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Monday, 2 January 2017

Treatment in private non-empanelled hospital - Clarification

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Government of India, Ministry of Health & Family Welfare, Department of Health & Family Welfare issued clarification regarding procedures to be followed in considering requests for medical reimbursement in the case of treatment obtained in private non-empanelled hospital under emergency while on official tour to another city vide OM No.S.11011/14/2016-EHSS dated 4th November 2016

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi – 110 108
Dated: the 4th November, 2016


Subject:   Relaxation of procedures to be followed in considering requests for medical                 reimbursement – Clarification


            The undersigned is directed to state that the condition mentioned in Para 3(2)(g) of this Ministry’s OM No. 4-18/2005-C&P [Vol.I-Pt(I)], dated 20.02.2009 is modified to the extant as under:-

            “The treatment was obtained in private non-empanelled hospital under emergency, while on official tour to another city.”

2.         Further, it is also clarified that the cases, which were processed and decided earlier on the basis of OM dated 20.02.2009, should not be reopened.

3.         This OM will be effective from the date of issue.

4.         This issues with the approval of the Competent Authority.

(Sunil Kumar Gupta)
Under Secretary to the Govt. of India
(Tel 2306 1986)

1)      All Ministries/Departments, Government of India
2)      Director, CGHS, Nirman Bhawan, New Delhi
3)      Addl.DDG(HQ), CGHS, MoHFW, Nirman Bhawan, New Delhi
4)      AD(HQ), CGHS, R.K.Puram, Sector-12, New Delhi
5)      All Addl. Directors/Joint Directors of CGHS cities outside Delhi
6)      Additional Director (SZ)/(CZ)/(EZ)/(MSD), MCTC CGHS, New Delhi
7)      JD(HQ), JD (Grievance)/JD (R&H), CGHS, Delhi
8)      DDG(M)/CMO(SRA), Dte. GHS, NoHFW, Nirman Bhawan, New Delhi
9)      Rajya Sabha/Lok Sabha Secretariat, New Delhi
10)  Registrar, Supreme Court of India, New Delhi
11)  U.P.S.C. Dholpur House, New Delhi
12)  Office of the Comptroller & Auditor General of India, Bahadur Shar Zafar Marg, New Delhi.

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