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.
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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
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2.
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I am entitled for Direct
Consultation and Nursing Home facility at Govt Hospitals, Can I go directly
for consultation at Govt. hospitals
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Yes with prior appointment
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3.
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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.
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In emergency who are all entitled
to get treatment at Pvt Empanelled Hospital
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Any beneficiary holding a Valid
CGHS card.
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5.
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Do I get treatment on credit in
emergency at Pvt empanelled Hospital?
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Yes, on production of Valid CGHS
card
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6.
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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
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7.
|
Can I get permission for any Pvt
Hospital of my choice?
|
Yes, provided the Hospital is
empanelled for that particular procedure.
|
8.
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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
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9.
|
Is there any updated Govt.
publication on CGHS facilities available for sale?
|
Not at present
|
10.
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Is it necessary that the Govt
specialist should write ”referred to CGHS empanelled Hospital “for obtaining
permission?
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No.
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11.
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I am a serving CGHS beneficiary.
Can I get treatment on credit at Pvt. empanelled Hospital in emergency?
|
Yes.
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12.
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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?
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No. You will have to make payment
and claim reimbursement.
|
14.
|
Is cost of implants reimbursed?
|
Yes.As per ceiling fixed by the
Govt.
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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.
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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.
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