Ministry of Health and Family Welfare
Treatment from CGHS Empanelled Hospitals
As per the existing guidelines, a CGHS beneficiary is required to obtain
permission from his administrative Department / Office or CMO in charge
(in case of pensioner beneficiary) to avail medical treatment in a CGHS
empanelled private hospital. However, in case of emergency he can go to
any hospital whether empanelled or not, to avail medical treatment.
This provision is necessary to ensure proper medical treatment of a CGHS
beneficiary in consultation with the Government specialists. This is
also a measure of ‘checks and balances’ to ensure financial propriety
and optimum utilization of public money.
This Ministry has been receiving representations from the individuals;
Pensioners Associations etc. to allow the CGHS beneficiaries to take
treatment from the CGHS empanelled private hospitals without obtaining
the requisite permission. However, their requests have not been acceded
to as the present referral system is considered necessary in the
interest of the beneficiaries and it is also necessary as a check and
balance measure to ensure financial propriety.
CGHS is already providing comprehensive and hassle free healthcare
services to its beneficiaries through its large network of Wellness
Centres and empanelled private hospitals and diagnostic /imaging
centres. With a view to further simplify and liberalize the procedures
in CGHS to make its services more hassle free, the requirement of
mandatory permission for undertaking diagnostic tests and investigations
has been done away with w.e.f. 1st January, 2013. In addition,
‘Continuous Empanelment Scheme’ has also been revived at all CGHS
locations to empanel more number of eligible private hospitals to
enhance accessibility and availability of medical services to the
beneficiaries in a hassle free manner.
This information was given by the Union Minister of Health & Family
Welfare ShriGhulamNabi Azadin written reply to a question in the
LokSabha on 23.08.2013.
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