Payable/ Non-Payable Items for settlement of claims: ECHS

Transparency measures to prevent malpractice by external parties in ECHS - Advisory on Empanelment of Healthcare Organization

Advisory on Payable/ Non-Payable Items for settlement of claims: ECHS Order dated 08.12.2022

Central Organisation ECHS
Adjutant General’s Branch
Integrated HQ of MoD(Army)
Thimayya Marg,
Near Gopinath Circle
Delhi Cantt – 110 010

B/49778/AG/ECHS/Claim/Advisory

08 Dec 2022

IHQ of MoD (Navy)Dir ECHS (N)
Air HQ (SP), Dte of AV, Subroto Park
HQ Coast Guard
HQ Southern Command (A/ECHS)
HQ Easthern Command (A/ECHS)
HQ Western Command (A/ECHS)

HQ Northern Command (A/ECHS)
HQ Central Command (A/ECHS)
HQ South Western Command (A/ECHS)
HQ Andaman & Nicobar Command (A/ECHS)
HQs Training Command AF. Bangalore
All Regional Centres ECHS

ADVISORY ON PAYABLE / NON-PAYABLE ITEMS FOR SETTLEMENT OF CLAIMS

1. Refer to this HQ letter No B/49778/AG/ECHS/Claim/Advisory dt 04 Oct 2022.

2. Amendment to Appx ‘C’ is placed as an enclosure for implementation. The earlier Appx C attached with letter under reference may be treated as cancelled

(Rajesh Batlish)
Surg Capt
Jt Dir Claim
for MD ECHS

Appx ‘C’
(Ref to this HQ letter No B/49778/AG/ECHS/Claim/Advisory
dt 08 Dec 2022.

ITEMS SPECIFICALLY EXCLUDED IN THE POLICIES

S No ITEMS STATUS
1. ADMISSION/REGISTRATION CHARGES Not Payable
2. CORRECTIVE SURGERY FOR REFRACTIVE ERROR Not Payable
3. COST OF SPECTACLES/CONTACT LENSES/HEARING AIDS ETC. Not Payable
4. DENTAL TREATMENT EXPENSES AS PER CGHS RATELIST Payable
5. ANY EXPENSES WHEN THE PATIENT IS DIAGNOSED WITH RETRO VIRUS + OR SUFFERING FROM/HIV/ AIDS ETC IS DETECTED/ DIRECTLY OR INDIRECTLY To be processed as per ECHS policy
6. DONOR SCREENING CHARGES
7. EXPENSES FOR INVESTIGATION/ TREATMENT IRRELEVANT TO THE DISEASE FOR WHICH ADMITTED OR DIAGNOSED
8. HOME VISIT CHARGES
9. HORMONE REPLACEMENT THERAPY
10. HOSPITALISATION FOR EVALUATION/ DIAGNOSTIC PURPOSE
11. OBESITY (INCLUDING MORBID OBESITY) TREATMENT IF EXCLUDED IN POLICY
12. PSYCHIATRIC & PSYCHOSOMATIC DISORDERS
13. STEM CELL IMPLANTATION/ SURGERY and storage
14. WEIGHT CONTROL PROGRAMS/ SUPPLIES/ SERVICES

Surg Capt Cdr/ Lt Col/Wg Cdr
Jt Dir Medical (Claim)
Central Org ECHS
AG’s Branch; IHQ of MoD (Army)

Source: ECHS

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