REFERRAL OF CGHS BENEFICIARIES TO EMPANELLED SUPER-SPECIALTY HOSPITALS

No.S.11011/23/2009-CGHS D.II/Hospital Cell (Part I)

Government of India

Ministry of Health & Family Welfare

Department of Health & Family Welfare

                                                         Maulana Azad Road, Nirman Bhawan

                                           New Delhi 110 108 dated the 7^th February2011

OFFICE MEMORANDUM

Subject:        Referral of CGHS beneficiaries to empanelled Super-Specialty                                       Hospitals

            With reference to the subject mentioned above, the undersigned is directed to state that several representations have been received from CGHS beneficiaries regarding problems faced by them in obtaining permission to undergo treatment at Super-Specialty hospitals. The matter has been reviewed and it has now been decided to simplify the procedure for obtaining treatment from CGHS empanelled super-specialty hospitals .Attention is drawn to Para 6.2 of office memorandum of even number dated 17^th August 2010 wherein it was stated that

            "CGHS beneficiaries have, so far, been the option to get themselves treated in any hospital of their choice. However, in view of the increased outgo on getting treatment in super-specialty hospitals, it has now been decided that CGHS beneficiaries desirous of getting treated in super-specialty hospitals, in non-emergency conditions, prior approval of the concerned Additional Director, CGHS would have to be obtained".

The above mentioned procedure is modified to read as follows:

            "CGHS beneficiaries have, so far, been the option to get themselves treated in any hospital of their choice. However, in view of the increased outgo on getting treatment in super-specialty hospitals, it has now been decided that CGHS beneficiaries desirous of getting treated in super-specialty hospitals, in non-emergency conditions, prior approval of the concerned Chief Medical Officer-in-Charge, of the CGHS Wellness Centre would have to be obtained."

                                                                                      Sd/-

                                                                                     (R. Ravi)

                                                                                      Director

                                                                         {Tel: 23063483}