MINISTRY
OF HEALTH AND FAMILY WELFARE
LOK SABHA
UNSTARRED QUESTION NO 2812
ANSWERED
ON 07.02.2014
CASHLESS FACILITY TO CGHS BENEFICIARIES
2812 . Shri RUDRAMADHAB RAY
M. K. RAGHAVAN
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-
M. K. RAGHAVAN
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-
(a) the medical assistance and other facilities provided by
the Government to retired Central Government pensioners under the Central
Government Health Scheme (CGHS) through empanelled hospitals;
(b) whether the empanelled hospitals under CGHS provide cashless
facility to the pensioners only for the diseases for which they are empanelled
even during the emergencies and if so, the details thereof along with the
regulations in this regard;
(c) whether the Government plans to instruct all empanelled
hospitals to provide cashless facilities to pensioners and other CGHS
beneficiaries irrespective of diseases for which they are empanelled during
emergencies and shift the patients to other authorised hospitals after first
aid;
(d) if so, the details thereof and if not,the reasons
therefor; and
(e) the steps taken/proposed to check exploitation of
patients in emergencies by empanelled hospitals?
ANSWER
THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI
AZAD)
(a) to (e): Central Government Health Scheme (CGHS) empanels
private hospitals for providing inpatient medical treatment to its
beneficiaries. They may avail the requisite treatment with prior permission for
procedures advised by CGHS and other government specialists / CMO–in-charge.
CGHS pensioner beneficiaries are entitled for cashless medical treatment in the
CGHS empanelled private hospitals. The empanelled private hospitals under CGHS
provide treatment to the pensioners on credit /cashless basis for the procedures
for which they are empanelled.
However, in case of emergency conditions empanelled hospitals
are expected to provide treatment to pensioners on credit basis, even for
conditions for which they are not empanelled and they are expected to shift the
patient to another empanelled hospital after stabilization as per the
Memorandum of Agreement (MoA) signed with government.
In case of violation of the terms of the Memorandum of
Agreement, suitable action, including depanelment can be initiated against errant
hospitals.
