Reduction in cost of packages and implants Procedures under CGHS
Regarding the matter of Reduction in cost of packages and implants Procedures under CGHS, the following Questions were raised by SHRI PARVEZ HASHMI (UNSTARRED QUESTION NO. 2185) in Rajya Sabha to day
(a) whether Government has reduced the entitlement cost of certain packages and implants procedures and the CGHS beneficiaries have to pay the difference to the hospitals; and
(b) if so, the details thereof and the reasons therefor along with the corrective measures taken or being taken by Government in this regard?
In a reply to the above questions the Minister Of Health And Family Welfare SHRI JAGAT PRAKASH NADDA has given following information in Rajya Sabha today
(a) & (b): CGHS fixes rates for various treatment procedures and investigations through tender process and rates were last notified on 01.10.2014 for Delhi/NCR and on 17.11.2014 for CGHS cities outside Delhi/NCR. As per the MOA signed by empanelled hospitals with CGHS at the time of their empanelment, they are expected to charge as per CGHS packages rates only.
CGHS has fixed ceiling rates for certain implants without specifying any brand name. If there is no CGHS rate for a particular implant, then it is reimbursed as per AIIMS/GB Pant Hospital rates. However, if a beneficiary opts for a specific brand of implant, he/she shall have to give a written undertaking to bear the difference between the cost of that specific brand and the prescribed ceiling rate. Rates for implants have not been reduced by CGHS.
Source: Rajya Sabha