Comments for Rajib's Blog http://www.rajib.com Trials, Tribulations and Temper Bursts Tue, 06 Jan 2009 01:42:02 +0000 http://wordpress.org/?v=2.7 hourly 1 Comment on Obtaining Treatment Under CGHS by sandeep http://www.rajib.com/2008/05/14/obtaining-treatment-under-cghs/comment-page-1/#comment-127 sandeep Sun, 21 Dec 2008 15:27:09 +0000 http://www.rajib.com/?p=12#comment-127 sir, if a person is working in a non cghs station and keep his family with him but one of his family member live at cghs station .in this case how a person can avail cghs facility to that person living at cghs station as he has no cghs card sir, if a person is working in a non cghs station and keep his family with him but one of his family member live at cghs station .in this case how a person can avail cghs facility to that person living at cghs station as he has no cghs card

]]> Comment on CGHS Medical Claim Reimbursement by sanjay singh (sanjeev) http://www.rajib.com/2008/01/11/cghs-medical-reimbursement/comment-page-1/#comment-126 sanjay singh (sanjeev) Sat, 20 Dec 2008 18:39:02 +0000 http://www.rajib.com/archives/6#comment-126 Sir my really need your kind advice Please Sir my really need your kind advice

Please

]]> Comment on CGHS Medical Claim Reimbursement by sanjay singh (sanjeev) http://www.rajib.com/2008/01/11/cghs-medical-reimbursement/comment-page-1/#comment-125 sanjay singh (sanjeev) Sat, 20 Dec 2008 18:36:47 +0000 http://www.rajib.com/archives/6#comment-125 Dear Rajib ji Sir, I am re sending my small query for your kind advice; and if you can answer , I will be really thankful to you. Sir, I am working in a central government department and residing in the area not covered by any CGHS dispensaries . My son was having some ENT problem (CSOM ossicular discontinuing). On doctor’s advice he admitted in a private hospital (recognized by CGHS) for ear surgery. The Hospital is empanelled for single super specialty (ENT with specialized surgeries) by the CGHS as per their O.M.. Sir I had filed a claim for medical reimbursement Rs.12000/-(including Rs.8500 indoor/operation charges+3500 for cost of medicines) as a normal procedure like claim of government hospital. Now, the departmental authority is asking for a certificate of emergency. They are saying that one can get treatment from the recognized hospital only after prior permission from the head of department and this can be relax in the case of emergency only. Because I have not get any certificate of emergency from the doctor and also not having prior permission from the HOD; in this situation Kindly advice;- 1. Whether, I can get reimbursement of my full claim? 2. Whether, administrations can deny sanctioning the claim of indoor/operation charges. 3. or they can reject the full claim Thanks, Regards, Sanjay singh Dear Rajib ji Sir,

I am re sending my small query for your kind advice; and if you can answer , I will be really thankful to you.

Sir, I am working in a central government department and residing in the area not covered by any CGHS dispensaries .

My son was having some ENT problem (CSOM ossicular discontinuing). On doctor’s advice he admitted in a private hospital (recognized by CGHS) for ear surgery. The Hospital is empanelled for single super specialty (ENT with specialized surgeries) by the CGHS as per their O.M..

Sir I had filed a claim for medical reimbursement Rs.12000/-(including Rs.8500 indoor/operation charges+3500 for cost of medicines) as a normal procedure like claim of government hospital.

Now, the departmental authority is asking for a certificate of emergency. They are saying that one can get treatment from the recognized hospital only after prior permission from the head of department and this can be relax in the case of emergency only.

Because I have not get any certificate of emergency from the doctor and also not having prior permission from the HOD; in this situation Kindly advice;-

1. Whether, I can get reimbursement of my full claim?
2. Whether, administrations can deny sanctioning the claim of indoor/operation charges.
3. or they can reject the full claim

Thanks,

Regards,

Sanjay singh

]]> Comment on Obtaining Treatment Under CGHS by Dr.S.V.Ramakrishna http://www.rajib.com/2008/05/14/obtaining-treatment-under-cghs/comment-page-1/#comment-124 Dr.S.V.Ramakrishna Fri, 19 Dec 2008 01:19:15 +0000 http://www.rajib.com/?p=12#comment-124 This is in response to the query from Mrs. Sangeeta: It is presumed that the name of herhusband is entered on CGHS Card. There shall be advice from a Govt. Specialist for Kidney Transplantation. Permission for Renal Transplantation surgery may be obtained from concerned department for any of the empanelled hospitals approved for Kidney Transplantation. The requisiste documantation as is required under Organ Transplant Act 1994 ( and modifications , if any before treatment is undertaken) . If no suitable live related donor is available approval of authorization committee is required. For cadaveric Kidney transplantation prior registration with centres would be required. The CGHS rates are available at the following link: http://mohfw.nic.in/cghs.htm Regards This is in response to the query from Mrs. Sangeeta:
It is presumed that the name of herhusband is entered on CGHS Card.
There shall be advice from a Govt. Specialist for Kidney Transplantation.
Permission for Renal Transplantation surgery may be obtained from concerned department for any of the empanelled hospitals approved for Kidney Transplantation.
The requisiste documantation as is required under Organ Transplant Act 1994 ( and modifications , if any before treatment is undertaken) .
If no suitable live related donor is available approval of authorization committee is required.
For cadaveric Kidney transplantation prior registration with centres would be required.
The CGHS rates are available at the following link:
http://mohfw.nic.in/cghs.htm

Regards

]]> Comment on Obtaining Treatment Under CGHS by sanjay http://www.rajib.com/2008/05/14/obtaining-treatment-under-cghs/comment-page-1/#comment-123 sanjay Thu, 18 Dec 2008 18:39:28 +0000 http://www.rajib.com/?p=12#comment-123 Dear Rajib Sir, I am sending my query for your kind advice; I am working in central government department and residing in the area not covered by any CGHS dispensaries in terms of office memorandum issued by the local CGHS. My son was having some ENT problem (CSOM ossicular discontinuing). On doctor’s advice he admitted in a private hospital (recognized by CGHS) for ear surgery. The Hospital is empanelled for single super specialty (ENT with specialized surgeries) by the CGHS as per their O.M.. The claim for Rs.12000/-( Rs,8500/- for indoor treatment + Rs.3500 for medicines) was filed with the department with request for post facto approval. Now the department is asking for a certificate of emergency. Kindly advice;- 1. Whether any prior permission was required from the Head of department for treatment in private hospital (recognized by CGHS). 2. If yes, is any provision for post facto approval/permission. 3. Whether, administrations can deny sanctioning the claim. 4. Please advice, if there is any circular/instruction in the matter, kindly make reference. 5. Whether a central government employees and his family can obtain medical service from any private hospital recognized by CGHS of his choice. 6. How can I get reimbursement the claim? Sir it is urgent, I have to reply the office. sanjay Dear Rajib Sir,

I am sending my query for your kind advice;

I am working in central government department and residing in the area not covered by any CGHS dispensaries in terms of office memorandum issued by the local CGHS. My son was having some ENT problem (CSOM ossicular discontinuing). On doctor’s advice he admitted in a private hospital (recognized by CGHS) for ear surgery. The Hospital is empanelled for single super specialty (ENT with specialized surgeries) by the CGHS as per their O.M..

The claim for Rs.12000/-( Rs,8500/- for indoor treatment + Rs.3500 for medicines) was filed with the department with request for post facto approval. Now the department is asking for a certificate of emergency.

Kindly advice;-

1. Whether any prior permission was required from the Head of department for treatment in private hospital (recognized by CGHS).
2. If yes, is any provision for post facto approval/permission.
3. Whether, administrations can deny sanctioning the claim.
4. Please advice, if there is any circular/instruction in the matter, kindly make reference.
5. Whether a central government employees and his family can obtain medical service from any private hospital recognized by CGHS of his choice.
6. How can I get reimbursement the claim?

Sir it is urgent, I have to reply the office.

sanjay

]]> Comment on Obtaining Treatment Under CGHS by Rajib Bahar http://www.rajib.com/2008/05/14/obtaining-treatment-under-cghs/comment-page-1/#comment-122 Rajib Bahar Sat, 13 Dec 2008 18:05:18 +0000 http://www.rajib.com/?p=12#comment-122 thanks for sharing the advice thanks for sharing the advice

]]> Comment on CGHS Temporary Permit by A Basu http://www.rajib.com/2008/04/01/obtain-temporary-cghs-permit/comment-page-1/#comment-121 A Basu Sat, 13 Dec 2008 16:13:35 +0000 http://www.rajib.com/2008/04/01/obtain-temporary-cghs-permit/#comment-121 Dear Rajib, your information is indeed useful. However one thing is not yet clear to me. Generally during hospitalization case the CGHS beneficiary gets an estimate from the hospital concerned(CGHS recognized) and accordingly the advance is released from the office and accordingly a check is issued to the hospital. But during temporary permit to other city if a patient(e.g. card holder's dependent) is advised for hospitalization at the destination city , then how he may process for medical advance ? Although the employee can pay money and later on submit the claim at the source city /HOD through medical 2004 claim form / Reimbursement but can he get the advance earlier. Kindly clarify this issue. Dear Rajib,
your information is indeed useful. However one thing is not yet clear to me. Generally during hospitalization case the CGHS beneficiary gets an estimate from the hospital concerned(CGHS recognized) and accordingly the advance is released from the office and accordingly a check is issued to the hospital. But during temporary permit to other city if a patient(e.g. card holder’s dependent) is advised for hospitalization at the destination city , then how he may process for medical advance ? Although the employee can pay money and later on submit the claim at the source city /HOD through medical 2004 claim form / Reimbursement but can he get the advance earlier.
Kindly clarify this issue.

]]> Comment on Obtaining Treatment Under CGHS by Sangeeta http://www.rajib.com/2008/05/14/obtaining-treatment-under-cghs/comment-page-1/#comment-120 Sangeeta Fri, 12 Dec 2008 05:43:07 +0000 http://www.rajib.com/?p=12#comment-120 I am working with delhi police , my hsuband dependedn on me , he require Renal Trnasplant , can it will be reimburse by CGHS or not , Can you tell me the how can it be reimburs from CHGS. How Much amount WE claim I am working with delhi police , my hsuband dependedn on me , he require Renal Trnasplant , can it will be reimburse by CGHS or not , Can you tell me the how can it be reimburs from CHGS. How Much amount WE claim

]]> Comment on CGHS Medical Claim Reimbursement by rohit http://www.rajib.com/2008/01/11/cghs-medical-reimbursement/comment-page-1/#comment-119 rohit Thu, 11 Dec 2008 14:00:35 +0000 http://www.rajib.com/archives/6#comment-119 I am a govt employee. My father was expired 4 years back and now my mother who is getting pension of my father, need an eye operation. Wish to know whether it is possible that this money get reimburse from CGHS if yes then what is the procedure for that.. Please Help !!!!! I am a govt employee. My father was expired 4 years back and now my mother who is getting pension of my father, need an eye operation. Wish to know whether it is possible that this money get reimburse from CGHS if yes then what is the procedure for that..

Please Help !!!!!

]]> Comment on CGHS Medical Claim Reimbursement by L.M. BHATNAGAR http://www.rajib.com/2008/01/11/cghs-medical-reimbursement/comment-page-1/#comment-118 L.M. BHATNAGAR Thu, 11 Dec 2008 07:29:21 +0000 http://www.rajib.com/archives/6#comment-118 Having retired on 30-04-2007 from New Delhi I shifted residence to Indirapuram area of Ghaziabad (UP). Since there is no CGHS dispensary in nearby area I got my CGHS card made for Vivek Vihar (New Delhi) after paying Rs.18000/ as whole life subscription. Now I find it very inconvenient to go to either RML or GTB hospitals for day to day treatment in OPD. It is understood that CGHS dispensary of Ghaziabad normally refers to pvt hospitals of Ghaziabad which provide treatment to pensioners on cash free basis, directly billing to Govt. Now my querry is " (a) If it is wise to change to GZB dispensary for better and less crowded facilites avalable at pvt hospitals. (b) What could be the pros and cons in worst scenario? (c) What is procedure for changing the disp. Kindly help me for my predicament. Having retired on 30-04-2007 from New Delhi I shifted residence to Indirapuram area of Ghaziabad (UP). Since there is no CGHS dispensary in nearby area I got my CGHS card made for Vivek Vihar (New Delhi) after paying Rs.18000/ as whole life subscription. Now I find it very inconvenient to go to either RML or GTB hospitals for day to day treatment in OPD. It is understood that CGHS dispensary of Ghaziabad normally refers to pvt hospitals of Ghaziabad which provide treatment to pensioners on cash free basis, directly billing to Govt. Now my querry is ” (a) If it is wise to change to GZB dispensary for better and less crowded facilites avalable at pvt hospitals. (b) What could be the pros and cons in worst scenario? (c) What is procedure for changing the disp.
Kindly help me for my predicament.

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