OFFICE' - main.mohfw.gov.in · ·F. No.S-1413/2005-06/CGHS/R & H,Government of India, Ministry of...

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· F. No.S-1413/2005-06/CGHS/R & H ,Government of India, Ministry of Health ~& Family Welfare Department of Health & Family Welfare ************* Nirman Bhawan, New Delhi 110 108 Dated the, 26 th June, 2008 OFFICE' The undersigned is directed to refer to the Office Memorandum, No: S- 11011/30/2001/CGHS Desk II/CGHS (P) dated the 21 51 December, 2004, issued by the Ministry of Health & Family Welfare, vide which rates for foldable and non-foldable Intra-Ocular Lenses (IOL) were fixed and to state that representations were received in the Ministry requesting for revision of the rates. The representations received were examined by a Committee of experts constituted by the Ministry of Health & Family Welfare. Based on the recommendations of the Committee, it has decided to revise the rates for IOL, as followed by the All India Institute of Medical Sciences, and to circulate the guidelines to be followed for various types of IOL for reimbursement to beneficiaries under CGHS 1 CS (MA) Rules, 1944, with regard to the purchase of IOL: (1) Hydrophobic Foldable IOL .'0 •••• Rs~ 5,000/-' (2) Silicon Foldable IOL ••'0' .0. Rs.3,600/- (3) Hydrophilic Acrylic Lens ••0 •••Rs.5,800/- (4) PMMA IOL .0' •••• Rs. 490/-' ' 2. The ceiling rates, mentioned above for the different types of IOL implants to be used will be as per actual expe'nditure or the rates mentioned, whichever is less, and will be reimbursable in addition to the package rates for cataract surgery procedure. 3. The reimbursement at the above mentioned ceiling rates will be done as per the rates fixed for the various IOL mentioned above and the IOL actually used in the surgery. It is mandatory for the operating surgeon (of all private em panelled hospitals 1 CGHS and CS (MA) beneficiaries to attach the empty IOL sticker, bearing the signature and stamp of the operating surgeon on it, alongwith the bill in support of the type of IOL used, containing its' batch number. In the event of the private empanelled hospital not giving the batch number and 1 or empty IOL sticker then the beneficiary will be required to obtained the same from the hospital before the CGHS 1 concerned Department 1 Ministry finally settles the claim for reimbursement. ~~: ?". ~i: 1~~: ", .11;, dt ~~.~~:~ .

Transcript of OFFICE' - main.mohfw.gov.in · ·F. No.S-1413/2005-06/CGHS/R & H,Government of India, Ministry of...

Page 1: OFFICE' - main.mohfw.gov.in · ·F. No.S-1413/2005-06/CGHS/R & H,Government of India, Ministry of Health ~&Family Welfare Department of Health & Family Welfare Nirman Bhawan, New

·F. No.S-1413/2005-06/CGHS/R & H,Government of India,

Ministry of Health ~&Family WelfareDepartment of Health & Family Welfare

*************

Nirman Bhawan, New Delhi 110 108Dated the, 26th June, 2008

OFFICE'

The undersigned is directed to refer to the Office Memorandum, No: S-11011/30/2001/CGHS Desk II/CGHS (P) dated the 2151 December, 2004,issued by the Ministry of Health & Family Welfare, vide which rates for foldableand non-foldable Intra-Ocular Lenses (IOL) were fixed and to state thatrepresentations were received in the Ministry requesting for revision of therates. The representations received were examined by a Committee ofexperts constituted by the Ministry of Health & Family Welfare. Based on therecommendations of the Committee, it has decided to revise the rates for IOL,as followed by the All India Institute of Medical Sciences, and to circulate theguidelines to be followed for various types of IOL for reimbursement tobeneficiaries under CGHS 1 CS (MA) Rules, 1944, with regard to the purchaseof IOL:

(1) Hydrophobic Foldable IOL .'0 •••••• Rs~5,000/-'(2) Silicon Foldable IOL ••• '0' .0. Rs.3,600/-(3) Hydrophilic Acrylic Lens •••• 0 •••• Rs.5,800/-(4) PMMA IOL .0' •••••• Rs. 490/-' '

2. The ceiling rates, mentioned above for the different types of IOLimplants to be used will be as per actual expe'nditure or the rates mentioned,whichever is less, and will be reimbursable in addition to the package rates forcataract surgery procedure.

3. The reimbursement at the above mentioned ceiling rates will be doneas per the rates fixed for the various IOL mentioned above and the IOLactually used in the surgery. It is mandatory for the operating surgeon (of allprivate em panelled hospitals 1 CGHS and CS (MA) beneficiaries to attach theempty IOL sticker, bearing the signature and stamp of the operating surgeonon it, alongwith the bill in support of the type of IOL used, containing its' batchnumber. In the event of the private empanelled hospital not giving the batchnumber and 1 or empty IOL sticker then the beneficiary will be required toobtained the same from the hospital before the CGHS 1 concerned Department1 Ministry finally settles the claim for reimbursement.

~~:?".~i:1~~:",.11;,

dt~~.~~:~.

Page 2: OFFICE' - main.mohfw.gov.in · ·F. No.S-1413/2005-06/CGHS/R & H,Government of India, Ministry of Health ~&Family Welfare Department of Health & Family Welfare Nirman Bhawan, New

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4. The revised rates take effect froin the date of issue of the OfficeMemorandum.

5. This Office Memorandum is issued with the concurrence of FinanceDivision vide their Dy. No: C-1163/2008-IFD dated the 24th June, 2

\,)'}O4... (R. Ravi)

Deputy Secretary to the Government of India[Tel: 23063483]

All Ministries I Departments of Government of IndiaDirector, CGHS, Nirman Bhawan, New DelhiAll Pay and Accounts Officers under CGHSAdditional Directors I Joint Directors of all CGHS citiesJD(Gr.) I JD(R&H), CGHS, Delhi

CGHS Desk-I/Desk-II/CGHS-I/CGHS-II, Directorate General of HealthServices, Nirman Bhawan, New DelhiEstt. I I Estt. III Estt. III I Estt. IV Sections, Min. of Health & Family WelfareAdmn. I I Admn. II Sections of Directorate General of Health ServicesM.S. Section, Ministry of Health & Family Welfare

Rajya Sabha I Lok Sabha SecretariatRegistrar, Supreme Court of India I Delhi High Court, Sher Shah Road, New

DelhiU.P.S.C.Finance Division, Ministry of Health & Family Welfare

Deputy Secretary (Civil Service News), Department of Personnel & Training,5th Floor, Sardar Patel Bhawan, New Delhi .'PPS to Secretary (H&FW) I PPS to'SS (DG)··· ,: ...PPS to DGHS I AS&FA I AS&PD, NACO I AS & MD, NRHM

Swamy Publishers (P) Ltd., P. B. No.2468, R. A. Puram, Patna- 600028.Swamy Publishers (P) Ltd., 4855, 24, Ansari Road, Near Sanjeevan Hospital,Daryaganj, New Delhi - 110002.Mis Bahri Brothers, 742 Lajpat Rai Market, Delhi 110 006Shri Umraomal Purohit, Secretary, Staff Side, 13-C, Ferozshah Road, N. Delhi110001.All Staff Side members of National Council (JCM).Office of the Comptroller- & Auditor General of India, 10 Bahadur Shah ZafarMarg, New Delhi.All Officers I Sections I Desks intheMinistry of Health & Family WelfareShri V. Ringe, Technical Director, NIC, Nirman Bhawan, New Delhi, with therequest that the Office Memorandum by uploaded on the website of CGHS.Office Order folderGuard file