" IRS OFFICERS PROMOTED FROM THE GRADE OF SUPERINTENDENT OF CENTRAL EXCISE ARE ALSO MEMBERS OF AIACEGEO. THIS IS THE ONLY ASSOCIATION FOR SUPERINTENDENTS OF CENTRAL EXCISE AND IRS OFFICERS PROMOTED FROM THE GRADE OF SUPERINTENDENT OF CENTRAL EXCISE THROUGH OUT THE COUNTRY . President Mr.T.Dass and SG Mr. Harpal Singh.

Monday, 25 October 2021

Threat of withdrawal from CGHS empanelment by HCOs

 

ALL INDIA ASSOCIATION OF CENTRAL EXCISE

GAZETTED EXECUTIVE OFFICERS

Patron                                                                   Chief Patron                                                               Patron

A. Venkatesh                                                           Ravi Malik                                                        C. S. Sharma

Mob. 7780255361                                             Mob. 9868816290                                          Mob. 9313885411

President:                                           Address for communication:                                  Secretary General:

T. Dass                                Flat No. 6, SE 11, Shastri Nagar, Ghaziabad                                   Harpal Singh

Mob.9848088928     mail Id:aiacegeo2019@gmail.com    Site:cengoindia.blogspot.in        Mob.9717510598

Vice Presidents: B L Meena, K V Sriniwas  (Central) Chinmoy Ghosh, Rajashish Dutta (East) Ashish Vajpayee, Amadul Islam (North) B Utkarsh Kumar Sharma, M Jegannathan (South) Sanjeev Sahai, U D Meena (West) Joint Secretaries: S P Pandey, T A Manojuman (Central) Apurba Roy, Siddharth Tewari (East) A K Meena, S K Shrimali (West) Anand Narayan, Prabhakar Sharma (North) H Sadanand, M Nagaraju (South); All India Coordinator: B L Meena Office Secretary: B C Gupta Treasuer: Manoj Kumar Organising Secretary: Soumen Bhattachariya Liaisoning Secretary: Bhoopendra Singh North Zone Coordinator: C. P. Verma

(Recognised by G.O.I., Min. of Fin. vide letter F.No. B. 12017/10/2006-Ad.IV A Dt.21.01.08)

Office address: 206, B wing, CGO Complex II, Kamla Nehru Nagar, Ghaziabad

                 Ref. No. 157/AIB/C/21                                                                               Dt. 25.10.21

To, 

The Secretary,

Ministry of Health and Family Welfare,

Nirman Bhavan, New Delhi

Sub: Threat of withdrawal from CGHS empanelment by HCOs.

Dear Sir, 

           As you are aware that the CGHS beneficiaries are facing lot of difficulties in availing timely treatment because of the present threat of withdrawal from the CGHS empanelment by the HCOs in the country. Private Empanelled hospitals of CGHS are reluctant to extend cashless treatment facility to the beneficiaries. You may be also aware that there are two mains reasons for compelling the HCOs (empaneled hospitals) to stop extending credit facilities to CGHS beneficiaries and also proposing to opt out of CGHS empanelment.  

2. Reason No 1 as told by them is that the present CGHS package rates for different procedures and treatment are very much low and unaffordable for them to continue extending credit facilities to CGHS beneficiaries for obvious reasons. These packages rates were finalised and fixed by CGHS authorities during the year 2014. No initiative/action appear to have been taken by the MoHFW/CGHS Directorate till date on the appeals to revise the existing CGHS package rates suitably at par with the present metro rates in order to make it attractive so that the HCOs (empaneled hospitals) do not opt out of the scheme. Reason No 2 as told by them is the abnormal delay in clearing the bills of HCOs (empaneled hospitals) for payment by CGHS authorities.

3. It is submitted with due regards that the most of the pensioners have paid Rs. 78,000/- or more and working employees are paying monthly subscription for membership fees in addition to foregoing/losing monthly medical allowance (FMA). The failure to protect the genuine problems of the beneficiaries, working as well as pensioners, to provide proper health care/treatment under CGHS after having paid considerable amount is really a matter of concern. 

4. Another distressing factor is that many of the HCOs are collecting extra charges for CGHS references and procedures after switching over to the new NHA IT platform. Many are charging for RT PCR which is now required for all OP/IP cases even though CGHS rates are available. In addition, a lot of unwanted queries are being raised particularly for the consultation fees due to change over to the new billing process to NHA IT platform. CGHS patients are also treated as secondary citizens as if they are coming for charity. In case, they ask the HCOs as to why they are being treated like this; the prompt answer from them is that "CGHS rates are very low and therefore they are not prepared to entertain them". More so, the beneficiaries are very much reluctant to give written complaints against HCOs fearing that they may get bad response from these hospitals. HCOs are least bothered for the warnings issued by ADs, CGHS.

5. Summing up, this Association will like to reiterate that de-empanelling HCOs is not a solution. Such action will adversely affect the beneficiaries. Therefore, the immediate and imminent solution available with CGHS authorities seems to consider revision of CGHS rates on priority basis in addition, to minimise the queries by NHA. Therefore, as a last resort for saving the lives of the beneficiaries, it is humbly requested to kindly intervene in the matter personally and order for revision of existing CGHS package rates for different procedures and treatment facilities including investigations etc.

6. It is also requested that the matter may kindly be considered with seriousness, entirety and right perspective with immediate effect.

Thanking you,

Yours sincerely,

                                                                                                                               

(HARPAL SINGH),

Secretary General.