=_

Annexure6.XIX: lssueaffiedicinestoCGH|Beneficiariesatthe Timeof Discharge 205

ANNEXUR.E6.XIX

Text of AIH & Fty, OM No. S.t t0tt/0g/20t4-CGHS(HEC)/CGHS(P),

d!. 20.6.2011

Issue of Medicines to CGHS lieneficiaries at the Time of Discharge

from Ernpanelled Private Flospitals
'With
to the above mentioned subject, the undersigned is
reference
directed to
state that this l\'linistry has been receivirtg iepresentations
regarding difiiculties being faced by CCHS beneficiaries in getting medicines
irnnediately after discharge from empanelled private hospitals.
2. The matter has been examined in the Ministry and with a view to
alleviate the inconvenience to CGI-IS beneficiaries in getting medicines
immediately after discharge from empanelled private hospitals, it has been
decided ihat CGHS beneficiaries wlro had taken in-patient rnedical treatment
frorn a CGHS ernpanelled private hospital wili bE issued medicines frorn the 1

treating private hospital at the time of dischargg, for a period upto seven (7) i

days" The hospital will raise bill for the medicines separately and submit it
j
alongwith the hospital bill for in-patient treatment, to CGHS for teimburse'
#'dl,
tdit

ment in case of pensioner beneficiaries who are entitled to avail cashless lifl
su
*
medical treatment at the hospital. ffi,n,*
3.
In case of serving CGHS beneficiaries, if the treatment is provided
by the hospital on credit basis (in deserving cases), they may raise bills for
medicines supplied to the patient for post hospitalization period (upto 7
days after dischalge), and claim reirnbursement from the departmenUof{ice $dll"
,,itl*is,_li
concemed alongwith the hospital bill for in-patient treatrnent. In other cases,
where the inpatient treatment is provided to serving CCHS beneficiaries on I
I

payment basis, the ernpanelled private hospital will supply medicines for ril
lui
I

upto t
days period on payrnent basis, for which employee can clairn
trffiI
ttlhq,ql
:

reimbursement ilom his/her office. Howeveg it will be upto the serving CGHS
beneficiary to purchase the prescribed medicines from the hospital at the
time of discharge (for upto 7 days) or get it from a CGHS dispensary, as may
be convenient to him.
4. The above facility will however, be subject to the follorving
conditions: .

(i) Only essential medicines in generic form for continuity of

,treatment will be issued by the hospital.
(ii) No Nutritional supplements, tonia, cough syrup, vitamins,
injections will be issued by the hospital. These are not allowed.
(ru) No non-drug items/equipments/appliances will be issued.
(iv) Total cost of such medicines issued by the hospital must not
exceed Rs. 2000/- in any case.
5. fnis Ofncl Memorandum shall come into force flom the date of
r $SLre "
 >-
Annexure 6.XlX: tssueafl{eilicines toCGHS&eneficiaries atthe Time of Discharge 205

ANNEXURE6.XIX

'fext of MH & FW, OM No. S.110tt/0s/20t4-CGHS(HEC)/C:GHS(P),

dt,20.6.2014

Issue of Medicines to CGIIS lleneficiaries at the Time of Discharge

from Empanelled Private }lospitals

With reference to the above mentioned sub.iect, the undersigned is

directedto state that this l\'Iinistry has been receiviltg iepresentations
regarding difEculties being faced by CCHS beneficiaries in getting medicines
immedialely after discharge from empanelled private hospitals.
2. The matter has been examined in the Ministry and with a view to
alleviate the inconvenience to CGI-IS beneficiaries in getting medicines
immediately after discharge from empanelled private hospitals, it has been
decided that CGHS beneficiaries who had taken in-patient medieal treatrnent
frorn a CGHS empanelled private hospital will b?'issued medicines frorn the 1

treating private hospital at the time of dischargg, for a period upto seven (7)
days" The hospital will raise bill for the medicines separately and submit it i
alongwith the hospital bill for in-patient treatment, to CGHS for teimburse-
ment in case of pensioner beneficiaries who are entitled to avail cashless
medical treatment at the hospital.
3. In case of serving CGHS beneficiaries, if the treatment is provided
by the hospital on credit basis (in deserving cases), they may raise bills for
mediciues supplied to the patient for post hospitalizaticn period (upto 7
ri!lr''
days after dischalge), and claim reimbursement ftom the department/office {llr
L

r
'!il r

concemed alongwith the hospital bill for in-patient treatrnent. In other cases, "uls,h{

where ihe inpatient treatment is provided to serving CGfiS beneficiaries on

i

payment L'asis, the ernpanelled private hospital will supply medicines for ,ilfi

upto 7 days period on payment basis, for which employee can claim
!ft1,
.qiher

reimbursernent fiom lris/her office. Howeveq it will be upto the serving CGHS
I

beneficiary to purchase the prescribed medicines from the hospital at the

time of discharge (for upto 7 days) or get it from a CGHS dispensary, as may
be convenient to him.
4. The above facility will however, be subject io the follorving
conditions:
(i) Only essential medicines in generic form for continuity of
,treatment will be issued by the hospital.
(ii) No Nutritional supplements, tonic, cough syrup, vitamins,
injections will be issued by the hospital. These are not allowed.
(iii) No non-drug items/equipments/appliances will be issued.
(iv) Total cost of such medicines issued by the hospital must not
exceed Rs. 20001 in any case.
5. fhis Office Memorandum shall come into force from the date of