GOVERNMENT HAS UNDERTAKEN SEVERAL STEPS TO
IMPROVE THE FUNCTIONING OF CGHS-MINISTER REPLIED IN LOK SABHA
Health & Family Welfare Minister
Shri.Ghulam Nabi Azad replied in Lok Sabha on 17.8.2012 to the question of
'what action taken by the Government, whether complaints have been received
about the dissatisfaction of a large number of Central Government Employees
with the services provided by the Government under the Central Government
Health Scheme'.
PERFORMANCE OF CGHS
While CGHS endeavors to provide best
possible health care facilities to the large number of beneficiaries consulting
/ visiting CGHS Wellness Centres (approx. 1.2 Crore during the last one year),
some complaints are received about unsatisfactory services.
The dissatisfaction relates to shortage
of doctors and other manpower resulting in waiting period before consulting
doctors, issue of medicines, delay in settlement of medical claims of
pensioners, issue of medicines of specific brand, reimbursement at CGHS rates
for the treatment taken from unrecognized hospitals, overcharging by empanelled
hospitals, opening of new dispensaries, etc.
Government has been receiving increased
budgetary support over the last few years to take care of CGHS
beneficiaries.
Government has undertaken several steps
to improve the functioning of CGHS. These include:
· Computerization to improve
better inventory management and availability of medicines at CGHS Wellness
Centres. Based on computer data, 272 commonly indented medicines are procured
from manufacturers at discounted rates and make them available at Wellness
Centres.
· Portability of CGHS cards
at any dispensary all over the country.
· Issue of medicines for
three months in cases of chronic illnesses.
· Appointment of Medical
officers on contract basis as an interim measure to tide over shortage of
doctors.
· Receipt of medical claims
of pensioners at Dispensary level and proper verification of documents by CMO
i/c to ensure that all required documents are submitted.
· Enhancement of financial
powers of Addl. Directors upto Rs.5 Lakhs for speedy settlement of medical
claims of pensioners.
· Regular meetings undertaken
by Addl. Directors with CMOs i/c to ensure smooth functioning of Wellness
Centres for better delivery of services.
· Reimbursement from two
sources – i.e., from CGHS as well as medical insurance in respect of
beneficiaries holding mediclaim policies.
· Formation of Standing Technical
Committees for examination of requests for full reimbursement.
· Settlement of hospital
bills of empanelled hospitals and diagnostic centres through UTI-ITSL for early
settlement of claims to ensure that the empanelled hospitals provide credit facility
to pensioners , etc.,
· Pensioner CGHS
beneficiaries residing in non-CGHS areas are permitted to avail IPD and follow
up treatment from CS (MA)/ ECHS empanelled hospitals with prior permission from
CGHS.
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