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. 169/AIB/C/21 Dt. 24.11.21
To,
Sh. Anil Kumar
Bhatia,
Under Secretary,
Rajya Sabha Secretariat,
New Delhi.
Sub: Comprehensive medical facilities to Central
Government employees, pensioners and their dependents–reg.
Sir,
Kindly refer to
your letter No. RS. 7(14)/2017-Com-II Dt. 03.11.21.
2.
With due regards, the following suggestions are submitted for kind
consideration-
(A) There should be
a committee constituting of major staff associations at each city for live
assessment of the availability of sufficient numbers of Doctor and Specialists
at all CGHS hospitals/dispensaries/Wellness Centres.
(B) A survey on
number of patients visiting various CGHS hospitals/dispensaries/Wellness Cenres
should be conducted every three months and facilities should be upgraded to
make waiting time for consultation/tests not more than half an hour.
(C) All medicines
should be available at all CGHS hospitals/dispensaries/Wellness Centres.
(D) MRI and other
scan or other diagnosis facilities/tests should be made easily available
without waiting period in all major cities.
(E) The terms of
reference with each empaneled hospitals and their present status should be
circulated online.
(F) It should be
ensured that empaneled hospitals not refuse treatment/admission to
beneficiaries. Desired action should be taken if there is refusal by the empaneled
hospitals.
(G) Cashless
facility should be available for pensioners as well as serving officers and
their families at all empaneled hospitals. Empaneled hospitals should also
provide medicines to the outdoor as well as indoor patients.
(H) In the cases of
reimbursement, all medical expenses should be reimbursed as per production of
receipt/bill on self certification as per actual expenses.
(I) Not only for
admission but the reimbursements should also be made for all outpatient
consultations based on bills certified by the beneficiary.
(J) All verdicts
given by the various courts including the Apex Court should be implemented.
(K) CGHS
consulting/tests should be made available at least three hours before normal
office hours and also three hours after normal office hours.
(L) CGHS card
should be allowed to be used in all hospitals, whether empaneled or not,
throughout the country on cashless basis and medicines should also be provided
by these hospitals for indoor as well as outdoor treatment.
(M) CGHS beneficiaries should be allowed to take treatment/tests on cashless basis from all empaneled hospitals/diagnostic centers throughout the country on production of service identity/CGHS card without any referral.
(N) AMAs and Govt.
hospitals should also be allowed to refer the beneficiary patients to the CGHS empaneled
hospitals.
(O) The
beneficiaries should be allowed to purchase the indented medicines from outside
and due reimbursement should be made to them on self certification basis.
(P) All CGHS Wellness Centres should be
interconnected.
(Q) Online general consultation should be
allowed through dedicated web meet systems/whatsapp numbers of each Wellness
Centre with registered email/mobile phone number of the beneficiary.
(R) Specialist consultation provided by
e-sanjivani should be automatically re-directed to concerned Wellness
Centre for further follow up action, either by the beneficiary or through
retrieval from the system at the Wellness Centre for getting medicines and for
seeking approval etc.
(S) CGHS plastic card system should be done
away with once online enrolment form is filled with uploading of self attested
requisite documents with aadhar card, linked bank account details, registered
mobile phone number and email. A unique CGHS Id generated (just like in Income tax
website) should be sufficient. This would spare the time, money (in making
plastic cards), efforts and manpower.
(T) On change in pension and basic pay etc.
impacting upon entitlements of general to semi or private ward etc., the CGHS
unique Id should also be automatically upgraded on uploading of the requisite documents.
(U) Entire beneficiary history including
medicines given, results of diagnostic tests etc. should be automatically
incorporated in the unique CGHS Id just like the Hon’ble Prime Minister has
announced incorporation of the said details in e-sanjivani health system.
(V) For carrying out prescribed diagnostic
tests, reputed all India labs should be tied up for home collection, test
results of which may be sent online to CGHS Wellness Centre and beneficiary's Id/email
for further course of treatment as may be suggested by CGHS doctor online
without patient needing to approach Wellness Centre again and again.
(W) As in present non-CGHS areas/cities,
some private medical independent specialists should be engaged area-wise at CGHS
rates in CGHS cities also to reduce workload on Wellness Centres and to
facilitate beneficiaries.
(X) In case of CGHS beneficiary falling ill
on foreign visit and hospitalized therein, the expenses should be reimbursed
after online filing of the claim.
(Y) CGHS rates should be revised every two
years linked to the cost of inflation index etc., so that the empaneled private
hospitals do not fleece from beneficiaries and strict monetary penalties be
imposed in case of their breech of agreements with CGHS.
(Z) All railway/army/ESI/other govt./semi
govt./public sector managed hospitals should be automatically deemed to have
been recognised by CGHS for cashless treatment for beneficiaries.
(AA) Medical reimbursement bills should be
allowed to be submitted at the nearest Wellness Centre anywhere in India
without forcing to submit to the very Wellness Centre where beneficiary
generally reside/registered. Similarly for informing/obtaining prior permission
etc. for specialised procedures/purchase of hearing or pace makers etc., all
nearest CGHS Wellness Centres should be authorised to grant necessary online permission.
(BB) No money should be asked
from the beneficiary by the hospital at the time of admission. At the time of
release, non-reimbursable items such as toiletries etc. should not to be paid
by the beneficiary. The private empanelled hospitals should provide medicines
for prescribed period from the date of release without charging any cost.
(CC)
When a beneficiary facing an emergency situation cannot reach an empanelled
hospital or due to nonavailability of bed in empanelled private hospitals
or if the beneficiary stay in or visit a place where there is no empanelled
private hospital, he/she should be allowed to get treatment/admission in a
nearby private non empanelled hospital. In such case, all expenses should
be reimbursed to the beneficiary.
(DD)
Food supplements, minerals, vitamins,
any injection or medicine etc. prescribed by the doctor should not be
considered as non-admissible.
(EE)
If an HCO specialist advises diagnostic tests, procedures etc, a CGHS
beneficiary should be allowed to get them tested on cashless basis at
empanelled hospitals or diagnostic centre without any further referral from
wellness centre.
(FF)
If a specialist of an empanelled hospital advises planned or emergency-based
indoor admission, it should not be needed to be endorsed by a Wellness Centre.
(GG)
Wellness Centres should have arrangements of measuring blood pressure, weight,
oxygen saturation level etc. and doctors should be provided with stethoscope
there.
(HH)
CMO/Wellness Centre should have a WhatsApp number which should be displayed at
a noticeable location and also should be made available on site. The CMO should
respond to each relevant message in WhatsApp within 48 hours and an SOS message
within 12 hours.
(II)
The Waiting room at every Wellness Centre should have air conditioning
arrangement. Wash room should be kept clean and heathy at all times.
(JJ)
An OFC loop should be available at each Wellness Centre, so that connectivity
is lost at no moment. Additionally, each Wellness Centre should have a UPS with
sufficient back-up time and also a generator with sufficient power.
(KK)
In case of the demise of the principal card/Id holder, the secondary card/Id
holder will simply submit a copy of the death certificate at Wellness Centre
and all necessary changes should to be made at Wellness Centre level
accordingly without needing the secondary card holder to visit AD office.
(LL)
The behaviour of all staff including doctors should be cordial.
(MM)
After retirement of beneficiary, all necessary changes should to be made in the
card/Id accordingly without needing the beneficiary to visit AD office.
(NN)
All latest/advanced treatments/procedures/tests should be provided to the
beneficiaries.
(OO)
Reimbursement of home
treatment of expenses on account of medicines, lab tests and doctors’
consultation including in person, online and video consultation should be
allowed to the beneficiaries under the circumstances of non-availability of
hospital beds on account of shortage or any other reason.
(PP) All Covid bills of the beneficiaries
should be reimbursed on actual basis.
(QQ) The beneficiaries should be provided
the actual combination/composition of medicines as prescribed by the doctor.
(RR)
Since diagnostic services at a huge low cost at doorstep and
online door delivery of medicines at a huge discounted prices akin to generic
medicine prices are being offered by apps like mfine etc. alongwith
online specialist video consultation and
prescription of medicines, same should be
formally endorsed online by CGHS doctor/e-sanjivani doctors on
CGHS by negotiating with such major
service providers all India wise/zone-wise
for providing cashless facility to CGHS
beneficiaries on their uploading unique CGHS Id/aadhar/PAN
with recorded video with patient and doctor to
be sent with prescription to CGHS Wellness Centre doctor. It will
eliminate entire issue of corruption and
improper test results etc. involved in
citywise empanelling of diagnostic centres/purchase of medicines locally. This
should be given a serious thought.In this online computerised
age, age old practice is giving birth to corruption,
inefficiency and
egoist attitudes being displayed by CGHS
Wellness Centre doctors and
their staff towards beneficiaries throughout India.
Switching over to this new technology age system will also reduce need for
opening of more CGHS Wellness
Centres with all required infrastructure
and storage facilities for
medicines alongwith pharmacists.
Thanking you,
Yours
sincerely,
(HARPAL
SINGH),
Secretary General.
Copy with the request for necessary action
to:
1) Joint Secretary, Rajya Sabha
Secretariat, New Delhi.
2) Director (IT) & Dy. CVO, Rajya
Sabha Secretariat, New Delhi.
3) In Charge, I. T. Section, Parliament
House Annexe, New Delhi.
