S-11045/40
/2012/CGHS/HEC/CGHS (P)
Government
of India
Ministry
of Health & Family Welfare
Department
of Health & Family Welfare
Nirman Bhawan, New Delhi
Dated the 22nd February,
2013
OFFICE
MEMORANDUM
Subject : Regarding tests investigations at private hospitals / diagnostic
laboratories / imaging centers empanelled under CGHS.
The undersigned is
directed to refer to the Office Memorandum of even no. dated 1st January, 2013
on the above subject wherein it has been provided under Para 3 that the serving
government employees / CGHS beneficiaries shall submit medical prescription in
original while claiming reimbursement of expenses incurred on diagnostic tests
and investigations, from their office. Keeping in view the inconvenience and
difficulties faced by the serving employees / CGHS beneficiaries in submission
of prescription in original, it has been decided to relax the above condition
and to allow a self
attested photocopy of the medical prescription to claim reimbursement of medical expenses incurred on getting
diagnostic tests / investigations carried out from a CGHS empanelled hospital /
diagnostic laboratory / imaging centre on a valid prescription issued by a CGHS
Medical Officer / Govt. Specialist, without a permission letter issued from the
Department concerned.
2.The Serving
beneficiaries will not require any permission from their Department for getting
the diagnostic tests / investigations carried out in a CGHS empanelled private
hospital /diagnostic laboratory / imaging centre in respect of investigations
for which CGHS rates are available. They will get the prescribed tests done on
payment basis and claim reimbursement from their Office. However, the serving
employees of Ministry of Health and Family Welfare are eligible for credit facility
from the CGHS empanelled private hospitals / diagnostic laboratories and
imaging centers in terms of this Ministry's OM No. Rec.1-
008/Gr./CGHS/Delhi/CGHS (P) dated 10.06.2008.
3.The medical
prescription issued by a CGHS Medical Officer / Government Specialist
prescribing diagnostic tests / investigations shall be treated as valid for a
single use within a period of two weeks from the date of prescription. However
the medical prescription shall remain valid beyond two weeks for undertaking
diagnostic tests / investigations if specifically prescribed by the CGHS doctor
/ Government Specialist about the date or period by which the prescribed tests
are to be conducted for a routine check up or follow up treatment. The medical
prescription would require revalidation or issue of a fresh prescription from
the prescribing CGHS doctor/Government Specialist for getting the prescribed
tests done after expiry of the validity period of two weeks or as prescribed by
the CGHS doctor / Govt Specialist, as the case may be.
sd/-
[V.P..Singh]
Deputy Secretary to the
Government of India
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