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A Contribution from Volunteers

A POCKET GUIDE FOR MANAGING MEDICAL CONDITIONS

Developed by Cdr Santhanam, Helping Hands For ECHS

Any queries, WhatsApp to 97400 72879

12 Oct 2020→ Updated 19 Nov 2020→ Updated 9 Feb 2021->24 Apr 2021→ 19 Jul 2021

This pocket guide will answer “How to Manage medical condition using ECHS facilities”

MEDICAL CONDITION WHAT ACTION TO TAKE ADDITIONAL INFORMATION


BEING FACED BY
BENEFICIARY

Beneficiary is Unwell. Go to your Parent Polyclinic(PC) You can go to any PC for Treatment.
with ECHS Card / Temp Slip
If it is any other PC for OPD, you will
NOT an EMERGENCY Meet the Doctor get medicines for 07 days only.
Medical Condition
लाभार्थी अस्वस्र्थ है। Get OPD Treatment & Medicines Parent PC will issue prescribed quantity
आप इलाज के चलए चकसी भी पीसी पर जा सकते हैं।
आपातकालीन चिचकत्सा स्स्र्थचत
नहीीं ईसीएिएस कार्ड /अस्र्थायी पिी के सार्थ अपने
ओपीर्ी के चलए कोई और पीसी हो तो चसर्ड
पॉलीस्िचनक (पीसी) पर जाएीं
07 चदन की दवा चिलेगी।
र्ॉक्टर से चिलें
िूल पीसी चनर्ाडररत िात्रा िें जारी करे गा
ओपीर्ी उपिार और दवाएीं प्राप्त करें

Beneficiary is facing Go to the nearest Military If the Military Hospital refers you to
“Life Threatening Hospital for Treatment / an ECHS Empanelled Hospital (EH),
Medical Condition Admission, as required. after stabilisation, then
Called Emergency”
including COVID Show your ECHS Card / Temp • Contact your PC, get a Referral
Slip. based on Military Hospital
(OPTION 1) prescription
(19 Major conditions
are defined as Life • Go to EH &obtain Cashless
Threatening Medical treatment / admission.
Condition of
Emergency) • Carry your ECHS Card / Temp
Slip as ID proof

Beneficiary is facing Go to the Nearest or Visit Web Portal Helping Hands For
“Life Threatening convenient ECHS Empanelled ECHS
Medical Condition Hospital (EH).
Called Emergency” https://echscoregroup.github.io/Helping-
Show your ECHS Card/ Valid Hands-For-ECHS/procedures.html
including COVID
Temporary Slip as ID proof
(OPTION 2) Obtain Get Cashless treatment Refer Procedure – Use of EH facilities
including Admission. Emergency Medical Condition
(19 Major conditions
Ensure Hospital sends
are defined as Life
Emergency Report (ER) to PC.
Threatening Medical
Condition of
Emergency by ECHS)
The information contained in this document is only for the information of the intended recipient and shall not be
modified & published, without the prior written consent of the Administrator, Helping Hands for ECHS WhatsApp group
A Contribution from Volunteers

Intimate your PC within 48 Hrs


of admission, so that Referral
is sent by PC to the Hospital.

MEDICAL CONDITION WHAT ACTION TO TAKE ADDITIONAL INFORMATION


BEING FACED BY
BENEFICIARY

Life Threatening Go to Nearest or convenient Visit Web Portal Helping Hands For
Medical Condition Non -Empanelled Hospital. ECHS
Called Emergency
including COVID Intimate your PC about Admission https://echscoregroup.github.io/Helping-
with medical condition&Hospital Hands-For-ECHS/procedures.html
(OPTION 3) details within 48 Hrs. Send the
Emergency Information Report to
PC
(19 Major conditions Get Treatment including
are defined as Life Admission Refer Procedure – Use of NON - EH
Threatening Medical You must settle all Bills & facilities & Reimbursement
Condition of obtain all medical documents
Emergency by ECHS)
Apply for Reimbursement. Eligible
for CGHS rates.
Under Special conditions full
reimbursement is possible. (Refer
High Power Committee approval
procedure) In case of transfer from a Non EH to
EH or Military Hospital, ensure bed
When condition is stabilised, you availability & admission possibility
can ask for transfer to EH or
Military Hospital

Beneficiary has Call &Request for Ambulance Due to COVID pandemic & large
COVID Symptoms or from CHAFB DMO for going from number of patients, you are advised to
Tested COVID +ve your Residence to CHAFB. This speak to DMO CHAFB and based on
ambulance is within Bangalore advise, take next steps.
(For Veterans @ city limits.
BANGALORE ONLY) <OR> If you get admitted, no one else can
Call AFROWA Ambulance meet you or send any personal items.
Be Prepared for admission before
Reach CHAFB on your Own
reaching CHAFB
arrangements
On reaching CHAFB Emergency
Take ECHS card
room, meet Duty Medical Officer
(DMO) for treatment &next steps

Beneficiary is 75 Go to the nearest Military


years and above Hospital for OPD Specialist
Consultation.
Needs OPD Specialist
Consultation Specialists OPD days to be
checked

The information contained in this document is only for the information of the intended recipient and shall not be
modified & published, without the prior written consent of the Administrator, Helping Hands for ECHS WhatsApp group
A Contribution from Volunteers

(Non-Emergency No Referral from your PC


condition) required
(OPTION 1) Carry your ECHS Book & Card

MEDICAL CONDITION WHAT ACTION TO TAKE ADDITIONAL INFORMATION


BEING FACED BY
BENEFICIARY
Go to any EH for ONLY OPD If the specialist advises a Procedure or
Beneficiary is 75 Consultation Investigation which is called as
years and above Show your ECHS Card/ Valid Unlisted Procedure, go to your PC &
Needs OPD Specialist Temp Slip & get Cashless OPD get a Referral
Consultation No Referral from your PC Visit Web Portal Helping Hands For
(Non-Emergency required for OPD consultation ECHS – Procedure for Direct OPD
condition)
All listed Investigations /
(OPTION 2) https://echscoregroup.github.io/Helping-
Procedures are covered
Hands-For-ECHS/procedures.html

Go to your Parent Polyclinic (PC) Visit Web Portal Helping Hands For
Your Parent PC is a Non with ECHS Card / Temp Slip ECHS
- Military PC
Meet the Doctor
https://echscoregroup.github.io/Helping-
Beneficiary needs to The Doctor will initiate a Referral Hands-For-ECHS/procedures.html
consult a Specialist to EH
as an OPD patient or Refer Procedure – Use of EH facilities
needs to have Collect the Referral
Routine Referral
procedure / surgery Go to any EH within the Area Of
Responsibility (AOR) of your
Routine Planned Regional Centre for Treatment as
Referral condition per Referral document
Get Cashless Treatment

Your Parent PC is a SCENARIO 1 Refer CO ECHS letter on Referral


Military PC(MIL -PC) Procedure to EH dated 15 Jul 2021
PC may refer you to the Military
Beneficiary needs to Hospital where it is affiliated, if the
consult a Specialist Specialist is available or Capacity
as OPD patient or is available to treat you
needs to have
procedure/ surgery SCENARIO 2

Routine Planned If any ONE of SCENARIO 1


Referral condition CONDITION IS NOT MET, then

PC will initiate a Referral to a EH


Collect the Referral

Go to any EH within the Area Of


Responsibility (AOR) of your
Regional Centre for Treatment as
per Referral document

Get Cashless Treatment


The information contained in this document is only for the information of the intended recipient and shall not be
modified & published, without the prior written consent of the Administrator, Helping Hands for ECHS WhatsApp group
A Contribution from Volunteers

MEDICAL CONDITION WHAT ACTION TO TAKE ADDITIONAL INFORMATION


BEING FACED BY
BENEFICIARY

Beneficiary was If the discharge summary has If the discharge summary does not
admitted in an EH and included a need for Review, include a Review, you need to get a
required to go for then you can go for this Review Referral from PC for this review at EH
Doctor’s Review after without a Referral
Discharge to the EH

Beneficiary is It is the RESPONSIBILITY of the Beyond 30 days extension, approval is


admitted in an EH. EH to initiate Extension of Stay given by the concerned Regional
request well on time with all Centre.
EH advises Extension details, in Appx A.
of stay beyond 12 Visit Web Portal Helping Hands For
days EH will send this to OIC PC for ECHS
Approval.
https://echscoregroup.github.io/Helping-
OIC PC CAN APPROVE FOR Hands-For-ECHS/procedures.html
EXTENSION FROM 13 TO 30
DAYS. Refer Procedure – Use of EH facilities
Routine Referral
Beneficiary is It is the RESPONSIBILITY of the Visit Web Portal Helping Hands For
admitted in an EH. EH to initiate the request for ECHS
approval of Unlisted Procedure
https://echscoregroup.github.io/Helping-
EH advises an EH shall initiate the details of Hands-For-ECHS/procedures.html
Unlisted Procedure Unlisted Procedure to OIC PC.
requirement Refer Procedure – Use of EH facilities
OIC PC will send the Appx A to Routine Referral
StnHQ / Military Hospital for
approval

Stn HQ will obtain necessary


approvals & intimate the approval
to OIC PC & EH concerned.

Beneficiary frequent Separate Referral is not 07 major areas for post - operative
post-Operative required for specific post - cases are approved by CO ECHS.
consultation at EH operative conditions
Cancer, Organ transplant, Cardiac
Only for ailments as Advised to revalidate the Referral surgery, Neuro Surgery, End of
indicated once in 6 months from PC stage renal failure, Auto immune
disorder, Neurological disorder
Any Unlisted procedure /
investigation during follow-up
requires Referral

Beneficiary wants to EH may offer treatment /


take treatment at an Investigation at CGHS rates.
The information contained in this document is only for the information of the intended recipient and shall not be
modified & published, without the prior written consent of the Administrator, Helping Hands for ECHS WhatsApp group
A Contribution from Volunteers

EH, on own payment You cannot get medicines from PC for


arrangements Beneficiary needs to produce this arrangement unless approved by
ECHS card PC.

The information contained in this document is only for the information of the intended recipient and shall not be
modified & published, without the prior written consent of the Administrator, Helping Hands for ECHS WhatsApp group

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