Prior Sanction for Treatment in Non Emp Hospital :
(a) ECHS beneficiary may be needing treatment in a non emp hosp due to continuing treatment with a particular doctor, higher trust in a particular establishment, nonavailability of empanelled hospital in the city of his/her residence,administrative
convenience or any other reason, such permission will now be accorded by Dir RC (Due care to be exercised by Dir RC) once the application is recd at RC expect in the following cases which will be accorded by CO ECHS :-
(i) Major cardiac surgery/ interventional cardiology. (ii) Oncology.
(iii) Organ transplant cases.
(iv) Joint Replacement cases.
(v) Major Neurosurgical / Neurology cases.
(vi) Bariatric surgery cases.
(c) Format of prior sanction by Dir RC ECHS will be same as is being followed by CO ECHS.
(d) Bills will be reimbursed at CGHS Rates only. No representation will be
accepted for full reimbursement in such cases.
(e) No TA is admissible in such cases.
(f) An attempt is being made to automate the process to address the
difficulties of ECHS beneficiaries to ensure that there is no delay in such sanctions.
Exp:55%
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