EXTRACT FROM ECHS NEWS LETTER 01 JAN 2009
Smart card: Essential to avail entitled medicare. If there is any requirement to utilise the medicare at other than parent Polyclinic temporarily, temporary attachment certificate for six months can be obtained from the parent polyclinic. For permanent change of parent polyclinic, smart cards are required to be changed for new polyclinic.
Referal procedure: In the normal course, ECHS members are required to obtain referral from their parent polyclinic to the nearest Military hospital/Private empanelled hospital for availing their entitled medicarte.
Supreme Court Judgement: Supreme court has dismissed the appeal regarding refund of contribution to pre 01 Jan 1996 members. However,pre 96 pensioners who haven’t become members can now become members without contribution. Reimbursement: is not applicable directly to ECHS members except for non empanelled hospital bills on life saving grounds. Reimbursement are now approved like Pvt. Hosp. bills at Station Headquarters level. Only those bills beyond 4 lakhs are required to be forwarded to ECHS Central organisation Delhi through parent polyclinic.
Grievances/Suggestions: All grievances/suggestions be intimated to your parent polyclinic/Station Headquarters for earliest implementation/resolve.
Queries: ECHS update is available on website www.indianarmy.nic.in
Contact No. of ECHS central organisation Delhi 25684846
Contact no. of ECHS(Navy) office 24101319
E-mail Id of ECHS(Navy) office echs_navy@yahoo.co.in
E-mail ID of ECHS Central Organisation mdechs@bol.net.in
EXTRACT FROM DIRECTORATE OF EX SERVICEMEN AFFAIRS (DESA) NEWS LETTER 2008
Loss of smart card: Following documents are required to be submitted by AFV to nearest Station HQs/Regional centre ECHS: a) ECHS application duly completed. b) Affidavit that,” I have lost my ECHS Smart card and in case it is found later I will deposit it with Station HQ/Regional Centre and will be responsible for any loss/expenditure incurred by the government consequent to the misuse of the lost Smart card. c) Demand draft @Rs 90/- per card Change of address: Following documents are required to be submitted to nearest Station headquarters / Regional centre ECHS.
a) ECHS application form duly completed.
b) Undertaking certificate
c) Proof of residence like ration card, electricity bill, voters ID card, passport,telephone bill, RWA certificate etc.
d) Old smart card/s to be deposited
e) Demand draft @Rs 90/- per card Procedure to avail ECHS facility in emergency
1) Preferably report to service hospital/empanelled hospital
2) Prove identity through ECHS smart card/acknowledgement slip
3) Hospital representative to inform ECHS polyclinic at the earliest(but not later than 48 hrs) with the following details
a) Photocopy of ECHS membership card /receipt, diagnonis date & time of admission. Hospital to which admitted(Oi/c Polyclinic will make arrangements for verification of the facts)
b) After verification the patient will be referred formally (emergency referral)
c) No payment is to be made by beneficiary to the empanelled hospital/medical facility.
During emergency to non empanelled hospital
1. No embargo to non empanelled hospitals
2. Inform nearest ECHS polyclinic within 48 hrs of such admission with following details
a) Photocopy of ECHS membership card /receipt, diagnosis date & time of admission. Hospital to which admitted(O i/c Polyclinic will make arrangements for verification of the facts)
b) After verification formal Emergency information report (EIR) will be initiated and handed over to representative of AFV. Bills of the concerned non empanelled hospital /medical facility will be cleared by the beneficiary.
c) Member submits bills along with summary of the case and EIR to the concerned polyclinic within one month from the date of discharge from hospital for reimbursement.
d) Sanction for reimbursement as per approved rates will be accorded by Central Organisation ECHS
e) Payment is to be made by Cash Assignment Officer at station HQ.
CONDITIONS OF EMERGENCY
1. Acute cardiac conditions/syndromes
2. Vascular catastrophes
3. Cerebro-Vascular accidents
4. Acute respiratory emergencies
5. Acute abdomen
6. Life threatening injuries
7. Acute poisoning and snake bite
8. Acute endocrine emergencies
9. Heat stroke and cold injuries
10. Acute renal failure
11. Severe infections leading to life threatening situations
12. Any other condition in which delay could cause result in loss of life or limb
