Medical Care for ECHS Beneficiaries in Remote and Hill Areas

Medical Care in Remote and Hill Areas for ECHS Beneficiaries – Amendment in declaration of Remote Areas and Hill Areas under ECHS

Ministry of Defence Central Organisation, ECHS has issued a letter extending Medical Care for ECHS beneficiaries in Remote/Hilly Areas as listed below.

                                                                                                                                    Central Organisation,  ECHS
Adjutant  General’s  Branch
Integrated  Headquarters
Ministry of Defence (Army)
Maude Lines
Delhi Cantt-110010

B/49774/AG/ECHS/Referral/2015

                                                                             14th  May 15

IHQ of MoD (Navy)/DGMS  (N) for OIC ECHS
Air HQs (VB)/AOA/DPS
HQs SC, EC, WC,  CC, NC, SWC (A/Med)
HQs WNC,  SNC, SNC & ENC
HQs WAC, CAC, EAC, TC, SWAC & MC IAF

MEDICAL CARE FOR ECHS BENEFICIARIES IN REMOTE/HILLY AREAS

1.  Ref this organization  letter No B/49774-P/AG/ECHS/Referral  dt 25 Apr 07.

2.  The following  amendments  are hereby made at Para 2 of letter under reference:-

(a)  For
Applicable  for residents of following  states only:-

(i)     Himachal  Pradesh.

(ii)    Uttaranchal.

(iii)   North  Eastern  States  of Sikkim, Arunachal   Pradesh,  Manipur,  Tripura, Nagaland  and Meghalaya  (less district Shillong).

(iv)   West Bengal :   District – Darjeeling  only.

(v)    Karnataka      :   District – Chikmagalur  and Kodagu only.

(vi)  Tamil Nadu   :   Distict –  Nilgris only.

(vii) Chhattisgarh  :   District – Bastar and Dantewara  only.

(viii) Orissa            :   District –  Koraput and Mayurbhanj  only.

(b)       Read

Applicable  for residents of following  states only:-

(i)   Himachal Pradesh.

(ii)  Uttaranchal.

(iii) North  Eastern  States  of Sikkim, Arunachal   Pradesh,  Manipur,  Tripura, Nagaland and Meghalaya  (less district Shillong).

(iv) West Bengal             : District – Darjeeling  only.

(v) Krnataka                   : District – Chikmagalur  and Kodagu only.

(vi) Tamil Nadu               :Distict  – Nilgris only.

(vii) Chhattisgarh             :District – Bastar and Dantewara  only.

(viii) Orissa                     : District – Koraput and Mayurbhanj  only.

(ix) Madhya Pradesh      : District – Hoshangabad  only.

(Vijay Anand) Col
Dir (Med)
for Offg MD

Central Organisation,  ECHS
Adjutant  General’s  Branch
IHQ of MOD.(Army)
Maude Lines
Delhi Cantt – 10

B/49774-P/AG/ECHS/Referral                                                                                                                         05  Apr 07

IHQ of MoD  (Navy)/DGMS (N) for OIC ECHS
Air HQs (VB)/AOA/DPS
HQs SC,EC,WC,CC,NC,SWC   (A/Med)
HQs WNC,SNC & ENC
HQs WAC,CAC,EAC,TC,SWAC & MC IAF

MEDICAL  CARE  FOR ECHS  BENEFICIARIES    IN REMOTE/HILLY   AREAS

1.   Representations   have   been   received   from   the   environment   that   ECHS beneficiaries residing in remote/hilly areas face great inconvenience for getting referrals even for minor ailments from their nearest polyclinics due to distance/terrain.

2.  It has been decided that ECHS beneficiaries will henceforth be permitted  to avail the facilities/services of nearest Govt Health Care Centres/ Primary Health Centre/ Govt Hospitals (deemed empanelled)  without  prior referral  from the polyclinic subject to the following conditions :-

(a) Distance from nearest polyclinic should be more than 50 Kms.

(b) Applicable for residents of following states only:-

(i)  Jammu & Kashmir.

(ii) Himachal Pradesh.

(iii) Uttaranchal.

(iv) North Eastern States ofSikkim, Arunachal Pradesh, Mizoram, Manipur,  Tripura and Nagaland.

(v) West Bengal :  District Darjiling only.

(vi) Kamataka :   District – Chikmagalur, Kodagu only.

(vii) Tamilnadu  :   District – Nilgris only.

(vii) Chhattisgarh:  District – Bastar  and Dantewara only.

(viii) Orissa   :   District – Koraput only.

(c)       Treatment permitted for maximum period of 07 days.

3.  Parent    Polyclinic  will be notified of such treatment undertaken at the earliest (within  two  working  days).   Info  can  be  sent  by  person/telephone/mail/fax/telegram. Parent polyclinic will generate a referral immediately on receipt of information and attach the  same  with  the  claim   when  received.   Claims  for  reimbursement  of  expenditure incurred  should be submitted to Parent Polyclinic   within one month of completion   of, treatment.  The claim will include the following:-                         

(a)       Application   of  claim  by the   member.   Summary  of    case including diagnosis and outcome/ further advise by  treating doctor/hospital to be enclosed.

(b)   Photocopy of ECHS  Smart Card/Regn Slip.

(c)   Prescription/Clinical notes of treating doctor.

(d)   Bills of  medicines/investigation/treatment   procedure  in   original   duly authenticated  by treating doctor/hospital,  alongwith a photocopy.    In  cases of treatment in Govt Hospitals, consultation is normally free. Bills, therefore, would pertain to medicines and treatment /investigation charges only, as applicable.

4.  The bills will be processed by Parent Polyclinic as per procedure  laid down vide this HQ letter No B/49773/ AG/ECHS dated 25 May 04  read in conjunction with this HQ letter  No  B/49773/ AG/ECHS/R dt  28  Oct  04  for treatment  in  Govt  Hospital,    and payment  made through  cash assignment  of  local  Station Headquarters.    Sanction of Central orgainsation ECHS is not required.

5.  In cases of Emergency, patients can get admitted to any hospital. Emergency bills will continue to be processed as per existing instructions. Similarly in cases where further treatment is advised by local Govt Hosp,  and/or major treatment procedure is required, patient  will  be  referred  to  suitable  Service/Empanelled  Hospital through  Parent Polyclinic as per existing procedure.

(RK Kalra)
Maj Gen
MD ECHS

Download Ministry of Defence, Central Office ECHS letter No.B/49774/AG/ECHS/Referral/ 2015 dated 14.05.15