I want to get my Cataract Surgery done at Private empanelled hospital. How can I get it done?
Beneficiaries are required to obtain advice from a Government
Specialist for Cataract surgery (except beneficiaries attached to
Wellness Centres in Delhi NCR who can obtain the advice from a
specialist of empanelled hospital after due referral by CMO I/C).
Pensioners can then get the treatment at the empanelled hospital
of his /her choice by submitting required documents as suggested
already ( Question 51).
Is it necessary that the Govt specialist should write ‘referred to xyz CGHS empanelled Hospital’ for investigation/treatment procedure?
Advice of Government specialist is required only for the specific treatment
procedure / investigation to be undertaken. There is no need to specifically
refer to any empanelled hospital/ diagnostic lab. It is the choice of
beneficiary to undertake treatment / investigations at any of the
empanelled hospitals / diagnostic laboratories of his choice.
CMO Incharge does not refer me to Private Hospitals for OPD
consultation on my request. Isthere any provision for this in CGHS?
As per latest guidelines a beneficiary can be referred to any empanelled
hospital of his choice for OPD consultation.
What are the ceiling rates for reimbursement of Expenses on purchase of Hearing AIDS?
The revised ceiling rates fixed for various types of hearing aids (for one
ear ) are as under
Body worn / Pocket type Rs. 3000/-
Analogue BTE Rs. 7000/-
Digital BTE Rs. 15000/-
Digital ITC/CIC Rs. 20000/-
The cost of hearing aids shall include all taxes in including VAT and shall
carry 3 year warranty. The cost of Analogue BTE /Digital BTE/ITC/CIC
type hearing aid shall also include the cost of hearing mould.