Special Benefit by ECHS for Senior Exservicemen

ECHS beneficiaries who are mostly of aged and senior citizens are facing quite inconvenience while processing for domiciliary medical equipments including some of life saving equipments to get relief in their sufferings. Due to prolonged existing procurement policy, ESMs or their NoKs have to make multiple visits to ECHS Polyclinic or service hospitals for follow up, many times service hospitals fail to provide equipments and sometime quality issues plague the esteemed ESMs. The matter has been considered by the ECHS authority and revised guidelines in respect of domiciliary medical equipments has been issued.

Adjutant General’s Branch Thimayya Marg
Near Gopinath Circle
Delhi Cantt-110010

B/49761/AG/ECHS/Medicine Policy/2023 30 Nov 2023

IHQ of MoD (Navy)/Dir ECHS (N)
Air HQ (DAV)Coord
HQ Southern Command (A/ECHS)
HQ Eastern Command (A/ECHS)
HQ Western Command (A/ECHS)
HQ Central Command (NECKS)
HQ Northern Command (NECHS)
HQ South Western Command (NECHS)
HQ Andaman & Nicobar Command (A/ECHS)
All Regional Centres

EXECUTIVE INSTRUCTIONS : DOMICILIARY MEDICAL
EQUIPMENT FOR ECHS BENEFICIARIES

  1. Please ref the fwg (copies attached) :-

Gol (MoD/DESW) letter No 24(8)03/US(WE)ID (Res) dt 19 Dec 2003.

Min of Health & Family Welfare O.M. No. 1-19/2018/CGHS (HQ)/R&H/ECHS dated 03 Jun 2019.

Gol (MoD/DoESW) letter No 18(114)/20171WE/D(Res-l) dt 18 Sep 2019.

Min of Health & Family Welfare O.M. No. S.11011/37/2019-ECHS dated 01 Dec 2020.

Central Org ECHS letter No B/49761/AG/ECHS/Medicine Policy/2022 dt 10 Jun 2022.

2. It is learnt from the environment that ECHS beneficiaries consisting mostly of aged indl and senior citizens are facing tremendous inconvenience while processing for domiciliary med equipments including some of life saving equipments. Due to prolonged existing procurement policy ESMs or their NoKs have to make multiple visits to ECHS Polyclinic or service hospitals for follow up, many times service hospitals fail to provide equipments and sometime quality issues plague our esteemed ESMs. The matter has been compressively discussed with the competent authority and revised guidelines in respect of domiciliary medical equipments are as per succeeding paras. The prevailing CGHS rates of listed Domiciliary Medical Equipments are given in Appx.

3.    Issue Procedure.

(a)       Individual Reimbursement : Grant of Prior Sanction.     Based  on advice of concerned Specialist of Service/Govt hosp, ECHS beneficiary has an option to purchase the Domiciliary Medical Equipment and claim reimbursement .    

(i)      Domiciliary Medical Equipment for Which Ceiling Rates are available.             ECHS beneficiary requests for prior sanction from concerned Director RC ECHS through OIC ECHS Polyclinic based on recommendation of concerned Specialist of Service Hospital or Government Hospital. Director RC ECHS will issue prior sanction letter to the individual beneficial based on the recommendation of aim specialists and request by beneficiary. OIC ECHS Polyclinic will ensure that any similar demand is being processed by SEMO and prior sanction is to he given to a beneficial only after confirmation from SEMO in such cases.

(ii)    Domicilia Medical Equipment for Which no Ceiling Rates are available,        Domiciliary Medical Equipment other than those listed in Appx like insulin pump etc which are issued to CGHS beneficiaries for which no CGHS ceiling rates exist and are recommended for domiciliary use for ECHS beneficiaries by Service Specialist/Govt Hospital Specialist will require prior sanction of the High Power Committee as mentioned vide Para 5 of Gol (MoD/DoESW) letter No 22A(37)2018/WEID (Res-l) dated 15 Jan 2019. Composition of the High Power Committee would be as under :-

(aa) JS, ESW Chairman (ab) Government Hospital Specialist Doctor –  Member of concerned speciality)

(ac) Director/DS/US, DoESW  –   Member

(ad) Director (Medical), CO ECHS  Member-Secretary

(ae) Representative of MoD (Fin/Pen)  Member.

Once prior sanction is obtained, the equipment can be purchased by the ECHS beneficiary and claim may be submitted to OIC PC who will verify equipment and documents and upload the claim as individual reimbursement on BPA portal. Veterans are at liberty to purchase higher quality equipment’s but reimbursement will not exceed prevailing CGHS rates as amended from time to time.

Following documents should be submitted by ECHS Beneficiary for claiming reimbursement of Domiciliary Medical Equipment : –

(aa) Prior sanction letter of Director RC ECHS or High Powered Committee.

(ab) Original Bill of Domiciliary Medical Equipment. (ac) Contingent Bill.

(ad) Cancelled Cheque/Bank details of beneficiary. (ae) Copy of ECHS Card of beneficiary.

(af) Certificate from PC that the same type of equipment for the reimbursement.

(b)   Through SEMO. If a veteran does not want to avail the indl reimbursement route the Domiciliary Medical Equipment can be procured through SEMO also. Based on advice of concerned Specialist of Service/Govt hosp, OIC ECHS Polyclinic will forward demand to SEMO. SEMO will procure the said Domiciliary Medical Equipment and issue the same to the ECHS beneficiary. Copy of IVs and RVs will be forward to ECHS Polyclinic for record.

4.    Consumables.   The consumables for the equipments will be procured by SEMO/Comdt/CO Hosp and issued under arrangements of OIC Polyclinic. In case item is NA medical stores of Polyclinic, consumables will be issued through Authorised Local Chemist (ALC). if the same is not available in ALC/dispensary of ECHS Polyclinic then NA on prescription will be given to the beneficiary based on which he/she can purchase from local market and claim reimbursement.

  5.   Repair & Maintenance / Annual Maintenance. Cost of repair & maintenance be borne by the beneficiary themselves and will not be reimbursable.

  6.  Replacement of Domiciliary Medical Equipment. Request for replacement of Domiciliary Medical Equipment after completion of five years can be processed based on condition of the equipment. Following procedure will be adopted for Replacement of Domiciliary Medical Equipment

  • Domiciliary Medical Equipment procured by SEMO.   If Domiciliary Medical Equipment is procured and issued by SEMO and equipment is non­functional after completion of five years of purchase, Unserviceability Certificate will be obtained by OIC ECHS Polyclinic from Authorised Service Engineer of OEM with assistance of SEMO if required. Based on Unserviceability Certificate, Replacement of Domiciliary Medical Equipment can be processed in similar manner as for the first issue of machine/equipment.
  • Domiciliary Medical Equipment procured by Individual Beneficiary. If the Domiciliary Medical Equipment is non-functional after completion of five years of purchase, then Individual beneficiary should obtain Unserviceability Certificate from Aurhorised Service Enginner of OME of that Domiciliary Medical Equipment. Based on Unserviceability Certificate, Replacement of Domiciliary Medical Equipment can be processed in similar manner as for the first issue of machine/equipment.
  • In case Domiciliary Medical Equipment becomes unserviceable before five yrs, the warranty conditions will apply if the eqpt is under warranty. If the warranty period is over, similar procedure as given out in Para 6 (a) & 6 (b) above will be followed.

7.  Expenditure.

  • The expenditure on procurement of Domiciliary Medical Equipment by the SEMO will be debited to Major Head 2076 Minor Head 107 (C) Code Head 363/01.
  • The expenditure on procurement of Domiciliary Medical Equipment by the individual beneficiary will be debited to Major Head 2076 Minor Head 107

8.    CFA.

Domiciliary Medical Equipment procured by SEMO.        CFAs will be as per schedule 2.4, DFPDS-2016 as amended from time to time.

  • CFA for individual reimbursement of cost of Domiciliary Medical Equipment will be as per Para 1 of Govt of India, Ministry of Defence (DoESW) ID No 25(01)/2018NVE/D(Res-l) dt 09 Jul 2019 as amended from time to time.

9.      These instructions will supersede ail previous policy letters issued earlier respect to issue of Domiciliary Medical Equipment to ECHS beneficiary.

10.    These guidelines will be effective from date of issue of this letter.

11. This has approval of MD ECHS.

Text Box: (Sri Kant Kumar)
Lt Col
Jt Dir (Med & Eqpt)
For MD ECHS

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