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14/12/2010

Fresh empanelment of private hospitals and revision of Room Rent applicable under CGHS

No: S.11011/23/2009-CGHS D.II/Hospital Cell (Part I)

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

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 16th November , 2010


O F F I C E M E M O R A N D U M

Subject:     Fresh empanelment of private hospitals and revision of Room Rent applicable under CGHS.

        The undersigned is directed to state that CGHS had initiated action for fresh empanelment of private hospitals under CGHS and also for the revision of package rates (which were fixed in 2006-07), to be paid to hospitals, by floating tender for the same. On the basis of the responses received package rates for various procedures / treatments have been arrived at and have been uploaded in the website of CGHS:www.mohfw.nic.in\cghsnew\index.asp and can be downloaded.

2.        “Package Rate” shall mean and include lump sum cost of inpatient treatment / day care / diagnostic procedure for which a CGHS beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge including (but not limited to) –
(i) Registration charges,
(ii) Admission charges,
(iii) Accommodation charges including patients diet,
(iv) Operation charges,
(v) Injection charges,
(vi) Dressing charges,
(vii) Doctor / consultant visit charges,
(viii) ICU / ICCU charges,
(ix) Monitoring charges,
(x) Transfusion charges,
(xi) Anesthesia charges,
(xii) Operation theatre charges,
(xiii) Procedural charges / surgeon’s fee,
(xiv) Cost of surgical disposables and all sundries used during hospitalization,
(xv) Cost of medicines,
(xvi) Related routine and essential investigations,
(xvii) Physiotherapy charges etc.
(xviii) Nursing care and charges for its services.

(b)         Cost of Implants / stents / grafts is reimbursable in addition to package rates as per CGHS ceiling rates for Implants / stents / grafts or as per actual, in case there is no CGHS prescribed ceiling rates.

(c)         Treatment charges for new born baby are separately reimbursable in addition to delivery charges for mother.

d)         The hospitals empanel led under CGHS shall not charge more than the package rates / rates.

2.2         Package rates envisage upto a maximum duration of indoor treatment as follows:

                12 days for Specialised (Super Specialties) treatment;
                7 days for other Major Surgeries;
                3 days for Laparoscopic surgeries / normal deliveries; and
                1 day for day car e / Minor (OPD) surgeries.

2.3         However, there are certain procedures where there is no prescribed package rate under CGHS. Similarly, there are medical emergencies where the treatment is mainly conservative. The admissible amount in such cases is calculated item wise, room rent, procedures, investigation , etc., .

        Therefore , it has now been decided to revise the rates applicable for room rent (Accommodation Charges) for different categories of wards as given below:
                General ward -Rs.1000/- per day
                Semi-private ward -Rs. 2000/ – per day
                Private ward -Rs.3000/- per day

3.         CGHS beneficiaries are entitled to facilities of private, semi-private or general ward depending on their basic pay / pension. The entitlement is as follows:-

S. No.

Basic Pay (without the inclusion of grade pay)

Entitlement

1.

Upto Rs. 13,950/-

General Ward

2.

Between Rs.13,951/ – and Rs.19,530/-

Semi-Private
Ward

3.

Rs. 19,540/- and above

Private Ward

4.2         This issues with the concurrence of Internal Finance Division in the Ministry of Health & Family Welfare, vide Dy. No: AS & FA / 3932 /2010 dated the 8th November , 2010.

        The revised rates will come into effect from the date of issue of this Office Memorandum.

        A copy of this Office Memorandum along with rate list and a copy of MOA are placed on the internet at http://mohfw.nic.in/cghsnew/index.asp.

[R Ravi ]
Director
[Tel: 2306 3483]

Source: www.mohfw.nic.in

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PME Due Date

Master Circular No. 25



Copy of Railway Board’s letter No. 69/H/3/11 dated 06.12.1974



Subject: Implementation of the Recommendations of the Visual Sub-Committee.



6. Periodical re-examination of serving Railway Employees:



6.l. In order to ensure the continued ability of Railway employees in Classes A l, A 2, A 3, B l and B 2 to discharge their duties with safety, they will be required to appear for re-examination at the following stated intervals throughout their service as indicated below:



6.1.1. Classes A l, A 2 and A 3 —At the termination of every period of three years, calculated from the date of appointment until they attain the age of 45 years, and thereafter annually until the conclusion of their service.



Note: (l) The staff in categories A l, A 2 and A 3 should be sent for special medical examination in the interest of safety under the following circumstances unless they have been under the treatment of a Railway Medical Officer.



(a) Having undergone any treatment or operation for eye trouble irrespective of the duration of sickness.



(b) Absence from duty for a period in excess of 90 days.



(2) If any employee in medical category A has been periodically medically examined at any time within one year prior to his attaining the age of 45, his next medical examination should be held one year from the due date of the last medical examination and subsequent medical examination annually thereafter.



If, however, such an employee has been medically examined, at any time earlier, than one year prior to his attaining the age of 45, his next medical examination should be held on the date he attains the age of 45 and subsequent medical examination annually thereafter.




Ammendment: It was ammended in 1993 as below



Age Group PME Due



Age 00-45 every 4yrs



Age 45-55 every 2yrs



Age 55-60 every year
Details:-
As per Rly Bd's Guideline of Medical Exam issued vide LNo. 88/H/5/12 dated 24-01-1993

a) PME would be done at the termination of every period of 4 years from date of appointment / Initial medical Exam till the date of attainment of age of 45 years, every 2 years upto 55 years & there after annual till retirement.
b) Employees who has been periodically examined at any time within 2years prior to his attaining the age of 45years would be examined after 2years from the date of last PME & subsequent PME for every 2years upto 55years age.Of

NRMU 4 you
SMLokhande





6.1.2. Classes B-1 and B-2—On attaining the age of 45 years, and thereafter at the termination of every period of five years.