In a recent communication from the Adjutant General’s Branch to all Regional Centres, Dated 22 Sept 2023 a vital advisory has been shared regarding the treatment of ECHS beneficiaries at hospitals not on the approved list. The primary goal is to provide clear guidance and reinforce adherence to established rules, ensuring the safety and well-being of our respected veterans.
ECHS : Emergency Treatment Protocols:
Treatment at hospitals not on the approved list is permitted only in emergency situations, as outlined in Paragraph 16 of the SOP on Treatment Management dated 28 Sep 2018. For non-emergencies, individuals must seek treatment at a non-empanelled hospital only after obtaining prior permission from MD ECHS/Dir RC ECHS, following Paragraph 18 (a) of the SOP on Treatment Management.
Observations and Concerns:
Recent observations reveal an increasing number of beneficiaries seeking treatment at non-empanelled hospitals without obtaining prior approval, deviating from established guidelines. This raises concerns about potential risks and the possibility of inflated bills. It is crucial to note that non-empanelled hospitals may charge higher fees, and reimbursement is limited to genuine emergencies at Non NABH CGHS rates.
Mandatory Approvals and Categories:
For planned treatments at non-empanelled hospitals, beneficiaries are reminded of the necessity of obtaining prior approval from the concerned Regional Centre. Additionally, specific categories of ailments require special permission from CO ECHS, and cases involving unlisted implants, procedures, or investigations necessitate SEMO’s approval.
A robust advisory is issued to beneficiaries, urging them to avoid seeking treatment at non-empanelled hospitals without prior approval for non-emergencies. Officers in Charge (OIC) and Medical Officers (MOs) at Primary Care (PC) centers are actively encouraged to disseminate this information, fostering awareness and ensuring compliance. This comprehensive article underscores the importance of adhering to established protocols for the well-being of ECHS beneficiaries and upholding the integrity of the healthcare system. The cooperation of all stakeholders is pivotal in maintaining high standards of care and preserving the health of our esteemed veterans.
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