Reimbursement for Treatment in Non Empanelled Hospitals for CGHS Beneficiaries
RAJYA SABHA UNSTARRED QUESTION NO-2344
ANSWERED ON-07.08.2018
Shri Ram Kumar Kashyap
(a) whether Supreme Court while disposing off Writ Petition (Civil) No. 694 of 2015 has ordered that reimbursement cannot be denied to CGHS beneficiaries even if they received treatment in a hospital not empanelled under the plan;
(b) if so, whether CGHS beneficiaries can take treatment in any hospital not empanelled under CGHS in view of the recent Supreme Court Judgement;
(c) if not, the reasons therefor; and
(d) the details of medical claims pending in CGHS Delhi South Zone, R. K. Puram, Sector-8 Dispensary for more than three years and by which date the said claims will be settled?
ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE
(SHRI ASHWINI KUMAR CHOUBEY)
(a) to (c): Hon’ble Supreme Court of India vide its Judgement dated 13th April, 2018 in the WP (Civil) No. 694 of 2015 between Shri Shiva Kant Jha Vs UoI has given directions to frame guidelines for settlement of medical claims of pensioners within 1 month and for constitution of a High Powered Committee for settlement of grievances of medical claims of pensioners. Accordingly, Office Memoranda No. Z.15025/38/2018/DIR/CGHS, dated 14.05.2018 and No. Z.15025/38/2018/DIR/CGHS/EHS, dated 22.05.2018 have been issued for fixation of timelines for settlement of medical claims of pensioners and constitution of High Powered Committee respectively.
There is already a provision under CGHS for consideration of medical expenditure incurred for treatment under emergency in non-empanelled hospitals at CGHS rates and to undergo treatment in non-empanelled hospitals at CGHS approved rates after obtaining permission from Competent Authority.
(d): No claim with proper supporting documents is pending for more than three years.
Authority: https://rajyasabha.nic.in/
Changes in EPS by the Central Government
Changes in EPS by the Central Government as per New Notification MINISTRY OF LABOUR AND...
DoPT Clarification dated 28-07-2020 : Regularization of absence during COVID 19 lockdown period
DOPT Clarification on regularization of absence during COVID-19 epidemic lockdown period. F.No.14029/5/2019-Estt.(L)(Pt.2)Government of IndiaMinistry of...
Grant of annual increment due on 1st July to the employees retiring on 30th June of the year
A number of representations are being received in this office seeking grant of one annual...
Delhi High Court Dismisses Plea against Freezing of DA and DR
Delhi High Court Dismisses Plea against Centre’s decision on Freezing of Dearness Allowance and Dearness...
Retention in Govt Service beyond the age of 50 years or on completion of 30 years of service
Retention in Govt Service beyond the age of 50 years or on completion of 30...
Stepping up of pay of senior Assistants of CSS drawing less pay on promotion
Stepping up of pay of senior Assistants of CSS drawing less pay on promotion in...