Treatment availed in emergency circumstances – CGHS Orders

1967/2013/0EL/CGHS/SZ/DSZ-CGHS (P)

Government of India

Ministry of Health and Family Welfare

CGHS (P) Section

Nirman Bhavan, New Delhi

Dated the 10th December, 2015

OFFICE MEMORANDUM

Sub: Delegation of powers to Heads of Offices for treatment availed in emergency circumstances- relaxation of rules regarding.

The undersigned is directed to refer to this Ministry’s OM No. 5.12020/4/97-CGHS (P) dated 27/12/2006 and OM No. 5.14025/01/2014-MS dated 5/6/2014 vide which powers were delegated to the Head of Departments (HODs) to decide the cases of medical claims in respect of treatment obtained in emergency at private hospital/private nursing home/private clinics, subject to item-wise ceiling prescribed under CGHS/CS (MA) rules, 1944, irrespective of the financial limit on the total amount to be reimbursed.

2. The matter has been examined in this Ministry. In view of undue hardships being faced by the employees whose offices are located in far flung areas and whose HoD are at New Delhi or at any other place far away from the respective offices, if has been decided to further delegate the powers as follows:

“The Heads of Office not below the rank of Joint Secretary to the Govt.of India may decide the cases of medical claims in respect of treatment obtained in emergency at private hospital/private nursing home/private clinics, as per the item-wise ceiling prescribed under CGHS/CS (MA) rules, 1944, subject to an overall limit of Rs. 2 lakhs per case".

3. Other contents of OM No. 5.12020/4/97-CGHS (P) dated 27/12/2006 and OM No. S.14025/01/2014-MS dated 5/6/2014 will remain unchanged.

4. This issues with the approval of Additional Secretary & Director General, CGHS and shall be effective from the date of its issue.

Sd/-

(Sunil Kumar Gupta)

Under Secretary to the Govt. of India

Authority: CGHS Official Website

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