Government of India
Ministry of Health & Family Welfare
Nirman Bhavan, New Delhi
Dated 8th October, 2012
Subject: Renewal of recognition of BBC heart Care, Pruthi Hospital, Jalandhar (Punjab) for treatment of Central Government employees under CS(MA)Rules, 1944.
The undersigned is directed to say that a number of representations have been received in the Ministry of Health & Family Welfare for renewal of recognition of BBC Heart Care, Pruthi Hospital. Jalandhar (Punjab) for treatment of Central Government Employees and their family members under CS(MA)Rules, 1944.
2. In view of the hardship faced by CS(MA) beneficiaries for their own treatment and the treatment of their family members at Jalandhar (Punjab), the matter has been examined in the Ministry and it has been decided to empanel/revise the rates of BBC Heart Care, Pruthi Hospital. Jalandhar (Punjab)under Central Services (Medical Attendance) Rules, 1944.
3. The Schedule of charges for the treatment of Central Government Employees and the member of their family under the CS(MA) Rules, 1944, will be the rates fixed for CGHS, Chandigarh. The approved rates are available on the website of CGHS (www.mohfw.nic.in/cghs.html) and may be downloaded/printed.
4. The undersigned is further directed to clarify as under:-
(a) “Package’ Rate” shall mean and include lump sum cost of in-patient treatment//day care/diagnostic procedure for which a CS(MA) beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge, including (but not limited to)-(i)Registration charges, (ii) Admission charges, (iii) Accommodation charges including patient’s diet, (iv) Operation charges, (y) Injection charges, (vi) Dressing charges, (vii) Doctor/consultant visit charges, (viii) ICU/CCIU charges, (ix)Monitoring charges, (x) Transfusion charges, (xi) Anaesthesia charges, (xii)
Operation theatre charges, (xiii) Procedural charges / Surgeon’s fee, (xiv) Cost of surgical disposables and all sundries used during hospitalization, (xv) Cost of medicines, (xvi) Related routine and essential investigations, (xvii) Physiotherapy charges etc, (xviii) Nursing care and charges for its services.
(b) Cost of Implants is reimbursable in addition to package rates as per CGHS ceiling rates for implants or as per actual, in case there is no CORS prescribed ceiling rates.
(c) Treatment charges for new born baby are separately reimbursable in addition to delivery charges for mother.
(d) BBC Heart Care, Pruthi Hospital, Jalandhar (Punjab) shall not charge more than the package rates fixed for CGHS, Chandigarh.
(e) Expenses on toiletries, cosmetics, telephone bills etc. are not reimbursable and are not included in package rates.
5. Package rates envisage duration of indoor treatment as follows:
Upto 12 days: for Specialized (Super Specialities) treatment
Upto 7 days: for other Major Surgeries
Upto 3 days: for Laparoscopic surgeries/normal Deliveries
1 day: for day care/Minor (OPt)) surgeries.
No additional charge on account of extended period of stay shall be allowed if that extension is due to infection on the consequences of surgical procedure or due to any improper procedure and is not justified.
In case, there are no CGHS prescribed rates for any test/procedure, then AIIMS rates are applicable. If there are no AIIMS rates, then reimbursement is to be arrived at by calculating admissible amount item-wise(e.g. room rent, investigations, cost of medicines, procedure charges etc) as per approved rates/actually, in case of investigations.