scheme for cashless treatment of RELHS beneficiaries in private empanelled hospitals

GOVERNMENT OF INDIA (BHARAT SARKAR)
MINISTRY OF RAILWAYS(RAIL MANTRALAYA)
(RAILWAY BOARD)

No.2014/H/28/Smart Card/Part A

Dated 27.10.2014

Dear Sirs,

                Sub: Proposed Scheme for cashless treatment of RELHS beneficiaries in private empanelled hospitals

             To discuss the above mentioned subject with the Federations, a spate meeting has been fixed for 05.11.201 at 11.00 Hrs in Chamber of DG(RHS), room .No.348, Railway Board, Rail Bhawan, New Delhi. President and General Secretary of the Federations may kindly make it convenient to attend the Meeting. A ‘Concept Note’ the subject is also sent herewith.

Your faith fully

Sd/-
(D.Malik)
Director,Estt.(IR)

CONCEPT NOTE

Sub: Proposal for implementing Scheme of cashless treatment for RELHS beneficiaries in medical emergency situations at Railway empanelled private hospitals.

       The basic requirements for implementing the scheme of cashless treatment for RELHS beneficiaries n empanelled hospitals can be summarized as follows:

1) The RELHS beneficiary should be able to prove his identity and eligibility to the private hospitals. –

2) The private hospital should be able to communicate with the railway authorities and send relevant clinical details of the patient admitted to railway empanelled private hospital.

3) Railway medical authority after examination of clinical details should be able to authorize/decline the treatment.

4) Private hospital should be able to raise the bill as per the mutually agreed rates.

         The model suggested by the committee takes care of all these requirements. For this committee has suggested a model in which a chip based card shall be issued by Railway to every beneficiary. However in the changed scenario it is reasonable to assume that almost every RELHS beneficiaries will be having an Adhaar card or will be getting it shortly. Hence the railway can implement the solution as outlined by committee without issuing a chip based smart card. The identification of the railway beneficiary can be established with the help of Adhaar card

Brief outline of the scheme with Adhaar Card

ARPAN has the data base of almost all the retired employees. Very soon it is supposed to have the data base of all the past retirees and all the PPOs in future shall also be issued through it. All the information required for the provision medical facilities are present in this data base except for the photograph and biometric details. For identification photograph and biometric details like fingerprint is required. These details are available with the Unique Identification Authority of India website. Railway can get its website developed as outlined by the committee with all the functionalities recommended by the committee.

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