Full reimbursement of treatment cost in non empanelled hospitals is permitted vide Central Organization, letter B/49770/AG/ECHS/Policy/2019 of 08 Apr 2019 under following conditions
(1) Treatment was obtained in Non Emp Hospital under Emergency Condition and the Patient was Admitted by Others When the Beneficiary was Unconscious or Severely Incapacitated and was Hospitalized for a Prolonged Period
(2) Treatment was obtained in Non Empanelled Hospital under Emergency and was admitted for Prolonged Period for Treatment of Head Injury, Coma, Septicemia, Multiorgan Failure etc.
(3) Treatment was obtained in a Non Empanelled Hospital under Emergency for Treatment of Advanced Malignancy.
(4) Treatment was taken under Emergency in a higher type of Accommodation as Rooms as per his/her Entitlement were not available during that Period.
(5) Treatment was taken in higher type of Accommodation under specific Conditions for Isolation of Patients to Avoid Contacting Infections.
(6) Treatment was obtained in a Non Empanelled Hospital under Emergency when there was a Strike in Govt Hospitals.
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