Placed below is e-mail from Maj. Gen. J George , MD ECHS regarding
procedure for availing treatment in ECHS Empanelment hospital
.
From
MD ECHS
1.
I have been reading a number of mails and have come across numerous cases
where ECHS beneficiaries are facing difficulties because they are not aware of
the procedures laid down for treatment in ECHS empanelled hospitals. May I
request you to pass this information on to as many of our veterans to prevent
inconvenience to them when they need treatment through ECHS.
2. The
guiding principles are as under:-
(a) In case of an ailment and a
beneficiary requires any treatment, both OPD or IPD, report
to the nearest ECHS Polyclinic.
(b) As far as possible, avail
treatment in an ECHS empanelled hospital as it ensures cashless treatment, thus
avoiding financial burden on the veteran.
(c) Wherever possible,
proceed to the empanelled hospital only once the OIC Polyclinic has
spoken to the empanelled hospital concerned and
obtained a confirmation that a bed is available if admission is
required.
(d) If the empanelled hospital demands any cash from the
beneficiary, bring it to the notice of the OIC
Polyclinic and the undersigned, so that
necessary action can be taken to resolve it immediately.
(e)
If the beneficiary wants any planned treatment to be carried out in
a non- empanelled hospital for any reason, then the
following needs to be obtained before the
treatment commences:-
(i) Diagnosis of the treating doctor with an
estimate of the cost
of treatment.
(ii) Approval of the service
specialist.
(iii) Approval of MD, ECHS.
(f)
However, in case of an emergency, an ECHS beneficiary can go
to any hospital and get treated. The nearest Polyclinic should be
informed within
48 hours so that necessary Emergency Information
Report can be raised. Conditions that can be considered as
emergency have already been elaborated in the ECHS
policy letters uploaded on our website.
3.
I do agree that non-availability of medicines has been a problem in ECHS.
ECHS has to obtain all its medicines through the Armed Forces Medical Services
and despite our best efforts, there are delays as AFMSDs and SEMOs of MHs have
to follow the Defence Procurement procedures for procurement of medicines. The
proposal for a pilot project on outsourcing of pharmacy operations of ECHS has
not been sanctioned as yet. However, whatever funds are required by the Armed
Forces Medical Services for provision of medicines to ECHS Polyclinics are being
provided by Central Org, ECHS to the office of DG AFMS. Concerted efforts are
being made to improve the compliance level of supply of medicines.
4.
Some of the other benefits that have been recently granted to ECHS beneficiaries
are as under:-
(a) Travel by air in case of an emergency, if no other
mode of transport exists.
(b) Reimbursement of ambulance charges.
5.
Some of the other highlights are as under:-
(a) Over 120 new
polyclinics have been operationalised over the last year and a half and most of
these are in remote areas.
(b) Revised scales of equipment for ECHS
polyclinics has been issued by the Govt and the office of DG AFMS has been
approached to procure the same at the earliest.
(c) All polyclinics
have been sanctioned a generator each so that equipment like Dental Chairs can
function even when there is no power supply.
(d) 10 Regional Centres
have already gone on-line for bill processing. This has speeded up processing of
empanelled hospital bills as also brought in transparency.
(e)
117 hospitals have been empanelled in the last one year with ECHS. Special
attention is being given to Mumbai and Coimbatore so that we can have some
hospitals empanelled at both these stations.
6. May I also request our
veterans not to spread false propaganda like the one on a maximum ceiling of Rs
25,000/- for treatment in ECHS. There is no truth in this.
7.
Health of the veterans is the concern of ECHS and so long as I am its MD, it
will be my endeavour to address each one personally. Please do make my mobile No
8527794678 known to every body, Sir. It will also be nice if the veterans can
mention their mobile No whenever they send a mail so that I can personally speak
to them and redress their grievances.
Wishing all the veterans and their
dependents the best of health.
Warm regards,
Yours sincerely,
Maj Gen J
George
MD
ECHS