[VV] Delhi Govt Employees Health Scheme

RAKESH KUMAR GUPTA rkgd1964 at gmail.com
Sat May 2 19:45:45 EDT 2009


Delhi Govt Employees Health SchemeDelhi Govt Employees Health Scheme

DELHI GOVERNMENT EMPLOYEES HEALTH SCHEME 

                                                                                                                     updated on 16th Oct 2008

Committee for recommendation of cases for I V F Treatment

Committee For Recommendation of Cases For Treatment Abroad

Revised Scheme  Office  Memorandum dated 25 October 2007 

Extension of Empanelment of Private Hospitals and Diagnostic Centres situated in N C T of Delhi under DGEHS, OM dated 2.4.2008



      INTRODUCTION 



Delhi Government Employees Health Scheme (DGEHS) was launched in April 1997 with a view to provide medical facilities to Delhi Government employees and pensioners on the pattern of Central Government Health Scheme on the basis of monthly contribution. The scheme has been modified vide O.M. No. F.342/81/2003/H&FW/3264 Dated 06-10-2003, dated 21-2-2005 and dated 25.10.2007. 

 

For this purpose, the Directorate of Health Services is providing Health cards to all the Delhi Government Departments/Offices on receiving their requirement.  The cards are issued to the employees/pensioners by the respective offices, which entitles them to free treatment in dispensary/hospital of Govt. of Delhi and facilities in recognized private hospitals as per provisions of scheme.  



In case of non-availability of medicines in the attached dispensary/hospital, the employee is entitled to reimbursement of the cost of the medicines. Some private hospitals have also been empanelled under the scheme for providing treatment/diagnostic facilities, where a beneficiary can go after referral from Authorised Medical Attendant in Non-emergency/routine cases and may also approach these hospitals directly  in case of emergency. The hospitals/diagnostic centres provide treatment/diagnostic facility to beneficiaries at CGHS approved rates and also provide credit facility to beneficiaries during emergency condition to cad holders.

 

In case of pensioners, they can avail of the benefit if they make a lump sum payment which is equivalent to their subscription for ten years i.e. 120 months.  

 

 The terms and conditions relating to medical attendance/medical reimbursements etc. shall be as under :-

 

      1.      INSTITUTIONS FOR MEDICAL ATTENDANCE/TREATMENT 



i.            All health facilities (hospitals/dispensaries) run by the Govt. of NCT of Delhi and autonomous bodies under Delhi Government, local bodies viz. MCD, NDMC, Delhi Cantonment Board,  Central Government and other Government bodies [such as AIIMS, Patel Chest Institute (University of Delhi) etc.] are recognized under the scheme.  In addition, some Private Hospitals/Diagnostic centers notified from time to time are also recognized/ empanelled as referral health facilities. 

ii.     The list of private recognized hospitals/diagnostic centers recognized in Delhi has been displayed on this web page. Any changes in the list shall be notified from time to time. 

iii.    Beneficiaries residing in NCR areas outside Delhi are allowed to get treatment even during non-emergent conditions from Government Institutions and CGHS recognized centers after referral from Government institutions in concerned areas or in Delhi as per provisions of the scheme.

iv.     Private recognized hospitals/diagnostic centers in NCR region outside Delhi for beneficiaries residing in these areas will be same as for CGHS beneficiaries as notified by CGHS from time to time. (list of CGHS recognised centres available at CGHS website : http://mohfw.nic.in/cghs.htm)


 



      2.   REFERRING  AUTHORITY/ AUTHORIZED MEDICAL ATTENDANT 



i.   The Authorized Medical Attendant (AMA) for referral purposes will be the CMO/MO I/C of the dispensary/hospital to which the beneficiary is attached. 

ii.  The beneficiary will have the option of availing facility of treatment/diagnostic procedures etc. in a recognized institution of his /her choice, as are being allowed for the CGHS beneficiaries. 

iii.  In emergency conditions the beneficiary can go to any of the recognized institutions of his/her choice, directly,  without being formally referred by AMA 

 

      3.       PERMISSION FROM COMPETENT AUTHORITY 



No prior permission is required to undergo medical treatment Government health facilities/institutions under Delhi Government, its autonomous bodies and those under local bodies (viz. MCD, NDMC and Delhi Cantonment Board), Cental Govt. etc. as per CS(MA) rules.



In non-emergent/routine cases for getting treatment/diagnostic facility from the recognized private hospitals/diagnostic centres, referral /authorisation of Authorised Medical Attendant (AMA) of attached dispensary is required. However, during emergency the patient can directly approach the empanelled/recognized hospitals.





 

      4.   MEMBERSHIP OF THE SCHEME 



The membership of scheme is compulsory for all employees.  However, for the time being, the membership of the scheme will be continued to be OPTIONAL, for pensioners, till further orders.  The rate of monthly contribution Delhi Government Employees/ Pensioners Health Scheme have been revised according to Pay range/Pension/Family pension and the corresponding contribution required for DGEHS beneficiaries is as under: - 



      S.No
     Basic Pay Plus Dearness Pay 

      or Basic Pension plus Dearness Pension
     Subscription
     
      1
     Upto Rs. 3000/-
     Rs. 15/-
     
      2
     Rs.3001 to 6000/-
     Rs. 30/-
     
      3
     Rs.6001 to 10000/-
     Rs. 50/-
     
      4
     Rs 10001 to 15000/-
     Rs. 75/-
     
      5
     Rs. 15001 & above
     Rs.100/-
     

The above rates of contribution will be effective with effect from 1.4.2007 .  A lump sum payment of 120 months (10 years) membership contribution by the pensioners (as per eligible category) will enable them to avail such medical facilities for life long with prospective effect.



For employees, the subscription is deducted from their salaries by the concerned office.



In case of pensioners, the subscription can be deposited by the pensioners  as lumpsum equal to 120 month subscription to avail life long benefits under the scheme for the pensioners.



    

      5. FIXED MEDICAL ALLOWANCE 


i. Fixed medical allowance will be granted as per CGHS rule, (at present being Rs. 100/-pm) to the retired persons/pensioners, residing in areas not covered by the scheme. 

ii.  Fixed  medical allowance will also be granted to retired persons only, residing in the areas covered by the scheme, but who do not opt to become member of the scheme. 



      6. AVAILABILITY/SUPPLY OF MEDICINES EQUIPMENTS/APPLIANCES AND MEDICAL REIMBURSEMENT 



i.    Medicines to the beneficiaries prescribed by any recognized health facility shall be provided by the concerned attached dispensary/ hospital. In case, any medicine is not available in attached hospital/dispensary, the hospital/dispensary authorities would purchase the same and supply it to the eligible beneficiary and in case this is not possible, the beneficiary would be allowed reimbursement of such medicines.

ii.   In case of non-availability of prescribed medicine, in these institutions the CMO/MO I/C of the dispensaries/hospitals will purchase them from identified and approved local chemists, with prior approval of concerned CDMO/MS of the Hospitals.  

    Accordingly, one chemist shop will be selected and earmarked and linked with each dispensary/hospital.  All our efforts will be made to ensure codal formalities and foolproof measure for appropriate selection of chemist shops.  (This provision is yet to be implemented) 

iii.  The purchase of medicines from private source/markets will be separately reimbursed as per entitlement on the basis of cash memo and appropriate essentiality certificate, duly signed by the AMA, as per CS(MA) Rules. 

iv.   All Private recognized hospitals and diagnostic centers will ensure provision/supply of required medicines/ equipments/ appliances/ consumable etc. required for the serving Government employees/pensioners of Government of Delhi, attending the institutions for treatment on emergency basis

V.  Reimbursements to employees/pensioners shall be made by concerned department from where serving or retired from. 



      7. ADVANCE FOR MEDICAL TREATMENT 



The sanction of advance for treatment if required, will be dealt with as per prevailing CSMA Rule. As per OM dated 21.2.2005 Power to sanction advance for medical treatment has been delegated to Head of the departments.





      8. APPLICABILITY OF CS(MA) RULES 



The CSMA Rule will also be applicable to the serving employees & pensioner of Delhi Government barring specific terms and conditions mentioned earlier in this scheme.





      9. REIMBURSEMENT FOR MEDICAL TREATMENT IN RECOGNISED HOSPITALS 



In case of treatment in Private/Recognized Hospitals, the medical reimbursement will be up to the maximum ceiling of package amounts/as per entitlement, based either on approved package rates of CGHS or the CS(MA) Rules, as the case may be. Reimbursements to employees/pensioners shall be made by concerned department from where serving or retired from. 



Payments to the concerned Private Recognised Hospitals for cashless treatment shall be made by concerned administrative department i.e. department where the employee is serving or department from where card has been issued in case of pensioners.



      10. GUIDELINE FOR OFFICES FOR ISSUING THE HEALTH CARD 



i.  Blank health cards [Index Cards (3 copies) and Medical Facility Card(1) for each beneficiary] are being supplied by Directorate of Health Services to respective departments for issue to their employees/pensioners who have opted for the health scheme. In case of pensioners, the issuing authority will be concerned department from the pensioner has retired.

ii.  After being filled up, the first copy of the of the index slip is to be retained by issuing authority and kept in the services book/personal file of the employee. The second copy of the card is to be sent to the Medical Officer Incharge of the dispensary, to which the employee want to be attached. The third copy is sent to State Program Officer (DGEHS), Directorate of Health Services (HQ) F17, Karkardooma, Delhi- 10032.

iii.  The medical facility Card is to be issued to the employees after being duly filled in. This card shall be used by the employee for availing medical facilities.

iv.   The dispensary to which the beneficiary wants to be attached should be clearly mentioned  on the index card as well as on the medical facility card. In case of pensioners the validity of cards should  also be mentioned.

v.   An account of blank index cards and medical facilities cards received from Directorate of Health Services and details of cards issued to employees/pensioners have to be maintained in every office

 

#    In case of EDUCATION DEPARTMENT, the cards are issued by Directorate of Health Services to DDEs/RDEs only, from where concerned/subordinate schools can indent their requirement of DGEHS Cards.

#    In case of PWD, the cards are supplied  to the Chief Engineers Offices/Engineer in Chief Office, from where the individual subordinate office  subordinate offices may get their requirement of DGEHS Cards.

 


 

      FREQUENTLY ASKED QUESTIONS 

 

1.   What is this ‘Delhi Government Employees Health Scheme’ all   about?

 

Delhi Government Employees Health Scheme is a welfare scheme of Delhi Government to provide medical facilities to Delhi Government employees and pensioners on the pattern of Central Government Health Scheme on the basis of monthly contribution by the beneficiaries.

 

2.   Who can become the member and how?

 

The membership of scheme is compulsory for all employees .  

The membership of the scheme for pensioners is optional. Employees will give an option at the time of retirement for becoming a member of the scheme. The subscription will be deducted in lumpsum (equal to 10 year subscription) from those who opt for lifetime membership at the time of retirement. 



Retiring officers of Indian Administrative Service/Indian Forest Service of AGMUT cadre, officers of DANICS/UTCS cadres  including their family pensioners can also opt for the scheme. 



Autonomous/statutory bodies fully funded by Delhi Govt. may opt for Delhi Government Employee Health Scheme. 



The scheme is not applicable to employees/pensioners who are entitled for any other medical allowance/medical facilities.



In case of expiry of the main pensioner beneficiary who has deposited contribution for lifelong benefits, the family pensioners of such expired pensioners will continue to get benefits of the scheme. 



The membership of the scheme is prospective in nature i.e. from the date of becoming the member. By contributing the stipulated contribution/subscription one can become the member of the scheme. For becoming member, one can approach the office from where the employee is working or has retired from. On becoming the member, the beneficiary will be issued a medical facility card, that will entitle the beneficiary the benefit s of scheme at empanelled hospitals.



The pensioners who do not opt for the scheme are eligible to get fixed medical allowance at Rs. 100/- per month.



  

3.   What is the subscription of the scheme ?

 

Subscription of the scheme is as per OM dated 25.10.2007 as per following list:



      S.No
     Basic Pay Plus Dearness Pay 

      or Basic Pension plus Dearness Pension
     Subscription
     
      1
     Upto Rs. 3000/-
     Rs. 15/-
     
      2
     Rs.3001 to 6000/-
     Rs. 30/-
     
      3
     Rs.6001 to 10000/-
     Rs. 50/-
     
      4
     Rs 10001 to 15000/-
     Rs. 75/-
     
      5
     Rs. 15001 & above
     Rs.100/-
     

 

In case of employees, this contribution  is deducted from the salary on monthly basis.

In case of pensioners, this subscription can be deposited AS A LUMPSUM equal to 120 month subscription to avail life long benefits under the scheme for the pensioners.



      

4.   I am a pensioner, whether I can become Life member for the scheme?

 

There is a provision for becoming a life member for pensioners only. A lump sum payment of 120 months (10 years) membership contribution by the pensioners (as per eligible category) will enable them to avail such medical facilities/benefits under the scheme for life long with prospective effect. 

 

5.   I have deposited a lumpsum of 60 months contribution in 1997 before the modified scheme was notified in 2003. Will I be getting the medical benefits?

 

For those pensioners who have deposited 60 months contribution as per scheme orders in 1997,  the medical facilities will be provided to such pensioners under the scheme on life long basis.

 

6.  From where the Medical Facility card will be issued to me?

 

The medical facility card will be issued from the office where the employee is working or from the office from where retired in case of pensioners. In case of eligible pensioners  who have not retired from Government of NCT of Delhi, the DGEHS cards shall be issued by Directorate of Health Services. 

For this purpose, DGEHS Cards shall be provided by Directorate of Health Services. All Heads of Department may send their consolidated requirement directly to Director, Health Services. The cards to the beneficiaries will be issued by the concerned departments (where serving or retired from). 

The concerned department should indent such Medical Facility Card/Index Cards from State Programme Officer (DGEHS), Directorate of Health Services (HQ), F17, Karkardooma, Delhi 32.

In case of EDUCATION DEPARTMENT, the cards are issued by Directorate of Health Services to DDEs/RDEs only, from where concerned/subordinate schools can indent their requirement of DGEHS Cards.

In case of PWD, the cards are supplied  to the Chief Engineers Offices, Engineer in Chief Office, from where the individual subordinate office  subordinate offices may get their requirement of DGEHS Cards.

  

7.  What are the hospitals recognized empanelled under the scheme ?

 

i.             All health facilities (hospitals/dispensaries) run by the Govt. of NCT of Delhi and autonomous bodies under Delhi Government, local bodies viz. MCD, NDMC, Delhi Cantonment Board,  Central Government and other Government bodies [such as AIIMS, Patel Chest Institute (University of Delhi) etc.] are recognized under the scheme.  In addition, some Private Hospitals/Diagnostic centers notified from time to time are also recognized/ empanelled as referral health facilities. 

ii.       Pensioner beneficiaries residing in NCR areas outside Delhi are allowed to get treatment even during non-emergent conditions from Government Institutions and CGHS recognized centers after referral from Government institutions in concerned areas or in Delhi as per provisions of the scheme.

iii.         The list of private recognized hospitals/diagnostic centers in Delhi has been displayed on Delhi Govt. web site. Any changes in the list shall be notified from time to time. An updated list may be seen on Delhi Government web site at http://health.delhigovt.nic.in/health/files/dgehs.htm.

iv.    Private recognized hospitals/diagnostic centers in NCR region outside Delhi for beneficiaries residing in these areas will be same as for CGHS beneficiaries as notified by CGHS from time to time. (list of CGHS recognised centres available at CGHS website : http://mohfw.nic.in/cghs.htm). These hospitals will be providing treatment/diagnostic facilities at CGHS rates to the beneficiaries of the scheme. During emergency conditions the hospitals will  be providing credit facilities to the beneficiaries of the scheme. 

 

8.  Do I need a referral to avail treatment facilities in  these hospitals?

 

All beneficiaries are supposed to get attachment to one of the Delhi Government Dispensary/Hospital, the Medical Officer Incharge/Medical Superintendent  will be the Authorised Medical Attendant for the respective beneficiaries. In non-emergent/routine cases for getting treatment/diagnostic facility from the recognized private hospitals/diagnostic centres, prior permission from competent on medical advise from Authorised Medical Attendant (AMA) is required. However, during emergency the patient can directly approach the private hospitals.

No permission is needed for getting treatment from health facilities/institutions under Delhi Government, its autonomous bodies and those under local bodies (viz. MCD, NDMC and Delhi Cantonment Board) as per CS(MA) rules

 

9.  Are there any credit facilities for the beneficiary under the scheme? 

 

Currently credit/cashless facilities are available at all recognised Private  hospitals/diagnostic centres during emergency treatment for all beneficiaries. In this regard, Agreements with these hospitals have been signed. In such cases, the bill will be sent by the empanelled hospital to concerned offices from where the health card to the beneficiary has been issued/  from where retired in case of pensioners.

 

In case of pensioners, the credit/cashless facility is available during non-emergent conditions also in all private hospitals. For this an authorization/permission from competent authority will be required to the concerned hospital. Agreements in this regard have been entered with all private institutions except  Rajiv Gandhi Cancer Institute.

 

10. Where should I deposit my medical reimbursement bills?

 

The medical reimbursement bills along with essentiality certificate and other essential supportive documents are to be deposited to the concerned office from where the Medical Facility card have been issued.

 

11. My spouse is also in service, whether he/she can also avail the benefits?

 

If both husband and wife are in service, only one of them will contribute to the scheme and both of them will be getting the benefits under the scheme, the spouse being dependent on the contributing member for medical reimbursement purpose, in accordance to CS(MA) rules & the spouse shall not avail medical reimbursement from his/her office.

 

12. Whether the scheme is applicable to the employee where medical allowance is being given?

 

No, this scheme is not applicable to the employees who are entitled for any other allowance /medical facility.

 

13.  Is the scheme benefits available to pensioners residing outside Delhi also?



Vide OM dated 21st Feb 2005, the scheme has been extended to cover the DGEHS beneficiaries residing in National Capital Region (NCR) outside Delhi, though on a limited basis. For this all, governmental health institutions in NCR are recognized for the purpose of medical treatment. All CGHS recognized private hospitals/diagnostic centres in these areas are also recognized as referral institutions for which prior permission of competent authority will be required for undergoing treatment. 

 

13. Who is a competent authority to sanction advance?



Under the scheme, now the financial power to sanction advance for medical treatment to the tune of 90% of expected expenditure treatment has been decentralized and delegated to head of the departments vide OM dated 21.2.2005.



14.  What is the process to get the permission for treatment in private hospital/cashless treatment?

 

-   CASHLESS TREATMENT/ CREDIT FACILITY DURING EMERGENT CONDITIONS:  

During emergent conditions the cashless treatment/ credit facilities are available to all DGEHS beneficiaries at all DGEHS recognised Pvt. Hospitals/Diagnostic Centers. In emergent conditions beneficiary (pensioner and serving employee) may go directly to the DGEHS recognized hospital and cashless facility for treatment will be available on production of a valid DGEHS Medical Facility card. The bills for this treatment are thereafter sent to concerned offices/departments in this regard. An emergency certificate in this regard may be issued by the concerned attending doctor to authenticate the emergent conditions.

 

-    CASHLESS TREATMENT/ CREDIT FACILITY DURING NONEMERGENT CONDITIONS : 

Credit facility during nonemergent conditions is available only to pensioner beneficiaries. This facility is available with prior permission and credit authorization to the hospital by AMA of attached dispensary. Agreements in this regard have been entered into with all DGEHS recognized private hospitals/Diagnostic Centers except Rajiv Gandhi Cancer Institute.

 

-   PAYMENT TO THE HOSPITAL/DIAGNOSTIC CENTRES BY THE DEPARTMENT : 

These hospitals are under agreement to provide cashless treatment facilities to the beneficiary as described above and the bills are sent directly to the concerned Department and the payment thereof is to be made within 60 days to the concerned hospital/Diagnostic Center directly by the respective departments as per terms and conditions of the agreement.

 

 Cashless treatment facility in emergent conditions will be available to all pensioner and serving employee beneficiaries in recognized empanelled private hospitals/ diagnostic centers in Delhi on production of valid DGEHS Card. Cashless treatment facility in nonemergent conditions for OPD treatment, indoor treatment and for investigations as per entitlement will be available to all pensioner beneficiaries in recognized empanelled private hospitals/ diagnostic center in Delhi with the authorisation of AMA.  These hospitals will be sending the bills to concerned departments (from where the DGEHS Card has been issued) for making payments which have to be made within 60 days as per terms and conditions of the agreement entered into with these hospitals/diagnostic centers. The itemized bills will have to be accompanied by the following documents (in duplicate):

1.  Photocopy of valid DGEHS card of the beneficiary

2.  Referral/authorisation from AMA or emergency certificate issued by the hospital concerned, as the case may be,

3.  Essentiality certificate as per CS(MA) rules 

4.  Certificate by the hospital  to the effect that 

a.  The treatment given by the hospital has been as per entitlement of the beneficiary and the rates charged have been as per DGEHS approved rates.

b.  The treatment given was absolutely essential and in accordance with CS(MA) rules and  was not cosmetic in nature.

5.    Stickers/Invoices indicating Serial Nos./Manufacturer etc. of implants etc. as per practice being followed under CGHS.



The bills should be itemwise and should be authenticate/ verified by the beneficiary or in case of inability/death of patient, the bills should be authenticated/verified by the next of kin/legal heir of the beneficiary or attendant of the beneficiary.



Presently cashless facility is not available in Rajiv Gandhi Cancer Institute, Mata Chanan Devi Hospital and Shanti Mukund Hospital.

 

      LIST OF RECOGNISED HOSPITALS/DIAGNOSTIC CENTRES UNDER DGEHS (as on 4.4.2008) 

(any subsequent modification of the list shall be notified on this webpage)

Hospital/Diagnostic Centre, Address, Purpose recognised for

CENTRAL DISTRICT 

1. Delhi Heart and Lung Institute, Panchkuian Rd., New Delhi 55 

Specialized purpose :Cardiology, Cardiothoracic Surgery and Respiratory Medicine and allied Diagnostic Services 

2. Dr SS Doda’s Ultrasound Centre, 23 B, Pusa Road, New Delhi 05 

All Radiological Investigations, CT, Mammography, Ultrasound, Colour Doppler, Echocardiography, TMT & EEG 

3. Jeevan Nursing Home & Hospital, 2B, Pusa Road, New Delhi 05 

General Purpose and specialized purpose : Laparoscopic Surgery 

4. Jeewan Mala Hospital, 67/1 and 66 A/2, New Rohtak Road, Delhi 05 

General and specialized purpose: Laparoscopic Surgery, Dialysis, Lithotripsy, Nephrology, Neurology, Neurosurgery, Non interventional Cardiology, except Cardiac Angiography/ Cardiac Surgery 

5. Jessa Ram Hospital, WEA, Karol Bagh, New Delhi -05 

General and Specialized purpose 

6. Mahajan Nuclear Medicine and Bone Densitometry Centre, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi –60 

Nuclear Medicine and Bone Densitometry 

7. Millenium Bone Densitometry and Osteoporosis Research Centre, Pusa Road,(Near Tel. Exchange), New Delhi –05. 

Bone Densitometry 

8. Mohan Eye Institute, Ganga Ram Hosp. Marg, New Delhi –60. 

Specialized purpose- Ophthalmology 

9. New Delhi Scan Institute, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi –60. 

CT 

10. North MR Scan Research Institute, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi- 60 

MRI



NEW DELHI DISTT. 

11. Diwan Chand Satyapal Aggarwal Imaging Research Centre, 10B, Kasturba Gandhi Marg, New Delhi- 01 

 All Radiological Investigations and Nuclear Medicine 

12. Dr Lal Path Labs Pvt. Ltd, 54, Hanuman Road, New Delhi -01 

 Lab
 

EAST DISTRICT 

13. Arya Vaidya Sala Kottakkal, Ayurvedic Hospital & Research Centre, 18-19X, Karkardooma Instt. Area, Delhi -92 

Indian System of Medicine 

14. Bapu Nature Cure Hospital & Yogashram, Patparganj, Delhi 91 

Indian System of Medicine 

15. Dr Anand’s imaging and Neurological Research Centre, G14, Preet Vihar, Delhi 92 

Conventional Radiology, CT and MRI


16. Dr Savita Jain’s Arun Imaging Centre, D-29, Vivek Vihar, Delhi -95 

Conventional Radiology, USG and Mammography 

17. Shri Ram Singh Hospital and Heart Institute, B 25- 26&26A, East Krishna Nagar, New Delhi 51. 

General Purpose including Laparoscopic Surgery & Lithotripsy.


18. Sun Imaging Centre, (YK Diagnostics),15, Hargovind Enclave, Vikas Marg, Delhi 93. 

All Radiological Investigations, CT, MRI, USG, Echocardiography, Colour Doppler and Bone Densitometry

NORTH DISTRICT 

19. Sant Paramanand Hospital, 18, Alipur Road, Delhi - 54 

General and Specialized purpose, Diagnostic except cardiac surgery 

20. St Stephens Hospital, Tis Hazari, Delhi – 54 

General and Specialized purpose treatment and diagnostic procedures 

21. Tirath Ram Shah Charitable Hospital, Rajpur Road, Delhi -54 

General purpose & Diagnostic 


NORTH WEST DISTRICT 

22. CD Diagnostic CT Scan Centre, Sunder Lal Jain Hospital, Ashok Vihar Delhi 52 

CT 

23. Ganesh Diagnostic & Imaging Centre, 109, Pocket A1, Sector 8, Rohini, Near Deepali Chowk, New Delhi 85. 

Radiology investigations including Histopathology, PFT. OPG, EEG, EMG, NCV, VEP, TMT, Holter, Mammography and Bone Densitometry

(Recognition kept in abeyance for Clinical Laboratory investigations till further orders) 

24. Premadhar Research Institute and Hospitals in Ayurveda- Naturopathy, Yoga Sciences, Deep Vihar, Prahladpur Road, Pooth Kalan (opp. Sec 24 Rohini), Delhi 42 

Indian System of Medicine 

25. Rajiv Gandhi Cancer Institute & Research Centre, Sector 5, Rohini, Delhi - 85 

Specialized purpose – Cancer diagnosis, Cancer Chemotherapy and Radiotherapy  

26. Saral Advanced Diagnostic Pvt Ltd. 2, Shakti Vihar, Delhi 34, MRI Centre & Nuclear Med Lab; E-1073, Saraswati Vihar, Delhi-34. 

Clinical Laboratory investigations, Neurological Lab Investigations, Nuclear Medicine Laboratory Investigations, All Radiological Investigations, MRI, CT, Ultrasound, Colour Doppler, Echocardiography, TMT and EEG, 

27. Saroj Hospital and Heart Institute,Instt.Area, Madhuban Chowk, Rohini, Delhi 85 

General and Specialized purpose including Cardiothoracic Surgery 

28. Sunder Lal Jain Charitable Hospital, Ashok Vihar Phase III, Delhi - 52 

General and Specialized purpose except cardiac surgery, Diagnostic procedures



SOUTH WEST DISTRICT
----


NORTHEAST DISTRICT
----


SOUTH DISTRICT 

29. Batra Hospital and Medical Research Centre, MB Road, Tughlakabad Instt. Area, New Delhi- 

Cardiac Procedures like CAG, PTCA, CABG, EP Study, Cardio Vascular procedure, MRI, CT, Imaging, Chemotherapy & Cancer Radiation Therapy 

30. Centre for Sight, A-23, Green Park, Aurobindo Marg, New Delhi 16 

Specialized purpose-Ophthalmology 

31. Delhi Institute of Functional imaging, K-16, South Extension, New Delhi 49. 

Nuclear Medicine, SPECT Scan 

32. Escorts Heart Institute and Research Centre, Okhla, New Delhi 

Cardiovascular Surgery, Invasive and Noninvasive Cardiology and Pediatric Cardiology 

33. Focus Imaging & Research Centre, CT Scan / Diagnostic Centre: C-10, Green Park Extension, New Delhi 16. MRI Centre : 47/1-2,  Yusuf Sarai Mkt. Aurobindo Marg , Delhi 16 

All Radiological Investigations, MRI, CT, Bone Densitometry, Mammography, Ultrasound, Echocardiography, Colour Doppler, ECG, EEG. 

34. GMR Institute of Imaging and Research (MRI Scans Pvt Ltd), A-13, Green Park, New Delhi-16 

MRI 

35. Max Devki devi Heart and Vascular Institute , 2 Press Enclave Road , Saket New Delhi 

    Cardiology , Cardiothoracic Surgery and Vascular Surgery and related diagnostic procedures
 



36. Indraprastha Apollo Hospital, Mathura Road, Sarita Vihar, New Delhi 44 

 All Radiological Investigations & Nuclear Medicines, Laparoscopic Surgery, Dialysis, Urology, Organ Transplant (Renal, Liver), Lithotripsy, Joint Replacement, Radiation Therapy, Cardiology, Cardiac Surgery, Cardio Thoracic, Vascular Surgery  

37. Krishana Dutt Health Center, Des Raj Campus, C-Block, East of Kailash, New Delhi-65 

Indian System of Medicine. 

38. Mahajan Imaging Centre, K18, Hauz Khas Enclave, New Delhi 16 

All Radiological Investigations, MRI, CT, Bone Densitometry, Mammography, Ultrasound, Colour Doppler, Echocardiography and TMT 

39. National Heart Institute, 49, Community Centre, East of Kailash Delhi. 

Specialized purpose : Cardiology cardiothoracic surgery 

40. NMC Imaging and Diagnostic Centre, VIMHANS, 1, Instt. Area, Nehru Nagar, New Delhi 65 

Conventional Radiology, CT, MRI, Ultrasound, Colour Doppler 

41. RG Stone Urological Research Institute, East of Kailash , New Delhi 65 

‘Urology including Endourology, Holmium Laser Surgeries, Lithotripsy and Minimally Invasive Surgery (incl. Laparoscopic Surgery) 

42. Rockland Hospital, Qutub Instt. Area, New Delhi 17. 

General and Specialized Purpose: Orthopedic Joint Replacement, Nephrology, Dialysis, Urology, Gastroenterology, Laparoscopic Surgery, Cancer Diagnosis and treatment (Cancer Chemotherapy, Cancer Surgery) except Radiotherapy. 

43. The Heart Centre, 2, Ring Road, Lajpat NagarIV, New Delhi –24

Non-invasive cardiac Procedures 


WEST DISTRICT 

44. Citi X-Ray & Scan Clinic Pvt. ltd, 4B/7 Tilak Nagar, New Delhi 18   

Clinical Laboratory, Radiology investigations including Mammography, OPG, TMT, Holter, EEG,VEP, ECG, NCV, PFT, Uroflowmetry and Bone Densitometry’ 

45. Dr Chopra Bone Densitometry Centre & Lab, 2, Rajouri Palace, J1/162, Rajouri Garden, New Delhi 27 

Bone Densitometry 

46.Kalra Hospital &SRHIRC,A5-6, Kirti Nagar, New Delhi 15 

General and Specialized purpose: Nephrology, Dialysis, lithotripsy, laparoscopic surgery, interventional cardiology, Cardiothoracic surgery and Neurosurgery 

47. Krystal MRI Scan & Diagnostic Center, 1, Paschim Enclave, Main Rohtak Road, Peera Garhi, New Delhi-87. 

Radiology investigations including OPG, EEG,EMG, NCV, VEP, TMT, Holter investigations except Histopathology’ 

(Recognition kept in abeyance for Clinical Laboratory investigations till further orders) 

48. Kukreja Hospital & Heart Centre, C1, Vishal Enclave, Rajouri Garden, New Delhi 27 

General and Specialized purpose :Laparoscopic Surgery, Endoscopic Surgery, Nephrology, Dialysis, Cardiology (Interventional and Nonintervention) excluding cardiothoracic surgery


49. Maharaja Agrasen Hospital, Rohtak Road, Punjabi Bagh, New Delhi 26 

General & specialized purpose, Dialysis, Laparoscopic Surgeries, Non-Invasive Cardiac Procedure etc., diagnostic (except Cardiac Surgery) 

50. Mata Channan Devi Hospital, C-1 Block, Janakpuri, New Delhi-58 

General purpose, specialized purpose and Dialysis, Non invasive Cardiac Procedures, Diagnostic except cardiac surgery 

51. National MRI , CT Scan & Diagnostic Centre 

MRI Centre : 19/35, Main Rohtak Road, Punjabi Bagh, New Delhi 26, Lab : 17, NWA, Punjabi Bagh, Club Road, New Delhi-26. 

All Radiological Investigations, MRI, CT, Ultrasound, Colour Doppler, Echocardiography, TMT, ECG, 

52. Park Hospital, 12, Chowkhandi, New Delhi 08.

General Purpose including Laparoscopic Surgery. 

53. Star Imaging and Path Lab, 4B/4 and 4B/3,5 Tilak Nagar, New Delhi 110018 

Clinical Laboratory and Radiology investigations including Mammography, OPG, TMT, EEG, ECG, NCV, Uroflowmetry, Bone Densitometry’ except Histopathology 

54. Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar Delhi-63 

General purpose and Specialized purpose: Cardiology inclusive Cardiothoracic & Vascular Surgery, Neurosurgery, Urology, Joint replacement, Laparoscopic Surgery, Gastroenterology, Dialysis 



In case of the following diagnostic centers, the  empanelment for the purpose of laboratory investigation has not been extended for want of NABL accreditation by these labs/diagnostic centre, while for other purposes (if any) the empanelment shall continue (vide OM No.F25 (III)/DGEHS/27/ MED/DHS/2004-05/23419-23559 dated 14 Sept  2007) : 

1.    1st Dwarka Lab, 185, Sector 6, Pocket 1,  MIG Flats, Dwarka, New Delhi 75 

2.    Dev Diagnostics Labs. C9/13, Yamuna Vihar Delhi 53

       Authorised Collection Centre : C312, Street14, Bhajanpura,  Delhi 53

3.    Dr Garg Labs (P) Ltd., A73, Laxmi Nagar, Vikas Marg, New Delhi 92

4.    Dr Suri Labs Pvt. Ltd., 23 B, Pusa Road, New Delhi -05

5.    National MRI , CT Scan & Diagnostic Centre, MRI Centre : 19/35, Main Rohtak Road, Punjabi Bagh, New Delhi 26,      

       Lab: 19/35, Main Rohtak Road, Punjabi Bagh, New Delhi 26

6.   NMC Imaging and Diagnostic Centre, VIMHANS, 1, Instt. Area, Nehru Nagar, New Delhi 65

7.   Saral Advanced Diagnostic Pvt Ltd. 2, Shakti Vihar, Delhi 34, 

      MRI Centre & Nuclear Med Lab; E-1073, Saraswati  Vihar, Delhi-34. 



The following hospitals have not agreed to the terms and conditions of the DGEHS for extension of term of empanelment and hence the term of empanelment has not been extended for these hospitals (vide OM No.F25 (III)/DGEHS/27/ MED/DHS/2004-05/23419-23559 dated 14 Sept  2007) : 

1.      Jaipur Golden Hospital, Sec 2, Rohini, Delhi 85

2.      Dharamshila Cancer Hospital and Research Centre, Vasundhara , Delhi – 96



 The empanelment  of Shanti Mukund Hospital, 2- Institutional Area, Vikas Marg, Delhi 110092 under DGEHS has also been kept in abeyance till further orders. 





Available orders/circulars on website                                                                                                   

Circular/ Office Memorandum No.   / Subject

F27(9)/96M&PH/dated 13th March1997  : Scheme for providing medical facilities to employees/ pensioners 



27/9/97H&FW/dated 26thSeptember1997  : Provisions of the scheme (Procedures for depositing subscription  and reimbursement, hospitals for medical treatment) 



F342/7/2002H&FW/9422dated25thOctober2002 : Regarding Revision of Rates and fixation of package/ceiling rates under DGEHS) 



F342/81/2003/H&FW/3264_dated_6th October_2003 : Modified Scheme vide cabinet decision of Sept 2003 (incl. institutions for medical attendance, revised rates for subscription, Fixed Medical Allowance etc.) 



Office_Memorandum_dated_24.5.2004 : Recognition of Hospitals



Office Memorandum dated 23.08.2004 : Recognition of Hospitals



F342/126/2004/H&FW/755363dated21st February2005 : Modified Scheme vide cabinet decision of January 2005 (incl. extension to NCR, delegation of power to sanction advance to HODs, extension of credit facility to pensioners in non-emergent conditions etc.) 



CGHS OM F.No.Rec24/2001/JD(M)/CGHS/Delhi/CGHS(P)dated 07September2001  : Recognitions of hospitals, and fixation of package/ceiling rates in CGHS 



CGHS OM NoS11011/6/98CGHS(P)dated 28th October2005 : Text of OM Regarding monetary ceiling for free diet, direct consultation with specialist in Government hospitals, ward entitlement at AIIMS/Govt. hospitals under CGHS. 



Office Memorandum No.F25 (III)/DGEHS/27/ MED/DHS/2004-05/23419-23559 dated 14 Sept 2007 : Extension of term of empanelment of hospitals



Office Memoranda F342/52/2006/H&FW/ dated 25-10-2007 : Regarding Modified Scheme Provisions for employees and pensioners



Format of Essentiality Certificate 'A' , 'B' and Medical 97 for Medical reimbursement Claims



O M No. F25(III)/DGEHS/9/DHS/2006-07/35264-429,596-621,35640-657 dated 22 July 2008 : Empanelment of Private Hospitals and Diagnostic Centres in N C T of DELHI under DGEHS

OM NO. F 342/52/2006/H&FW/37282-503 DATED 29-7-2008 : EXTENSION OF DATE FOR APPLYING FOR MEMBERSHIP OF THE SCHEME

OM NO. F25(III)/123/DGEHS/DHS/2007-08/55543-55644 DATED 12-11-2008 : Grant of additional Medical Facilities to Serving/Retired Judges of High Court/ High Court of Delhi under DGEHS.





For any suggestions about this webpage/DGEHS please give your feedback to :

Dr Parveen Kumar, SPO(DGEHS)

Delhi Govt. Employees Health Scheme

6th Floor, Directorate of Health Services (HQ)

F-17, Karkardooma, Delhi 110032



email : dirdhs at nic.in








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