Comments for HealthBuzz http://www.healthbuzz.in The smart way to a healthy life! Wed, 25 Jan 2012 17:47:44 +0000 hourly 1 http://wordpress.org/?v=3.3.1 Comment on CGHS Medical Claim Reimbursement by AMRISH KUMAR http://www.healthbuzz.in/cghs-medical-reimbursement/6/comment-page-12/#comment-795 AMRISH KUMAR Wed, 25 Jan 2012 17:47:44 +0000 http://www./archives/6#comment-795 may i be referred to mumbai by the government doctor of bhopal for treating the acl reconstruction in the following hospital:- 1. Lilavati Hospital, Mumbai 2. Breach Candy, Mumbai 3. Shushruti Hospital,Mumbai 4. cumbala Hills, mumbai. As per my knowledge, all these hospital are neither empannelled by CGHS nor recognised hospital. Please clarify this issue and what will the process. may i be referred to mumbai by the government doctor of bhopal for treating the acl reconstruction in the following hospital:-
1. Lilavati Hospital, Mumbai
2. Breach Candy, Mumbai
3. Shushruti Hospital,Mumbai
4. cumbala Hills, mumbai.
As per my knowledge, all these hospital are neither empannelled by CGHS nor recognised hospital.
Please clarify this issue and what will the process.

]]> Comment on CGHS Medical Claim Reimbursement by Satya Prakash Prasad http://www.healthbuzz.in/cghs-medical-reimbursement/6/comment-page-12/#comment-794 Satya Prakash Prasad Thu, 05 Jan 2012 08:35:07 +0000 http://www./archives/6#comment-794 Sir, my father is a central govt. employee. CMC vellore used to be the notified referral hospital for the CMPF Dhanbad. he has been under the treatment of CMCH vellore since 2003. and in 2009 he underwent his renal transplant surgery. he used to get an introductory letter from his department addressing CMC that the bills if any be sent to the office for settlement. but in Jan 2011 CMCH Vellore was denotified by the Commissioner and they denied issuing such letter for the treatment. it is mandatory for father to go to cmch vellore in every six months for his follow up treatment. Whether he can claim for medical reimbursement for his recent treatment at cmch vellore? We have alreday spent too much money and his survival only depends on the follow up tratment and costly immunosurpassant. going to different hospital for treatment is extremely fatal for him as all his medical investigations and line of treatment are kept there in digital form and the team of doctors there is aware of his medical condition fully well since he has been under their yeartratment for the last 8 years. Please suggest me what could be done in this regard. hope to get ur prompt reply Sir,
my father is a central govt. employee. CMC vellore used to be the notified referral hospital for the CMPF Dhanbad. he has been under the treatment of CMCH vellore since 2003. and in 2009 he underwent his renal transplant surgery. he used to get an introductory letter from his department addressing CMC that the bills if any be sent to the office for settlement. but in Jan 2011 CMCH Vellore was denotified by the Commissioner and they denied issuing such letter for the treatment. it is mandatory for father to go to cmch vellore in every six months for his follow up treatment. Whether he can claim for medical reimbursement for his recent treatment at cmch vellore?
We have alreday spent too much money and his survival only depends on the follow up tratment and costly immunosurpassant. going to different hospital for treatment is extremely fatal for him as all his medical investigations and line of treatment are kept there in digital form and the team of doctors there is aware of his medical condition fully well since he has been under their yeartratment for the last 8 years. Please suggest me what could be done in this regard.
hope to get ur prompt reply

]]> Comment on CGHS Medical Claim Reimbursement by AMRISH KUMAR http://www.healthbuzz.in/cghs-medical-reimbursement/6/comment-page-12/#comment-793 AMRISH KUMAR Wed, 04 Jan 2012 17:43:07 +0000 http://www./archives/6#comment-793 HI RAJIV SIR, you are working a tremendous job. sir, i am inspector of income tax at bhopal and i am not covered under CGHS while covered in AMA(Authorised Medical Attenndant). i have also two queries:- First one is that i have anterior cruciate ligament tear. Doctor suggested me to undergo a surgery. i want to undergo surgery with DR. Ananat Joshi, who is a private doctor practising in mumbai. whether it is possible that my medical claim may be reimbursed under AMA. if yes , what will be complete procedure. if not, then what will be helpful if i cover under CGHS. Second query related to my wife delevery. i have admitted my wife in nearer private hospital in case when she felt labour pain. when i claimed the bill, my account official said to submit the medical emergency certificate. i have read in AMA rule that some relaxation has been provided. one of case is emergency and only it is upto the satisfaction of Head of Department. i wish to know whether the medical emergency certificate is necessary in my case or any other should be advised. Thank u sir in advance. HI RAJIV SIR, you are working a tremendous job.
sir, i am inspector of income tax at bhopal and i am not covered under
CGHS while covered in AMA(Authorised Medical Attenndant). i have also two queries:-
First one is that i have anterior cruciate ligament tear. Doctor suggested me to undergo a surgery. i want to undergo surgery with DR. Ananat Joshi, who is a private doctor practising in mumbai. whether it is possible that my medical claim may be reimbursed under AMA. if yes , what will be complete procedure. if not, then what will be helpful if i cover under CGHS.

Second query related to my wife delevery. i have admitted my wife in nearer private hospital in case when she felt labour pain. when i claimed the bill, my account official said to submit the medical emergency certificate. i have read in AMA rule that some relaxation has been provided. one of case is emergency and only it is upto the satisfaction of Head of Department. i wish to know whether the medical emergency certificate is necessary in my case or any other should be advised.

Thank u sir in advance.

]]> Comment on Obtaining Treatment Under CGHS by Rajib Ghosh http://www.healthbuzz.in/obtaining-treatment-under-cghs/12/comment-page-7/#comment-792 Rajib Ghosh Tue, 13 Dec 2011 05:04:35 +0000 http://www./?p=12#comment-792 Dear Ajayan, CGHS membership should be taken at a city where you reside permanently. Since you have settled at Bangalore after retirement, I suggest that you approach the CGHS HQ at Bangalore and meet with Administrative Staff (not clinical staff) to determine your eligibility, applicable fees and paper-work that has to be submitted. Things like PPO order/book, Service Certificate, Residence Proof, Identity Proof, Photo/Group Photo of eligible members are sure to be required. Also carry plain white-paper and Carbon paper to make on-spot applications. Please note that if you apply for membership for you and family (spouse, son under age of 21(?), unmarried daughter under age of 25(?), divorced/widowed daughter, surviving parents etc.), you are required to obtain a group photo and visit the CGHS Clinic assigned to you (typically the one closest to your residence) with all eligible members of the family to get the CGHS newly-prepared card endorsed. HTH Dear Ajayan,

CGHS membership should be taken at a city where you reside permanently. Since you have settled at Bangalore after retirement, I suggest that you approach the CGHS HQ at Bangalore and meet with Administrative Staff (not clinical staff) to determine your eligibility, applicable fees and paper-work that has to be submitted. Things like PPO order/book, Service Certificate, Residence Proof, Identity Proof, Photo/Group Photo of eligible members are sure to be required. Also carry plain white-paper and Carbon paper to make on-spot applications.

Please note that if you apply for membership for you and family (spouse, son under age of 21(?), unmarried daughter under age of 25(?), divorced/widowed daughter, surviving parents etc.), you are required to obtain a group photo and visit the CGHS Clinic assigned to you (typically the one closest to your residence) with all eligible members of the family to get the CGHS newly-prepared card endorsed.

HTH

]]> Comment on Obtaining Treatment Under CGHS by Ajayan T. V http://www.healthbuzz.in/obtaining-treatment-under-cghs/12/comment-page-7/#comment-791 Ajayan T. V Mon, 12 Dec 2011 16:39:51 +0000 http://www./?p=12#comment-791 Dear Rajib Ghosh, I had opted for VRS and took retirement in December 2008 at Cochin and opting for Medical Allowance of Rs 100 at the time of retirement and now I am not a CGHS member. I request you to clarify the following. 1. I am residing at Bangalore and my pension is being credited to my bank account in bangalore. Can I opt for CGHS now? If yes what is the procedure? Who should I approach? CGHS officials in Bangalore or My Department from where I retired at Cochin. Since I am permanently residing at Bangalore can I approach the CGHS officials here? What documents do I have to provide.? Regards Ajayan Dear Rajib Ghosh,

I had opted for VRS and took retirement in December 2008 at Cochin and opting for Medical Allowance of Rs 100 at the time of retirement and now I am not a CGHS member. I request you to clarify the following.

1. I am residing at Bangalore and my pension is being credited to my bank account in bangalore. Can I opt for CGHS now? If yes what is the procedure? Who should I approach? CGHS officials in Bangalore or My Department from where I retired at Cochin. Since I am permanently residing at Bangalore can I approach the CGHS officials here? What documents do I have to provide.?
Regards
Ajayan

]]> Comment on CGHS Medical Claim Reimbursement by Vish http://www.healthbuzz.in/cghs-medical-reimbursement/6/comment-page-11/#comment-790 Vish Sat, 03 Dec 2011 05:27:19 +0000 http://www./archives/6#comment-790 Its alright Rajib. My earlier messages which disappeared were actually related to this home nursing care only. Its Apollo Home nursing care. I will certianly post their contact details shortly. Its alright Rajib. My earlier messages which disappeared were actually related to this home nursing care only. Its Apollo Home nursing care. I will certianly post their contact details shortly.

]]> Comment on CGHS Medical Claim Reimbursement by Rajib Ghosh http://www.healthbuzz.in/cghs-medical-reimbursement/6/comment-page-11/#comment-789 Rajib Ghosh Mon, 28 Nov 2011 11:48:57 +0000 http://www./archives/6#comment-789 Dear Raghavendra ji, I apologize for my very delayed feedback. Your daughter needs sophisticated treatment which may not be covered by CGHS as a package deal. My suggestion would be to obtain advice from Addl. Director/CGHS in your city. If required, please contact CGHS Helpline and ask for clarification. Since this is a specialized treatment, you can obtain the treatment at specialist hospitals in Delhi as long as you obtain prior permission. Another method would be admit your daughter in emergency at a hospital in Delhi, pay the entire costs and ask for partial reimbursement later. Since rates of private hospitals are many times over CGHS specified rates, the reimbursement on few allowed elements will be as per rates approved for your city only. HTH Dear Raghavendra ji,

I apologize for my very delayed feedback.

Your daughter needs sophisticated treatment which may not be covered by CGHS as a package deal. My suggestion would be to obtain advice from Addl. Director/CGHS in your city. If required, please contact CGHS Helpline and ask for clarification.

Since this is a specialized treatment, you can obtain the treatment at specialist hospitals in Delhi as long as you obtain prior permission.
Another method would be admit your daughter in emergency at a hospital in Delhi, pay the entire costs and ask for partial reimbursement later.

Since rates of private hospitals are many times over CGHS specified rates, the reimbursement on few allowed elements will be as per rates approved for your city only.

HTH

]]> Comment on CGHS Medical Claim Reimbursement by Rajib Ghosh http://www.healthbuzz.in/cghs-medical-reimbursement/6/comment-page-11/#comment-788 Rajib Ghosh Mon, 28 Nov 2011 11:44:02 +0000 http://www./archives/6#comment-788 Dear Vish, My deepest condolences on your father's untimely demise. I can only hope that he is in a place where there is no more pain. Please do let us know the Name and Number of the Home care agency / person so that other readers of my blog may also benefit from your experience. Comments on my blog must be moderated by me before they can appear. Unfortunately I do not get around to visiting and updating this blog as frequently as I would like to. As a result, it can take a while before comments appear in this blog and I respond to them to the best of my limited ability. Regards Dear Vish,

My deepest condolences on your father’s untimely demise. I can only hope that he is in a place where there is no more pain.

Please do let us know the Name and Number of the Home care agency / person so that other readers of my blog may also benefit from your experience.

Comments on my blog must be moderated by me before they can appear. Unfortunately I do not get around to visiting and updating this blog as frequently as I would like to. As a result, it can take a while before comments appear in this blog and I respond to them to the best of my limited ability.

Regards

]]> Comment on CGHS Medical Claim Reimbursement by Vish http://www.healthbuzz.in/cghs-medical-reimbursement/6/comment-page-11/#comment-787 Vish Mon, 28 Nov 2011 11:22:45 +0000 http://www./archives/6#comment-787 I have posted a few messages beofre which appeared initially and disappeared later. My father passed away after receiving 3 weeks of home nursing care. We were very much satisfied withe home nursing care during these 3 weeks. I have posted a few messages beofre which appeared initially and disappeared later. My father passed away after receiving 3 weeks of home nursing care. We were very much satisfied withe home nursing care during these 3 weeks.

]]> Comment on CGHS Medical Claim Reimbursement by RAGHVENDRA BAJPAI http://www.healthbuzz.in/cghs-medical-reimbursement/6/comment-page-11/#comment-786 RAGHVENDRA BAJPAI Fri, 04 Nov 2011 13:54:48 +0000 http://www./archives/6#comment-786 sir I am a Central Govt employee and comes CGHS . My daughter aged 6 year suffering from liver prob. doctor has suggested for liver transplant. I want to know is there any rule/facility for liver transplant as in case of kidney or there is any ceiling for this. In cghs website or swamy book there is no information for liver transplant 2. can i take this treatment out of my city as in my city (kanpur) there is no facility of this treatment. 3.IN Delhi Appolo , ILBS, Fortis and Sir Ganga Ram, and in Gurgaon Medicity have this facility. can I take treatment there. 4 This is life saving treatment hence can I take treatment in any hospital apart from CGHS pl reply very soon. yours Raghvendra Bajpai sir I am a Central Govt employee and comes CGHS . My daughter aged 6 year suffering from liver prob. doctor has suggested for liver transplant. I want to know is there any rule/facility for liver transplant as in case of kidney or there is any ceiling for this. In cghs website or swamy book there is no information for liver transplant
2. can i take this treatment out of my city as in my city (kanpur) there is no facility of this treatment.
3.IN Delhi Appolo , ILBS, Fortis and Sir Ganga Ram, and in Gurgaon Medicity have this facility. can I take treatment there.
4 This is life saving treatment hence can I take treatment in any hospital apart from CGHS
pl reply very soon. yours Raghvendra Bajpai

]]>