MEDICAL CARE FOR ECHS BENEFICIARIES IN REMOTE/HILLY AREAS

MEDICAL CARE FOR ECHS BENEFICIARIES IN REMOTE/HILLY AREAS

Central Organisation, ECHS
Adjutant General’s Branch
Integrated Headquarters
Ministry of Defence (Army)
Maude Lines
Delhi Cantt-110010

I B/49774/AG/ECHS/Referral/2015

14 May 15

MEDICAL CARE FOR ECHS BENEFICIARIES IN REMOTE/HILLY AREAS

1. Ref this organization letter No B/49774-P/AG/ECHS/Referral dt 25 Apr 07.

2. The following amendments are hereby made at Para 2 of letter under reference:-

(a) For

Applicable for residents of following states only:-

(i) Himachal Pradesh.
(ii) Uttaranchal.
(iii) North Eastern States of Sikkim, Arunachal Pradesh, Manipur, Tripura, Nagaland and Meghalaya (less district Shillong).
(iv) West Bengal : District – Darjeeling only.
(v) Karnataka : District – Chikmagalur and Kodagu only.
(vi) Tamil Nadu : Distict _- Nilgris only.
(vii) Chhattisgarh : District – Bastar and Dantewara only.
(viii) Orissa : District – Koraput and Mayurbhanj only.

(b) Read

Applicable for residents of following states only:-

(i) Himachal Pradesh.
(ii) Uttaranchal.
(iii) North Eastern States of Sikkim, Arunachal Pradesh, Manipur, Tripura, Nagaland and Meghalaya (less district Shillong).
(iv) West Bengal : District – Darjeeling only.
(v) Karnataka : District – Chikmagalur and Kodagu only.
(vi) Tamil Nadu : Distict – Nilgris only.
(vii) Chhattisgarh : District – Bastar and Dantewara only.
(viii). Orissa : District – Koraput and Mayurbhanj only.
(ix) Madhya Pradesh : District – Hoshangabad only.

sd/-
(Vijay Anand)
Col
Dir (Med)
for offg MD

Central Organisation, ECHS
Adjutant General’s Branch
Integrated Headquarters
Ministry of Defence (Army)
Maude Lines
Delhi Cantt-110010

B/49774-P/AG/ECHS/Referral

05 Apr 07

MEDICAL CARE FOR ECHS BENEFICIARIES IN REMOTE/HILLY AREAS

1. Representations have been received from the environment that beneficiaries residing in remote/hilly areas face great inconvenience for getting referrals even for minor ailments from their nearest polyclinics due to distance/terrain.

2. It has been decided that ECHS beneficiaries will henceforth be permitted to avail the facilities/services of nearest Govt Health Care Centres/ Primary Health Centre/ Govt Hospitals (deemed empanelled) without prior referral from the polyclinic subject to the following conditions:-

(a) Distance from nearest polyclinic should be more than 50 Kms.

*(b) Applicable for residents of following states only

(i) Jammu & Kashmir.
(ii) Himachal Pradesh.
(iii) Uttaranchal.
(iv) North Eastern States of ‘Sikkim, Arunachal Pradesh, Mizoram, Manipur, Tripura and Nagaland.
(v) West Bengal : District Darjiling only.
(vi) Karnataka : District – Chikmagalur, Kodagu only.
(vii) Tamilnadu : District -Nilgris only.
(vii) Chhattisgarh : District – Bastar and Dantewara only.
(viii) Orissa : District – Koraput only.

* Amended vide B/49774-P/AG/ECHS/Referral dated 25-Apr-07

(c) Treatment permitted for maximum period of 07 days.

3. Parent Polyclinic will be notified of such treatment undertaken at the earliest (within two working days). Info can be sent by person/telephone/mail/fax/telegram. Parent polyclinic will generate a referral immediately on receipt of information and attach the same with the claim when received. Claims for reimbursement of expenditure incurred should be submitted to Parent Polyclinic within one month of completion of treatment. The claim will include the following:-

(a) Application of claim by the member. Summary of case including diagnosis and outcome/ fiirther advise by treating doctor/hospital to be enclosed.

(b) Photocopy of ECHS Smart Card/Regn Slip.

(c) Prescription/Clinical notes of treating doctor.

(d) Bills of medicines/investigation/treatment procedure in original duly authenticated by treating doctor/hospital, alongwith a photocopy. In cases of treatment in Govt Hospitals, consultation is normally free; Bills, therefore, would pertain to medicines and treatment /investigation charges only, as applicable.

4. The bills will be processed by Parent Polyclinic as per procedure laid down vide this HQ letter No B/49773/AG/ECHS dated 25 May 04 read in conjunction with this HQ letter No B/49773/AG/ECHS/R dt 28 Oct 04 for treatment in Govt Hospital, and payment made through cash assignment of local Station Headquarters. Sanction of Central orgainsation ECHS is not required.

5. In cases of Emergency, patients can get admitted to any hospital. Emergency bills will continue to be processed as per existing instructions. Similarly in cases where further treatment is advised by local Govt Hosp, and/or major treatment procedure is required, patient will be referred to suitable Service/Empanelled Hospital through Parent Polyclinic as per existing procedure.

Maj Gen
MD ECHS

Source: http://echs.gov.in/images/pdf/med/med133.pdf