PERMISSIONS FOR TREATMENT IN PRIVATE CGHS EMPANELLED HOSPITALS / CENTRES.

Can I get permission for any Pvt Hospital of my choice?

Yes, provided the Hospital is empanelled for that particular procedure.

Can I opt for better implant by meeting extra cost over and above the ceiling? If yes, how?

Yes, you can. You will have to give an undertaking to the Hospital to that effect.

1.	From where can I get the Specialist consultation as I am suffering from Diabetes and heart disease	Either the Visiting Specialist in WC ( by Appointment ) Or In CGHS Wings of Safdarjang Hospital and Dr. RML Hospital in Delhi Or Specialists of any Govt. Organizations in Delhi and other cities Or Specialists of Pvt Empanelled Hospitals of satellite towns in NCR region upon referrals by CMO I/c of WC
2.	I am entitled for Direct Consultation and Nursing Home facility at Govt Hospitals, Can I go directly for consultation at Govt. hospitals	Yes with prior appointment
3.	I am entitled for Direct Consultation and Nursing Home facility at Govt Hospitals, Can I go directly for consultation at pvt empanelled Hospitals	No. Except the Specialists of Pvt Empanelled Hospitals of satellite towns in NCR region upon referrals by CMO I/c of WC
4.	In emergency who are all entitled to get treatment at Pvt Empanelled Hospital	Any beneficiary holding a Valid CGHS card.
5.	Do I get treatment on credit in emergency at Pvt empanelled Hospital?	Yes, on production of Valid CGHS card
6.	I want to get my Cataract Surgery done at Pvt empanelled hospital ? How can I get it done	Get a Govt. Specialist advice Pensioners to Apply to CMO I/c of WC for permission Serving employees to apply to Head of Deptt. of office
7.	Can I get permission for any Pvt Hospital of my choice?	Yes, provided the Hospital is empanelled for that particular procedure.
8.	How to know which Hospital is empanelled for what purposes / facilities?	Information is available on CGHS Website and on Notice boards of all CGHS WCs
9.	Is there any updated Govt. publication on CGHS facilities available for sale?	Not at present
10.	Is it necessary that the Govt   specialist should write ”referred to CGHS empanelled Hospital “for obtaining permission?	No.
11.	I am a serving CGHS beneficiary. Can I get treatment on credit at Pvt. empanelled Hospital in emergency?	Yes.
12.	In charge does not refer me to Pvt Hospitals on my request?	As per CGHS guidelines OPD referrals are not permissible except in satellite towns of NCR
13.	I am a serving beneficiary. Can I get treatment on credit in non-emergency on producing permission from my office?	No. You will have to make payment and claim reimbursement.
14.	Is cost of implants reimbursed?	Yes.As per ceiling fixed by the Govt.
15 .	Can I opt for better implant by meeting extra cost over and above the ceiling? If yes,how?	Yes,you can.you will have to give an undertaking to the Hospital to that effect.
16.	As a serving beneficiary making payment for my treatment at Pvt.empanelled Hospital.Do I get any rebate while paying the bill?	Yes. The hospital will allow 5% rebate on the bill.
17.	Can I get advance from my office for treatment in Pvt Hospital as I have obtained permission on the recommendation of a Govt specialist?	Yes. You can apply for 90% of the package rates as advance.
18.	I am a CGHS Pensioner beneficiary receiving treatment in AIIMS	It is a Govt. institute, Still I have been asked for payment in advance Will CGHS give me advance Yes 90 % advance is given Apply through CMO i/c with an estimate from Treating Doctor and all relevant documents
19.	I am entitled for Private ward facilities. The hospital has charged 15% extra for investigations even though the investigations are performed on OPD basis. Is this correct?	No. Charges for investigations are same for all categories whether investigated as In patients or Out patients.
20.	The Pvt empanelled Hospital ask me to make payment even in an emergency. what to do?	Do not pay Make a complaint to AD / JD of the city
21.	I suffered a fall .I suspect a fracture.Can I go to a diagnostic center in an emergency for xray?	In emergency you are expected to seek treatment in a hospital which also has diagnostic facilities.
22.	I am an accredited journalist with CGHS Card Can I seek treatment in Pvt empanelled Hospitals in emergency and get credit facility?	No. Journalists are entitled only for OPD treatment from dispensaries and treatment from Dr.RML Hospital. Journalists are not entitled for reimbursement and are not entitled for treatment from empanelled hospitals.
23.	The specialist recommends me to go a particular Pvt hospital but it is too far from my residence. Can I go to a nearby empanelled Hospital?.	Yes. Specialists are expected only to advice a specific line of treatment and are not authorized to refer to any identified centre. The choice of the Hospital is of the beneficiary.
24.	I am a serving employee of an autonomous body ,holding CGHS card. who will give me permission for treatment on the recommendation of Govt specialist?	Office of the serving employee.
25.	I am a pensioner beneficiary of an autonomous organization, having valid CGHS card. Can I obtain permission for treatment at Pvt Hospital from CMO I/c of wellness center?	No. Pensioners of autonomous organizations will be granted permission by their respective offices.
26.	I am a pensioner beneficiary of Kolkata. In case of emergency, can I get treatment on credit at any empanelled Pvt Hospitals in other CGHS cities when I am on a visit to such city?	Yes.
27.	I want to take treatment in a   non-empanelled Hospital of my choice for my planned surgery, recommended by Govt specialist Can I get reimbursement at CGHS rates.?	Permission is granted only for empanelled hospitals. No reimbursement is allowed for taking planned surgery in a non-empanelled hospital.
28.	In case there is no CGHS prescribed ceiling for an implant, what is the cost reimbursable in such a case?	As per actual.
29.	There is no facility for the treatment advised by Govt specialist in Pvt empanelled Hospital in the CGHS city I am residing. Can I get T A for travelling to and fro for my treatment at nearby CGHS city?	Yes. TA is admissible to the nearest CGHS city only when treatment facilities are not available in city of residence.
30.	I am denied treatment at CGHS rates and on credit in emergency in a Pvt empanelled Hospital as I did not carry my card. Is this correct?	Yes, Facilities under CGHS at Pvt empanelled Hospitals are available to the beneficiaries on production of a valid CGHS card.
31.	I have been advised Dentures by Govt Hospital Dental Surgeon Will CGHS provide me	Apply to AD / JD of city through CMO I/c of WC Submit Photocopies of Valid CGHS Card & Specialist Advice Permission shall be granted for dentures @ Rs. 2000 / max. and submit the medical claim for reimbursement
32.	I was advised Cataract surgery by Govt. specialist. I took permission for pvt. Empanelled hospital . Shall I be reimbursed the full cost of lens.	Reimbursement shall be made as per CGHS rates Rates are available on CGHS Website.
33.	I have been advised BTE Hearing Aid by ENT Specialist. Will CGHS provide me Hearing Aid	Apply to AD / JD of city through CMO I/c with Copy of Govt. Specialist advice Copy of Audiogram Copy of Valid CGHS Card Undertaking that no hearing aid has been received from CGHS in the past five years Permission shall be granted to you. Ceiling rate is Rs. 10,000 /- Medical claim may be submitted after purchase of Hearing aid.
34.	I have been advised Digital   Hearing Aid by ENT Specialist. Will CGHS provide me Digital Hearing Aid	Apply to AD / JD of city through CMO I/c with Copy of advice of two Govt. Specialists of different hospitals Copies of two Audiograms Copy of Valid CGHS Card Undertaking that no reimbursement for hearing aid was received from CGHS in the past five years. Permission shall be granted for Digital Hearing aid with a ceiling rate of   Rs.30,000/- Medical Claim may be submitted after purchase of Hearing Aid.
35.	Do Pvt. Empanelled laboratory Centers provide free home collection facility as per CGHS	agreement No
36.	I have been advised CPAP / BI-PAP / Oxygen Concentrator machine by specialist. How can I get it	Apply to AD / JD of city through CMO I/c of WC along with copies of advice (from Deptt. of Respiratory Medicine of Govt. hospital) and medical documents for permission to procure CPAP / BI-PAP machine Expert Committee shall examine and as per the recommendation of the expert committee permission shall be granted for purchase of the machine.

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File119.pdf

CAG, Govt of India orders on Food bills and Auto/Taxi bills while on deputation

The branch associations shall write to respective General Manager with a copy to General Secretary, CFA/PCFA and operating Member/OFB to ensure that this is implemented in toto and our members are reimbursed with their deputation claims. The rules on the above subject as issued by CAG is appended below:

Travel within the city

a) As far as possible, while on tour the team may undertake journey in one auto/taxi for travel between place of stay and the duty point.

b) Officials may be asked to furnish the details of the journey performed during tour in the format ‘Annexure A’.

Food Bills

As far as possible, staff should take its meals in establishments which provide receipts. However, in cases where obtaining receipts is impossible, a Certificate in respect of expenditure incurred on account of Food Bills during tour may be furnished by the Officials in the format ‘Annexure B’.

Annexure-A

S. No.	Date	Name and address of Hotel/Place of stay	Distance in Kms.	Mode of conveyance	Regn. No. of Auto/ Taxi	Fare paid	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

Signature:

Name:

Designation:

Per No.

[CAG of India, Letter No.220-135-6-PC/GE-II/2008(III) dt. 3-2-2010]

Annexure-B

EXPENDITURE INCURRED ON ACCOUNT OF FOOD BILLS DURING TOUR

This is to certify that Mr./Miss/Mrs. ----------------------------------------------- was on Official tour at --------------------------- (place of touring station) from ------------------------- (date of  commencement of journey) for ------- days (number of days) and incurred expenditure on account Food Bills amounting to Rs. ------------- @ Rs.---------- per day. It is also certified that I have not been issued with any receipt on account of payment made towards my Food Bills as the Hotel/Restaurant/Stall where had taken meals/snacks/beverage had no receipt book with them.

Signature:

Name:

Designation:

Per No.

[CAG of India, Letter No.220-135-6-PC/GE-II/2008(III) dt. 3-2-2010]

MEMBERSHIP DRIVE FOR THE YEAR 2013-14

                                                           (MOST URGENT)

TO ALL
THE BRANCH CHAIRMAN & SECRETARIES,
EXECUTIVE COMMITTEE MEMBERS AND MEMBERS.
DEAR FRIENDS,

  Kindly make the membership drive in your branches and get authorisation form duly filled by members which should be submitted to respective factory management (ir / vigilance section) ON OR BEFORE 30^th APRIL positively.    

    After submitting to the factory management, copy of the membership list (Name, Designation,Per.No.) should be sent to THE SECRETARY(SECTION- I/R), O.F.BOARD, KOLKATA-1 either by Fax or Speed post. Another copy of the member ship list to be send to The General Secretary, NDGBGOA/CE in mail Id.(jaigopal_2010@rediffmail.com) or by Post to CE Address.      

      All branch office bearers are requested to make membership of  JWM's & PS's in this year by effective communication to the members regarding year long activities of NDGBGOA for the cadre development like 

i) Court Case at CAT,Chennai :1) Nature of work of JWM(Reply awaited from OFB by end of April'2013).Dir/NG assured to CFA Branch, that the reply has placed to higher authority for approval and same will be sent to the branch by 30^th April 2013.   

                                                 2) Cadre review of JWM                                                

ii) Court case at CAT,Jabalpur : Regarding Pay Fixation for CM at (Rs.6500 x 1.86) & JWM (Rs. 7450 x 1.86).Final hearing of the case in on 30th July'2013.

iii) Removal of Ministerial & Supervisory Cadre for JWM has been taken up by CE with MOD/DP, The letter correspondence is available in the blog.

iv) NDGBGOA is the only association which is seriously thinking about the cadre as well as organizational interest for which it has approached for legal action in CENTRAL ADMINSTRATION TRIBUNAL for all of the cases and it will continue to fight for it.

This is the clear vision of our association.

 All other activities of CE (Letter correspondence) are available in your Mail and NDGBGOA BlogSpot.

DEAR FRIENDS,

          IOFGOA IS MAKING PROPAGANDA AGAINST OUR ASSOCIATION THAT OUR ASSOCIATION IS ILLIGALY ACTING AND MAKING DUAL MEMBERSHIP IN THE BRANCHES.EVEN THEY ARE TELLING THAT OUR CE OFFICE BEARERS ARE JOINING IN THEIR ASSN WHICH IS TOTALLY BASELESS. NDGBGOA IS IN FINAL STAGE OF RECOGNISATION FOR WHICH OFB HAS ASKED THE MEMBERSHIP WITH NAME AND DESN FOR CLARIFYING TO MOD.THE LETTER WAS ISSUED BY OFB ON 10^TH APRIL 2013. KINDLY TAKE CARE THAT YOUR FACTORY HAS SENT THE SAME TO OFB.KINDLY ASK QUESTION TO THE IOFGOA PEOPLE THAT “IF OUR ASSN IS ILLIGAL THEN WHY OFB HAS ASKED ON 10^TH APRIL TO EACH FACTORY REGARDING MEMBERSHIP DETAILS OF NDGBGOA FOR RECOGNISATION? 

                                                                                                   

 

        NDGBGOA IS EXPECTED TO GET RECOGNISATION VERY SOON. THE TRUTHFULNESS AND SINCERE EFFORT OF ALL THE BRANCH OFFICE BEARERS COULD ACHIEVE MORE THAN 22% OF MEMBERSHIP WITHIN A VERY SHORT TIME (2012-13). WE ALL ARE GOING TO ACHIEVE MEMBERSHIP MORE THAN 35% IN THIS YEAR (2013-14).

 HARD WORK OF ALL OF US WILL DEFINITELY GIVE FRUITFUL RESULT. WE WILL REACH OUR GOAL VERY SOON WITHOUT FAIL.

  

    WITH REGARDS,

                                                                                 GENERAL SECRETARY 

                                                                                         NDGBGOA/CE  

   

  

Letters to The Chairman/OFB