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EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME

EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME. AIM. CONCEPT. UTILISE AFMS. OUTSOURCE PVT EMP HOSP. AUGMENT WITH GOVT FUNDS. SALIENT FEATURES. Govt sanctioned - 30 Dec 02 Launched - 01 Apr 03 ESM pensioners - 20 Lacs Polyclinics - 227 Regional Centres - 13

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EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME

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  1. EX-SERVICEMENCONTRIBUTORY HEALTH SCHEME AIM

  2. CONCEPT UTILISE AFMS OUTSOURCE PVT EMP HOSP • AUGMENT WITH GOVT FUNDS

  3. SALIENT FEATURES Govt sanctioned - 30 Dec 02 Launched - 01 Apr 03 ESM pensioners - 20 Lacs Polyclinics - 227 Regional Centres - 13 Central Organisation - 01(Delhi) Budget Capital (One time) - 122 Cr Revenue (Annual) - 354.50

  4. CURRENT STATUS • MEMBERS - 10.12 LACS • BENEFICIARIES - 32 LACS • POLYCLINICS - 227 • MIL HOSP MEDICARE - 132 • PVT. HOSP EMP - 1382 • ADDL PVT HOSP EMP -152 • POLYCLINICS MEDICARE - 90%

  5. MIL HOSP MEDICARE - 5% • PVT. HOSP MEDICARE - 5% • CAPITAL EXPENDITURE - 62 CR • REVENUE EXP TILL DATE - 1200 CR • EXTENDED TO CG / DSC AND TA

  6. STATUS OF REVIEW • REVIEWED AFTER FIVE YEARS BY MOD/ REPS • ADDL MANPOWER FOR POLYCLINICS • POLYCLINIC STAFF PAY HIKE – IMPLEMENTED • ENHANCEMENT OF FIN POWERS – CFAs • REFERRAL PROCEDURE REVIEWED • MED OFF ALSO AS OI/C POLYCLINIC

  7. SETTING UP – NEW POLYCLINICS NEW ECHS POLYCLINICS - 197 REGIONAL CENTRES - 15 UPGRADE - 14 CONVERSION - 11 MOD APPROVAL EXPECTED SOON DETAILS IN FOLDER BUDGET Capital (One Time) - 130 Cr Revenue (Per Annum) - 45 Cr

  8. STATE/CHARTER WISEDETAILS OF NEW POLYCLINICS

  9. CHARTER WISE - PVT EMP HOSP

  10. NEW POLYCLINICS - NAVY REGIONAL CENTRES - MUMBAI AND VIZAG UPGRADATION – VIZAG (‘C’ TO ‘B’) CONVERSION – BALASORE (MIL TO NON-MIL) SEVEN NEW POLYCLINICS WNC -NAVI MUMBAI VASCO THANE ENC -SRIKAKULAM PURI SNC -MOOVATTUPUZAH THODAPUZHA

  11. POSSESSION OF SMART CARD • SMART CARD ESSENTIAL • WHITE CARD FOR DISABLED CHILD • ACCEPTABLE AT ALL POLYCLINICS • TAC IN LIEU OF SMART CARD • MERGER ZSB/ESM/CANTEEN/ECHS CARDS

  12. NON ECHS MEMBERS • NO FURTHER REFERRAL FROM MH POSSIBLE • NO REIMBURSEMENTS ECHS/ KSB/ INBA • NO MEDICARE IN POLYCLINICS/ PVT EMP HOSP • NON MEMBERS JOIN EARLIEST

  13. MEDICINE SUPPLY • PVMS DRUGS BY AFMSDS • NA MEDICINES LP BY MIL HOSP • OUTSOURCING UNDER CONSIDERATION • OPTION TO DRAW FROM PHARMACY

  14. AUTOMATION • AUTOMATION UNDER WAY BY PROJECT • CHANGE OF POLYCLINIC ON SMART CARD INSTANTLY • MANNUAL BILL PROCESSING AUTOMATED • ONLINE PAYMENT – PVT EMP HOSP BILLS

  15. ECHS HOSPITAL • ECHS HOSP AT DELHI PROPOSED - MOD • NEXT TO ACMS DELHI CANTT • 500 BED COST 250 CR • MORE HOSP IN FUTURE IN BIG CITIES

  16. KOLKATA CHARTER • POINT - EMP MORE PVT HOSP • STATUS– THREE MORE HOSPS EMP • POINT - AMRI PVT HOSP MEDICARE DENIAL DUE PENDING BILLS • STATUS – PROBLEM RESOLVED REFERRALS RESUMED

  17. POINT – NO X-RAY AT POLYCLOINIC - NO TECHNICIAN • STATUS – X-RAY AT POLYCLINIC SOON TECHNICIAN BEING POSITIONED • POINT- MEDICINES – NON AVAILABILITY • STATUS – NO FUNDS PROBLEM - OUTSOURCING UNDER CONSIDERATION • POINT - REIMBURSEMENT FOR ARTHRITIS • STATUS – REIMBURSEMENT ONLY ON LIFE SAVING GROUNDS ARTHRITIS NOT COVERED

  18. HYDERABAD CHARTER • POINT - NON AVAILABILITY OF MEDICINES • STATUS - NO FUNDS PROBLEM - OUTSOURCING UNDER CONSIDERATION

  19. KERALA CHARTER • POINT - FORMATION OF ECHS COMMISSION • STATUS - REVIEW COMMITTEE ESTABLISHED – ANOTHER COMMISSION NOT VIABLE • POINT - LIBERALIZED ECHS / AEHS PROPOSAL • STATUS – RE-EXAMINED BY CONCERNED AUTHORITIES - NOT VIABLE NOW

  20. HEALTH INSURANCE • CGHS CONSIDERING OUTSOURCING TO INSURANCE • ECHS MAY ALSO OUTSOURCE TO INSURANCE • AEHS/ LIBERALIZED SCHEME - CONSIDERATION UNDER INSURANCE • INSURANCE SCHEME – DISADVANTAGES

  21. REVISED CONTRIBUTION • CGHS REVISED POST VI CPC • ECHS REVISION UNDER CONSIDERATION

  22. ECHS INFORMATION • ECHS WEBSITE : www.indianarmy.nic.in • E-MAIL ID : echs_navy@yahoo.co.in • CENT ORG TELE NO.011-25684846 • ECHS OFFICE (NAVY) TELE NO. 011-24101319 • LATEST SIX MONTHLY NEWS LETTER JUL 09

  23. THANK YOU

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