Suspension of empanelment of ‘Saket City Hospital, New Delhi’ from the list of Hospitals/Centres empanelled under CGHS - reg.

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi
CGHS Division

No. S 11030/4/2013-CGHS (P)

Dated the 13th September, 2013

OFFICE MEMORANDUM

Sub: Suspension of empanelment of ‘Saket City Hospital, New Delhi’ from the list of Hospitals/Centres empanelled under CGHS - reg.

   The undersigned is directed to state that CGHS has empanelled private hospitals in various CGHS covered cities to provide inpatient healthcare facilities to its beneficiaries. Empanelment of the private hospitals is done under a contractual agreement between the Government of India and the private hospital on mutually agreed terms and conditions.

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INDEMNITY BOND FOR SETTLEMENT OF DUPLICATE HOSPITAL BILLS

   We, hereby give an undertaking that the original bills of hospital / diagnostic lab / imaging centre, the ID Nos. of which are appended are said to have been destroyed in a fire accident that took place on 11.08.2013 at UTI-ITSL New Delhi office and that we are now submitting the print outs of scanned copies of the above referred original documents/bills for consideration of payment.

   We also hereby give an undertaking that no claim shall be made against original documents / bills, of which printouts of the scanned copies are submitted herewith and we agree to indemnify against any loss that may be caused to CGHS due to final settlement of these claims on the basis of printouts of scanned documents/bills and this indemnity bond. We further give an undertaking that if original bill(s) is /are found, no claim shall be made against the same and that in the event of any inadvertent payment received against original bills in future, we agree to indemnify against any loss that may have been caused to CGHS due to final settlement of these claims.

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Empanelment of private hospitals (including dental clinics and eve care centres) & Imaging Centre under CGHS Jabalpur.

GOVERNMENT OF INDIA
MINISTRY OF HEALTH & FAMILY WELFARE
OFFICE OF THE ADDITIONAL DIRECTOR
CENTRAL GOVT. HEALTH SCHEME
1544/A NAPIER TOWN
JABALPUR

No.6-8/13-Estt/CGHS/JBP/ 2101-13

Dated:-24.07.2013

OFFICE MEMORANDUM

Subject: Empanelment of private hospitals (including dental clinics and eve care centres) & Imaging Centre under CGHS Jabalpur.

   In reference to (I) the Ministry of Health & F.W. O.M. No. S.11011/23/2009-CGHS D.II/ Hospital Cell(Part IX) dated 14.02.2013 vide which the 'Continuous Empanelment Scheme' for private hospitals and diagnostic centres under CGHS was revived and (ii) Dte. General of CGHS Office Order No. S.11045/23/2013/CG HS D-ll(HEC)/CGHS(P)/(Pt.) dated 15.07.2013, vide which powers for empanelment & issuance of notifications have been delegated to all the ADs/JDs in respect of their respective CGHS cities, a list of additional private hospitals (including dental clinics and eye centres) and Imaging Centre has been finalized for a period of one year from the date of issue of this O.M. or till the next new empanelment, whichever is earlier. This list has been finalized after following the due process and terms & conditions as laid down in the O.M. dated 14.02.13 as well as signing of MOA and execution of Performance Bank Guarantee by them signifying acceptance of the terms and conditions of empanelment and rates notified under CGHS in 2010/2011 and subsequent orders.

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Suspension of empanelment of 'Saket City Hospital, New Delhi' from the list of Hospitals / Centres empanelled under CGHS - reg.

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi
CGHS Division

No. S-11030/4/2013-CGHS (P)
Dated the 13th September, 2013

OFFICE MEMORANDUM

Sub: Suspension of empanelment of 'Saket City Hospital, New Delhi' from the list of Hospitals / Centres empanelled under CGHS - reg.

   The undersigned is directed to state that CGHS has empanelled private hospitals in various CGHS covered cities to provide inpatient healthcare facilities to its beneficiaries. Empanelment of the private hospitals is done under a contractual agreement between the Government of India and the private hospital on mutually agreed terms and conditions.

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Extension of CGHS facilities to permanently disabled dependent brother of a CGHS beneficiary - reg.

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, Maulana Azad Road
New Delhi 110 108

No. S 11011/13/2012-CGHS (P)
Dated the 25th July, 2013

OFFICE MEMORANDUM

Sub: Extension of CGHS facilities to permanently disabled dependent brother of a CGHS beneficiary - reg.

   The undersigned is directed to state that dependent brother of a Central Government employee is presently entitled for CGHS coverage upto the age of becoming a major. Ministry of Health and Family Welfare has been receiving requests from CGHS beneficiaries for removal of the upper age-limit in the case of disabled dependent brother so as to provide them the CGHS facilities without any age limit as has been provided to disabled son of a CGHS beneficiary.

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Notification of fresh empanelment of Private Hospitals & Diagnostic Centers under Contentious Empanelment Scheme of CGHS, Chandigarh.

GOVERNMENT OF INDIA
Ministry of Health & Family Welfare
(CENTRAL GOVT HEALTH SCHEME)

O/O ADDITIONAL DIRECTOR, CGHS, CKANDIGARI4
4th floor, Kendriya Sadan
SECTOR-9A, CHANDIGARH—160009 
No: AD/CGHS/CHD/RMRCB/20l3/4879 - 4908

Tele Nos: (0) 0172-2740716
AD Fax No.0172 —2740555
Dated: 30.08.2013

OFFICE MEMORANDUM

Subject : Notification of fresh empanelment of Private Hospitals & Diagnostic Centers under Contentious Empanelment Scheme of CGHS, Chandigarh.

   In response to Ministry of Health & Family Welfare, Govt. of India, Nirman Bhawan, New Delhi’s O.M No. S.11011/23/2009—CGHS D.II/Hospital Cell (Part IX) dated 14.02.2013 & letter No. S.11045/23/2013/CGHS D.II (HEC)/CGHS(P)/Pt) dated 15.07.2013 for continuous fresh empanelment of private hospitals & diagnostic centers for city of Chandigarh, a committee consisting of two senior most CMOs headed by undersigned and selected the private hospitals & diagnostic centers for Chandigarh. The qualified list of Hospitals & Diagnostic Centers is according to category and purpose attached as Annexure “I” with this O.M.

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Empanelment of private hospitals (including dental clinics and eye care centres and diagnostic centres under CGHS, Nagpur.

Govt. of India
Ministry of Health & Family Welfare
Office of the Additional Director,
Central Govt. Health Scheme,
Seminary Hills, Nagpur - 440 006.

No. CGHS/NP/Admn/Hosp. EMP/2013/1328

Date:- 29.08.2013

OFFICE MEMORANDUM

Subject:- Empanelment of private hospitals (including dental clinics and eye care centres and diagnostic centres under CGHS, Nagpur.

   I. The undersigned is directed to invite reference to this Office Memorandum No: CGHS/NP/Admn/HEMP/20l3/943 dated 22.07.2013 vide which the list of private hospitals (including dental clinics and eye care centres) and diagnostic centres empanelled under CGHS Nagpur have been notified under different categories.

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Empanelment of private hospitals (including dental clinics and eye centres) and diagnostic centres under CGHS Delhi & NCR.

No: S. 1 1045/23/2013-CGHS D.II/HEC
Government of India
Directorate General of Central Government Health Scheme
Department of Health & Family Welfare

Bikaner House Hutments, Shahjahan Road
New Delhi 110 108 dated the 27th, August, 2013

OFFICE ORDER

Subject: Empanelment of private hospitals (including dental clinics and eye centres) and diagnostic centres under CGHS Delhi & NCR.

   In continuation of this Directorate’s Office Order of even no. dated 01.08.2013 on the above mentioned subject, the undersigned is directed to convey that in addition to the list of the hospitals (including dental clinics), diagnostic laboratories and Imaging Centres already empanelled, the hospitals (including dental clinics), diagnostic laboratories and Imaging Centres as per the list attached have also been empanelled under the continuous empanelment scheme under CGHS in Delhi & NCR.

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Latest CGHS Hospitals; Notification of fresh empanelment of Private Hospitals & Diagnostic Centers under continuous empanelment scheme of CGHS, Meerut.

OFFICE OF THE ADDITIONAL DIRECTOR
CENTRAL GOVERNMENT HEALTH SCHEME
SURAJ KUND ROAD, MEERUT.

No. 9-4/13-CGHS/MRT/ESTT

Dated: 05-08-2013

OFFICE MEMORANDUM

Sub: Notification of fresh empanelment of Private Hospitals & Diagnostic Centers under continuous empanelment scheme of CGHS, Meerut.

   In reference to MOHFW OM No. S.11011/23/2009-CGHS D II / Hospital Cell (part-IX) dated 14-02-2013 and this Directorate letter No. S.11045/23/2013/CGHS D-II (HEC)/CGHS (P)/(Pt) dated 15-07-2013 for continuous fresh empanelment of Private Hospitals & Diagnostic Centers under CGHS Meerut, a committee was formed with two senior most CMOs headed by undersigned including Consultant as Special Invitee. Inspection for authentication of documents submitted was carried out by Transparency officer, CGHS Meerut, Office Superintendent CGHS Meerut & Sr. Consultant CGHS Meerut as Special Invitee. The qualified list of Hospitals & Diagnostic Centers is according to category and purpose attached as Annexure “A” with this OM (on the recommendation of Hospital Committee) for One Year or Fresh Empanelment whichever is earlier.

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Regarding empanelment of Jain Neurological Centre, Jagriti Enclave, New Delhi under CGHS, Delhi.

No:S.11011 /03/2012-13 / CGHS (HEC)
Government of India
Directorate General Of Central Govt. Health Scheme

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108, dated the 26th July, 2013

OFFICE  MEMORANDUM

Subject: Regarding empanelment of Jain Neurological Centre, Jagriti Enclave, New Delhi under CGHS, Delhi

      With reference to the above mentioned matter the undersigned is directed to draw attention to the Office Memorandum of even number dated 18.12.2012 vide which Jain Neurological Centre, Jagriti Enclave Delhi was removed from the list of empanelled hospitals under CGHS, Delhi till further orders. In response to the representations received an inspection of Jain Neurological Centre, Jagriti Enclave was carried out on 23.5.2013 by a team of CGHS officers to ascertain whether the deficiencies pointed out in the earlier inspection were rectified or not.

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Delhi Latest CGHS Hospitals: Empanelment of private hospitals (including dental clinics and eye centres) and diagnostic centres under CGHS DELHI & NCR

No: S.11045/23/2013-CGHS D.II/HEC
Government of India
Directorate General of Central Government Health Scheme
Department of Health & Family Welfare

Bikaner House Hutments Shahjahan Road
New Delhi 110 108 dated the 1st Aug, 2013

OFFICE MEMORANDUM

Subject: Empanelment of private hospitals (including dental clinics and eye centres) and diagnostic centres under CGHS DELHI & NCR

   The undersigned is directed to invite reference to the empanelment of hospitals under CGHS vide Ministry of Health and Family Welfare's Office Memorandum No: S.11011/23/2009-CGHS D.II/Hospital Cell (Part IX) dated 14.02.2013, vide which 'Continuous Empanelment Scheme' for private hospitals (including dental clinics and eye centres), diagnostic laboratories and Imaging Centres under CGHS was revived with a view to empanel more health care institutions for CGHS beneficiaries. Accordingly, after following due process, a list of following hospitals (including dental clinics and eye centres), diagnostic centres and Imaging centres has been finalized as per terms and conditions laid down in the O.M. referred to above as well as signing of MOA and execution of performance Bank Guarantee by them signifying acceptance of terms and conditions of empanelment and rates notified by CGHS in 2010 & in OM No. Misc.1002/2006/CGHS(R&H)/ CGHS (P) dated 7/2/2013.

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CGHS Order 2013: Merger of 19 Postal Dispensaries presently functioning in 12 CGHS covered cities with CGHS.

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, Maulana Azad Road
New Delhi 110 108

No. 4-2/2006-C&P/CGHS (P)

Dated the 9th July, 2013

NOTIFICATION

Sub: Merger of 19 Postal Dispensaries presently functioning in 12 CGHS covered cities with CGHS.
 
   In pursuance of the decision taken by the Government on recommendations of Sixth Pay Commission, the following 19 (nineteen) Postal Dispensaries presently functioning in 12 (twelve) CGHS covered cities, i.e., Ahmadabad (3), Bhopal (I), Bhubaneswar (I), Dehradun (I), Guwahati (2), Jaipur (2), Jammu (I), Jabalpur (I), Lucknow (3), Pune (2), Ranchi (I) and Shillong (I) are hereby merged with the Central Government Health Scheme (CGHS).

   2. All serving employees and pensioners of Department of Posts (DoP) and Department of Telecom (DoT) who are residing/settled in the above 12 cities and are beneficiaries of the 19 Postal Dispensaries shall now be covered under CGHS and the Postal Dispensaries shall be rechristened as CGHS Wellness Centres. CGHS membership to the pensioners will be confined to those who are residing / settled in these 12 cities only.

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Empanelment of private hospitals (including dental clinics and eye care centres) and diagnostic centres under CGHS, DELHI & NCR.

No: S.11045/23/2013-CGHS D.II/HEC/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 30th April, 2013

OFFICE MEMORANDUM

Subject: Empanelment of private hospitals (including dental clinics and eye care centres) and diagnostic centres under CGHS, DELHI & NCR

   The undersigned is directed to invite reference to this Ministry's Office Memorandum No: S.11011/23/2009-CGHS D.II/Hospital Cell (Part IX)dated 14.02.2013, vide which the `Continuous Empanelment Scheme' for private hospitals and diagnostic centres under CGHS was revived with a view to empanel more such facilities for the CGHS beneficiaries. Accordingly, after following the due process, a list of private hospitals (including dental clinics and eye centres), diagnostic centres and imaging centres has been finalised as per the terms and conditions laid down in the O.M. referred to above as well as signing of MOA and execution of Performance Bank Guarantee by them signifying acceptance of the terms and conditions of empanelment and rates notified under CGHS in 2010 and in OM No. Misc.1002/2006/CGHS(R&H)/ CGHS (P) dated 07.02.2013.

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CGHS FAQ : FREQUENTLY ASKED QUESTIONS WITH ANSWERS ABOUT CGHS.

FAQ on Central Government Health Scheme : More questions clarified as FAQ

   Ministry of Health and Family Welfare issued recently some clarifications as in the form of Questions and Answers, now further the Department has once again issued with more details of the scheme on its portal. Lot of questions and answers is given with detailed references, certainly it could be very useful for the both sides of employees and Department authorities.

1. Who are entitled for CGHS facilities
   a. All Central Govt. employees and their dependant family members residing in CGHS covered areas.
   b. Central Govt Pensioners and their eligible family members getting pension from Central Civil Estimates
   c. Sitting and Ex-Members of Parliament
   d. Ex-Governors & Lt. Governors
   e. Freedom Fighters
   f. Ex-Vice Presidents
   g. Sitting and Ex-Judges of Supreme Court & High Courts
   h. Employees and pensioners of certain autonomous organizations in Delhi
   i. Journalists (in Delhi )Accredited with PIB
   j. ( for OPD & at RML Hospital)
   k. Delhi Police Personnel in Delhi only
   l. Railway Board employees

2. In how many cities CGHS is presently operative?
CGHS facilities are available in 25 cities in India
   1. Ahmedabad 2 Allahabad 3 Bengaluru 4 Bhopal 5 Bhubaneshwar 6. Kolkata 7. Chandigarh 8 Chennai 9.Dehradun 10.Delhi & NCR 11.Guwahati 12. Hyderabad 13. Jabalpur, 14. Jaipur 15 Jammu 16. Kanpur 17. Lucknow 18. Meerut 19. Mumbai 20. Nagpur 21 Patna 22.Pune 23. Ranchi 24. Shillong 25. Thirruvananthapuram

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Regarding empanelment of Kalra Hospital, Kirtinagar, New Delhi under CGHS, Delhi.

No: S. 11031/03/2012-13 / CGHS (HEC)/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi - 110 108, dated the 9th April 2013

OFFICE MEMORANDUM

Subject: Regarding empanelment of Kalra Hospital, Kirtinagar, New Delhi under CGHS, Delhi

   With reference to the above mentioned matter the undersigned is directed to draw attention to the Office Memorandum of even number dated 18.12.2012 vide which Kalra Hospital, Kirtinagar, New Delhi was removed from the list of empanelled hospitals under CGHS, Delhi till further orders. In response to the representations received, an inspection of Kalra Hospital, Kirtinagar, New Delhi was carried out on 20.03.2013 by a team of officers led by Addi. Director, CGHS(HQ) to ascertain whether the deficiencies pointed out in the earlier inspection were rectified or not.

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Removal of Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar, New Delhi-110063 — regarding.

No: S.1107824/2013/ CGHS (HEC) /CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the April 5, 2013

OFFICE MEMORANDUM

Subject: Removal of Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar, New Delhi-110063 — regarding.

   With reference to the above mentioned subject the undersigned is to draw attention to No S 11011/23/2009/CGHS DII / Hospital Cell (part I) dated 7.10.2010 vide which Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar, New Delhi was empanelled under CGHS,Delhi and to state that Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar, New Delhi has conveyed its unwillingness to continue its empanelment under CGHS. The matter has been examined by this Ministry and it has been decided that Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar, New Delhi shall stand removed from the list of empanelled hospitals under CGHS, Delhi with immediate effect.

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Regarding tests / investigations at private hospitals / diagnostic laboratories / imaging centres empanelled under CGHS.

S-11045/40/2012/CGHS/HEC/CGHS (P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 22nd February, 2013

OFFICE MEMORANDUM

Subject: Regarding tests / investigations at private hospitals / diagnostic laboratories / imaging centres empanelled under CGHS

   The undersigned is directed to refer to the Office Memorandum of even no. dated 1st January, 2013 on the above subject wherein it has been provided under Para 3 that the serving government employees / CGHS beneficiaries shall submit medical prescription in original while claiming reimbursement of expenses incurred on diagnostic tests and investigations, from their office. Keeping in view the inconvenience and difficulties faced by the serving employees / CGHS beneficiaries in submission of prescription in original, it has been decided to relax the above condition and to allow a self attested photocopy of the medical prescription to claim reimbursement of medical expenses incurred on getting diagnostic tests / investigations carried out from a CGHS empanelled hospital / diagnostic laboratory / imaging centre on a valid prescription issued by a CGHS Medical Officer / Govt. Specialist, without a permission letter issued from the Department concerned.

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Revision of Ceiling Rates and guidelines for various Coronary Stents for CGHS/CS(MA) beneficiaries.

F. No. Misc. 1002/2006/CGHS(R&H)/ CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 21st February, 2013.

OFFICE MEMORANDUM

Subject:- Revision of Ceiling Rates and guidelines for various Coronary Stents for CGHS/CS(MA) beneficiaries.

   With reference to the above mentioned subject the undersigned is directed to draw attention to the Office Memorandum of even number dated 31.10.2011 and to state that ceiling rates for all DCGI approved Coronary Stents have been revised in super cession of the Office Memorandum of even No. dated 31.10.2011 of the Ministry of Health & Family Welfare as per the ceiling rates mentioned below:-

S.No	Type of Coronary Stents		Ceiling Rate
1.	DRUG ELUTING  CORONARY STENTS	All DCGI and FDA approved Drug Eluting Stents All DCGI and CE approved Drug Eluting Stents All DCGI approved Drug Eluting Stents	Rs.25,000/-
2.	BARE METAL CORONARY STENTS	COBALT STENTS (including Coated and other Stents) All DCGI and FDA approved All DCGI and CE approved All DCGI approved	Rs.12000/-
3.	BARE METAL  STAINLESS STELL   STENTS	Rs.10,000/- the rates were already notified vide OM of even number dated 7th February 2013

   Reimbursement to beneficiaries /empanelled hospitals shall be allowed subject to the ceiling rates or actuals, whichever are lower.

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Revival of ‘Continuous Empanelment Scheme’ for private hospitals and diagnostic centres under CGHS.

No: S. 11011/23/2009-CGHS D.II/ Hospital Cell (Part IX)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 14th February 2013.

OFFICE MEMORANDUM

Subject: Revival of ‘Continuous Empanelment Scheme’ for private hospitals and diagnostic centres under CGHS

   With a view to ensuring comprehensive health care to CGHS beneficiaries, CGHS has been, apart from the Government Hospitals, empanelling private hospitals and diagnostic centres by floating tenders periodically. The latest tender process in this context commenced in the second half of 2009. Even the already empanelled hospitals (including dental clinics and eye centres) / diagnostic centres under CGHS were required to submit the bids under this tender process. Through this process, package rates for different treatment procedures and investigations were notified in 2010. As a part of this process, certain hospitals and diagnostic centres which accepted these rates and also signed MOAs with CGHS were notified in CGHS covered cities. Subsequently, with a view to empanel more hospitals and diagnostic centers , continuous empanelment scheme was initiated in December 2010 and was in operation till July 2011 in some cities & till 26th December 2011 in some other cities.

   2. However, it has been noticed that the number of hospitals and diagnostic centres notified as empanelled under CGHS is not adequate to provide a satisfactory level of healthcare to CGHS beneficiaries in all areas of CGHS covered cities.

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Removal/Suspension of Escorts Heart Institute & Research Centre, Max Super Specialty Hospital and Max Devki Heart & Vascular Institute, New Delhi — regarding.

No: S. 11031/CGHS(HEC)/2012- 13-CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 13th February 2013

OFFICE MEMORANDUM

Subject:- Removal/Suspension of Escorts Heart Institute & Research Centre, Max Super Specialty Hospital and Max Devki Heart & Vascular Institute, New Delhi — regarding.

   With reference to the above mentioned matter, the undersigned is directed to draw attention to the Office Memorandum No S 11011/23/2009/CGHS DII / Hospital Cell (part I) dated 7.10.2010 vide which Escorts Heart Institute & Research Centre, Max Super Specialty Hospital and Max Devki Heart & Vascular Institute, New Delhi were empanelled under CGHS, Delhi and to state that Escorts Heart Institute & Research Centre and Max Super Specialty Hospital, New Delhi have conveyed their unwillingness to continue their empanelment under CGHS. It is also stated that Max Devki Heart & Vascular Institute, New Delhi informed that the hospital shall not provide credit facility to CGHS beneficiaries. The matter has been examined by this Ministry and it has been decided that Escorts Heart Institute & Research Centre, Max Super Specialty Hospital, New Delhi shall stand removed from the list of empanelled hospitals under CGHS, Delhi with immediate effect.

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