eligibility - ECHS

echs.gov.in

eligibility - ECHS

CITIZEN-CHARTER ECHS : ESM (PENSIONERS)

INTRODUCTION

1. Retired Armed Forces personnel till 2002 could avail medical facilities only for

specific high cost surgery/treatment for a limited number of diseases covered under the

Army Group Insurance(Medical Branch Scheme) (AGI(MBS)) and Armed Forces Group

Insurance Scheme(Management Information System) (AFGIS (MIS)) schemes. These

medicare schemes could provide some relief to the ESM, but it was not a comprehensive

scheme as compared to and available for other Central Government Employees.

Therefore, the requirement was felt of establishing a medicare system which could provide

quality medicare to the retirees of the Armed Forces.

2. Based on this noble aim, and after detailed deliberations, a comprehensive scheme

has taken shape as ECHS, authorised vide Government of India, Ministry of Defence letter

No 22(i) 01/US/D(Res) dated 30 Dec 2002. The ECHS was launched with effect from 01

Apr 2003. With the advent of this scheme. Ex-servicemen pensioners and their dependants

who were only entitled for treatment in service hospital are now authorised treatment, not

only in service hospitals, but also in those civil/private hospitals which are specifically

empanelled with the ECHS

3. The Scheme is financed by Govt of India.

CONCEPT OF ECHS

4. Conceptually the ECHS is to be managed through the existing infrastructure of the

Armed Forces in order to minimise the administrative expenditure. The existing

infrastructure includes command and control structure, spare capacity of Service Medical

facilities (Hospitals and MI Rooms), procurement organisations for medical and non medical

equipment, defence land and buildings etc.

5. In order to ensure minimal disruption of the Scheme during war/training and availability of

ECHS services in non military areas above mentioned resources are to be supplemented

as follows :-

(a)

(b)

Establishing new Armed Forces Polyclinics in Non Military areas.

Augmenting existing medical facilities/clinics in some selected military stations

to cater for heavy ESM load (Augmented Armed Forces Clinics).

(c)

(d)

Empanelling civil hospitals and diagnostic centres.

Finances.

ORGANISATION OF ECHS

6. The ECHS Central Organisation is located at Delhi and functions under the COSC

through AG and DGDC&W in Army HQ. The Central organisation is headed by Managing

Director, ECHS, a serving Major General. Detailed Organisation of Central organisation

ECHS is at Appendix ‘A’. There are 13 Regional Centres ECHS. Their location and

organisation is given at Appendix ‘B’.

7. Details of military stations where existing medical facilities have been

augmented (Augmented Armed Forces Clinics) and details of Stations where new Armed

Forces Polyclinics have been established are at Appendix ‘C’.


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8. There are four types of Augmented/New Polyclinics i.e. Type ‘A’, ‘B’, ‘C’ & ‘D’.

Authorisation of Personnel in each type is given at Appendix ‘D’.

9. Command and Control. The existing Command and Control Structure of the Army,

Navy and Air Force have been given the Administrative and Financial Powers to run this

Scheme. Station Commanders will exercise direct Control over the ECHS polyclinics.

Station Headquarters will be able to clarify any doubts that you may have. ECHS Regional

Centres are under Command HQ/ Area HQ. Central Org ECHS functions as part of AG’s

Branch, Army HQ.

ADVANTAGES OF BECOMING ECHS MEMBER

1. No age or medical condition bar for becoming a member.

2. Life time contribution ranges from Rs 1800/- to Rs 18000/- (depending upon basic

uncommuted pension). The contribution rates of new retirees is under upward revision.

3. No monetary ceiling on treatment.

4. Indoor/outdoor treatment, tests and medicines.

5. Country wide network of ECHS Polyclinics.

6. Familiar environment and sense of belongingness.

7. Covers spouse and all eligible dependents.

SUMMARY OF SUPREME COURT JUDGEMENT DATED 22 AUG 2006

REGARDING MEDICAL BENEFITS FOR RETIRED ARMY MEN

1. In 1999, a petition under Article 32 of the Constitution was filed as Public Interest

Litigation (PIL) by Confederation of Ex-Servicemen Associations praying for recognizing the

right of full and free medicare of ex-servicemen, their families and dependants. The petition

came up for hearing before a two Judge Bench during May 1999 and the Bench ordered

the matter to be placed before a Bench of Five Judges. The matter was subsequently

heard by a Bench of five Judges and judgement was finally given on 22 Aug 2006.

2. Supreme court has opined the following:-

(a) A Contributory Scheme such as ECHS ‘cannot be held illegal, unlawful or

unconstitutional’.

(b) One time contribution amount from Rs 1800/- to Rs 18000/- ‘cannot be said

to be excessive, disproportionate or unreasonably high. It cannot be held ‘illegal’,

unlawful, arbitrary or otherwise unreasonable’.

(c) ‘Getting free and full medical facilities is not a part of fundamental right of Ex-

Servicemen’.

(d) The Court was concerned with the cases of those ESM who have retired

before 01 Jan 1996.


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(e) The Govt should consider granting waiver of contribution by Pre 01 Jan 1996

retiree ESMs or Govt pay contribution on behalf of such veterans.

3. Instructions were received from the Govt not to charge contribution from all Pre

01 Jan 1996 retiree ESM in future who want to become members of ECHS in Apr 2007 and

the same are being implemented. For the refund of those Pre 01 Jan 1996 retiree ESM who

had paid contribution and become members earlier, the case is still under consideration.

ELIGIBILITY CONDITIONS

1. Eligibility For ECHS Membership. The Scheme caters for medical care to all ESM

pensioners including disability and family pensioners and their dependents, which includes

wife/husband, legitimate children and wholly dependent parents. To be eligible for

membership of ECHS a person must meet following two conditions:- (Auth Central Org

ECHS letter No B/49701-PR/AG/ECHS dt 01 Jun 2006) :-

(a)

(b)

Should have ESM Status.

Should be drawing normal Service /Disability/ Family Pension.

Ex-Servicemen Status

2. The eligibility of the retired defence personnel for status of ex-servicemen is

governed by the definition laid down by Department of Personnel and Training, Ministry of

HRD, Govt of India. The definition has been undergoing changes from time to time.

3. Those Released Before 01 Jul 1968. Any person who had served in any rank

(whether as Combatant or not) in the Armed Forces of the Union and released from there

other than by way of dismissal or discharge on account of misconduct or inefficiency.

4. Those Released on or After 01 Jul 1968 But Before 01 Jul 1979. Any person who

had served in any rank (whether as a Combatant or not) in the Armed Forces of the Union

for a continuous period of not less than six months after attestation and released from there

other than by way of dismissal or discharge on account of misconduct or inefficiency.

5. Those Released on or After 01 Jul 1979 But Before 01 Jul 1987. Any person who

had served in any rank (whether as a Combatant or not) in the Armed Forces of the Union

for a continuous period of not less than six months after attestation if discharged for

reasons other than at their own request or by way of dismissal or discharge on account of

misconduct or inefficiency and not less than 5 years of service if discharged at own request.

6. Those Released on or After 01 Jul 1987. An ‘Ex-Servicemen’ means a person,

who has served in any rank whether as a combatant or non combatant in the Regular Army,

Navy and Air Force of the Indian Union and

(a) Who retired from such service after earning his/her pension; or

(b) Who has been released from such service on medical grounds attributable to

military service or circumstances beyond his control and awarded medical or other

disability pension; or

(c) Who has been released, otherwise than on his own request from such service

as a result of reduction in establishment; or


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(d) Who has been released from such service after completing the specific period

of engagement, otherwise than at his own request or by way of dismissal or

discharge on account of misconduct or inefficiency, and has been given a gratuity

and includes personnel of the Territorial Army of the following categories namely:-

(i)

(ii)

(iii)

Pension holders for continuous embodied service.

Persons with disability attributable to military service; and

Gallantry award winners.

7. The Territorial Army personnel will however be treated as Ex-Servicemen wef

15 Nov 1986.

8. Govt of India, Ministry of Defence (Deptt of Ex-Servicemen Welfare) vide its Office

Memorandum No 12/1/2005/D(Res) dated 01 Feb 06 has conveyed with the approval of

Hon’able Raksha Mantri that such Recruits who were boarded out/released on Medical

Grounds and granted Medical/Disability Pension, will also be covered under the category of

Ex-Servicemen for all practical purposes.

9. The eligibility of person for the status of ex-servicemen will be governed by the

definition in vogue at the time of discharge and will not be affected by the changes in the

definition subsequent to his discharge.

10. The personnel of the Army Postal Service (APS) who are a part of the regular Army

and retired from such service, ie directly from the Army Postal Service itself without

reversion to P&T Department with a pension or who have been released from such service

on medical grounds, attributable to military service, or circumstances beyond their control

and awarded medical or other disability pension are also covered within the definition of

ex-servicemen with effect from 19 Jul 1989.

11. The following are also eligible for membership of ECHS:-

(a)

Members of Military Nursing Service (MNS).

(b) Whole time officers (WTOs) of National Cadet Corps (NCC) who are Ex-

Servicemen/NOK, and are in receipt of pension/disability pension/family pension.

(Auth ; Central Org ECHS letter No B/49764/AG/ECHS dt 10 Oct 2003)

(c) I588 Emergency Commissioned Officers (ECOs)/Short Service

Commissioned Officers (SCOs) who were permanently absorbed in National Cadet

Corps as Whole Time Officers (WTOs) after their release from the Armed Forces

meeting the twin conditions of being an ex-servicemen and in receipt of

pension/family pension/disability pension. (Auth ; Central Org ECHS letter No

B/49764/AG/ECHS dt 10 Oct 2003)

(d) Indian Coast Guard Pensioners and retired Personnel of Defence Security

Corps. (Auth ; Central Org ECHS letter No B/49701-CG/AG/ECHS dt 02 May 08 &

letter No B/49701-DSC/AG/ECHS dt 17 Apr 08)


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(e) Service Officers who, prior to completing their pensionable service, joined

PSUs like Air India, Indian Airlines, Pawan Hans and Shipping Corporation of India,

in organisational interest, and Govt had sanctioned pension to these officers on a

pro-rata basis. On secondment or transfer to PSUs these officers received their

pension either as lump sum or full commutation, or on monthly basis. They would be

deemed to comply with the condition of being in receipt of pension from Defence

Sources. However a mandatory certificate will have to be endorsed by these ESM in

their Affidavit stating that “I certify that I am NOT a member of any other govt/PSU

medical health Scheme”. The following documents will be submitted alongwith

Application Form:-

(i) Certificate from current/last employer clearly stating that his previous

pension(from service in Armed Forces) has been merged with current

pension.

(ii) Copy of PPO, if available or Pension Book / Discharge Book in respect of

PBOR.

(iii) Service Particulars Retired/Released Officer’s (Booklet) in respect of

officers.

(Auth ; Central Org ECHS letter No B/49701-PR/AG/ECHS dt 19 Apr 07)

12. Pension. For the purposes of eligibility for the ECHS, the word “pension” implies any

type of pension received from Controller of Defence Accounts (Pension) or its subordinate

offices. In case an ESM joins a second career and his pension from the Defence Services

Estimates is merged, the second pension earned after retirement from the second career is

also eligible for these ESM/their widows for seeking ECHS membership, subject to

fulfillment of other conditions of eligibility for ECHS membership.

13. Family Pensioner. Implies the legally wedded spouse of an Armed Forces

personnel, whose name figures in the Service Records of the personnel and whose

husband/wife has died either while in service or after retirement and is granted family

pension. This term also includes a child or children drawing family pension on the death of

his/her pension drawing father/mother, as also parents of a deceased bachelor soldier,

who are in receipt of family pension.

(Auth ; Central Org ECHS letter No B/49701-PR/AG/ECHS dt 26 Mar 2007

14. Eligibility Status for Dependents. The following qualify to be dependents of ESM:-

(a) Parents. Father and Mother of the pensioner shall be deemed to be

dependent if they normally reside with the ESM pensioner, and their combined

income from all sources is less than Rs 3500/-pm. If both husband and wife are

Defence Personnel, parents of both members are eligible if both pay subscription

subject to meeting dependency criteria.

(b)

Spouse

(i) Legally wedded spouse.(More than one spouse and children from the

second spouse are not permitted to avail ECHS benefits).

(ii)

Name should be included in the record of service.

(iii) Legally separated spouse is included as long as the ESM pensioner is

responsible for her maintenance.


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(iv) If the spouse is employed in Govt service then he/she can only be a

member of any one Govt/Public sector medical benefit Scheme and not be a

simultaneous member of two Govt medical Schemes.

(v) If a war widow remarries, then she alone is eligible. Her husband and

children from him will not be eligible.

(vi) In case the ESM pensioner marries after retirement, following

documents will be required as proof for dependency of wife :-

(aa) Marriage certificate from authorised Registrar of

Marriages/Municipal Committee.

(ab) Fresh ECHS Application Form for enrolling the spouse as a

dependent.

(ac) Part II Orders /Gen Form/Personal Occurrence published.

(c)

Daughter(s)

(i)

Her/their details must exist in the service record of the pensioner.

(ii) Unmarried as well as divorced daughter (s) with total income from all

sources less than Rs 3500/-per month.

(iii) Widowed daughters who are dependant on the pensioner and whose

income from all sources is less than Rs 3500/- per month are entitled.

(iv) In case daughter is born after the pensioner’s joining ECHS, following

documents will be required to enable the child to be declared as a dependant

and to become entitled to ECHS benefits :-

(aa)

(ab)

Birth Certificate.

Fresh ECHS Application Form to enrol her as a dependant.

(ac) Part II Orders/Gen Forms/Personal Occurrence are required to

be published stating birth of the child or an Affidavit by the widow in

case the ESM pensioner could not get Part II Orders published for

birth of his children.

(d)

Son(s)

(i)

His/their details must be included in the pensioners Record of Service.

(ii) His total income from all sources should not exceed Rs 3500/-pm.

Son(s) above 25 years of age are not eligible to be dependent(s) in ECHS.

(iii) In case where the son(s) is/are born after the pensioner’s joining the

ECHS, the following documents will be required as proof of dependency:-


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(aa)

(ab)

Birth Certificate.

Fresh ECHS Application Form to enroll him as a dependant.

(ac) Part II Orders/Gen Forms/Personal Occurrence stating birth of

the child or an Affidavit by the widow in case the ESM pensioner

could not get Part II Orders published for birth of his children.

(e) Children with Permanent Disability. Children suffering from permanent

physical or mental disability and are unable to earn their livelihood are permitted to

be dependents for life time, irrespective of age limit or medical condition. The

certificate of disability is to be certified, by either the Service Classified Specialist or

a Civil Surgeon.

(Auth ; Central Org ECHS letter No B/49701-PR/AG/ECHS dt 05 Apr 2007)

15. Specific Conditions for Continuance of Eligibility. In case an ESM pensioner

(male/female) has declared his/her parents as dependants, they shall continue to receive

ECHS benefits for their life time, subject only to the condition that their joint income from all

sources does not exceed Rs 3500/-pm from all sources. In the event of the male

pensioner’s death, the widow shall be covered as she will start drawing family pension but,

her parents will NOT become eligible as dependants. However, parents of the deceased

pensioner, if already enrolled as dependants, would continue to enjoy benefits of the ECHS

in the event of death of the ESM pensioner, provided their joint income from all sources

does not exceed Rs 3500/- pm.

16. Persons NOT Eligible under ECHS. The following are NOT eligible for becoming

members of ECHS:-

(a) Whole time NCC officers who do not meet the twin conditions referred to

under Para 1 of this chapter.

(b) Ex-ECOs/SSCO’s who do not meet twin conditions referred to at para 1 of this

chapter.

(c)

Legally divorced spouse.

(d) Married and/ or employed daughters/and any child whose total monthly

income from all sources is more than Rs 3500/-.

(e) Son(s) above 25 years of age or who have starting earning which ever is

earlier.

(f) Parents of widow/war widow.

(g) Husband of a remarried war widow. Including children born from him.


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PROCEDURE FOR BECOMING MEMBER OF ECHS

1. Procedure for Pre 01 Apr 2003 Retirees. The procedure for becoming ECHS

members applicable to the ESM pensioners who have retired on or before 31 Mar 2003 will

be as follows:-

(a) Collect application forms from nearest Station HQs of Army/Navy/Air Force.

Forms can also be downloaded from internet website

www.indianarmy.nic.in/arechs.htm. Sample att at appx E.

(b) Submission of Completed Application Forms. Designated Station

Headquarters of Army/Navy/Air Force are the only authorized collection points.

Pensioners are required to personally report to their nearest Station HQs

with the completed application form, alongwith original/photocopy of the following

documents:-

(i) Pension Payment Order (PPO), copy duly attested by Bank/Treasury

from where pension is being drawn. Pre-1986 pensioners may submit

copy of Pension Book showing rate of pension.

(ii)

DPDO/Bankers Certificate.

(iii) Discharge Book or Certificate/Dependent I-Cards (issued for Naval

Offrs)/ Personnel Occurrence Report.

(iv) Two copies (in original) of the Military Receivable Order (MRO) as

proof of deposit of contribution (Not Applicable to those who are exempted

from payment of ECHS contribution).

(v)

(vi)

Affidavit duly notarised.

Demand Draft for Smart Cards.

(c) Membership will commence from the date of receipt of correctly filled

Application Form at Station HQ. On receipt of correctly filled Application Form Stn

HQ will give receipt to the individual.

2. Procedure For Becoming Member of ECHS (Post 01 Apr 2003 retirees). The

ECHS membership for post 01 Apr 2003 retirees is compulsory. The contribution amount in

respect of these Veterans is being deducted by the pension paying authorities. All

documents (less PPO) as per para 1 (b) above alongwith Application Form will also be

submitted by such retirees to their Record Offices.

3. Commencement of Membership. An applicant is considered a member of

ECHS when his application alongwith all requisite documents is accepted at designated

Stn HQ or from the date of retirement for new retirees provided his correctly filled

Application Form is accepted by the Record Office.


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Notes: - (a). Deduction of contribution by the CDA or deposition of contribution

through MRO is no guarantee for grant of membership

(b) Identity cards issued by Zila Sainik Board will not be accepted as a proof of

identification.

(c) Fixed Medical Allowance. ESM joining ECHS would cease to be entitled for

FMA of Rs 100/-pm as authorised earlier in their PPO. The individuals should

approach their Pension Disbursing Authority to ensure stoppages of FMA. ECHS will

not be responsible for subsequent lump sum deduction of FMA.

(d) ECHS is not responsible for refund of excess deposition of contribution. Same

should be claimed from the concerned CDA by individuals. ECHS functionaries at

Station HQ/ Regional Centres will assist individuals, if requested. The refund of

excess remittance of ECHS subscription, if made, will be afforded by the concerned

PCDA/CDA to the beneficiaries on receipt of a pre-receipted contingent bill

countersigned by the ECHS authorities along with a Xerox copy of the MRO.

4. Disposal of Receipt after Receiving Smart Card(s). Once an individual receives

the Smart Card(s) his earlier obtained receipt will be returned and preserved alongwith his

application Form at the respective Station HQs/ECHS Regional Centre.

5. Smart Card

(a) The Card. A card with a 32 KB chip is being issued to all members as

proof of membership of the Scheme. The Card is usable at all the 227 polyclinics

across the country, after its activation by giving thumb impression at Parent

Polyclinic. The Smart Card stores various details, both in the physical as well as

digital form, which can be accessed at all polyclinics.

(b) Quantity. One primary card will be issued to pensioner/ Family

Pensioner and each member can have an individual card to provide flexibility of

treatment across the country as per their requirement. In addition a war disabled/

battle casualty can be issued a white card for life dependency once eligibility is

established.

(c) Existing members will have the option of continuing with the current card

albeit with limited facilities or to opt for the new card.

(d)

Cost. The cost of each card is Rs 135/- and is to be borne by the member.

(e) Amendment to Card. Any subsequent amendment to the Card desired by the

member will require a fresh card to be made on approval of ECHS Organisation,

and cost to be borne by the member.

(f) Loss of Card. In case of loss of a Smart Card (s)/Temporary Receipt

ECHS member will submit application on plain paper with complete details of lost

Card(s) to dependent polyclinics/Stn/HQ for issue of duplicate cards.


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6. Contribution All ESM pensioners are required to make a one time contribution

based on their uncommuted basic monthly pension (including Dearness Pension). A

concession has been made in respect of old retirees, who can pay their contribution in three

consecutive, equal yearly installments. Contribution rates wef 01 Apr 2004 is as under:-

Grade Pay drawn at the

time of retirement

Grade Pay 1800/-, 1900/-,

2000/-, 2400/- and 2800/- per

month

Contribution

(in Rupees)

Rs. 15,000/-

Rs.4200 /- per month Rs. 27000/-

Rs. 4600/- , 4800/- 5400/-,

6600/-, per month

Rs. 7600/- and above per

month

Rs. 39000/-

Rs. 60,000/-

Notes (a) War Widows and Next of Kin’s of deceased Soldier who are in receipt

of ‘Liberalized Family Pension’ are exempted from payment of ECHS

contribution.

(b)

(c)

War disabled soldiers are exempted from payment of ECHS contribution.

Pre-1996 retirees are exempted from contribution.

7. Parent Polyclinic. Every member will be allotted a parent polyclinic, one nearest to

his permanent/ temporary residence. Irrespective of parent polyclinic a member can take

treatment at any polyclinic in India. If required a member can be given referral to hospital by

any polyclinic as per referral policy. However, member can be issued with only seven days

medicines at a time from non parent polyclinic unless he carries a Temporary Attachment

Certificate (TAC). The validity of TAC is for six months at a time.

8. Change of Parent Polyclinic (Old Card holder). The member is to submit the

following to nearest Stn HQs for change of Parent Polyclinic:-

(a)

An application on plain paper clearly giving following details:-

(i) Old ECHS Regn Number.

(ii)

(iii)

(iv)

(v)

Old Address.

Old Parent Polyclinic.

New Address.

New Parent Polyclinic.

(b)

An undertaking on a separate plain paper stating that:-

(i) No information has been concealed or suppressed.

(ii) Any false information submitted will make him liable for termination of his

ECHS membership.


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(c)

Proof of new address like electricity/telephone/water bills/RWA certificate etc.

(d) A fresh ECHS application form with relevant columns filled and superscribed

“CHANGE OF ADDRESS “ and “CHANGE OF PARENT POLYCLINIC”.

(e)

Return the old cards duly defaced.

(f) Deposit DD on the name of concerned Regional Centre @ Rs 135/-per card

requested.

9. Station HQs will receive the application form and provide “Receipt of Documents

duly affixed photographs” which will be valid for 60 days and thereafter to be revalidated

if ECHS Smart Cards are not received. ECHS member should personally collect the cards

from Stn HQ within 60 days of submission of application.

10. Station HQ will place the demand to SITL through concerned Regional Centre ECHS for

remanufacturing of Smart Cards as per request of the member. SITL will issue fresh cards

duly indicating new address and new parent polyclinic. SITL will also maintain details of old

address and old parent polyclinic in their data base.

11. Change of Parent Polyclinic (New Card holder). The ECHS beneficiaries those who

want to change his parent (original) polyclinic will be able to do so for any polyclinic of his

choice and need. Once the parent polyclinic has been changed, reversion/second change

of the parent polyclinics will be admissible only upon the expiry of a period of six months.

The change of the parent polyclinic can be done at the receiption centre of any polyclinic

with approval of OIC polyclinic.

PROCEDURES FOR TREATMENT, ISSUE OF

MEDICINES AND REFERRAL PROCEDURE

1. Treatment

(a) The first contact point for availing treatment for ECHS members and their

dependents is the nearest ECHS Polyclinic.

(b) The doctor (s) at Polyclinics will provide required out-patient treatment and

medicines.

(c) If further treatment or investigations are required, it will be provided through

Service Hospitals, civil empanelled hospitals and diagnostic centres on referral from

the polyclinic.

(d) Patients will be referred to the local Service Hospital in the Station (if

available) subject to availability of speciality/facility. Only in case of non availability of

facilities or bed space at local Service Hospital, the patient can be referred to the

desired empanelled hospital/diagnostic centre as per his/her choice. Once referral to

empanelled facility is recommended, the ECHS member will have the right to make

the selection of desired empanelled hospital in the station.

(e) On completion of treatment in empanelled hospitals, the patient is requested

to sign the bills raised by the hospital so that treatment charged for, is confirmed to

have been provided.


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2. Payment to Empanelled Hospitals. Empanelled facilities are paid directly by local

Station HQ on behalf of ECHS for treatment provided or diagnostic tests carried out on

ECHS beneficiaries on referral. Members are NOT to pay to empanelled hospitals.

Payments made by ECHS Members to empanelled hospitals are NOT reimbursable.

Payment to the empanelled facilities by ECHS is at ‘rates’ as per Memorandum of

Agreement. Certain facilities like telephone, television, transport, food/catering (except in

certain specified cases) are not entitled and charges for these, if availed, have to be borne

by the patient. Certain medical procedures require prior approval as per laid down

guidelines. Request for such ‘prior approvals’ will be initiated by the empanelled hospital on

a specified ‘form’, which the hospital is required to submit to the concerned SEMO. Once

approved, the expenditure incurred on the particular medical procedure will be borne by

ECHS. Unapproved medical procedures, if carried out, should be with patient’s consent.

Payment for such a procedure has to be borne by the members and is NOT liable to be

paid by ECHS. In case such charges are levied by empanelled hospitals without the

patient’s consent, please inform your Polyclinic/SEMO/Stn HQs, so that necessary action

can be taken against the empanelled facilities concerned.

3. Emergency Treatment. In case of an Emergency, treatment can be availed as

follows:-

(a) Service Hospital. Free treatment provided and no further action is required.

(b) Empanelled Hospitals. Nearest ECHS polyclinic is to be informed within 48

hr (two working days) of admission by the hospital. After verification of emergency,

referral is generated by the polyclinic for the hospital. Treatment is provided by the

empanelled hospital. Members are not to make any payment. However, if

emergency is not established, referral will NOT be provided and member has to

make payment which is NOT reimbursable.

(c) Non-Empanelled Hospitals. Nearest polyclinic is to be informed by the

member/patient/NOK within 48 hrs (two working days). After verification, an

“Emergency Information Report” (EIR) is initiated by the OIC polyclinic. Hospital bills

are to be cleared by the member. In case of emergency in a station other than home

station of the ECHS beneficiary, the EIR is to be obtained from the nearest

Polyclinic. In case of emergency in a station without any Polyclinic, the nearest

Polyclinic should be informed by telephone/fax/telegram. Proof of such intimation

should be attached with the claim. Claim for re-imbursement alongwith original bills

and investigation reports, bill summary, discharge summary, photocopy of ECHS

Smart Card, Emergency Certificate by the Hospital/treating doctor and the EIR

should be submitted alongwith a written application by the member to the OIC

Polyclinic explaining circumstance of emergency (briefly) and with a request to

process the claim. All bills of treatment will be submitted to parent polyclinic within

one month of termination of hospitalization. Onus of proving emergency lies with the

ECHS member. Reimbursement will be admitted at approved rates and subject to

conditions.


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4. Conditions of Emergency. It is emphasised that ECHS is designed to be a

cashless scheme as far as possible. Treatment is to be availed at authorised hospitals ON

REFERRAL ONLY. Reimbursement is permitted only in circumstances which are

unavoidable due to absolute Emergency. The conditions of Emergency are as under:-

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

(j)

(k)

(l)

(m)

Acute Cardiac conditions/syndromes.

Vascular catastrophies.

Cerebro-Vascular accidents.

Acute respiratory emergencies.

Acute abdominal pain.

Life threatening injuries.

Acute poisonings and snake bite.

Acute endocrine emergencies.

Heat stroke and cold injuries of life threatening nature.

Acute renal failure.

Severe infections leading to life threatening situations.

Any other condition in which delay could result in loss of life or limb.

Auth : Central Org ECHS letter No B/49774/AG/ECHS/Referral dt 01 Dec 09.

5. In cases where date of emergency hospital admission is PRIOR to membership,

reimbursement for ongoing emergency that spell of hospitalisation is NOT reimbursable.

6. Issue of Medicines

(a) Members/dependants are required to visit polyclinics and register themselves

for issue of any kind of medicine. Superspeciality medicines may take some time for

procurement. Medicines will be issued for duration as prescribed by the treating

doctors.

(b)

Medicine issues will be on the basis of Generic names only.

(c) For patients with chronic diseases on long term treatment, medicines may be

issued for a max period of 90 days at a time, if the treating doctor prescribes and

review of the patient during the period is not due.

(d) Medicines issued from any polyclinic other than “Parent Polyclinic” will be

restricted to a max of 07 days at a time, unless Temporary Attachment Certificate is

carried.

(e) For patients admitted/advised treatment in Service Hospital, medicines for

upto one month will be issued from the Service Hospital concerned on discharge.

However, for long term medications, patient will get medicines for use beyond one

month period from his/her parent polyclinic. For this, the patient should put in a

demand (beyond one month) with his Parent Polyclinic AS SOON AS POSSIBLE.


14

(f) Medicines prescribed on discharge from empanelled hospitals will be issued

from Polyclinic. However, if the same is not available, the following action will be

taken:-

(i) In Non Military Station OIC Polyclinic will arrange procurement through

SEMO and issue at the earliest.

(ii) In Non Military Stations, the OIC Polyclinic can procure essential

medicine requirement for 07 days at a time from an empanelled chemist and

issue to the patient. Vitamins, minerals, nutritional supplements and Tonics

will NOT to be purchased from Empanelled Chemist unless Therapeutically

prescribed.

(iii) In following cases patients can purchase medicines for one month

period after discharge from hospital/review if the same is ‘Not Available’ from

Polyclinic, and claim reimbursement of the same:-

(aa)

(ab)

(ac)

(ad)

(ae)

Post operative cases of major Cardiac Surgery/Interventional

Cardiology.

Oncology.

Post operative organ transplant cases.

Post operative joint replacement cases.

Post operative major Neurosurgical/Neurology cases.

(g) Only generic medicines will be issued from Polyclinics. Generic equivalent of

Branded medicines prescribed by Specialists of empanelled Hospitals will be issued.

Branded medicine may be issued on non availability of generic equivalent in the

existing list of PVMS and NIV drugs only. This list contains all the essential drugs,

as approved by the DGAFMS, and is updated periodically.

Auth ; Central Org ECHS letter No B/49773/AG/ECHS dt 05 Apr 2004,

B/49762/AG/ECHS dt 23 Oct 2006 and B/49762/AG/ECHS dt 04 Aug 06.

7. Equipment For Home Use. Specified medical equipment has been authorised by

the Govt to be issued to the ECHS members for home use, under laid down conditions. List

of authorised equipments is as under:-

(a)

(b)

(c)

(d)

(e)

Hearing Aids.

Artificial Limbs/Appliances.

Glucometers and Nebulisers.

CIPAP/BIPAP Machines.

Spectacles (For post conventional cataract surgery cases only).

Auth : Central Org ECHS letter No B/49773/AG/ECHS dt 05 Apr 2004.

8. The required equipment/appliance will be issued to the member when home use of

such equipment is considered absolutely essential on medical grounds, on

recommendations of the Service Specialist and approval of Senior Advisor and / or

Consultant of the concerned speciality as applicable.

9. The equipment will be procured through a special demand by the OIC polyclinic.

Consumables on the equipment will be issued under arrangements of OIC Polyclinic. Cost


15

of repair and annual maintenance contracts will be borne by the members themselves

and will not be reimbursable.

10. Concept of Referral

(a) Treatment at Polyclinics. Referrals from Polyclinics will only be made once

all available facilities of the Polyclinic are fully utilized. Polyclinics are basically points

of treatment and only those patients needing additional diagnostic

tests/consultation/hospitalisation should be referred beyond the ECHS Polyclinic.

(b) Referral for General Service Facilities

(i) Referral for general specialities not available in Polyclinic, will be to a

Service Hospital having the requisite facility and located in the station, subject

to load at the time of the referral.

(ii) For Facilities not available in the local Service Hospitals and in Non

Military Stations, patients may be offered the choice of being referred to an

Empanelled Facility/Govt Hospital/Institute of National Repute or to the

nearest Service Hospital having the facility.

(c) Referral for Specialised Services. Referral for Super Specialities (like

Cardiology, Oncology etc) can only be made by a Specialist at the Polyclinic or on

the advice of concerned specialist of Service Hospital, subject to load, or

concerned specialist of Local Govt Hospital or concerned specialist of

empanelled hospital (in the absence of Service Hospital/Facility).

(d) Hospital Admission. All cases requiring hospital admissions will be referred

to Service Hospitals except under the following circumstances:-

(i) Non availability of beds in the concerned ward of Service Hospital, at

that point of time.

(ii) Non availability of concerned Specialist Facility in the Service Hospital

at that point of time.

(iii) Non availability of machine time/laboratory time for referral on account

of diagnostic tests.

(iv)

(v)

In Non Military Stations.

In Military Stations without Service Hospitals.

(e) In case of referral to Empanelled Facilities an endorsement will be made

under signature of Officer-In-Charge Polyclinic stating as under:-

(i) Military Stations with Service Hospitals

“Verified that Beds/Speciality/Facility is Not Available in the local Service

Hospital at present.”

(ii) Non Military Stations/Military Stations without Service Hospital

“There is no Service Hospital located in the Station.”


16

MISCELLANEOUS ISSUES

1. Travelling Allowance For Patients. Patients are entitled to return journey Rail fare

when referred to a medical facility in other stations (nearest available) during an intercity

move for treatment. The attendants, if authorised to move alongwith patient in the referral

sheet, would also be entitled to claim return rail fare in the entitled class of ESM. Entitled

class of train will be same as entitled immediately before retirement of the member.

Notes:- (a) Production of Original Rail Tickets/Public Bus for reimbursement is

compulsory.

(b)

Travel by Pvt Car/Taxi or by Civil Air is not authorised.

(c) Reimbursement will be limited to rail fare authorised or actual

expenditure whichever is less.

Auth : Central Org ECHS letter No B/49782/AG/ECHS dt 08 Nov 05

2. Use of Ambulance. Ambulance is available at the Polyclinics for transportation of

patients on recommendations of medical officer. Ambulance can be used for sick transfer

from ECHS Polyclinic to Service/Empanelled Hospital where referred. Such use will

ordinarily be restricted to within municipal limits of town/city. However, where the nearest

Service Hospital is outside the city/station limits, the ambulance may be utilised provided

the Medical Officer-in-charge considers that conveyance, by other means will be

detrimental to the health of the patient.

3. The Officer-in-Charge Polyclinic, in consultation with Medical Officer-in-Charge

Polyclinic may prioritize the use of Ambulance in a particular situation when more than one

patient needs to be evacuated/transferred.

4. More than one patient may be transferred at the same time as per the situation,

keeping in mind the essentiality of use and health of the patients.

5. Nursing Assistant/Nurse alongwith Oxygen cyclinder/IV line may accompany the

patient as per the requirement of the case.

6. Treatment of Senior Citizens. Patients above 75 years of age in case of males and

70 years in case of females will be given priority for registration, treatment and issue of

medicines in the ECHS Polyclinics. They would be attended out of turn. (Auth ; Central Org

ECHS letter No B/49701-PR/AG/ECHS dt 19 Nov 07)

7. Advisory Committee : ECHS Polyclinics.

The Advisory Committees have been appointed with the primary aim to take feed back of

the users (Armed Forces Veteran) in the functioning of ECHS to enhance clientele

satisfaction. The regular meetings of Advisory Commitees will be organised at respective

Stn HQs as under :

(a) Frequency of meeting Min once in quarter Meeting could combined for

more than one Polyclinic if they are located closely.


17

(b) Attendence To be presided over by the Sub Area Cdr/Stn Cdr and attended

by SEMO Director Regional Centre and OIC Polyclinics apart from members of

Advisory Committee.

(c) Suggestion. All suggestion/querries to be recorded. Redressal to be given

at appropriate level upto HQ Comd. Policy issue to be referred to Central

Organisation.

(d) Expansion of ECHS. A case for addl 199 Ex-servicemen Contributory

Health Scheme polyclinic and 15 Regional Centres to expand Ex-servicemen

Contributory Health Scheme network has been approved by the Govt on 26 May

2010. The list of Polyclinics attached at appendix F.

(e) ECHS Membership to Nepal Domiciled Gorkhas (NDG). The proposal to

extend the Ex-servicemen Contributory Health Scheme facilities to Nepal Domiciled

Ex-Servicemen has been approved by the Government. However, the NDG

veterans will have to visit polyclinics and empanelled hospitals located in

India to avail the Ex-servicemen Contributory Health Scheme benefits.

Draft Govt letter has been fwd to MoD for their approval.

EMPANELMENT OF HOSPITALS/DIAGNOSTIC CENTRES/

DENTAL CLINICS

1 General. Empanelment of civil/private hospitals, Diagnostic Centres and Dental

Clinics is initiated under arrangements of local Station Commanders on behalf of ECHS.

Private medical facilities have to be willing to get empanelled and follow ECHS rates as well

as meet the qualitative requirements of ECHS.

2 Empanelment Procedure. The Hospital, Diagnostic/Dental Centre is required to

apply on prescribed application form available at all Station Headquarters on payment of

Rs 100/-. A Board of Officers will be constituted under the Chairmanship of Station

Commander to inspect the facilities applied for empanelment. On recommendations of HQ

Commands, approval for empanelment will be accorded by the Empowered Committee of

Ministry of Defence. On approval, a Memoranda of Agreement will be signed with the

approved Hospital/Nursing Homes, Dental Clinic or Diagnostic Centres after which

treatment of ECHS patients can commence.

MISC

1. ECHS website - www.indianarmy.nic.in/arechs.htm

2. E mails - mdechs-mod@nic.in

dymdechs-mod@nic.in

dirops-mod@nic.in

dirmedechs-mod@nic.in

dirpfcechs-mod@nic.in

jdclechs-mod@nic.in

jditechs-mod@nic.in


18

Appx ‘A’

STRUCTURE OF CENTRAL ORG

MD, ECHS (MAJ GEN)

DY MD, ECHS (BRIG)

DIR (OPS & COORD

DIR (PROCUREMENT

& FUND CONTROL

DIR (MED)

JT DIR (PERS)

JT DIR (OPS)

JT DIR (PROCUREMENT

& FUND CONTROL)

JT DIR (MED)


19

Appx ‘B’

TELE NO : REGIONAL CENTRES ECHS

Regional Centre ECHS

`Tele no

RC Jammu 0191-2433139

RC Chandimandir 0172-2589400

RC Delhi Cantt 011-25682657

RC Jaipur 0141-2249159

RC Lucknow 0522-2482745

RC Jabalpur 0761-2608177

RC Pune 020-26334257

RC Patna 06115-225955

RC Hyderabad 040-27797932

RC Chennai 044-25673092

RC Kochi 0484-2373394

RC Kolkata 033-22318988

RC Guwahati 0361-2642727


20

Appx ‘D’

AUTH OF MANPOWER : POLYCLINICS

S.NO DETAILS

TYPE ‘A’ &’B’ TYPE ‘C’&’D’

MIL NON-MIL MIL NON-MIL

1. Medical Officer 02 02 01 02

2. Medical Specialist 01 02 - 01

3. Dental Officer 01 02 01 01

4. OIC (Non Medical) 01 01 01 01

5. Gynaecologist - 01 - -

6. Nursing Asst/Nurse 03 03 01 02

7. Lab Asst 02 02 01 01

8. Dental Hygienist 01 01 - -

9. Receptionist - 01 - -

10. Driver 01 03 01 01

11. Peon 01 01 01 01

12. Safaiwala 01 01 01 01

13. Female Attendant 01 01 01 01

TOTAL 15 21 09 12


ADVISORY NOTE NO – 2

CONSULTATION BY APPOINTMENT AT ECHS POLYCLINICS

1. This year, ECHS Seminar was held on 15 and 16 Jul 09 at HQ Western Comd, Chandimandir.

The theme of this seminar was `ECHS – the way ahead’. The Seminar was attended by eminent ex

servicemen, senior serving offrs of the three services as also prominent heads of corporate hospitals

and ECHS functionaries. The Seminar report is under prep and would be disseminated in due course.

2. One of the suggestions received was to examine instituting of consultation by appointment at the

polyclinics. It was decided to implement this suggestion on trial basis in the polyclinics. While

consultation by appointment may be a practical proposition in low-pressure polyclinics in the forenoon

(peak hours), the same would not be true for high pressure polyclinics. Nominating one MO for

consultation on prior appointment basis for afternoon in high pressure polyclinics would be more

appropriate.

3. HQ Comds are therefore advised to institute the system of consultation by appointments wef 13

Aug 09. The system could be monitored and refined on as required basis in consultation with members

of station ECHS advisory committee.

AUTH :B/49707-Seminar/AG/ECHS JUL2009

Col

Dir (Ops & Coord)

for MD ECHS


TREATMENT OF SENIOR CITIZENS

1. Further to Central Org letter No B/49701-PR/AG/ECHS dated 15 Mar 2007.

2. The following will be treated as Senior Citizens :-

(a) Males - 75 Yrs & above.

(b) Females - 70 Yrs & above.

3. You are requested to pass suitable instructions to all concerned.

Col

Dir (Ops & Coord)

for MD ECHS

Authority :Central Org lettre No B/49701-PR/AG/ECHS dt 19 Nov 2007


ADVISORY NOTE 4: AGED/INVALID PATIENTS

AT ECHS POLYCLINICS

1. Refer to Central Org letter No B/49701-PR/AG/ECHS dated 15 Mar 2007 and B/49701

PR/AG/ECHS dated 19 nov 2007.

2. A number of representations have been received seeking special treatment for vary senior

(aged/infirm./invalid) patients at ECHS polyclinics. While the present policy caters for priority in

treatment for senior citizen (male above 75 and female above 70), it has been learnt that they still have

to queue-up for reception/consultation albeit in a different queue.

3. No provision exists for special consideration in respect of very senior (aged/infirm/invalid)

patients. It is therefore advised that the Stn Cdr may institute measures to alleviate the problem of this

category of patients.

4. Case study of ‘X’ Polyclinic Stn Cdr in respect of ‘X’ Polyclinic instituted a system where in

very aged/infirm patients come and wait while sitting in an earmarked area. Nursing assistant/peon

takes their card/treatment book. They are called for registration and thereafter consultation. A simple

step instituted by a responsive Stn Cdr greatly improved the satisfaction level amongst very aged

veterans. A few veterans above 80 yrs however refuse to join these ‘sitting sissies’

5. It is not the intention to enforce a template solution. However, based on the situation obtained in

ECHS Polyclinics with respect to load and staffing Stn Cdrs may consider instituting such a system

which takes care of the needs of the ages veterans.

Col

Dir (Ops & Coord)

For MD ECHS


AMPLIFICATION ON ECHS MEMBERSHIP FOR RE-EMPLOYED OFFICERS

1. Refer to our letter No B/49701-PR/AG/ECHS dated 17 Jul 2006.

2. As per referred letter the ECHS membership of re-employed personnel is kept under

suspended animation since he is authorised all medical facilities from Armed Forces Medical

Services as applicable to serving personnel. This was done to ensure that no Govt employee can

be member of two Govt medical schemes concurrently. Representations have been received from

the re-employed personnel regarding denial of appropriate medical facilities to their dependents

since dependents of Service Personnel cannot be referred to empanelled facilities particularly at

Non-Military stations. They have also represented against their contribution getting locked up

without any interest since they are not availing ECHS facilities during re-employment.

3. ECHS is not a stand alone Scheme. It is an extension of Armed Forces Medical Services.

As per Govt policy all ECHS members are to first fully utilise Armed Forces Medical Services

facilities available in the station before being referred to empanelled facilities.

4. In view of the above following fresh guidelines will apply in case of re-employed officers,

both pre and post 01 Apr 03 retirees:-

(a)

(b)

Re-employed Officer can become ECHS member.

All members will submit an undertaking as hithertofore.

(c) On re-employment an ECHS member will be treated as any other serving personnel.

He will exercise option for availing medical facilities by his dependents only. An individual

can choose any one medical facility for self and the other for dependents. Certificate of

choice duly countersigned by the Station Commander at place of posting will be forwarded

to Central Organisation ECHS, concerned Regional Centre and parent Polyclinic. It will be

the responsibility of ECHS members to inform all concerned about his choice.

(d) An individual can change his choice on posting under intimation to concerned

Regional Centres, Station HQs and Parent polyclinic.

(e) The ECHS membership cards of re-employed personnel will not be kept in

suspended animation in case the choice for dependents is for ECHS.

5. Our letter No B/49701-PR/AG/ECHS dated 17 Jul 2006 is hereby superseded.

Brig

Offg MD ECHS

Authority :Central Org letter No B/49701-PR/AG/ECHS dt 5 Dec 2007


ADVISORY NOTE NO – 3

ARRANGEMENT OF VEHICLES, DVRS, MED/NON-MED STAFF FOR

NEEDY ECHS BENEFICIARIES ON PAY-AND-USE BASIS

1. Indian society is evolving. Modernisation and economic development has been the catalyst for

this evolution. While this evolution has been hailed all over, it seemingly has had adverse effect on the

care of aged ECHS members.

2. With little/no support from their families, the aged members have to rough it out to seek routine

consultation/medicines from the polyclinics. The question arises – who can help them in such

circumstances when their own family members decide to overlook their responsibilities. While the

Armed Forces and ECHS cannot be expected to undertake support that is due to the aged veterans

from their family, the Station Commanders can facilitate the following :-

(a) Availability of taxis with reliable dvrs with fixed rates on call. These could be utilised by the

aged veterans on payment.

(b) Non-medic help again on fixed rates, on call on payment basis to assist veterans in

reaching polyclinics, consultation with MOs, medicine collection etc.

(c)

(d)

Ex-servicemen volunteers may coordinate control centre for the above services.

Additional services `on payment’ could be included as these facilities become popular.

3. No outsider can improve things for ex-servicemen. Ex-servicemen themselves would have to rise

and form groups to put in place the above facilities with a missionary zeal. Station Commanders can

facilitate such measures initially. Needless to mention that such facilities have to be self-sustaining.

Col

Dir (Ops & Coord)

for MD ECHS

AUTH :B/49760/AG/ECHS Aug 2009


CLARIFICATION ON ECHS MEMBERSHIP WHEN HUSBAND AND WIFE ARE DEFENCE

PERSONNEL

1. There were a No of issues which come into effect when both husband and wife are

defence personnel or one of them is a defence person and other is a Central Govt employee. The

issues also included whether one or both parents can be made members of the ECHS.

2. We had taken up the case with the MOD and clarifications have been issued vide MOD

letter No 22(20)05/US(WE)/D(Res) dated 10 Feb 2006(copy attached). In brief it contains the

following clarifications:-

(a)

When Both Husband and Wife are Defence Pensioners

(i)

(ii)

Only one has to give ECHS contribution.

Both can cover their respective parents by making two ECHS contributions.

(b) When one is a defence person and other is a Central Govt employee, the latter has

the choice to withdraw from CGHS when the spouse becomes a member of the ECHS.

Authority: Central Organisation ECHS DO letter No B/49701-MOD/AG/ECHS dt 24 Feb 2006.


CLARIFICATION ON TERM ‘FAMILY’ FOR ENROLMENT INTO ECHS

1. References:-

(a) Our letter No B/49764/AG/ECHS dated 10 Oct 03.

(b) Our letter No B/49764/AG/ECHS/R dated 15 Feb 05.

(c) Our letter No B/49701-SP/AG/ECHS dated 06 May 05.

(d) Our letter No B/49701/MOD/AG/ECHS dated 24 Feb 06.

2. ECHS has been launched to provide comprehensive medicare to all ESM in receipt of

pension or disability pension, as also to his/her dependents, which includes wife/husband,

legitimate children and wholly dependent parents. The Scheme is also applicable to NOKs of

deceased pensioners who are drawing family/special family /liberalised family pension.

3. Eligibility Status of dependents has been amplified earlier and is reiterated as under:-

(a) Parents. Father and Mother of the ESM pensioner shall be deemed to be

dependent if they normally reside with the ESM pensioner and their combined income from

all sources does NOT exceed Rs 2550/-pm. Parent of the spouse of the ESM are NOT

permitted to become members. In case a widow, who is in receipt of Family Pension, joins

the ECHS, then the parents of her late husband can be made dependants, subject to

fulfilling the conditions. However, her own parents CANNOT be made dependants. In a

case where both the husband and wife are ESM pensioners, then both can opt to cover

their parents as dependents. In this case both pensioners will have to make ECHS

contribution, as applicable. Govt of India letter No 22(20)05/US(WE)/D(Res) Deptt of ESW

dated 10 Feb 2006 refers in this regard. “Parents, ie, mother and father” of unmarried

deceased soldier and in case of deceased parents, then ‘NOK’ of unmarried deceased

soldier are also eligible, provided they are in receipt of liberalised family pension.

(b) Spouse. Legally wedded husband/wife including more than one wife. Spouse

living separately is included as dependent, as long as the ESM pensioner is responsible

for her maintenance. When the spouse is legally separated, he/she cannot be termed as a

dependent and hence cannot be made member of ECHS. In the event of plural marriage,

where it is permitted by the rules, the following conditions should be fulfilled for claiming

ECHS membership:-

(i) Necessary casualty for entering into plural marriage should have been

published through Unit Part II Orders and names of both the wives should be found

recorded in the Service Discharge Book/Service Particulars Retired Officers Booklet

issued by respective Service Headquarters.

(ii) The names of both the wives should be found recorded in the PPO for grant

of ‘Family Pension’ award.

(iii) In the case of widows, both wives should be in receipt of a share of ‘Family

Pension’ and PPO produced in support of evidence.

(c) Daughter(s). Details must exist in the service record of the pensioner. Unmarried

and unemployed daughters are permitted to be included as dependents.

Widowed/Divorced daughters dependant on the Pensioner and residing with the latter


are also permitted to be

eligible.

included. However, the children of such a daughter are not

(d) Son(s). Unemployed and unmarried son(s) upto the age of 25 years are permitted

to be included as dependents. Details must be included in the service record of the

pensioner.

(e) Mentally/Handicapped Children. Mentally/Handicapped children who are unable

to earn their livelihood are permitted to be dependents for life time. The following

conditions are required to be met:-

(i)

Onset of disability should be prior to attainment of 25 years of age.

(ii) Permanent disability should be certified by Service Classified Specialist as

per format of certificate enclosed at Appendix.

(iii) The condition of disability should be mentioned in the records of pensioner

and the disabled dependent son should be eligible for family pension.

4. The above may please be given wide publicity.

Authority: Central Organisation ECHS letter No B/49701-PR/AG/ECHS dt 01 Jun 2006.


EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME (ECHS)

APPLICATION FORM FOR MEMBERSHIP (REV 2010)

(PLEASE FILL IN CAPITALS & IN BLUE INK)

Application Regn No.

Place of Submission

Category ( ) (a) Officer (b) JCO & Equivalent (c) OR & Equivalent

To be filled by Stn

HQ/Record Office

Applicant’s

Recent Colour

Passport size

Photograph in

Civil Dress

(Red Background)

PART I - PARTICULARS OF PENSIONER

APPLICATION FOR ( )

Pensioner Family Pensioner Future Retiree

SERVICE ( )

Army Navy Air Force CG DSC

SFF

Signature of Applicant

(black ink)

1. Service No 2. Rank

(With prefix and suffix)

(Abbreviated as per General Instructions)

3. (a) Name of Ex-Serviceman

(Maximum 32 characters

including spaces)

(b)

(i) Regt/Corps/Ship/Base/Unit : _________________ (ii) Gender ( ) Male Female

(iii) Citizenship ( ) Indian NDG (iv) Marital Status : ( ) Married/Unmarried/Divorce/Widow/Widower

(v) Employed ( ) Yes No

(vi) Monthly Income : __________________________

(e) UID No __________________________________ (f) PAN No : __________________________________

4. Date of Birth of Applicant (DD-MM-YYYY)

Primary Member

5. Date of Commission/ Enrollment (DD-MM-YYYY)

6. Date of Retirement/ Discharge (DD-MM-YYYY)

7. Parent Polyclinic

8. Residential

Address

Name of family Pensioner

(if applicable)

(i) Gender ( ) Male Female (ii) Category ( ) Officer/JCO & Equivalent/OR & Equivalent

(iii) Employed ( ) Yes No (iv) Citizenship ( ) Indian NDG (v) Monthly income ____________

(c) Relationship with ESM ( ) Spouse/ Son/ Daughter/ Father/ Mother

(d) Date of Demise of Pensioner (DD-MM-YYYY)

For family

Pensioner only

Tehsil

Dist

9. Contact details

(a) Telephone No

(With STD code)

(b) Mob No

(c) E-Mail ID :-

10. Type of Pension ( )

Normal Disability Family

11. Pension Payment Order No (PPO No)

(attach photo copy)

12. Name & Address of

Banker/Treasury from

where pension drawn

13. Pension Bank

Account Number

14. Record Office

State

Pin

Speciman signature/lLeft

Thump Impression

15. Drug Allergy (if any)

16. Blood Group Physical Disability ( )

Yes

No

(Optional) (Tick one as applicable) War Disability/Battle Casualty Disability ( )

Signature and stamp of authorising Officer of Station Headquarters/ Record Office.

Yes

No


2

Application Regn No

Name of

SPOUSE

PART-II PARTICULARS OF DEPENDANTS

Gender ( ) Male Female Citizenship ( ) Indian NDG

Date of Birth

Date of Marriage

(DD-MM-YYYY)

(DD-MM-YYYY)

Parent Polyclinic

(If not same as pensioner/

Family pension)

Physical Disability ( ) Yes No Employed ( )

Yes No

Monthly Income ____________

UID No __________________________ PAN No : _____________________________

Name Mentioned in Service/ Discharge Book ( )

Drug Allergy (if any)

Residential

Address

(If not same as pensioner/

Family pension)

Contact details

(a) Tele No

(With STD code)

(b) E Mail ID :-

Name of

FATHER

Citizenship ( ) Indian NDG

Date of Birth

(DD-MM-YYYY)

Employed ( ) Pensioner ( )

Yes No

Yes No

Blood Group

Whether dependent on applicant ( ) Yes No Monthly income ___________

Parent Polyclinic

(If not same as pensioner/

Family pension)

Name Mentioned in Service/Discharge Book ( ) Yes No Physical Disability ( )

UID No _______________________ PAN No : _______________________

Drug Allergy (if any)

Residential

Address

(If not same as pensioner/

Family pension)

Contact details

(a) Tele No

(With STD code)

(b) E Mail ID :-

Name of

MOTHER

Citizenship ( )

Date of Birth

Indian

Tehsil

State

Tehsil

State

(Maximum 20 Characters including space)

Employed ( ) Yes No Pensioner ( )

(DD-MM-YYYY)

Blood Group

Whether dependent on applicant ( ) Yes No Monthly income _________

Parent Polyclinic

(If not same as pensioner/

Family pension)

Name Mentioned in service/Discharge Book ( ) Yes No Physical Disability ( )

Yes

No

Dist

(Maximum 20 Characters including Space)

Dist

Pin

Mob

Pin

Mob

(Maximum 20 Characters including Space)

NDG

Yes

No

Yes

Yes

Affix Recent Colour

Passport size Photo of

SPOUSE of Pensioner

(Red Background)

Optional

Affix Recent Colour

Passport size Photo of

FATHER of Pensioner

(Red Background)

No

Optional

Affix Recent Colour

Passport size Photo of

MOTHER of Pensioner

(Red Background)

No

UID No _______________________ PAN No : _________________________

Drug Allergy (if any)

Residential

Address

(If not same as pensioner/

Family pension)

Contact details

(a) Tele No

(With STD code)

(b) E Mail ID :-

Tehsil

State

Blood Group

Note :- Please attach relevant medical documents of Drug Allergy (if any) and Blood Group.

Dist

Pin

Mob

Optional


Name of

CHILD

Citizenship ( )

Date of Birth

Indian

3

PART-II PARTICULARS OF DEPENDANTS

(Maximum 20 Characters including space)

NDG

(DD-MM-YYYY)

Relationship (with Ex-Serviceman) Employed ( )

Yes No

Application Regn No

Affix Recent Colour

Passport size Photo

of CHILD of

Pensioner

(Red Background)

Marital Status ( )

Parent Polyclinic

(If not same as pensioner/

Family pension)

Permanent Disability ( ) Yes No

(For daughter only- if applicable)

Blood Group

Name Mentioned in Service/Discharge Book( )

Yes No Part II Order Published and Yes No

Copy/ Proof attached ( )

UID No _______________________ PAN No : _________________________ Monthly Income _________________

Drug Allergy (if any)

Residential

Address

(If not same as pensioner/

Family pension)

Contact details

(a) Tele No

(With STD code)

(b) E-Mail ID :-

Name of

CHILD

Citizenship ( )

Date of Birth

(DD-MM-YYYY)

Relationship (with Ex-Serviceman) Employed ( )

Marital Status ( )

Parent Polyclinic

(If not same as pensioner/

Family pension)

Permanent Disability ( ) Yes No

(For daughter only- if applicable)

Blood Group

Name mentioned in Service/ Discharge Book ( )

Yes No Part II Order Published and

Copy/ Proof attached ( )

Yes No

UID No _______________________ PAN No : _________________________ Monthly Income _________________

Drug Allergy (if any)

Residential

Address

(If not same as pensioner/

Family pension)

Contact details

(a) Tele No

(With STD code)

(b) E-Mail ID :-

Name of

CHILD

Citizenship ( )

Date of Birth

(DD-MM-YYYY)

Relationship (with Ex-Serviceman) Employed ( )

Marital Status ( )

Indian

Indian

(For daughter only- if applicable)

Parent Polyclinic

(If not same as pensioner/

Family pension)

Permanent Disability ( )

Yes No

Blood Group

Name mentioned in Service/ Discharge Book ( ) Part II Order Published and

Yes No

Copy/ Proof attached ( )

UID No _______________________ PAN No : _________________________

Drug Allergy (if any)

Residential

Address

(If not same as pensioner/

Family pension)

Contact details

(a) Tele No

(With STD code)

(b) E-Mail ID :-

Married

Tehsil

State

Married

Tehsil

State

Married

Tehsil

State

Unmarried

Widow

Dist

Divorcee

Pin

Mob

(Maximum 20 Characters including space)

NDG

Unmarried

Widow

Dist

Divorcee

Pin

Mob

(Maximum 20 Characters including space)

NDG

Unmarried

Widow

Dist

Divorcee

Pin

Mob

Yes No

Yes No

Yes

Affix Recent Colour

Passport size Photo

of CHILD of

Pensioner

(Red Background)

Affix Recent Colour

Passport size Photo

of CHILD of

Pensioner

(White Background)

No

Monthly Income _________________

Optional

Optional

Optional

Note : 1. In case of more than three children the ESM to photocopy this page. 2. In case of child mentally/physically challenged, necessary certificate to be attached.

3. Attach relevant Medical document of Drug Allergy (if any) and Blood Group.


4

Application Regn No

PART-III DETAILS OF MRO PAYMENT

(Serial 1 to 4 to be filled by only those whose contribution NOT deducted in PPO)

1. Payment in full or in Installments (Tick as applicable)

Full One Two Three Exempted

2. Bank RBI SBl

Branch

3. MRO No Date of Payment

4. Amount

(Rupees)

PART-IV DETAILS OF PAYMENT FOR SMART CARDS

1. Total Cards Demanded 2. Amount (Rupees)

3. Mode of payment

Date

DD No Date of Draft Bank Name

(DD-MM-YYYY)

Note :- Faulty entries requiring subsequent correction will entail fresh cards being

Made on additional payment

(Signature of Applicant)

(Black ink)

PART-V TO BE FILLED BY STATION HEADQUARTERS/ RECORD OFFICE

1. Basic Pension (Rupees) 2. Documents Checked and Receipt issued ( )

Yes

3. Payment Received for Smart Cards Rs.

4. Category for Hospitalisation

Private Semi-Private General

5. Date of Receipt of Application from/

Date of Retirement of Future Retiree

6. Date application forwarded

To Regional Centre

(Signature and Stamp of Station

Headquarters/ Record Office)

PART-VI TO BE FILLED BY REGIONAL CENTRE ECHS

1. Date of Receipt of Application Form

2. Date application forwarded to Vendor

Checked by

(Initials & No)

Verified by

(Initials & No)

SMART CARD DETAILS (to be filled on receipt from vendor)

Signature and Stamp of

Authorised Offr

1. Date of Receipt of Smart Card(s)

2. ECHS No. (Mentioned in Smart Card)

3. No of Smart Card(s) issued ( )

One Two Three Four Five Six

(a) Dispatched to (Station HQ/ Record Office/Individual)

(b)

Date of Dispatch

Initials


5

Registration No ______________

RECEIPT FOR DOCUMENTS CUM TEMPORARY CARD

EX SERVICEMEN CONTRIBUTORY HEALTH SCHEME (ECHS)

(USE BLUE INK ONLY)

1. Received following documents from No _____________ Rank _________ Name __________________

towards application for membership of Ex-Servicemen Contributory Health Scheme (ECHS) :-

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

Application form (duly completed) (Duplicate)

Photographs pasted at appropriate places.

Affidavit in original (duly attested).

Copy of MRO (where applicable).

Photocopy of PPO/Bankers certificate duly attested by bankers/treasury (where applicable).

Photocopy of service/discharge book /proof of dependants.

Demand draft (for Smart Cards) (Rs 135/- Per card in favour of dependent Regional Centre ECHS).

Certificate from OIC parent Polyclinic containing old data in case of duplicate Card(s)/Change of

Cards.

2. Category for Hospitalisation ( ) Private Semi Private General

3. Parent Polyclinic of Pensioner _____________________________________________

Place :

Date :

Office seal

No _______________________

Rank _____________________

Name ____________________

Signature _________________

(Officer issuing temporary receipt in lieu of Smart Card)

All photographs to be stamped by issuing Officer .

PENSIONER SPOUSE FATHER MOTHER

CHILD CHILD CHILD CHILD

Notes :- 1. This original receipt is required to be returned at the time of collection of Smart Card (s).

Receipt will not be destroyed. This will be filed alongwith the original Application Form .

2. No Smart Card will be issued if this receipt in original is not produced.

3. Record Office will retain this receipt after checking the Application Form for handing over to the

individual if the ECHS card is not ready prior to his retirement.

4. The Original Receipt is valid upto a maximum of Sixty days.

----------------------------------------------------------------------------------------------------------------------------------------

Pension Payment Order No (PPO No)

(attach photocopy)

Received Smart Card ( ) One Two Three Four Five Six

_________________

Date : ___________

Signature of Pensioner

Note : Observation / complaints pertaining to SMART CARD (s) must be brought to issuing authority

within 07 days of receipt of the Card (s).


OFFICERS

6

ABBREVIATED RANKS

ARMY Abbreviation NAVY Abbreviation AIR FORCE Abbreviation Indian Coast Abbreviation

Guard

General Gen Admiral Adm Air Chief ACM - -

Marshal

Lieutenant Lt Gen

Vice Admiral/ Surg V Adm/

Air Marshal Air Mshl Director DG

General

Vice Admiral Surg V Adm

General

Major General Maj Gen Rear Admiral/ R Adm/Surg Air Vice AVM

Inspector IG

Surg Rear Admiral R Adm

Marshal

General

Brigadier Brig Commodore/ Cmde/

Air

Air Cmde Dy Inspector DIG

Surg Commodore Surg Cmde Commodore

Colonel Col Captain/Surg Capt (IN)/Surg Group Gp Capt Commandant Comdt

Captain

Capt

Captain

Lieutenant Lt Col

Commander/Surg Cdr/Surg Cdr Wing

Wg Cdr Commandant Comdt (JG)

Colonel

Commander

Commander

(JG)

Major Maj Lt Commander/ Lt Cdr/

Squadron Sqn Ldr Dy

Dy Comdt

Surg Lt Commander Surg Lt Cdr Leader

Commandant

Captain Capt Lt /Surg Lt Lt (IN)/Surg Lt Flight Flt Lt

Asst

Asst Comdt

Lieutenant

Commandant

Lieutenant Lt Sub Lt/Surg

S Lt /Surg S Lt Flying Fg Offr - -

Sub Lt

Officer

Gentleman

Cadet

GC Cadet Cdt Flight Cadet Flt Cdt - -

PBOR

ARMY Abbreviation NAVY Abbreviation AIR FORCE Abbreviation Indian Coast

Guard

Abbreviati

on

Honorary

Captain

Hony Capt Honorary

Lieutenant

Hony Lt (IN) Honorary

Flight

Lieutenant

Hony Flt Lt - -

Honorary

Lieutenant

Subedar Major

or Risaldar

Major

Hony Lt

Sub Maj or Ris

Maj

Honorary

Sub Lieutenant

Master Chief Petty

Officer1

Hony Sub Lt

(IN)

MCPO 1

Honorary

Flying

Officer

Master

Warrant

Officer

Hony Fg Offr - -

MWO

Pradhan Adhikari

or Pradhan

Sahayak

Engineer

P/Adh or

PSE

Hony Sub Maj

or Hony Ris Maj

Subedar or

Risaldar

Hony Subedar

or Hony

Risaldar

Naib Subedar or

Naib Risaldar

Hony Sub Maj

or Hony Ris

Maj

Sub or Ris

Hony Sub or

Hony Ris

Nb Sub or Nb

Ris

Master Chief Petty

Officer 2

- - - - - -

MCPO 2

Warrant

Officer

WO

Uttam Adhikari,

or Uttam Sahayak

Engineer

U/Adh or

USE

- - - - - -

Chief Petty Officer CPO Junior

Warrant

Officer/Flight

Sergeant

JWO/Flt Sgt

Adhikari, or

Sahayak

Engineer or

Pradhan Yantrik

Adh or SE

or P/Ytk

Hony Naib Sub

or Hony Naib

Risaldar

Havildar or

Dafedar

Honorary

Havildar or

Hony Dafedar

Naik or Lance

Dafedar

Lance Naik or

Asst Lance

Dafedar

Sepoy (Rfn,

Gdsm, Swr, Spr,

Sigmn,Cfn, Gnr

Hony Nb Sub

or Hony Nb

Ris

- - - - - -

Hav or Dfr Petty Officer PO Sergeant Sgt Pradhan Navik or P/Nvk or

Uttam Yantrik or U/Ytk or

Yantrik

Ytk

Hony Hav or

- - - - - -

Hony Dfr

Nk or LD Leading Ldg Corporal Cpl Uttam Navik U/Nvk

LNK or ALD Seaman I Sea I Leading Air

Craftsman

Sep Seaman II Sea II Air

Craftsman

LAC

AC

Navik or Enrolled

Follower

Nvk or

E/F

Recruit Rect Recruit Rect Recruit Rect - -


7

GENERAL INSTRUCTIONS

1. Eligibility

(a) Should be an Ex-Serviceman and drawing pension/disability pension/family pension from

Controller of Defence Accounts including Indian Coast Guard personnel.

(b) War Widows (Veer Naris) / NOK of Battle causalities.

(c) Personnel disabled in Operations.

(d) Recruits medically boarded out during training and in receipt of disability pension.

Notes : (i) Ex-Servicemen not drawing pension are NOT eligible.

(ii) To take benefits of ECHS you CAN NOT be drawing benefits of any other

Government medical Scheme.

2. Dependents.

(a)

(b)

(c)

(d)

(e)

(f)

(g)

Notes : (i)

(ii)

(iii)

Spouse including legally more than one spouse.

Unemployed Son(s) up to 25 years of age.

Unemployed/unmarried Daughter (s) including widow / legally divorced irrespective of age.

Physically/ Mentally handicapped child for life (Central Organisation letter B/49764/AG/ECHS

dated 15 Feb 05 is relevant for details).

Wholly dependant Parents whose combined monthly income from all source does not exceed

Rs 3500/- pm and are generally residing with the member.

Parents of deceased soldier can be eligible, subject to meeting dependency criteria.

If both husband and wife are Defence Personnel, parents of both members are eligible if both pay

subscription, subject to meeting dependency criteria.

Widow after remarriage in receipt of family pension is eligible for ECHS membership alongwith

her children from first marriage. However, her present Husband and children born later are not entitled.

Grandparents/Grand children are not entitled.

Part II Orders endorsement by service Headquarters/respective Records for marriage/children born after

retirement.

3. ECHS Contribution.

(a) Ex-Servicemen Retired Prior to 01 Apr 03.

(i)

(ii)

Should deposit on time ECHS contribution in Govt treasury/Nationalised bank through MRO

as per rates of subscription.

Four copies of MRO in Original to be prepared.

(b) Ex –Servicemen Retired/Retiring After 01 Apr 03. Subscription is being deducted directly by

CDA (P) and reflected in PPO.

(c) Rates of Subscription are as under (Subject to Revision by Govt) :-

PENSION

RATES OF SUBSCRIPTION

(Uncommuted Basic Pension)

+ Dearness Pension)

Upto Rs 3000/- Rs 1800/-

Between Rs 3001 to 6000/- Rs 4800/-

Between Rs 6001 to 10,000/- Rs 8400/-

Between Rs 10,001 to 15,000/- Rs 12,000/-

Above Rs 15,001/- Rs 18,000/-


8

Notes :- (i) War Disabled Pensioners/War Widows/NOK of Battle Casualties are exempted from paying

ECHS subscription.

(ii) Fixed medical Allowance (Rs .100/-) will be stopped from date of ECHS membership.

(iii) All pensioners who have retired prior to 01 Jan 1996 are exempted contribution.

4. Smart Cards

(a) One card per beneficiary will be issued wef 01 Jun 2010.

(b) White Card for disabled beneficiary as per eligibility.

(c) War disabled/Battle Casualty disabled veterans will be provided with white card.

(d) Demand draft @ Rs 135/-per card drawn in favour of :-

(i) Submission After Retirement . Regional Centre ECHS in whose jurisdiction the

application is being submitted.

(ii) Submission Before Retirement. For Officers Regional Centre ECHS, Delhi Cantt and for

PBOR in favour Regional Centre ECHS with which the Record Office of the pensioner is

affiliated. List of Affiliation is at page 10.

5. Filling & Submission of Forms

(a)

(b)

Membership After Retirement

(i) Collect form from nearest Stn HQ, Polyclinic or download from internet (Website :

www.indianarmy.nic.in/arechs.htm.)

(ii) Prepare affidavit on Rs. 10/- Non- judicial stamp as per specimen given at Page 11.

(iii) Attach bankers certificate/DPDO certificate showing details of pension being drawn, MRO

(2 Copies), PPO copy, dependency certificate, proof of identity and demand draft for cards.

(iv) Carry service/discharge book in original for verification.

Membership Before Retirement (future Retiree).

(i)

(ii)

(iii)

Form to be collected and filled alongwith pension documents.

Copy of PPO, Bankers Certificate & MRO are NOT required.

Submit completed Application Form alongwith affidavit as follows:

(aa) Army Headquarters/AG’s Branch MP 5/6 for Non-AMC-Army Officers.

(ab) Army Headquarters/AG’s Branch MPRS(0) – for AMC, ADC & MNS Officers.

(ac) Concerned Records Office (refer Page 10) – for all JCOs or OR of the Army

Including DSC Personnel.

(ad) Naval Headquarters/Director of Personnel (DOP) – for Naval Officers.

(ae) Commodore Bureau of Sailors (CABs), Mumbai - for Naval PBOR.

(af) Air Headquarter/DPP & R, through last posted unit - for Air Force Officers.

(ag) Air Force Reocrds Office (AFRO), Delhi Cantt - for Air Forces PBOR.

(ah) Coast fuard Headquarters - for Officer and PBOR.

(c)

Retirement at Short Notice

ECHS Membership Application Form is generally required to be submitted to concerned Record Office 5-

6 months prior to the date of retirement. However, in case of an Officer/PBOR proceeding on retirement

at short notice, he/she is permitted to submit his/her ECHS Membership Application Form to concerned

Record Office any time prior to the date of retirement or Even after retirement if he/she is not possession

of PPO. ECHS Membership Application Form can only be submitted at nearest Stn/HQ Regional Centre

by a pensioner if it is supported by PPO and all other mandatory documents.

Deduction of contribution by the CDA is no guarantee for grant of membership. Issue of Smart Card after

verification documents at ‘ Regional Centre/ respective Records will be considered as acceptance of

membership’.


9

Notes: (i) Data field, as UID, PAN No, e-mail id, drug Allergy and Blood Group details may be filled

up if available.

(ii) Smart Card will be dispatched to the Station HQ nearest to the residential address.

(iii) pre 1986 retirees need not deposit copy of ppo. Discharge Book/pension Book

giving name of spouse and bankers certificate to be submitted with application

MUST KNOW POINTS

1. Smart Card will be issued on production of original receipt of application Form.

2. Validity of receipt is for 60 days only. In case of non receipt of Smart Card validity can be further

extended upto 90 days extension by the Stn HQ. Regional Centre can accord or arng further extension till receipt

of card on case to case basis.

3. The member and bonafide dependants should activate upgraded Smart card at any Polyclinics

preferably at parent Polyclinic on receipt by giving thumb impression at the earliest.

4. Any false declaration/misuse of benefits will entail cancellation of membership. Central Organisation,

ECHS will be the final authority for cancellation of membership

5. Ensure safe custody of Smart Card. Do not put in a polythene jacket

6. To avail treatment facilities, the ECHS member or his /her dependent is required to go to ECHS

Polyclinics with the membership Card.

7. In case further treatment or investigations are required ,the polyclinics doctors will refer the patient to

Service Hospital/Lab/Dental Centre or Empanelled civil facility.

8. In Military Stations patients will be referred to service Hospital only. Referrals to empanelled civil medical

facilities will only be provided if Service Hospital do not have capacity

9. A list of Empanelled Hospital/Nursing Home(s), Diagnostics Centre and Dental Clinics/Centers will be

available in the polyclinics for the guidance of patients. The patient will be required to report to the empanelled

facility of his choice along with his ECHS membership card and referral form from ECHS Policlinic. On

Completion of treatment/diagnostics procedure, he/she is not required to make any Payment, bill will be cleared

by ECHS.

10. In an emergency situation, the ECHS member may not be able to follow the normal referral procedure.

He can report to the nearest/most convenient Hospital, preferably a service Hospital or an Empanelled Hospital.

In Such cases ,no payment is required to be made and the bill of empanelled Hospital will be cleared by ECHS.

In case a member goes to a non-empanelled hospital he/she has to pay the bill and submit a claim for

reimbursement to the ECHS Polyclinics subsequently. In all cases of emergency admission, the nearest ECHS

Policlinics must be informed within 48 hrs. of admission. The reimbursement will be limited to approved

CGHS rates

11. In case of any incorrect entry in the Smart Card .It should be brought to the notice of the issuing authority

within 07 days from the receipt of Card. If brought out later Card will not be replaced free of cost.

12. In case any complaint /difficulty in availing medical facilities at ECHS Policlinics, please liaise/refer

your correspondence (brief and to the point) to the Stn HQ in whose jurisdiction the Polyclinic is

functioning.

13 On receipt please activate your card as soon as possible preferably at parent policlinic.


11. Some important DO’s & DON’Ts for availing treatment are as tabulated below:

10

DO’S

DO CARRY YOUR REGISTRATION SLIP AND

IDENTIFICATION DOCUMENTS/SMART CARD

WHEN VISITING ECHS CLINICS

DO AVAIL ALL DIAGNOSTICS AND

THERAPEUTIC FACILITIES IN THE

POLYCLINICS .

DO EXERCISE YOUR OPTION OF BEING

REFERRED TO EMPANELLED FACILITY OF

YOUR STATION BUT ONLY WHEN REFERRAL

IS ADVISED BY POLYCLINICS .

DO CARRY YOUR REFERRAL FORM AND

SMART CARD. ECHS REGISTRATION SLIP TO

THE EMPANELLED FACILITY.

DO TRY TO CHOOSE A SERVICE.

EMPANELLED HOSPITAL IN AN EMERGENCY.

YOU WON’T HAVE TO PAY.

DO INFORM YOUR POLICLINIC WITHIN 48 HRS

WHEN ADMITTED DIRECTLY TO EMPANELLED

OR NON-EMPANELLED HOSPITAL IN AN

EMERGENCY

DO FOLLOW SOME TIME TO THE POLICLINIC

TO PROCURE SUPER SPECIALTY DRUGS

PRESCRIBED FOR YOU, IF NOT READILY

AVAILABLE

DON’T’S

DO NOT PAY BILLS IN EMPANELLED

HOSPITALS-ECHS WILL CLEAR YOUR BILLS

DO NOT INSIST FOR REFERRAL FOR

FACILITIES AVAILABLE IN THE POLICLINIC. IT

IS NOT AUTHORIZED.

DO NOT INSIST ON PARTICULAR BRAND

NAME OF DRUG FROM POLYCLINIC. YOU

MAY BE ISSUED DIFFERENT BRAND BUT

WITH SAME PHARMACOLOGICAL

COMPOSITION.

DO NOT PURCHASE DRUGS YOURSELF AND

ASK FOR REIMBURSEMENT. IT IS NOT

AUTHORIZED

DO NOT ACCEPT SUB-STANDARD

TREATMENT AT EMPANELLED HOSPITAL-

REPORT TO YOU POLICLINIC.

AFFILIATION OF SERVICE HQS & RECORDS OFFICERS

WITH ECHS REGIONAL CENTRES

Regional Centres

Affiliated Section at Service HQs & Records office

Delhi Cantt Army HQs/AG’s Branch MP 5/6 and MPRS (O) - for Army officers : Naval headquarters. DOP –

for

Naval Officers; Air Headquarters/ DPP & R - for Air force Officers; Air Force Records office

(AFRO) -

for all Air Force PBOR;CGHQ-For Coast Guard officers /PBOR and RAJPUTANA

RIFLES.

Pune

Patna

Lucknow

Hyderabad

Jabalpur

Jammu

Guwahati

Armourd Corps; Regiment of Artillery; Army Air Defence; Mechanised Infantry; Bombay

Engineer Group (BEG), BRIGADE OF guards; Intelligence Corps; Army Physical Training

Corps (APTC), Army Postal Service (APS).

PUNJAB Regiment; SIKH Regiment; BIHAR Regiment; 3 & 9 GORKHA RIFLES; Army Service

Corps (AT).

Bengal Engineer Group (BEG) Regiment; RAJPUT Regiment; JAT Regiment; SIKH Light Infantry

Regiment; GARHWAL RIFLES; KUMAON Regiment; 11 GORKHA RIFLES; Army Medical Corps

(AMC); Remount & Veterinary Corps (RVC).

MARATHA Light Infantry; Army Ordnance Corps (AOC), Electronic and Mechanical Engineers

(EME).

Corps of Signals; GRENADIER Regiment; MAHAR Regiment; Jammu & Kashmir Rifles

(JAK RIF);Army Education Crops (AEC), DOGRA Regiment.

Jammu & Kashmir Light Infantry (JAK LI); LADAKH SCOUTS.

ASSAM Regiment; 5 & 8 GORKHA RIFLES.

Chandimandir 1 & 4 GORKHA RIFLES.

Chennai

Kochi

Madras Engineers Group (MEG); PARACHUTE Regiment; MADRAS Regiment; Army Service

Corps (South); Corps of Military Police (CMP); Pioneer Corps.

CABS, Mumbai- for all Navy PBOR; Defence Security Corps (DSC).


11

SAMPLE OF AFFIDAVIT

(For initial application)

AFFIDAVIT ON Rs. 10/- NON JUDICIAL STAMP PAPER and TO BE ATTESTED BY MAGISTRATE/NOTARY

PUBLIC DECLARATION

I Service No ________________ Rank ________ Name _____________________ (Unit) ______________,

solemnly affirm and declare as follows:-

or

I, ________________ wife/Father/Mother/Daughter/Son Service No_______________Rank____________

Name__________________________ of (unit) _________________________________ solemnly affirm and

declare as follows:-

1. That I am/will be drawing pension vide PCDA Pension Payment Order

No______________________________dated___________________

2. That I have the following legal dependent(s) whose photograph(s) is/are affixed below on this Affidavit :-

Name Relationship Age Date of Birth Part II Order No/CRD/SD/POR No

Signed Photo of Dependent giving name,

Relationship and Identification mark

Signed Photo of Dependent giving name,

Relationship and Identification mark

(Photographs(s) to be pasted and signed across by the Applicant)

3. (a) That the combined monthly income (from all sources including income accruing from house/other

immovable property/fixed deposit etc) of my dependant father and /or dependent mother is less

than Rs 3500/-

(b) That is hereby certified that my parents (father/mother or both) do not draw any pension from

Central Govt/State Govt/PSUs/any Private Organisation and are physically residing with me.

4. That my child/ children is/are dependant on me and is/are NOT earning more than Rs. 3500/- per month,

& that my daughter(s) is/are NOT married.

5. I shall inform the ECHS immediately of his/her/their employment of earning more than Rs 3500/PM.

6. That in case of any change in the status of my dependants (due to death, marriage, employment), I will

inform Station Headquarters, ECHS Cell at the earliest and will stop use of ECHS facilities. I will refund in

full, the cost of any treatment that my dependent may have received after he/she became ineligible. I

shall be liable for civil/criminal action should I fail to do so.

7. (a) That I am NOT a member of any other medical scheme funded by Central Govt, PSU or any

other Govt undertaking.

(b) That my spouse is NOT a member CGHS or any other Govt Scheme.

8. I understand that in case I have submitted any incorrect information, or if any ECHS Membership Card is

misused or used by any unauthorised person, my membership will be cancelled without any notice or

further hearing. In addition, I will forfeit my contribution and I will pay the entire cost of expenditure

incurred on such unauthorised person(s). I will also be liable for legal action by the ECHS Organisation. I

will also immediately report the loss of my ECHS membership card to the nearest Station Headquarters.

9. That in case of any misuse of Smart Cards(s) or tampering with bills or attempt to defraud, once I become

a member , I will forfeit my membership automatically.

10. I undertake that in case of any misbehavior, on my part with Polyclinic Staff, my membership may be

suspended/cancelled/ terminated.

11. I understand that the contribution I am making is a one time token amount and is not refundable even if I

do not make use of any ECHS facility or opt out of ECHS Scheme.

VERIFICATION

I, the deponent above named, do hereby solemnly declare and verify that the contents of the above affidavit are

true to the best of my knowledge and belief, and nothing material has been concealed or suppressed therefrom.

Verified at (place)-----------------------on this (date)-----------------day of (Month)---------------------------Year-----------

Signature of Deponent

ATTESTATION

Certified that the above statement is declared before me at (Place)---------on this ------------day of (Month)----------

Year--------by DEPONENT Service No ----------------Rank-----------Name----------------------------Who is identified by

Name---------------------------------------S/O (Father’s name of Identifier)---------------------------------- and witnessed by

Name---------------------------------------S/O (Father’s name of first witness)& Name------------------------------------- S/O

(Father’s name of second witness).

WITNESS

Signature of Witness No.1

Signature of Witness No.2

1. (Name in Block Capitals) 1. (Name in Block Capitals)

(Full Postal Address)

(Full Postal Address

ATTESTED BY

MAGISTRATE/NOTARY PUBLIC


12

MILITARY RECEIVABLE ORDER

Bank’s Counterfoil (To be forwarded to the CDA)

(To be filled in by MRO issuing authority)

in lieu of IAFF (A) 507

Received a sum of Rs

Total (Rs in words)

----- Crores ------ lakhs --- thousands ---- hundreds ------ Tens ------ units

From ………………………………..………………………………. (name of the individual/unit/office)

By Cash/Cheque No ………… Date ……….. Bank ……… for credit to PCDA/CDA ………………..

……………………………………… on account of ………………………………. as Defence receipts

BSR Code D D M M Y Y Serial No

Bank Seal

(Signature of the Issuing Officer)

Unit/Officer

---------------------------------------------------------------------------------------------------------------------------------------------------------------

Depositor’s Counterfoil-1 (To be retained by the Depositor)

(To be filled up by Treasury/RBI/Bank)

Treasury/RBI/Bank …………………

Dated …..…………

Received a sum of Rs ……………….……………..(Rupees ……………….…………………. Only)from ……………….

(individual/Unit/Officer) on account of …………………….. for credit toPCDA/CDA……………… as Defence Receipt

BSR Code D D M M Y Y Serial No

Bank Seal

-----------------------------------------------------------------------------------------------------------------------------------------------------------------

--

Depositor’s Counterfoil-2 (To be forwarded to PCDA/CDA)

(To be filled up by Treasury/RBI/Bank)

Dated ..………

Treasury/RBI/Bank …………………

Received a sum of Rs ……………….…………….. (Rupees ……………….…………………. Only) from………….….

(individual/Unit/Officer) on account of …………………….. for credit to PCDA/CDA ………………………… as Defence

Receipt

BSR Code D D M M Y Y Serial No

Bank Seal

-----------------------------------------------------------------------------------------------------------------------------------------------------------------

-----

Depositor’s Counterfoil-3 (To be retained by Stn HQ/Regional Centre)

(To be filled up by Treasury/RBI/Bank)

Dated ..………

Treasury/RBI/Bank …………………

Received a sum of Rs ……………….…………….. (Rupees ……………….…………………. Only) from………….…..

(individual/Unit/Officer) on account of …………………….. for credit to PCDA/CDA ………………………… as Defence

Receipt

BSR Code D D M M Y Y Serial No

Bank Seal


13

INSTRUCTIONS FOR MRO

Controller General of Defence Accounts (CGDA) has nominated the following Army Principal Controllers of

Defence Accounts (PCsDA)/ Controllers of Defe+

nce Accounts

(CsDA) for accounting the contribution made in their areas of jurisdiction.

S.

No

Regional

Centre

01 Jammu

02 Delhi

03 Chandimandir

04 Jaipur

05 Pune

06 Lucknow

07 Kolkata

08 Patna

09 Jabalpur

10 Hyderbad

11 Chennai

12 Kochi

13 Guwahati

Polyclinic under jurisdiction of Regional Centres

Mandi,Yol ,Janglot (Kathua), Jammu, Udhampur, Srinagar, Samba,

Akhnoor, Leh, Rajouri, Pathankot, Bakhloh

Delhi Cantt (BHDC), New Delhi (Lodhi Road), Sonipat, Panipat,

Yamunanagar, Kaithal, Kurushetra, Gurgaon, Faridabad, Karnal,

Ambala, NOIDA, Ghaziabad (Hindon)

Chandimandir, Gurdaspur, Cahndigarh, Hoshiarpur, Jalandhar,

Ludhiana, Ropar, Amritsar, Sangrur, Fatehgarh Sahib, Faridkot

,Firozepur, Kapurthala, Patiala, Moga, Hamirpur, Bilaspur, Una,

Shimla, Solan, Muktsar.

Jhunjhunu, Jaipur, Kota, Nagaur, Alwar, Bhartatpur, Sikar, Hindaun

City, Churu, Bikaner, Sriganganagar, Bhatinda, Mansa, Fatehabad,

Sirsa, Hisar, Jind, Bhiwani, Rohtak, Jhajjar, Rewari, Narnaul

Ahmedabad, Vadodra, Jamnagar, Bhind, Bhopal, Gwalior, Saugar,

Morena, Ahmedanagar, Jhansi, Orai, Panaji, Satra, Kolhapur,

Pune,Nagpur, Akola, Sholapur, Deolali, Aurangabad, Mumbai(Navy),

Mumbai(Upanagar), Miraj (Sangli), Chiplun , Sindgdurg,Thane

(Nerul), Amaravati, Buldana, Jalgaon, Osamanabad, Mahad, Latur,

Barmer(Jalipa), Jaisalmer,Jodhpur,Pali,Udaipur,Ajmer

Meerut, Agra, Bareilly, Lucknow, Muzaffarnagar, Etawah, Fatehgarh,

Kanpur, Mathura, Saharanpur(Sarsawa), Shanhjahanpur,

Bulandashar, Etah,Mainpuri, Aligarh, Badaun, Firozabad, Akbarpur

Matti, Raibereilly, Deharadun, Kotdwara, Pauri Garhwal, Almora,

Haldwani, Pithoragarh, Roorkee, Karanprayag

Krishnanagar, Lebong(Darjeeling), Kolkata, Bardwan, Bangdubi,

Barrackpore, Salt Lake, Midnapur, Gangtok

Ara, Muzaffarpur, Danapur (Patna), Gaya, Chhapra, Dharbanga,

Ranchi, Jamshedpur, Behrampur, Bhubaneswar, Balasore

Mhow, Jabalpur, Ghazipur, Gorakhpur, Allahabad, Fatehpur, Raipur,

Pratapgarh, Rewa, Faizabad, Varanasi, Balia, Deoria, Azamgarh,

Sulthanpur

Guntur, Secunderbad,Vishakhapatnam, Chittor, Giddalur, Golconda,

Vijayawada, Kakinaada, Dharwad, Mysore, Karwar,

Bangalore(Urban), Yalahanka, Manglore, Bijapur, Belgaum, Madikeri

Vellore, Chennai, Tirunalveli, Coimbatore, Thiruvannamalai, Avadi,

Srivilliputtur,Dindigul, Wellington, Madurai, Krishnagiri, Kanchipuram,

Salem, Tiruchirapalali, Cuddalore, Nagarcoil, Nagapattinam,

Tanjavur, Theni, Tuticorin, Villupuram, Port Blair

Trivandrum, Kannur, Palakkad,Kochi, Pathannathitta, Kozhikode,

Alleppey, Quilon, Trissur, Kotnayam, Perintalamann

Guwahati, Jorhat, Masimpur, Shilong, Zakhama(Kohima), Dimapur,

Aizwal, Imphal(Leima Khong), Agartala

Name to be

Entered in MRO

Army PCDA CDA

PCDA(NC) Jammu

PCDA (WC)

Chandigarh

PCDA (WC)

Chandigarh

CDA(SWC) Jaipur

PCDA(SC) Pune

PCDA(CC)

Lucknow

CDA Patna

CDA Patna

CDA Jabalpur

CDA Secunderabad

CDA Chennai

CDA Kochi

CDA Guwahati


14

DPDO/BANKER’S CERTIFICATE

Certified the following:

Ser. No ….….……………. Rank …….………………….. Name………………………………………………………

Pension Account No ………………………………………………………. of this Bank is drawing Pension as follows:

(a) Uncommuted Basic Pension Rs. ………………………………………..

(b) Dearness Pension Rs. ……………………………………….

(50% of Basic Pension)

(c) DA Rs. ………………………………………

Rs. ……………………………………...

His Pension Payment Order No .is……………………………….………………………………………………

Fixed Medical Allowance has been stopped w.e.f. (date) …………………………………………………….

(Authority for discontinuation of FMA. CGDA New Delhi Circular No. 5601/AT-P/Paytt dated 17 Jun 05 and GOI, MOD

letter No. 2 (a) / 01/ US(WE)/D (Res) dated 30 Dec 2002)

Date ________________________

PDA/Bank manger/i/c DPDO

(With Official Stamp)


ECHS SMART CARD

1. Refer our following letters :-

(a) B/49711/AG/ECHS dated 07 Sep 2005.

(b) B/49711/AG/ECHS dated 08 Nov 2005

(c) B/49711-SC/AG/ECHS dated 04 Jan 2006.

(d) B/49711/AG/ECHS dated 13 Mar 2008

(e) B/49711/AG/ECHS dated 14 Aug 2008.

2. ECHS is constantly striving to improve the quality of service being provided to the beneficiaries.

For this purpose complete automation of polyclinic process is being undertaken. Further there is a need

to strengthen the verification process both at polyclinic and empanelled hospital level. For this purpose

the existing smart card needs to be upgraded to have good quality photograph and adequate storage

space for data capture (minimum 32 KB chip).

3. Veterans during the annual ECHS Seminar had desired that each member should have an

individual card to provide flexibility of treatment across the country as per their requirement.

4. The matter has been deliberated upon and it has been decided to introduce individual ECHS

smart card per beneficiary having good quality colour photograph and a 32 KB memory chip. The

upgraded smart card will be mandatory for new members joining the scheme with effect from 01 Jun

2010 to facilitate recording of complete medical history in the chip, authentication of beneficiary at

polyclinic/empanelled hospital and other IT enabled services. With introduction of one card per

beneficiary there will be no requirement of remanufacturing the card on change of parent polyclinic.

The same will be done online.

5. Existing members will have the option of continuing with the current card albeit with limited

facilities or to opt for the new card. The dependant cards of parents and children will have to be

reactivated after two years for the purpose of strengthening verification and vigilance.

6. The above contents may please be disseminated to all concerned.

7. The letters as mentioned at Para 1 (a) to (e) above are hereby superseded.

Col

Offg Dir (Ops & Coord)

for MD ECHS

auth:B/49711/AG/ECHS 25 Feb 2010


REVISION IN COST OF ECHS SMART CARD

1. Refer our letter No B/49711/AG/ECHS dated 25 Feb 2010.

2. The fresh contract for manufacturing of ECHS smart card with Score Information Technologies

Limited (SITL) is being finalised for another five years. As per the contract upgraded ECHS smart card

would be manufactured at the cost of Rs 135/- per card.

3. The revised rate as mentioned above will be applicable on manufacturing of ECHS cards for all

ECHS beneficiaries granted membership with effect from 01 Jun 2010.

4. It is requested that the above be given wide publicity and disseminated to all concerned under

your jurisdiction.

5. Regional Centres Only. You are requested to ensure smooth implementation of revised rates

as mentioned above in your AOR.

Lt Col

Jt Dir (Pers)

for MD ECHS

auth: B/49711/AG/ECHS 01 Apr 2010


ECHS MEMBERSHIP TO COAST GUARD PENSIONERS

1. Introduction. Ex-Servicemen Contributory Health Scheme introduced vide Govt of India,

Ministry of Defence letter No. 22(1)01/US(WE)/D(Res) dated 30 Dec 02 has further been extended to

the uniformed Coast Guard pensioners, through a Corrigendum issued vide Govt of India, Ministry of

Defence, Department of Ex-servicemen Welfare letter no. 22(68)/2006/US(WE)/D(Res) dated

22 Jan 08. With the issue of ibid corrigendum, all the facilities of ECHS as applicable to the exservicemen

will be applicable mutatis mutandis to the uniformed Coast Guard pensioners.

2. Applicability. The Scheme will be compulsory for all retired Coast Guard personnel who have

been transferred to pension establishment on or after 22 Jan 08. Those persons who have retired

earlier than 22 Jan 08 may join ECHS as per their discretion.

3. Eligibility. All uniformed Coast Guard pensioners drawing pension/disability pension / family

pension as per Pension Pay Order (PPO) will be eligible for ECHS membership.

4. Contribution. War widows, battle casualties and pre 1996 retirees are exempted from one time

ECHS contribution. The rate of contribution for others is as follows:-

PENSION

Rate of one time subscription

(Uncommuted Basic Pension +

Dearness Pension)

Upto Rs. 3000/- Rs. 1800/-

Between Rs.3001/- to 6000/- Rs. 4800/-

Between Rs. 6001/- to 10000/- Rs. 8400/-

Between Rs. 10001/- to 15000/- Rs. 12000/-

Above Rs. 15001/- Rs. 18000/-

5. Payment of Contribution

(a) Persons retiring before 01 Jun 08. Contribution in respect of such personnel has to be

deposited through MRO and Bank draft in favour of Director, Regional Centre, Delhi Cantt. An

additional amount for smart card @ Rs. 90/- per card is to be paid by bank draft as per existing

orders alongwith the application.

(b) Persons retiring on or after 01 Jun 08. The contribution amount in respect of such

pensioners will be deducted by the pension payment authority.

6. Processing of ECHS Application.

(a) Persons retiring before 01 Jun 08

(i) Such persons are to collect application form from nearest Station HQs of

Army/Navy/Air Force or from Coast Guard Headquarters (CGHQ) New Delhi / Bureau of

Naviks (BUVIK) Mumbai.

(ii) Forms can also be downloaded from internet website

www.indianarmy.nic.in/arechs.htm.

(iii) Submission of Complete Application Form. The duly filled applications are to be

submitted alongwith copies of under mentioned documents to CGHQ (in case of officer)

and BUVIK (in case of EP) for verification :-


(aa) Pension Payment Order (PPO) duly attested by Bank/Treasury from where

pension is being drawn.

(ab)

(ac)

(ad)

(ae)

Discharge Certificate / Retired / Dependent I-Card.

Two copies (in original) of the MRO as proof of deposit of contribution.

Affidavit duly notarised.

Bank draft for smart card in favour of Director, Regional Centre, Delhi Cantt.

(iv) The applications of Enrolled Personnel duly verified will be forwarded by BUVIK to

CGHQ. CGHQ is to centrally forward duly completed application forms to the Regional

Centre at Delhi for onward submission to SITL for making of ECHS smart cards.

(b) Persons retiring on or after 01 Jun 08.

(i) Issue of ECHS Application Form. The blank ECHS application form for the retiring

personnel alongwith the retirement order and other primary pension documents will be

forwarded by the Record Office authorities as mentioned below :-

(aa) CGHQ (Directorate of - For Officers

Personnel)

(ab) BUVIK - For Enrolled Personnel

(ii) Submission of ECHS Application Forms by Individual/Unit. Individual / Unit will

forward duly filled in ECHS Application Form (Less PPO details) to Record Office

concerned, minimum 06 months before due date of retirement along with other primary

pension documents.

(iii) Receipt and Vetting of ECHS Application Forms. On receipt of filled ECHS

application form from individual / unit, by above mentioned respective Coast Guard

establishments, will carry out vetting for its correctness. In case of any observation, the

same will be got rectified from individual/unit. An acknowledgement/receipt of the

application form will be despatched to the individual and the ECHS application form after

vetting will be sent to the Regional Centre ECHS, Delhi Cantt.

7. ECHS Cell at Coast Guard Headquarters. Coast Guard Headquarters located at New Delhi

will establish an ECHS Cell to deal with all policy matters related to ECHS. The correspondence

address in this regard is Coast Guard Headquarters, {for Director(Personnel)}, ECHS Cell, National

Stadium Complex, New Delhi – 110 001.

8. Regional Centre ECHS. Regional Centre ECHS, Delhi Cantt will be responsible for processing

of applications received from CGHQ and process them as is being done now in respect of other

pensioners. The Regional Centre ECHS, Delhi Cantt will ensure preparation of smart card by SITL and

process them to ECHS Cell at CGHQ for distribution.


9. Manufacture and Despatch of Smart card by Regional Centre ECHS Delhi Cantt. Affiliated

Regional Centre to recheck the form received from CGHQ/BUVIK and submit to SITL for manufacture of

smart cards. ECHS smart card on receipt by Regional Centre will be despatched to ECHS Cell, CGHQ

for issue to the individual before retirement.

10. All other procedures and policies of ECHS will also apply to uniformed Indian Coast Guard

pensioners in letter and spirit.

11. You are requested to give wide publicity.

Brig

Dy MD

For MD ECHS

Authority: Central org letter No:B/49701-CG/AG/ECHS dt 02 May 08


EXTENSION OF EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME TO THE RETIRED

PERSONNEL OF DEFENCE SECURITY CORPS

1. Introduction. Ex-Servicemen Contributory Health Scheme introduced vide Govt of India,

Ministry of Defence letter No 22(1)01/US (WE)/D (Res) dated 30 Dec 2002 has further been extended to

the retired personnel of Defence Security Corps, through a Corrigendum issued vide Govt of India,

Ministry of Defence, Department of Ex-servicemen Welfare letter No 22(68)/2006/ US(WE)/D (Res) dt

22 Jan 08. With the issue of ibid corrigendum, all the facilities of ECHS as applicable to the exservicemen

will be applicable mutatis mutandis to the retired personnel of Defence Security Corps.

2. Applicability. The scheme will be compulsory for all retired personnel of Defence Security

Corps (including TA retirees who were not eligible earlier) who have been transferred to pension

establishment on or after 22 Jan 2008. Those persons who retired earlier than 22 Jan 2008 may join

ECHS as per their discretion.

3. Contribution. The ECHS subscription will be charged from the pensioners/dependents on the

basis of their Un-commuted Basic Pension plus Dearness Pension as per existing rates. The following

categories of personnel are exempted from one time ECHS contribution :-

(a)

(b)

(c)

War widows.

Battle casualties.

Pre 01 Jan 1996 retirees.

4. Processing of ECHS Applications. On receipt of disch order, ECHS application should be

submitted in duplicate duly completed in all respect alongwith the following docu clear 08 months in adv

in a separate file cover :-

(a) Affidavit duly completed in all respect as per format attached at page No 10 of the

application form.

(b)

Demand draft for Rs. 90/- or Rs/- 180/- or Rs. 270/- as applicable.

(c) Blood group test reports of all eligible individuals if the pensioner willing to add the same

in the smart card. Though it is not mandatory.

(d)

(e)

Additional passport size single colour photos of each individual.

Former service PPO duly attested.

5. DSC personnel who have already retired from DSC service prior to the issue of corrigendum

under GOI, Min of Def, department of Ex-Servicemen Welfare letter No 22(68)/2006/4S(WE) D (Res) dt

22 Jan 2008, will approach their nearest Polyclinic /Stn HQ for obtaining ECHS applications and further

processing of the same.


6. All other procedures and policies of ECHS will also apply to DSC personnel in letter and spirit.

7. This may be given wide publicity.

Brig

Dy MD

For MD ECHS

Authority : Central Org letter No : B/49701-DSC/AG/ECHS dt 17 Apr 2008


ECHS MEMBERSHIP TO NEPAL DOMICILED GORKHAS (NDGs)

1. The case for extension of ECHS in India to Nepal Domicile Gorkhas (NDGs) was taken up by

Central Org ECHS with the Govt. During 11 th meeting of the Managing Committee of the Armed Forces

Flag Day Fund held on 05 Nov 08, Hon’ble Raksha Mantri had granted in principle approval for grant

of membership to all NDGs with the provision that the treatment would have to be availed in India only.

2. Presently the case is under process at MoD. A Cabinet Note is being prepared by MoD for

approval of the Govt. Thereafter, formal govt orders would be issued on the subject.

3. The applications for membership are to be accepted only after Govt letter is issued.

4. All concerned units/agencies are therefore informed accordingly.

Col

Dir (Ops & Coord)

for MD ECHS


ECHS MEMBERSHIP TO TERRITORIAL ARMY PERSONNEL

1. Please refer to this org letter No B/49764/AG/ECHS dated 10 Oct 2003.

2. The Commanding Officer of the last unit is responsible for forwarding the ECHS application of

eligible TA personnel to respective Record offices six months before retirement. Record office is

authorised to sign the receipt which is valid upto six months for treatment in Polyclinic. Procedure of

forwarding of applications is similar to serving personnel of the three services. However, cards may be

issued only after PPOs are recd.

3. Record office is responsible to check/confirm the eligibility conditions and ensure deduction of

ECHS contribution in PPO as well as issue smart card (s) to individual.

4. The above may please be given wide publicity.

Col

Dir (Ops & Coord)

for MD ECHS

AUTH : B/49701-TA/AG/ECHS 12 Aug 2009


ELIGIBILITY ECHS MEMBERSHIP : MERGER OF PENSION

WITH SECOND SERVICE

1. Further to this HQ letter No B/49701-PR/AG/ECHS dated 18 Nov 2003.

2. Cases have also come to notice where on retirement many pensioners after taking up a second

career with Central Govt/State Govt/PSUS/PMF, have opted to merge their pension with the second

service. Armed Forces Veterans (AFV) who have retired after completion of terms of engagement and

later opted to merge their pension with the second career do fulfill the eligibility conditions of being a

pensioner. In such cases following documents may be accepted as proof:-

(a) Certificate from current/last employer clearly stating that his previous pension (from

service in Armed Forces) has been merged with current pension.

(b)

(c)

Copy of PPO, if available or Pension Book/Discharge Book in respect of PBOR.

Service Particulars Retired/Released Officer’s (Booklet) in respect of officers.

3. The above may please be given wide publicity.

Brig

Dy MD

for MD ECHS

(Authority: Central Organisation, ECHS letter No B/49701-PR/AG/ECHS dated 19 Apr 2007).


ELIGIBILITY FOR JOINING ECHS : RECRUITS EARNING DISABILITY PENSION

1. Please refer to this Organisation letter No B/49708-RECT/AG/ECHS dated 11 Jan

2005 and letter of even No dated 17 Feb 2005.

2. It is clarified that a Recruit who is in receipt of medical/disability pension is alone

eligible to join the ECHS. The following dependents of the recruit are NOT permitted to be

included for ECHS benefits :-

(a)

(b)

(c)

Parents.

Wife.

Children.

3. The recruit who was already married prior to joining the training at the Regimental

Centre would be permitted to have his wife and children, if any, included as his dependents.

This fact would be checked from the Part II Order published. However, the parents of such a

recruit would not be entitled to be shown as dependents.

4. The cases of Recruits who have already joined ECHS will be reviewed accordingly and

names of dependents, if any, will be deleted immediately.

5. All instructions on the above subject issued earlier are hereby superseded.

Authority: Central Organisation ECHS letter No B/49708-RECT/AG/ECHS dt 22 May 2006.


ELIGIBILITY OF DEPENDENTS : ECHS MEMBERSHIP

1. Please refer to our following letters:-

(a) B/49764/AG/ECHS dt 10 Oct 2003.

(b) B/49701-SP/AG/ECHS/R dt 06 May 2005.

(c) B/49701-PR/AG/ECHS dt 01 Jun 2006.

(d) B/49701-PR/AG/ECHS dt 26 Mar 2007.

(e) B/49701-PR/AG/ECHS dt 05 Apr 2007.

(f) B/49701-PR/AG/ECHS dt 16 Apr 2007.

2. It is observed that ECHS membership is refused to eligible ESM for their bonafide

handicapped children who are unable to earn their livelihood on the grounds that necessary

endorsement of grant of family pension in the PPOs is not made.

3. It should be appreciated that a bonafide handicapped child unable to earn his livelihood is

eligible for ECHS membership for life. The only mandatory requirements are:-

(a)

Publication of Part II Orders for inclusion of birth of child in Record of Service.

(b) Endorsement by civil Surgeon/Appropriate Service Medical Authorities for

ascertaining the disability.

4. Considering the above though an ESM may be advised to get necessary endorsement

made in the PPO which is in his own interest and that of the child but it will not be a mandary

requirement for grant of ECHS membership.

5. Para 3 (e) (iii) of our ibid letter at Para 1 (c) be treated as cancelled.

Authority : Central Org letter No : B/49701-PR/AG/ECHS 18 Dec 2007

Brig

Dy MD

For MD ECHS


ELIGIBILITY OF DEPENDENTS : ECHS MEMBERSHIP

1. Please refer to following policy letters:-

(a) B/49764/AG/ECHS dt 10 Oct 2003.

(b) B/49701-SP/AG/ECHS/R dt 06 May 2005.

(c) B/49701-PR/AG/ECHS dt 01 Jun 206.

2. As per the existing instructions, an ESM pensioner/family pensioner is permitted to include

names of his/her wholly dependent children for grant of ECHS membership. However, names of such

children should be found recorded in the service records of the ESM pensioner. For children born after

retirement or for some other reasons if the names of children are not endorsed in the Service Records

during the service; an ESM is required to approach his Record Office for endorsement of names of his

children through publication of Non Effective Series of part II Orders. Provisions exists for publication

of Record Office NE Part II Orders within three years ie up to Aug 2007 for getting necessary Part II

Orders published by affected ESM has been granted by the competent authority.

3. Notwithstanding the above, cases have come to light wherein an ESM has expired and the

names of children are not found recorded in the service records of the deceased soldier. The names of

such dependent children can not be recorded in the service records of the deceased soldier as per

rules on the subject. As result some widows whose husbands or orphan children whose parents did

not get the necessary Part II Orders published, are facing difficulties in seeking ECHS membership. To

ameliorate the difficulties of affected widows and such orphans children, the procedure as mentioned

in the succeeding paragraphs will be followed, in future.

4. Such widows and orphan children will apply for membership of ECHS along with following

additional documents in lieu of endorsement of names in the service records of the ESM

pensioner. In other words, publication of Part II Orders in such cases will not be insisted:-

(a)

An ‘Affidavit’ on Rs. 10/- Non Judicial Stamp paper duly certifying that:-

(i) My husbaband/parent No __________ Rank ___________ Name

_______retired from Army/Navy/Indian Air Force Service wef

________.

(ii)

My husband/ESM parent expired on ___________________.

(iii) The following child(ren) whose photograh(s) is/are affixed against their name

was/were born to the deceased ESM pensioner on dates noted against each:-

Ser Name Date of Birth Photograph

(iv) The child(ren) mentioned above is/are wholly dependent and is/are not

employed.

(v) My husband/parent could not get name(s) of our above named child(ren)

recorded in his service records prior to his death.

(vi)

I have not suppressed or concealed any information.


(vii) I understand that in case any information submitted with regard to birth of

children and their being dependent, is found to be false or incorrect at any stage, my

ECHS membership is liable to cancelled without any notice.

(b)

(c)

The above affidavit is to be witnessed by two persons and notarised.

Birth Certificate (s) of child( ren).

6. In case of minor orphan child(ren), the necessary affidavit will be rendered by the legal

guardian and a copy of guardianship certificate will be attached with the affidavit.

7. The above may please be given wide publicity.

Col

Dir (Ops & Coord)

for MD ECHS

Authority: Central Org ECHS, Army HQ letter B/49701-PR/AG/ECHS dt 26 Mar 2007


IMPLEMENTATION OF SUPREME COURT ORDER

PRE 01 JAN 1996 RETIREES

1. Further to our following Signals:-

(a)

(b)

A-333396/AG/ECHS dt 16 Apr 07 addsd to all HQs Comds.

A-333412/AG/ECHS dt 17 Apr 07 addsd to IHQ MOD (Navy) and IHQ MOD (Air).

2. Copy of GOI, MOD letter No 17(10/06/US(WE)/D(Res) dt 13 Apr 07 is fwd herewith for your info

and necessary action.

3. As per above GOI MOD letter, all Ex-Servicemen who are drawing pension from Controller of

Defence Accounts and who have retired prior to 01 Jan 1996 are exempted from payment of

contribution under Ex-Servicemen Contributory Health Scheme. However, they will continue to apply

for membership. All documents except MRO will be submitted alongwith application form.

4. MOD has been requested for instructions on refund of contribution in respect of those pre 01

Jan 1996 retirees who have already joined ECHS. Decision and procedure for the same will be

intimated as and when received from the Government.

5. You are requested to disseminate the contents of this letter to all concerned and give wide

publicity to it.

Col

Dir (Ops & Coord)

for MD ECHS


INCOME CRITERIA FROM ALL SOURCES

FOR DEPENDENTS

1. Further to this Organisation letter No B/49764/AG/ECHS dated 10 Oct 2003 and

B/49701-SP/AG/ECHS dated 06 May 2005.

2. Consequent to the implementation of recommendations of the 6 th Pay Commission

and revision of income criteria for dependency of “family” in the CGHS vide Govt of India,

Ministry of Health and Family Welfare letter No S. 11012/1/98- CGHS (P) dated 10 Dec

2008, the income criteria for dependency of family in ECHS also stands revised to “Rs.

3500/- plus amount of Dearness Relief on the basic pension of Rs. 3500/- as on the

date of consideration”. The amount of Dearness Relief, as indicated in the income

limit stands for the amount of Dearness Relief drawn by a pensioner/family pensioner on

the date of consideration and not the amount of Dearness Relief due on the date of

consideration.

3. The orders are to be implemented with immediate effect. All other terms and

conditions of eligibility will remain unchanged.

4. The point may be noted by the eligible ESM while submitting Affidavit for

membership.

5. This Organisation letter No B/49701-SP/AG/ECHS dated 06 May 2005 stands

superseded.

6. The above may please be given wide publicity.

Col

Dir (Ops&Coord)

for MD ECHS

Authority: Central Organisation ECHS letter No B/49701-PR/AG/ECHS dt 04 feb 2009


ISSUE OF ECHS SMART CARD

1. Reference to the following letters of this HQ :-

(a) B/49711/AG/ECHS dt 09 Mar 2005.

(b) B/49711/AG/ECHS dt 15 Apr 2008.

2. It has been observed that the ESM are facing inconvenience especially in remote areas in

collection of ECHS Smart Cards under the existing procedure wherein the cards are required to be

collected from the nearest Regional Centre/Station HQ.

3. Based on the feedback received from the environment, it has been decided that with immediate

effect the ECHS Smart Card will be issued under respective station HQ in consultation with dependent

Regional Centre through either Station HQ, Regional Centre, Polyclinic, any regular service unit or

District Soldier Board as deemed appropriate ensuring proper accountability at each level. No Card (s)

will be sent through mail to any member under any circumstances as the receipt for document issued is

required to be withdrawn and kept at Regional Centre/Station HQ being an accountable document.

4. The letters under reference may please be amended accordingly.

Col

Dir (Ops & Coord)

for MD ECHS


Tele : 23336735 Central Organisation ECHS

Ascon : 36735 Adjutant General’s Branch

Integrated HQ of MoD (Army)

Maude Lines

Delhi Cantt- 110 010

B/49711/AG/ECHS 28 May 2010

IHQ of MoD (Navy)//Dir ECHS (N)

Air HQ (VB)/DPS

HQ Coast Guard

KSB

DGR

HQ Southern Command (A/ECHS)

HQ Eastern Command (A/ECHS)

HQ Western Command (A/ECHS)

HQ Central Command (A/ECHS)

HQ Northern Command (A/ECHS)

HQ South Western Command (A/ECHS)

HQ Andaman & Nicobar Command (A/ECHS)

APPLICATION FORM FOR UPGRADATION OF ECHS SMART CARD

FOR EXISTING MEMBERS

1. Refer our letter No B/49711/AG/ECHS dated 25 Feb 2010 and even No dated 01 Apr 2010.

2. A specimen application form for upgradation of ECHS smart card by existing members

already in possession of ECHS smart card is enclosed herewith. The format of the application is

also being uploaded at our website www.indianarmy.nic.in . The same may be downloaded by

the members.

3. It is requested that the above be given wide publicity and disseminated to all concerned under

your jurisdiction.

Copy to :-

MP 5/6

AG’s Branch

All Regional Centres

All Station HQ

All Record Offices

Internal

Sd/- x x x x x

(DS Dalal)

Lt Col

Jt Dir (Pers)

for MD ECHS

P&FC

Med


APPLICATION FORM FOR UPGRADATION OF ECHS SMART CARD

FOR EXISTING MEMBERS (CARD HOLDERS)

(FILL UP ALL DETAILS IN BOLD LETTERS)

1. Pensioner/Family Pensioner Name : ___________________________________________

2. Relationship: Self/Spouse/Father/ Mother/Son/Daughter Of

3. Service No ________________ Rank ___________ Name _________________________

4. Existing Card Regn No _____________________________________________________

5. Force: Army/Navy/Air Force/Coast Guard/DSC/SFF (As applicable)

6. Details of member/ dependents :-

Ser

No

Member/ Dependent Name (with

address and tele No with STD code

if deferent from existing one)

Relationship

Parent

Polyclinic

required

Latest Colour

Photo(Passport Size)

with white background

UID No

(if available)

UID No

(if available)

UID No

(if available)

UID No

(if available)

8. Total cards demanded 9. Amount (Rupees)

10. Payment Details : DD No Date

Amount (Rupees)

Bank Name

11. (a) Physical Disability ( ) Yes No Please attach relevant

documentary proof

(b) War Disability ( ) Yes No


Date

Signature of Applicant

Applicants to retain photocopy of this form duly receipted by polyclinic/Stn HQ/Regional

Centre.

PTO


2

In case any changes required to the existing details please specify eg change of parent

polyclinic, change of address and deletion of beneficiary due to death, marriage, over 25 age

(son) & employment etc.

Ser

No

Changes required

Reason

Note :-1. The Cost of upgraded ECHS Cards will be paid @ Rs 135/- per card through DD in

favour of dependent Regional Centre ECHS

2. War disabled will be provided with white cards.

3. The application alongwith DD in favour of dependent Regional Centre may be

deposited at Polyclinic/Station HQ/Regional Centre.

4. The new card(s) will be delivered at polyclinic where the forms were deposited.

5. The old cards including add on card (s) will be required for activation of new cards and

transfer of data. On successful activation, the old card(s) will automatically be deactivated.

6. The OIC Policlinic on activation of new card will destroy the old card and will render a

certificate to this effect to dependent Regional Centre for updating the record. A proper record

will be maintained at Policlinic to this effect.

7. Incase of more than four members / dependants use additional sheet of this form.


ADVISORY NOTE 4: AGED/INVALID PATIENTS

AT ECHS POLYCLINICS

1. Refer to Central Org letter No B/49701-PR/AG/ECHS dated 15 Mar 2007 and B/49701

PR/AG/ECHS dated 19 nov 2007.

2. A number of representations have been received seeking special treatment for vary senior

(aged/infirm./invalid) patients at ECHS polyclinics. While the present policy caters for priority in

treatment for senior citizen (male above 75 and female above 70), it has been learnt that they still have

to queue-up for reception/consultation albeit in a different queue.

3. No provision exists for special consideration in respect of very senior (aged/infirm/invalid)

patients. It is therefore advised that the Stn Cdr may institute measures to alleviate the problem of this

category of patients.

4. Case study of ‘X’ Polyclinic Stn Cdr in respect of ‘X’ Polyclinic instituted a system where in

very aged/infirm patients come and wait while sitting in an earmarked area. Nursing assistant/peon

takes their card/treatment book. They are called for registration and thereafter consultation. A simple

step instituted by a responsive Stn Cdr greatly improved the satisfaction level amongst very aged

veterans. A few veterans above 80 yrs however refuse to join these ‘sitting sissies’

5. It is not the intention to enforce a template solution. However, based on the situation obtained in

ECHS Polyclinics with respect to load and staffing Stn Cdrs may consider instituting such a system

which takes care of the needs of the ages veterans.

Col

Dir (Ops & Coord)

For MD ECHS


The Chief of Army Staff

The Chief of Naval Staff

The Chief of Air Staff

CORRIGENDIUM

Sir,

I am directed to convey the sanction of the President to the following amendments being made in

Appendix ‘A’ & ‘B’ to GOI MoD letter No 24(6)/03/US(WE)/D(res) dated 22 Sep 2003.

2. Appendix ‘A’ amended to read as follows :-

Sr Category For Read

No

Contractual Fees

(Per Month)

Contractual Fee

(Per Months)

1. Medical Officer Rs 15,000/- Rs 25,000/-

2. Specialist (Medical Specialist & Rs 25,000/- Rs 35,000/-

Gynecologist)

3. Dental Officer Rs 15,000/- Rs 25,000/-

4. Officer in Charge Polyclinic Rs 15,000/- Rs 25,000/-

5. Nursing Assistant (Nurse) Rs 75,00/- Rs10,000/-

6. Nursing Assistant (General) Rs 7,000/- Rs 95,00/-

7. Nursing Assistant (X Ray

Rs 75,00/-

Rs10,000/-

Assistant/Radiographer))

8. Nursing Assistant (Physiotherapist) Rs 75,00/- Rs10,000/-

9. Laboratory Assistant Rs 75,00/- Rs10,000/-

10. Dental Hygienist Dental Assistant Rs 75,00/- Rs10,000/-

* as amended vide GOI MOD 24(6)/03/US(WE)/D(res) dated 29 Jun 05.

3. Appendix ‘B’ amended to read follows :-

Sr Category For Read

No

Contractual Fees

(Per Month)

Contractual Fee

(Per Months)

1. Receptionist/Clerk/Data Rs 75,00/- Rs 8,000/-

2. Female Attendant Rs 35,00/- Rs 6,500/-

3. Driver Rs 45,00/- Rs 7,000/-

4. Peon Rs 35,00/- Rs 65,00/-

5 Safai Wala Rs 35,00/- Rs 65,00/-


CONTEMPT PETITION (C) NO. 16 OF 2007 IN WRIT

PETITION (CIVIL) NO. 210/1999 FILED BY RETIRED

DEFENCE OFFICERS ASSOCIATION BEFORE

THE HON’BLE SUPREME COURT OF INDIA

1. Further to our letter No B/49717-C/AG/ECHS dt 18 Apr 2007.

2. A Contempt Petition (C) 16 of 2007 in WP (C) No 210/1999 was filed by the Confederation of Exservicemen

Association against non-refund of ECHS subscription to pre - 01 Jan 1996 retirees, for ECHS

membership. The Contempt Petition has since been dismissed by the Hon’ble Supreme Court.

3. The same may please be disseminated to the environment.

Col

Jt Dir (C & L)

For MD ECHS


CONTEMPT PETITION (C) NO. 16 OF 2007 IN WRIT

PETITION (CIVIL) NO. 210/1999 FILED BY RETIRED

DEFENCE OFFICERS ASSOCIATION BEFORE

THE HON’BLE SUPREME COURT OF INDIA

1. Further to our letter No B/49717-C/AG/ECHS dt 18 Apr 2007.

2. A Contempt Petition (C) 16 of 2007 in WP (C) No 210/1999 was filed by the Confederation of Exservicemen

Association against non-refund of ECHS subscription to pre - 01 Jan 1996 retirees, for ECHS

membership. The Contempt Petition has since been dismissed by the Hon’ble Supreme Court.

3. The same may please be disseminated to the environment.

Col

Jt Dir (C & L)

For MD ECHS


TREATMENT TO PARENT ON ADD ON CARD

1. Refer our letter No B/49711/AG/ECHS dated 02 Jan 2006.

2. A number of requests from environment are being received to issue add on cards for dependent

parents of ECHS members. Henceforth, add on card for dependent parents may be issued by the

Regional Centres depending upon the merit of the case. Our letter under ref may be amended

accordingly.

3. All Polyclinics under your jurisdiction may be informed to entertain add on cards issued for

dependent parents accordingly.

Col

Dir (Ops & Coord)

for MD ECHS

Authority :- Central Org ECHS Letter No B/49711/AG/ECHS dt 14 Aug 2008


TREATMENT TO PARENT ON ADD ON CARD

1. Refer our letter No B/49711/AG/ECHS dated 02 Jan 2006.

2. A number of requests from environment are being received to issue add on cards for dependent

parents of ECHS members. Henceforth, add on card for dependent parents may be issued by the

Regional Centres depending upon the merit of the case. Our letter under ref may be amended

accordingly.

3. All Polyclinics under your jurisdiction may be informed to entertain add on cards issued for

dependent parents accordingly.

Col

Dir (Ops & Coord)

for MD ECHS

Authority :- Central Org ECHS Letter No B/49711/AG/ECHS dt 14 Aug 2008


MATERIAL ON ECHS FOR BAAT CHEET/SAINIK SAMACHAR

1. Defence magazines ie Baat Cheet and Sainik Samachar are published by ADG PI and ADG PR

respectively. It is noticed that ECHS coverage is not upto the mark.

2. You are requested to forward material on ECHS alongwith good quality photographs for making

an interesting reading. Material highlighting achievements, new developments and important works

accomplished for Baat Cheet and Sainik Samachar be forwarded directly to ADG PI for Baat Cheet and

ADG PR for Sainik Samachar for their publication on regular basis every month.

3. The ECHS News may cover the following aspects in particular :-

(a)

(b)

(c)

(d)

VIP Visits and Tour by Senior Officers.

Inaugurations of polyclinics.

Any local activities pertaining ECHS/medicare.

Any event relating ECHS alongwith photographs.

Authority : Central Org Letter NO :B/49701-PR/AG/ECHS dt12 Aug 2008

Cdr

Jt Dir (Ops)

For MD ECHS


AMENDMENT

1. Refer to our letter No B/49701-PR/AG/ECHS dated 05 Dec 2007.

2. The following amendments may please be made in Central Organisation letter under reference:-

(a) Subject.

For

- Amplification on ECHS Membership for Re-employed Officers

Read - Amplification on ECHS Membership for Re-employed Personnel

(b)

Para 4 & 4 (a).

For - 4. In view of the above following fresh guidelines will apply in case of reemployed

officers, both pre and posts 01 Apr 03 retirees :-

(a) Re-employed Officer can become ECHS member.

Read - 4. In view of the above following fresh guidelines will apply in case of reemployed

personnel, both pre and posts 01 Apr 03 retirees :-

(a)

3. Rest no change.

Re-employed personnel can become ECHS member.

Authority : Central Org Letter NO :B/49701-PR/AG/ECHS dt 27 FEB 2008

Col

Dir (Ops & Coord)

For MD ECHS


REVISED POLICY ON ECHS APPLICATION FORM/ISSUE OF DUPLICATE SMART

CARD(S)/TEMPORARY RECEIPT FOR DOCUMENTS SUBMITTED FOR ECHS MEMBERSHIP

1. Refer following letters of Army HQ:-

(a) B/49720/AG/ECHS dated 12 Mar 2003.

(b) B/49708-R/AG/ECHS dated 15 Oct 2004

(c) B/49708-R/AG/ECHS dated 01 Mar 2004.

(d) B/49708-R/AG/ECHS dated 31 Mar 2004.

(e) B/49708-R/AG/ECHS dated 17 Jun 2004

(f) B/49711/AG/ECH-1 dated 10 Jan 2005.

(g) B/49708-R/AG/ECHS dt 19 Jan 2005.

(h) B/49711/AG/ECHS dt 19 Apr 2005.

(j) B/49711/AG/ECHS dated 12 Mar 2007.

(k) B/49701-Appl/AG/ECHS dated 04 Dec 2007.

2. The revised application form alongwith other relevant documents and instructions is att as Appx

‘A’. The application form will continue to be made available at all Stn HQs, ECHS Regional Centres

and Record Offices for grant of ECHS membership. The same is also being posted on the Army Web

(AWAN) and internet www.indianarmy.nic.in. Officials at these issue points may also be directed to

offer necessary help to the ex-servicemen in filling up their forms since it is available in English only.

3. Receipt of Application, Vetting and Issue of ECHS Membership Cards. Initial application

duly completed alongwith all relevant documents in respect of eligible pre 01 Apr 2003 retirees exservicemen

will be deposited with nearest Stn HQ/Regional Centres in person. After vetting of

applications, a temporary receipt duly signed by designated officer at Stn HQs will be given to the

individual which will be valid for taking medical treatment till the receipt of the ECHS Smart Card(s). The

vetted application form then will be forwarded to dependent Regional Centre. On receipt of the

documents final scrutiny will be carried out at Regional Centre which will arrange the manufacturing of

ECHS Smart Cards through nominated Vendor. On receipt of ECHS Smart Cards the same will be

forwarded to the dependent Stn HQs for further handing over to the applicant. The serving personnel

will continue to process their applications through respective record offices, i.e

MP5-6 (for Army Officers)/Air HQ (for AF Officer)/AFRO (for AF PBOR)/ NHQ (for Naval Officers)

/ CABS (for Naval

PBOR)/ CGHQ (For Coast Guard Officers and PBOR). The application form duly vetted must then be

sent by the concerned Record Office to concerned Regional Centre for manufacturing of ECHS Smart

Cards. The receipt of the documents will be retained by them for further handing over to the individual in

case Smart Card is not ready for handing over prior to retirement. Detailed procedure for filling

up/handling of application forms are given at Appx ‘B’.

4. Duplicate Smart Card (s). The procedure for issue of duplicate Smart Card (s) / Temporary

Receipt will be as enumerated in succeeding paragraphs.

5. In case of loss of a Smart Card (s) / Temporary Receipt ECHS member will submit an

application on plain paper with complete details of lost Card (s) to dependent Polyclinics/Station

Headquarters along with the following :-

(a) An Affidavit on Rs 10/-Non-Judicial Stamp paper duly notorised as per sample

attached as Appx ‘C’.

(b) Demand draft in favour of ECHS Regional Centre towards the cost of duplicate Smart

Card (s) @ Rs 90/- per Card.


(c) Photocopy of lost card (s) if held.

(d) Fresh application Form duly filled in and photographs affixed of all beneficiaries.

(e) A certificate from parent Polyclinic containing the following details:-

(i) Details of Chronic diseases/allergy.

(ii) Details of equipments issued (like hearing aid).

(iii)

Details of surgery carried out (if any).

6. Availing Treatment during Loss of Smart Card (s). On submission of an application for

issue of a Smart Card a receipt will be issued by Station Headquarters and this would be the authority

for seeking treatment from an ECHS Polyclinic.

7. The letters under reference at Para 1 (a) to (k) are hereby superseded.

Col

Dir (Ops & Coord)

Authority: Central Org letter No:B/49711 /AG/ECHS dt 15 Apr 2008


ECHS HELPLINE

1. Refer Integrated Headquarters of MoD (Army) letter No B/49701-Policy/AG/ECHS dated 20 Jun

2006.

2. On dirns of COSC, it was directed vide letter under ref to create helplines for ESM on ECHS

matters at all stations. It was also confirmed that the action has been completed.

3. However it has been observed that the helplines are not doing their job efficiently resulting in

inconvenience to the ESM. As a result ESM are contacting IHQ of MoD (Army) directly even for minor

issues. Some stations have even given the telephone Nos of appointments at IHQ of MoD (Army) as

helpline Nos.

4. All policies and procedures of ECHS have been disseminated to the environment. All changes

whenever made are also communicated in time. It is once again reiterated that the helplines so

created be manned by competent staff who are well versed with ECHS matters and can provide

satisfactory answers to the queries of ESM.

5. HQ Commands are once again requested to confirm that :-

(a)

ECHS helplines for ESM have been est at all stations.

(b) Telephone Nos of Appts at IHQ of MoD (Army) are not given as helpline Nos for routine

inquiries but only on demand by the ECHS members where such clarification is required only

from IHQ of MoD (Army).

Authority : Central Org Letter No:B/49701-PR/AG/ECHS dt 09 Apr 2008

Col

Dir (Ops & Coord)

for MD ECHS


TIMING OF ECHS IN NCR DELHI

1. Ref ECHS Cell, Stn HQ Delhi Cantt letter No 216/HDC/ECHS dated 11 Mar 08.

2. The working hours for all staff will be eight hours per day excluding Medical

Specialist/Gynecologist for whom it will be five hours per day. Lunch break us excluded form

working hours for all staff. In this connection yout attn is drawn to this HQ letter No

B/49760/AG./ECHs® dated 15 Jun 2007.

3. You are requested to confirm.

Lt Col

Offg Jt Dir (Pers)

For MD ECHS


AMENDMENT TO SAMPLE OF AFFIDAVIT WITH APPLICATION

FOR ECHS MEMBERSHIP

1. Refer to page 11 of simplified application form for ECHS membership.

2. The following may please be added in page No 11 of application form:-

Add Para 12 as under

I understand that the contribution I am making is a one time token amount and is nonrefundable

even if I do not make use of any ECHS facilities.

Authority: Central Org letter No: B/49701-Appl/AG/ECHS dt 04 Dec 2007

Col

Dir (Ops & Coord)

for MD ECHS


BEEFING UP RESOURCES FOR PROCESSING

OF ECHS APPLICATIONS

1. ECHS membership applications from Ex Servicemen who retired prior to 01 Apr 2003 are

processed by respective Station Headquarters. The scheme is gradually expanding and the No of

applications being recd are on the rise. Medical treatment to Non-ECHS members at Service

Hospitals will not be available after 31 Mar 2008. Supreme Court Judgement exempting pre 01 Jan

1996 retirees from paying contribution to join ECHS is also being implemented. Therefore considering

the above the No of applications is likely to further increase in the near future.

2. In order to overcome the problem, the resources at Stn HQ for the purpose need to be beefed

up for the next 6 to 8 months wherever required. Therefore necessary instructions may please be

given to all concerned.

Brig

Dy MD

for MD ECHS

Authority:- Central Org ECHS letter No B/49701-PR/AG/ECHS dt08Oct 2007


ELIGIBILITY OF DEPENDENT SON (S)

1. Please refer to the following:-

(a) Central Org ECHS letter No B/49701-PR/AG/ECHS dated 16 Apr 2007.

(b) Ministry of Health and Family Welfare Office Memorandum No 4-24/96-

C&P/CGHS/CGHS (P) dated 31 May 2007.

2. The restriction on upper age limit of dependent son (s) was removed based on the stay granted

by Hon’ble Delhi High Court in Civil Miscellaneous Petition No 115/97 and Civil Writ Petition No 2542

of 1996. The same has now been lifted by Delhi High Court and the Civil Writ Petition stands

dismissed.

3. Consequent to receipt of Office Memorandum from Ministry of Health and Family Welfare, it

has been decided to re-fix the age limit of dependent son (s) as following:-

“ Till he starts earning or attaining the age of 25 years whichever is earlier.”

4. The other conditions of dependency and normally residing with the ESM pensioner will remain

the same.

5. Please treat paragraph 3 of our ibid letter at paragraph 1 (a) as cancelled.

Auth:-Central org letter No:B/49701-PR/AG/ECHS 21 Aug 2007

Brig

Dy MD

for MD ECHS


TERMS AND CONDITION FOR CONTRACTUAL

STAFF AT POLYCLINICS

1. Ref Govt of India, Mod letter No 24(6)/03/US(WE) Res) dt 22 sep 03 fwd vide out letter No

B/49760/AG/ECHS dt 14 Oct 03.

2. It will be ensured that all OIC Polyclinic and Doctors have a personal telephone (preferably a

mobile) where the indl can be contacted during off polyclinic timing.

3. All medical offers and para-medical staff at the polyclinic will wear white coats with a name

plate on the night side of the shirt during working hours.

4. The working hours for all staff will be eight hours per day excluding Medical

specialist/Gynecologist for whom it will be five fours per day. Lunch break is excluded from working

hours for all staff.

Col

Dir (Ops and Coord)


TERMS AND CONDITION FOR CONTRACTUAL

STAFF AT POLYCLINICS

1. Further to this Organisation letter of even reference dated 15 Jun 07.

2. It is to ensured that all eligible polyclinic staff liable to pay income Tax are in possession of

Permanent Account Number (PAN Card).

3. This must also be ensured for all further employment of contracted staff for ECHS Polyclinics.

Wing Commander

Jt Dir (P&FC)

For Managing Director


TIMINGS OF ECHS POLYCLINICS

1. Ref our letter No B/49711-OPD/AG/ECHS dt 20 Jul 05.

2. Broad guidelines for timings of ECHS Polyclinics have been laid in the referred letter. It is

reiterated that OPD registration in all polyclinics be stopped at 1430h daily. This would enable

referrals to be generated upto 1500h. Thereafter the polyclinic would have one hour (i.e from 1500h to

1600h) dedicated for its interior economy which includes data entry and processing of reimbursement

bills submitted by hospitals and individuals. However all emergency cases will be handled till 1600h or

till the polyclinic closes, whichever is later.

3. The timings are reqd to be strictly followed for local patients. At the same time due

consideration should be given to patients, who have come from far distance and be attended to

accordingly.

4. All concerned under your command may please be instructed to incorporate the above with

immediate effect. The timings should be prominently displayed at each polyclinic.

Authority:Central Oog, ECHS letter No B/49760/AG/ECHS(R) dt 04 Jun 2007

Brig

Dy MD

for MD ECHS


POLICY ON ISSUE OF DUPLICATE SMART CARD(S)

1. Further to Central Organisation, ECHS letter No. B/49711/AG/ECHS-1 dated 10

Jan 2005.

2. Submission of photocopy of the ECHS Smart Card alongwith application for issue of Duplicate

Card henceforth will not be a must though it will still be desirable for speedy issue of duplicate Smart

Cards. However the applicant should give details of old lost cards for early processing. If he cannot

provide the details he be told that issue of New Smart Cards will take longer time.

Col

Dir (Ops & Coord)

for MD

Auth : B/49711/AG/ECHS/Policy dated 20 Apr 2007


POLICY FOR REDRESSAL OF GRIEVANCES

1. Central Organisation ECHS is receiving various suggestions/queries/complaints directly from

Armed Forces Veterans/ Ex-Servicemen Leagues/ Associations etc. The complaints are eventually

being investigated by the concerned Station HQs/Regional Centres and Command HQs. This at times

results in time consuming and non obligatory involvement of higher HQ whereas the same could be

addressed/resolved at Stn HQ itself. It also results in delay in resolving the issues.

2. To obviate the avoidable delay and speedy clearance of the issues, it is suggested that a wide

publicity be given to the Armed Forces Veteren and various Ex-Services Leagues/ Association that

all suggestions/queries/complaints be directly addressed to concerned Station HQ/Regional Centre for

resolving the issues. Matters pertaining to policies could be referred to Central Organisation ECHS

directly.

3. This may please be given wide publicity.

Col

Dir (Ops & Coord)

for MD ECHS

Authority:- Central Org ECHS Letter No : B/49717-C/AG/ECHS dt 18 Apr 2007


ELIGIBILITY OF DEPENDENT SON (S)

1. Reference Central Organisation ECHS letter Nos:-

(a) B/49701-PR//AG/ECHS dated 01 Jun 2006.

(b) B/49764/AG/ECHS/R dated 15 Feb 2005.

2. Amendments in eligibility conditions for dependent son (s) stipulated vide our letters under

reference is further amplified as given in the succeeding paragraphs.

3. ECHS Membership For Dependent Son(s). Existing Para 3(d) of this HQ letter mentioned

at Para 1(a) above may please be deleted and substituted by the following:-

“Unemployed and wholly dependent son is permitted to be included as dependent. Details

must be included in the service record of the pensioner. However, to avail the medical facilities

beyond the age of 25 years the ESM pensioner/family pensioner will annually certify the

dependency of his/her son through an ‘Affidavit’ on attaining the age of 25 years. This implies

that a wholly dependent son is permitted to avail medical facilities irrespective of age provided

that ESM pensioner certifies his dependency annually commencing from the age of 25 years”.

4. Removal of Age For Onset of Disability. It is clarified that there is no age restriction for

onset of permanent disability in a dependent child.

5. The above may please be given wide publicity.

Brig

Dy MD

For MD ECHS

Authority: Central Org ECHS, Army HQ letter:B/49701-PR/AG/ECHS dt 16 Apr 2007


CLARIFICATION ON TERM ‘FAMILY’ FOR ENROLMENT INTO ECHS

1. Further to this HQ letter of even number dated 01 Jun 2006.

2. Mentally/Handicapped Children are permitted to be member of ECHS for life. Eligibility

conditions for grant of ECHS membership in respect of such children have been stipulated vide Para

3(e) (i) to (iii) of our letter under reference. However, few ESM are finding it difficult to get the disability

certified by a Service Classified Specialist especially those who retired prior to inception of ECHS.

3. Keeping in view of above, it has been decided that certificate with regard to permanent

disability of a child issued by Civil Surgeon would also be acceptable provided that such certificate

clearly indicates the percentage of disability and child’s inability to earn his livelihood. Hence, the

following amendments may please be made to Para 3(e) (ii) of our letter under reference:-

(a) For “Permanent disability should be certified by Service Classified Specialist as per

format of certificate enclosed at

Appendix”.

Read

“Permanent disability should be certified by Service Classified Specialist/Civil

Surgeon as per format of certificate enclosed at Appendix duly indicating

percentage of disability and the child’s inability to earn his livelihood”. A copy of

certificate of Disability to be produced from Civil Surgeon is enclosed.

4. The remaining conditions on the subject will remain unchanged.

Col

Dir (Ops & Coord)

For MD ECHS

Authority: Central Org ECHS, Army HQ letter B/49701-PR/AG/ECHS dt 05 Apr 2007


CLARIFICATION ON TERM ‘FAMILY’ FOR ENROLMENT INTO ECHS

1. Further to this HQ letter of even number dated 01 Jun 2006.

2. Mentally/Handicapped Children are permitted to be member of ECHS for life. Eligibility

conditions for grant of ECHS membership in respect of such children have been stipulated vide Para

3(e) (i) to (iii) of our letter under reference. However, few ESM are finding it difficult to get the disability

certified by a Service Classified Specialist especially those who retired prior to inception of ECHS.

3. Keeping in view of above, it has been decided that certificate with regard to permanent

disability of a child issued by Civil Surgeon would also be acceptable provided that such certificate

clearly indicates the percentage of disability and child’s inability to earn his livelihood. Hence, the

following amendments may please be made to Para 3(e) (ii) of our letter under reference:-

(a) For “Permanent disability should be certified by Service Classified Specialist as per

format of certificate enclosed at

Appendix”.

Read

“Permanent disability should be certified by Service Classified Specialist/Civil

Surgeon as per format of certificate enclosed at Appendix duly indicating

percentage of disability and the child’s inability to earn his livelihood”. A copy of

certificate of Disability to be produced from Civil Surgeon is enclosed.

4. The remaining conditions on the subject will remain unchanged.

Col

Dir (Ops & Coord)

For MD ECHS

Authority: Central Org ECHS, Army HQ letter B/49701-PR/AG/ECHS dt 05 Apr 2007


CHANGE OF PARENT POLYCLINIC: ALL INDIA

1. Please refer to our letter Nos B/49705-NCR/AG/ECHS dt 27 May 2005 and B/49711-

SC/AG/ECHS dt 03 Jan 2006.

2. It has been represented by a number of ECHS members that the procedure for seeking change

of address and parent polyclinic stipulated vide our letter under reference is time consuming and

inconvenient.

3. Keeping in view the convenience of ECHS members, with immediate the procedure

enumerated in succeeding paragraphs will be followed.

4. The members is to submit th following to nearest Stn HQs for change of Parent Polyclinic:-

(a)

An application on plain paper clearly giving following details:-

(i)

(ii)

(iii)

(iv)

(v)

Old ECHS Regn Number.

Old Address.

Old Parent Polyclinic.

New Address.

New Parent Polyclinic.

(a)

An undertaking on a separate plain paper stating that:-

(i)

No information has been concealed or suppressed.

(ii) Any false information submitted will make him liable for termination of his ECHS

membership.

(b)

Proof of new address like electricity/telephone/water bills/RWA certificate etc.

(c) A fresh ECHS application form with relevant columns filled and super scribed “CHANGE

OF ADDRESS” and “CHANGE OF PARENT POLYCLINIC”.

(d)

(e)

Return the old cards duly defaced.

Deposit DD on the name of concerned Regional Centre @ Rs. 90/-per card requested.

5. Station HQs will receive the application form and provide “Receipt of Documents duly affixed

photographs” which will be valid for 60 days and thereafter to be revalidated if ECHS Smart Cards are

not received. ECHS member should personally collect the cards from Stn HQ after 60 days of

submission of application.


6. Station HQ will place the demand to SITL through concerned Regional Centre ECHS for remanufacturing

of Smart Cards as per request of the member. SITL will issue fresh cards duly

indicating new address and new parent polyclinic. SITL will also maintain details of old address and

old parent polyclinic in their data base.

7. Instructions issued vide our letters mentioned at Para 1 above are hereby superseded. The

above may please be given wide publicity.

Col

Dir(Ops & Coord)

for MD ECHS

Authority: Central Org ECHS, Army HQ letter B/49711 /AG/ECHS dt 26 Mar 2007


TREATMENT OF SENIOR CITIZENS

1. All members of ECHS are retd members and very soon will become senior citizens. However

at the same time, some old and sick people need to be given priority at ECHS Polyclinics.

2. It has been decided that in future patients above 75 yrs of age, will be treated as senior

citizens in the ECHS Polyclinics and will be given priority. The senior citizens will be attended out of

turn at reception, examination by doctors and issue of medicines.

3. You are requested to pass suitable instructions to all concerned.

Col

Dir (Ops & Coord)

for MD ECHS

Authority: Central Org ECHS, Army HQ letter No B/49701/AG/ECHS dt 15 Mar 2007


Subject :

Agreement between contractually Engaged Person and Station

Commander for rendering services in ECSH Polyclinics

Sir ,

1. I am directed to refer to Government of India, Ministry of Defences letter No

24(8/03/US(WE/D(Res) dated 22 nd September, 2003 and to convey the sanction of the

Government to the adoption of a standard agreement form to be followed executed while

appointing ECHS Polyclinic staff. The copy of the standard agreement form is placed as appendix

to this letter.

2. This issue with the approval of Ministry of Law & Justice vide their Dy . No. 1858/A/A dated

03.05.2006 and Defence (Finance vide their U.O No 552/PD/06 dated 30.05.2006

Your faithfully,

Copy to :-

Sd/-xxxxxxxxxxx

(V.K. JAIN)

Under Secretary to the Govt of India

1. CGDA, New Delhi

2. SO to Defence Secretary

3. PPS to Secretary (Defence/Finance)

4. PPs to As (Acquisition)

5. PPS to As(T) /PPS to AS (I)

6. Addl FA(B) /Addl FA(V)

7. JS (ESW)

8. JS(O/N)

9. Dir (Finance/AG)

10. Dir (Fin/AG)

11. Defence (Finance/AG/PD)

12. DFA (B)/DFA (Air Force)

13. AFA (B-1)

14. D (Works /D /(Mov)/ D (Med)

15. O & M Unit

Also to :

16. DGAFMS

17. DGDE, New Delhi

18. DG DC & W

19. QMG

20. DGMS

21. DGMS (Air Force)

22. DGMS (NAvy)

23. AOA


24. DESA

25. MD Central Orginasation ECHS

26. ADG C & W

27. DG (Works). E-in-C Branch

28. ADG (FP)

29. All Command Headquarters

30 AG’s Branch /CW-3

31. Naval Headquarters (PS) Dte)

32. Air Headquarters

Copy signed in ink :

33. CDA (Army), Bangalore

34. CDA (WC) , Chandigarh

35. CDA (Army), Patna

36. CDA (SC), Pune

37. CDA (Army) Merrut

38. CDA (NC), Jammu

39. CDA ((Officers), Pune

40. CDA (Navy), Mumbai

41. CDA (AF) Dehradun

42. CDA (Army), Jabalpur

43. CDA (Army), Secunderabad

44. CDA (Army), Lucknow

45. CDA (Army), Chennai

46. CDA (Army), Kolkata

47. CDA (AF), Delhi

48. CDA (Army), Guwahati

49. CDA (Army), Pune

50. CDA (Army), Mumbai

51. CDA (Army), Dehradun


AGREEMENT

BNETWEEN CONTRACTUALLY ENGAGED PERSON AND STATION COMMANDER FOR

RENDERING SERVICES TO ECHS POLYCLINICS

This AGREEMENT made at ________________________ (Place) on this _________

(date) day of ____________________(Month) _____________(Year) Between the President of

India acting through Station Commander _______________(Place with full address if no security

Risk) for the Ex-Servicemen Contributory Health Scheme (ECHS), Adjutant General’s Branch.

Army Headquarters, Maude Line , Delhi Cantt- 110010, hereinafter called the ECHs, of the ONE

PART and Dr/Shri/Smt _____________________ (Name of the Engaged Person)

Son/daughter/wife of ______________ resident of ________________________________(give

address), hereafter called the “Engaged Person” of the Other Part. When the Engaged is a

female the expression he, him and his shall be read as she and her.

(A) The ECHS is engaged in providing comprehensive medical care to Ex-Servicemen

Pensioners and their aurhorised dependents and is having its Polyclinic at _____________

(place)

(B) The ECHS intends to hire services of a _________________________ (designation or

nature of work) for its Polyclinic at __________________(place) on on contractual basis for a

period of 12 months and for that purpose had advertised the requirement in the leading

_____________ (National/Local) newspapers and after interviewing all the eligible and/or short

listed applicants, has found Dr/Shri/Smt ______________________, Engaged Person suitable for

performing duties of __________________________(designation or nature of work).

NOW THIS AGREEMENT WITNESSETH AS FOLLOWS :-

1. The ECHS hires the professional services of Dr/Shri/Smt _______________________, the

Engaged Persons, as the ________________________(designation or nature of work) for its

Polyclinic at _________________________(Place) and Dr/Shri/Smt

_______________________, (Name of Engaged pers has agreed to provide his professional

services in that capacity in the above mentioned Polyclinic for a period of 12 months from the date

he/she joins duties.

2. The engagement of the Engaged Person for rendering his/her professional services shall

be entirely contractual in nature and will be for a period of 12 months initially and thereafter

renewable for 12 months at a time upto and subject to attaining the maximum age prescribed

indicated in Appendix A to Government of India, Ministry of Defence letter No

24(6)/03/US(WE)/D(Res) dated 22 Sep 2003 or as amended from time to time. The renewal of

contract will be subject to continued good conduct and performance of the Engaged Person during

the proceeding 12 months and existence of the retirement for services of the Engaged Person at

the ECHS Polyclinic. Afresh contract will be executed for each renewal.

3. The Enganged Person will be paid the total consideration for his services in the form of a

consolidated (Compensation of Rs _____________ (amount) per month and no other financial

gain. Assistance, facilities, perks, allowance, non practicing allowance etc, will be admissible to

him/her . The said Engaged Person hired on contractual basis will no be entitled for any gratuity or

terminal benefits whatsoever.


4. The payment of consideration shall be made by ECHs to the Engaged Person upto the

__________ day of each succeeding month.

5. The Engaged Person will devote full time of tenure of his/her duty, skill and attention to

promote the interests of the ECHs. He/she shall be bound to work for 48/30 hours a week and

adhere to the timings, working hours and other discipline of the Polyclinic as laid down by the

station Commander. In addition., the Engaged Person shall promptly attend to any emergency

duty outside ordinary working hours when ‘on call at his/her residence.

6. During his/her tenure of Contractual engagement with ECHS Polyclinic the Engaged

Person shall NOT have any association or dealing, direct or indirect, in any matter with any ECHS

empanelled Hospitals/Nursing Home/Diagnostic Centre and supplies of goods or services or

facilities etc.

7. During the period or contract, the Engaged person shall not engage in my private (Medical)

practice or professional consultation during working hours on working days.

8. The engaged Person will be eligible for a leave of absence upto 10 days with full

consideration as per clause 3 above on completion of his/her tenure of contractual engagement

for services of 12 month with prior written sanction of the same by the Station Commander for

ECHS. Pro rate deduction in total monthly consideration shall be made for any excessive absence

with prior notice/approval. Services of the Engaged Person may be terminated by the appointing

authority, in case the leave period exceeds of days.

9. If the Engaged Person shall at any time be in-capacitated by illness or accident arising out

of any act, default, negligence on the part of Engaged Person or other unavailable causes from

efficiently performing his/her duties pursuant to this Agreement his/her monthly consideration on

pro rata basis shall not be payable during the time of such incapacity or absence from duty.

10. The Enganged Person shall always perform duties under the directions and supervision of

the Station Commander acting through the Officer-in-Charge Polyclinic and he/she will carry out

the assignment and duties as detailed in the charter of duties issued with this agreement and any

other duties associated with his/her profession as may be entrusted to his/her by the Station

Commander or by the other Officer-in-Charge Polyclinic from time to time.

11. The ECHS shall have the right to terminate this agreement by giving one month’s notice to

Engaged Person or one month’s consideration as compensation in Lieu there of without prejudice

to the generality of the right of termination may be on any of the following grounds for which as

opportunity to show cause will be afforded to him/her.

(a) Profession incompetence or misconduct or an act of moral turpitude.

(b) Unsatisfactory performance of duty.

(c) Arrest or conviction by a court of law for any offence.

(d) Any net prejudicial to security or interest of the Organisation (ECHS).

(e) Absence of leave beyond 60 days.

(f) Prolonged or habitual absence from duty prior permission of the competent

authority including prolonged absence due to medical illness.

(g) Inadequate work load .

(h) Breach/violation of any provision of this agreement by Engaged persons .

(i) Any other ground warranting his/her removal from the contractual arrangement .


12. The Engaged person will also have the right to terminate this agreement before the expiry

of tenure of contractual appointment by giving one month’s notice or by foregoing one month’s

contractual amount as consideration fir engagement of services.

13. The Engaged person will conduct himself/herself in a professional manner with highest

ethical. Moral and financial standards. The Engaged person shall handle all equipment

instruments, machinery , tools and other assets with adequate professional care and condition

and shall be responsible for any loss caused by lack of care, negligence or recklessness on his

part and will not indulge in any malpractices, unethical practice, and financial misappropriation,

misuse of organization’s property or administrative irresponsibility.

14. The Engaged person declares and acknowledges that this agreement does not amount to

employment with the ECHS or the Army,Navy,Air force or Govt of India nor confer any right on the

Engaged person nor any representation or obligation on ECHS or the Army,Navy air force or Govt

of India as to possibility or performance in equipment or any farther engagement in ECHS or

elsewhere at any time in future.

15. The engaged person shall indemnify ECHS all third party claims or proceeding in respect

of his professional negligence, misconduct or deficiency in service.

IN WITNESS whereof the parties aforementioned have executed this agreement on this

they are year first above mentioned.

WITNESS

1. __________________ _______________________

(Signature )

Signed by Station Commander

_______________________

as authorised official for ECHS

For and on behalf of

The President of India

2. __________________ Address __________________

________________________

_________________________

(Name and address of Witness No 1 & 2)

1.__________________________

________________________

(Signature)

Singed by the within named

2.__________________________

Engaged Person

___________________________

Shri/Smt ________________

___________________________

Address ________________

__________________________

(Name and address of witness No. 1 & 2)


WHEREAS the ECHS entred into an Agreement dated …………………… with the Engaged

Person (hereinafter called Principal Agreement) for availing the services of the Engaged Person

as …………………….. from ………………………….. to ………………………… with a provsonof

renewal.

AND WHEREAS the Parties are desirous to renew the Principal Agreement for another

period of 12 months.

Now, this Agreement witnesses :-

That the parties hereby renew the Principal Agreement for a period of 12 months with effect

from ……………………….. to ……………….. with the same terms and condition as mentioned

there in except the following :-

_______________________

_______________________

_______________________

Provided that any services actually provided from the date of expiry of the Principal

Agreement to the date of singing of this Agreement shall be deemed to have been rendered

under this Agreement.

WITNESS

1. __________________ _______________________

(Signature )

Signed by Station Commander

_______________________

as authorised official for ECHS

For and on behalf of

The President of India

2. __________________ Address __________________

________________________

_________________________

(Name and address of Witness No 1 & 2)

1.__________________________

________________________

(Signature)

Singed by the within named

2.__________________________

Engaged Person

___________________________

Shri/Smt ________________

___________________________

Address ________________

__________________________

(Name and address of Witness No 1 & 2)


ECHS MEMBERSHIP TO RESERVISTS

1. The frequent requests from Reservists to permit ECHS membership has necessitated a

review of the eligibility criteria. The following has emerged during the review:-

(a) Some Reservists irrespective of colour service are now in receipt of Rs. 1275/- PM

as pension.

(b)

Families of deceased Reservists are in receipt of family pension.

2. The eligibility criteria for ECHS membership stipulates that the twin criteria of being an ESM

and should be in receipt of pension / family pension from Armed Forces sources should be met.

Therefore Reservists who are ESM and in receipt of pension/Family Pension meet the above

criteria.

3. In view of the above, it is directed that Reservists who are drawing pension including family

pension are permitted to join the Scheme. However Reservists who opted for ex-gratia payment

are not eligible.

4. It is requested that necessary instructions may place be issued for immediate

implementation.

Authority: Central Organisation ECHS letter No B/49701-Reservist/AG/ECHS dt 02 Jun 2006.


CHANGE OF PARENT POLYCLINIC: ALL INDIA EXCEPT NCR

1. The concept of Parent Polyclinic for ESM has been introduced, so as to collate a database

and cater to a known ESM load at the ECHS Polyclinic. This will ensure better and more efficient

OPD facilities. However, due to various reasons, ESM may require to change their

address/polyclinic dependency. The procedure for change in Delhi/NCR has already been laid

down vide this office letter of even number dated 27 May 05. The procedure for change of

address/polyclinic dependency for the rest of the country is enumerated in succeeding

paragraphs.

2. The member is to submit the following to Stn HQs nearest to the new address:-

(a)

An application on plain paper giving reasons for change.

(b) A fresh application form with relevant columns filled and superscribed ‘CHANGE OF

ADRESS’ on top.

(c)

(d)

(e)

Affidavit as per format endorsed on Rs. 10 non judicial stamp paper duly notarized.

Enclose the old cards duly cut into 2 pieces.

Deposit Cash/DD @ Rs. 90/- per card requested.

3. Station HQs are to scrutinize the form and give a photo receipt to the member which will be

valid for 60 days.

4. SITL (Vendor) will carry out necessary amendments to the records and issue fresh cards

within the laid down period.

5. The procedure for utilizing ECHS facilities at polyclinics other than parent polyclinics will be

as follows:-

(a)

Members will be handled in OPD and given medicine for 07 days at a time.

(b) Referral to an empanelled facility will be authorized for an emergency/essential along

with its related treatment.

(c) Medical equipment authorized for home use will only be sanctioned by parent

polyclinics.

6. It is requested that the procedure outlined above may please be accorded wide publicity

and implemented with immediate effect.

Authority-Central org letter no- B/49711-SC/AG/ECHS dt 03Jan 2006

Lt Gen (Retd)

MD ECHS


POLYCLINIC DEPENDENCY IN DELHI AND NCR

1. The ECHS Polyclinics were located after due deliberations and taking into account the

resident load of ESM in a particulars area so that best medicare could be provided. However, the

policlinics in Delhi and NCR, inspite of having six polyclinics in close vicinity, are experiencing an

unequal and varying load, which has resulted in the following:-

(a) Increased waiting time due to overloading in some polyclinics and underutilization of

other of others.

(b)

(c)

(d)

(e)

Non availability of medicines due to in correct dependency load.

Inability to correctly forecast medicine requirement.

Multiple utilization of polyclinics for the same ailment.

Drawl of medicines from more than one polyclinic.

2. In order to enable, near accurate dependency data for ensuring a more efficient medicare

for the ESM, it has been decided to restrict OPD treatment for ECHS members at only one of the

polyclinics, designated as the ‘parent polyclinic’ in Delhi and NCR. The geographical boundaries

of polyclinics in Delhi and NCR will be as follows:-

(a)

Base Hospital Polyclinic

(i)

All areas West of River Yamuna up to Raj Ghat.

(ii) All areas North of road joining Dayal Chowk to Raj Ghat (Along –Link

Road,Desh Bandhu Gupta Road,Ajmeri Gate,Jawaher Lal Nehru Marg,Delhi Gate

and joining Raj Ghat ).

(iii) All areas North & West of Ridge Road up to Dhaula Kuan and NH8 up to

Delhi-Haryana border towards Gurgaon.

(iv) In addition all outstation patients referred to Delhi will first be attended to at

this polyclinic.

(v)

See marked map attached.

(b)

Lodhi Road Polyclinic

(i) All areas East of Yamuna upto and along UP Border upto trijunction of Delhi-

Haryana-UP border.

(ii) All areas South and East of Raj Ghat along the Jawahar Lal Nehru

Marg, Desh Bandhu Gupta Road up to Dayal Chowk and along Ridge Road up to

Dhaula Kuan, thereafter along NH8 up to Haryana- Delhi border towards Gurgaon.

(iii) The Southern limit is the Delhi-Haryana Border in the South West and

trijunction of Delhi-Haryana UP Border in South East.


(c) Noida. All areas East of UP-Delhi Border and South of NH-24 (Hapur Bypass) up

to Haryana-UP Border in the South West including Greater NOIDA.

(d) Gurgaon. All areas South and West of Delhi-Haryana Border on NH-8 towards

Gurgaon. The entire district of Gurgaon is included.

(e) Faridabad. All areas South of Delhi-Haryana Border and West of Haryana UP

Border.

(f) Hindon. All areas East and North of the UP-Delhi Border and out of Delhi up to

NH-24 (Hapur Bypass). These areas fall in the Ghaziabad District.

3. All new ECHS members are being issued Cards with parent polyclinic endorsed. All existing

members having old cards on which this is not endorsed, will be entertained in accordance with

the geographical limits laid out above. The above change is relevant only to Delhi and NCR. In the

rest of the Country, members will continue to be entertained at all ECHS Polyclinics with

restriction of medicine being provided only for 07 days at a time.

4. Ten large scale laminated maps of Delhi and its environs have been put up at the six

polyclinics and locations frequented by ESM for their convenience.

Authority-Central org letter no-B/49711/AG/ECHS dt30 dec 2005

sd-x x x x x

(VK Dua)

Lt Gen (Retd)

MD ECHS


POLICY ON AVAILING ECHS FACILITIES BY ESM PENSIONERS ON JOINING DSC

1. ESM pensioners of the Armed Forces who retired on or after 01 Apr 2003 are compulsory

ECHS members. Similarly, ESM pensioners who had retired before 31 Mar 2003 are permitted to

join ECHS on voluntary basis.

2. It has come to notice that ESM pensioners who have joined DSC after retirement from

Armed Forces and have become ECHS members either by virtue of compulsory membership or

on a voluntary basis, have been using ECHS facilities in addition to all medical facilities authorised

to a serving person. This is now permitted. DSC personnel while in service, irrespective of the

fact of grant of ECHS membership to them.

3. In view of the above, it has been decided that with immediate effect the following

procedure will be adopted by DSC Records for streamlining the ECHS membership in respect of

ESM pensioners who are now serving as DSC personnel.

(a) ESM Pensioners Who Have Retired On or After 01 Apr 2003. ESM pensioners of

Armed Forces who have retired from Armed Forces on or after 01 Apr 2003 are compulsory

ECHS members and are in possession of ECHS Smart Cards. DSC Records will retrieve

ECHS Smart Cards of such Ex-Servicemen and will dispatch the same by courier to

Central Organisation ECHS for cancellation of their membership. These personnel will

apply for fresh ECHS membership three months prior to their discharge from DSC Service.

(b) ESM Pensioners Who Have Retired On or Before 31 Mar 2003. ESM

pensioners of Armed Forces who have retired from Armed Forces on or before 31 Mar

2003 are permitted to join ECHS on a voluntary basis. However, these ESM pensioners are

also NOT permitted to utilize medical facilities of two Govt Schemes simultaneously ie

Service Hospital facilities and ECHS facilities. DSC Records would ascertain details of

persons who are ESM pensioners and are serving in DSC and have joined ECHS and

would recover ECHS Smart Cards from them. Smart Card colleted from such DSC

persons would be forwarded to Central Organisation ECHS for cancellation. These

persons will also apply afresh for grant of ECHS membership without making fresh ECHS

Contribution six months prior to their discharge from DSC Service.

4. DSC Records is also requested to forward full particulars to include No, Rank, Name,

Home Address and Arm/Service to which originally the individual belongs, in respect of all ESM

Pensioners who have joined DSC after retirement from Armed Forces.

Authority: Central Organisation ECHS letter No B/49708-R/AG/ECHS dt 25 Aug 2005.


OPD REGISTRATION AT POLYCLINIC

1. The MIS Software for ECHS connectivity has been implemented successfully in Delhi NCR

as a pilot project. It is now being set up at all Station HQs, Regional Centres and polyclinics.

However, for the system to be successful, data entry (OPD, Referrals, Processing Bills etc) at each

level is a mandatory requirement. During the setting up in Delhi NCR, it was observed that data

entry at Polyclinics could not be done as the patients kept trickling in upto 1600hrss the official

working hours, preventing any time for data entry.

2. A work study carried out has indicated that 1 hour is needed everyday for data entry in

Polyclinics with medium to heavy load. Therefore to enable dedicated data entry, there is

requirement to rework the timings for OPD registration at Polyclinics.

3. In view of the above it ie requested that the OPD registration in all polyclinic be stopped at

1430h daily, This would enable referrals to be generated upto 1500h. Thereafter the Polyclinic

would have one hour (i.c from 15oo h to 1600h) dedicated for data entry. All emergency cases will

be handled till 1600 or till the Polyclinic closes, whichever is later.

4. All units under your command may please be instructed to incorporate the above with

immediate effect. In addition the timings could be prominently displayed at each Polyclinic.

Sd/-xxxxxxxxxxxxx

(VK Dua)

Lt Gen (Retd)

MD ECHS


VERIFICATION OF DEPENDENTS OF OLD RETIREES (PRIOR 01 APR 2003)

1. Further to our letter No B/49701-PR/AG/ECHS dated 30 April 2005.

2. It has been realized that policy issued vide our ibid letter has NOT been taken in correct

spirit and few persons are taking undue advantage for instance, a case has been reported than an

ESM pensioner showed his dependant parents as per the policy quoted in the ibid letter and

availed facilities for his points on the basing ECHS Application receipt issued by Stn HQ. However,

on verification by the Regional Centre ECHS from the concerned Record Office, it was revealed

that the applicants parents names were not existing in his record of service which is an attempt of

falsification of documents. Necessary action is being taken against the ESM pensioner.

3. In view of the above our letter reference may please be treated as cancelled.

4. Hence forth NO repeat NO ECHS Application will be accepted without verification/Part II

Order dependents from respective Service Headquarters (Army HQ(MP5/6, MPRS(O)),

NHQ(PDOP), Air HQ (DPS) for Officers and Record offices/CABS/AFRO for PBOR for

verification.

Authority: Central Organisation ECHS letter No B/49701-PR/AG/ECHS dt 28 Jun 2005.


ADDITION/DELETION OF NAMES OF MEMBERS/DEPENDENTS FOR ECHS

1. The issue of addition/deletion of dependants of an ESM and management of ECHS Smart

Cards has been addressed adequately, however it is seen that the implementation of the

guidelines has been subject to different interpretations. In order to prevent any ambiguity,

amplifications on the above are enumerated in succeeding paragraphs.

2. Addition of Dependent A newly born child/parents becoming dependant on the ECHS

member subsequent to retirement, will require the member to submit a Part II order published by

the respective Record Office. In the case of divorced/widowed daughter becoming dependant on

the ECHS member, the divorce paper or death certificate respectively will have to be submitted.

In all these cases the ESM has to submit a fresh application along with the documents and master

card for issue of new cards.

3. Deletion of dependent In the event, wherein the ECHS member dies, his/her spouse

can continue to the use the Master card, however the option lies with the spouse to get a new card

made by filling up a fresh application form in order to get a smart card on his/her name. However

in the case of demise of dependant the deletion can be made at any polyclinic, but if an add on

card has been issued to that dependent, it will have to be returned to the Stn HQ from where the

card was initially issued for cancellation.

4. Deletion of Ineligible Members. Deletions can be done at the Polyclinic level itself. Sons

above 25 years of age will be automatically deleted from dependency. Married/employed daughter

is to be intimated by the member to the polyclinic.

5. It is requested that the contents of this letter be disseminated to the environment.

Authority: Central Organisation ECHS letter No B/49701/AG/ECHS dt 09 Mar 2005.


ELIGIBILITY FOR JOINING ECHS: OFFICER CADETS

1. Refer to our letter No B/49708-RECT/AG/ECHS dated 11 Jan 05 in which eligibility for

joining ECHS in r/o recruits earning disability pension has been issued.

2. Regarding the officer cadets, who get injured during training and are boarded out on

medical grounds, it is clarified that they are only given a disability award and not disability pension.

This is because his service during training period is not counted for pension purposes and

therefore he is not eligible for the status of Ex-serviceman.

3. Keeping the above in view it is ruled that such officer cadets are NOT eligible for ECHS.

Authority: Central Organisation ECHS DO letter No B/49708-RECT/AG/ECHS dt 16 Feb 2005.


ELIGIBILITY CRITERION FOR ECHS MEMBERSHIP: DEPENDANT CHILD WITH PERMANENT

DISABILITY

1. ECHS caters for Medicare of all Ex-Servicemen in receipt of pension as also dependents to

include wife/husband, legitimate children upto the age of 25 years and wholly dependent

parents. In addition, unmarried / unemployed / divorced / widowed daughters and permanently

disabled sons who are dependent on the member are entitled benefit of membership.

2. The criteria for granting eligibility on the basis of permanent disability are as under :-

(a)

Onset of disability should be prior to attainment of 25 years of age.

(b) Permanent disability should be certified by Service Classified Specialist as per format

of certificate enclosed at Appendix A.

(c) The condition of disability should be mentioned in the records of pensioner and the

disabled dependent son should be eligible for family pension.

3. The following guidelines are laid down for the issue of disability certificate, as approved by

DGAFMS :-

(a)

(b)

The certificate will be issued by concerned service Classified Specialist.

Only certificates issued as per correct format (Appendix A) will be accepted.

(c) The certificate should be initiated by the Classified Specialist concerned and

thereafter recommendations of the Senior Adviser/Additional Adviser of concerned

speciality, or Senior Adviser of Allied Speciality obtained.

(d) In the event of Senior Adviser/Additional Adviser of concerned/allied Speciality not

being available locally in a Station, the Commandant/Commanding Officer of Service

Hospital will arrange to forward the certificate alongwith necessary/connected medical

documents to the concerned/allied Senior Adviser for the zone, for obtaining

recommendations and return. If the Senior Adviser desires to examine the patient, the

same will be communicated to the ECHS member for compliance under own arrangements.

(e) The certificate will be countersigned by Commandant/Commanding Officer Service

Hospital.

(f) The minimum degree of disability should be 40% in order to be eligible for any

concession/benefits under ECHS. Assessment criterion is as laid down in ‘Guide to Medical

Officers – (Military Pensions) – 2002’.


Appendix ‘A’

CERTIFICATE OF DISABILITY

(For ECHS Membership Only, to be submitted along with ECHS application form)

“THIS CERTIFICATE IS NOT VALID FOR MEDICO-LEGAL PURPOSE”

File/Ref No _________________

Name of Hospital _____________________

This is to certify that Shri _________________________________Aged_____ (years) Son of No

________________ Rank __________ Name ___________________________________(Retd)

is a case of _____________________________________________(Diagnosis)

with onset of disability at_____________ years of age.

He is physically/mentally handicapped/challenged and the disability is of a permanent nature. It is

also certified that the individual is unable to be gainfully employed/ or can have only restricted

employability status due to his disability and cannot earn his livelihood.

Affix attested

photograph

of individual.

Clinical Notes (If any)

__________________________________

(Signature/Thumb impression of individual)

_____________________________________

(Signature and Stamp of Classified Specialist)

_____________________________________

(Signature and Stamp of Senior/Addl Advisor

of Speciality/Allied Speciality)

COUNTERSIGNED

Place :

Date :

Comdt / CO

Military Hospital

Notes :

1. To be filled at Service Hospital only by concerned Classified Specialist.

2. Signature of Senior Adviser/Addl Adviser required.

3. Photograph to be attested by specialist certifying the disability.

4. In the event of Senior Adviser/Addl Adviser of concerned/allied Speciality not being available locally in

a Station, the Commandant/Commanding Officer of Service Hospital will arrange to obtain recommendation of

concerned/Allied Sr Adviser of the Zone.

Authority: Central Organisation ECHS DO letter No B/49764/AG/ECHS/R dt 15 Feb 2005.


PROCEDURES FOR CONTRACTUAL EMPLOYMENT

OF STAFF FOR ECHS POLYCLINICS

1. Further to Govt of India, MOD letter No 24 (6)/03/US(WE)/D (Res) dated 22 Sep 2003.

2. The employment of the staff is entirely contractual in nature and is likely to be for a

maximum of two years subject to review of their conduct and performance after eleven months. In

view of this, there is a requirement to assess the performance of the staff after eleven months. The

criteria of assessment of staff are placed at Appx.

3. The assessment will be done based on the performance of the staff which can be assessed

in terms of ‘Satisfactory’ or ‘Non Satisfactory’. If the particular employee is ‘Satisfactory’ in all the

criteria listed in the Appx then only may he/she be employed for 11 months at a time.

4. Every employee should be given a break from employment for at least one day after every

11 months of service. The extension of service beyond two tenures of 11 months would be subject

to the following:-

(a)

(b)

(c)

Continued satisfactory conduct and performance.

Eleven month at a time.

One day’s break after every eleven months service.

5. The assessing authorities will be as under :-

(a)

(b)

(c)

(d)

OIC Polyclinic

(i) IO - Stn Cdr

(ii) RO - Sub Area Cdr

Medical Offrs Employed in the Polyclinics

(i) IO - SEMO

(ii) RO - Stn Cdr in consultation with OIC

Polyclinic.

Technical Staff

(i) IO - OIC Polyclinic in consultation with Medical Offrs employed in

the clinic

(ii) RO - Stn Cdr

Non Technical Staff

(i) IO - OIC Polyclinic

(ii) RO - Stn Cdr

Sd/x x x x x

(VK Dua )

Lt Gen (Retd)

MD ECHS

Authority: Central Organisation ECHS DO letter No B/49764/AG/ECHS/R dt 08 Feb 2005.


APPOINTMENT OF OIC POLYCLINIC

1. Further to our letter No B/49722/AG/ECHS dated 10 Nov 2004 and even No dated 10 Sep

2004.

2. This office is receiving many querries regarding educational qualification for appointment of

OIC Polyclinic.

3. As per Govt of India, Department of Personnel & A.R. Min of Home Affairs letter No

39016/7/78-Estt© dated 10 May 1979 the qualification of GRADUATE may not be insisted upon as

this has been relaxed in respect of those commissioned officers who passes out of NDA/IMA

before the decision was taken by Jawahar Lal Nehru University to re-cognize their qualification as

equivalent to university degree. This is further subject to the condition that the candidate was

holding regular commissioned rank in the Armed Forces for a minimum period of 5 years, the

record of military service was satisfactory and he is otherwise considered suitable for appointment

to the post by the Board of Officers.

4. In view of the above, any commissioned officer meeting the requirement stated in Para 3

above may be considered for the Post of OIC, ECHS Polyclinic. However, only retired service

officers who are drawing PENSION will be eligible for the above appointment. In this connection,

your attention is invited to Para 4(a) of our letter No B/49722/AG/ECHS dated 10 Sep 2004.

5. HQ SUB Area, Bareily Only. This disposes off your letter No 196103/ECHS/PC/A2 datd

30 Nov 2004.

Sd /-xxxxxxxxxxxxxxx

(OS Yadav)

Col

Dir (Ops & Coord)

For MD ECHS


APPT OF OCI POLYCLINIC

1. Further to this HQ letter No B/49722/AG/ECHS dated 10 Sep 2004.

2. The matter regarding tenability of appointment of OIC Polyclinic has again been deliberated

upon at length at appropriate level in conjunction with guidelines issued vide out letter under

reference and inputs received from the environment.

3. It is again reiterated that guidelines for employment/appointment os OIC Polyclinic issued

vide our letter under reference hold good except Para 4(b) which may be suitably amended as

under :-

For - “Should NOT be from AMC. Aim is to give opportunity to non med offer for post

retirement employment”

Read - “Officers from AMC (Non Technical/Non Doctor) can be employment in the ECHs

Polyclinic. However, Doctor will not, repeat NOT be employed at OIC Polyclinic . The aim is

to give some opportunity to non medical officers of all arms and services for post retirement

employment”

SD/-xxxxxxxxx

(OS Yadav)

Col

Dir (Ops & Coord)

For MD ECSH


VERIFICATION OF DEPENDENT

1. There have been number of queries being sought regarding the mode to be adopted to

verify the dependents of the prospective ECHS member.

2. It is a indisputable fact that Part II order/personal occurrence is the sole means to

authenticate all casualties viz, birth, marriages etc therefore this document should remain to verify

the dependents. While proceeding on discharge all the relevant entries of the retiree are recorded

on the discharge book with Part II order No. This gives the details of dependents of the pensioner,

while he was in service.

3. However, if any personal occurrence is required to be published in case where there is a

birth/marriage after the retirement of an individual, there exists a provision where in Part II Orders

are published by Record Offices even for the retired personnel. This has been again confirmed by

the Record Offices recently, on the contrary it has been observed that retired personnel do not

keep their respective Record offices posted with any such personal occurrence.

4. Keeping the a/m in view, it is directed that Part II orders should be checked for any

dependent and if details are not in discharge book then it must be authenticated by the concerned

Record office. In case no such Part II orders has been published the ESM should be advised to

get the part II order published through their Record office.

Authority: Central Organisation ECHS letter No B/49701-PR/AG/ECHS dt 13 Oct 2004.


APPT OF OIC POLYCLINIC

1. A doubt has arisen as to who all can apply for the post of OIC Polyclinic. It has been

observed that even AF Sgts and other PBOR are applying for the post of OIC Polyclinic.

2. It must be appreciated that the OIC Polyclinic has to deal on daily/frequent has with doctors

emp at Polyclinic, most of who are senior retired officers, with offrs auth Area/Sub Area/Stn HQs

and Regional Centers and with retired service personnel, which are members of the ECHS,

Besides this, he has also to deal with senior functionaries of the hospitals empanelled by the ECHS

and Govt officials of the distributed administration, specially in Non Mil Stns.

3. GOI/MOD letter No 22(I)/01/US(WE) D(Res) dt 30 Dec 2002 is clear on the subject. Only

non medical officer can be selected as OIC Polyclinic. This was done give opportunity to non AMC

offrs for employment. PBOR are NOT tenable for the appt.

4. In view of the above it is clarified that only following will be selected for the OIC Polyclinic

appt:-

(a)

Only retired service offrs. Should be drawing a pension.

(b) Should NOT be from AMC. Aim is to give opportunity to non med offrs for post

retirement employment.

(c)

(d)

(e)

Have a positive attitude and be helpful by nature.

Should NOT be Hony commissioned offrs.

Necessary preference for appropriate qualification.

5. The above is for your information and necessary action please.

6. HQ Westtern Comd Only. This disposes of your letter No 46153/5/ECHS dt 06 Aug 2004.

Sd/-xxxxxxxxxx

(OS Yadav)

Col

Dir (OPS and Coord)

For MD ECHS


ISSUE OF MEDICAL CERTIFICATES TO

ECHS MEMBERS AND DEPENDENTS

1. ECHS members and their dependents have been approaching this office for policy letters

on issue of medical certificates. Type of medical certificates being asked for is at appendix

attached.

2. It is clarified that ECHS authorities are NOT empowered to issue any medical certificate

except as provided for in the GOI/MOD policy letter.

3. In case any ECHS member requests for such certificates he/she should be directed to

approach other authorised departments/Service Hospitals. ECHS Polyclinics are akin to MI Rooms

and are NOT authorised to issue any certificate.

Authority: Central Organisation ECHS letter No B/49701-PR/AG/ECHS dt 04 Aug 2004.


EXEMPTION OF PAYMENT OF ECHS CONTRIBUTION BY

“UNMARRIED DECEASED SOLDIERS”

1. A query has been raised by one of the ECHS Regional Centres regarding the status for

exemption of payment of ECHS contribution by parents of “Unmarried deceased soldiers” who

died while in service and are covered under Category ‘D’ or ‘E’ of Appx of ibid letter.

2. Vide their letter GOI/MOD had only exempted “war widows”, ie, wives of deceased soldiers.

Cases of a “spouse/husband” of woman officer/PBOR was not covered nor were cases of

“unmarried deceased soldiers”. This issue has been deliberated upon at this HQs and it is

confirmed that all categories in receipt of “liberalised family pension” are covered.

3. The above would cover:-

(a)

“War Widow”

(b) “Spouse/Husband” of a deceased woman Officer/PBOR covered by actions in

category “D” or “E”.

(c) “Parents, ie, mother & father” of unmarried deceased soldier, provided they are in

receipt of Liberalised Family Pension.

(d) In case parents at 4 (c) above are deceased, then “NOK” of unmarried deceased

soldier, provided he/she are in receipt of Liberalised Family Pension.

4. In the case of 4 (a) & (b), dependant children of the married deceased soldier are also

covered by the ECHS, subject to age/marriage and other conditions of eligibility. In case of Paras 4

(c) & (d) above, children or dependants of the individuals listed thereat are NOT entitled to ECHS

eligibility, since the deceased soldier was unmarried.

5. This issue may please be given wide publicity for information of the environment.

Authority: Central Organisation ECHS letter No B/49701-WW/AG/ECHS dt 22 Jul 2004.


ECHS : AVAILING OF ECHS FACILITIES BY RE EMPLOYED OFFICER

1. A number of queries have been received at this HQ from Command HQs, and from the

environment, regarding the status of Re-employed officers for using facilities of ECHS.

2. It is clarified that the Scheme is in vogue wef 01 Apr 2003 vide GOI/MOD letter No

22(1)/01/US(WE)D(Res) dated 30 Dec 2002, and personnel retiring from service and fulfilling the

undermentioned two conditions automatically become members of ECHS on their date of

retirement:-

(a) That he/she should be an Ex-Serviceman, i.e, has served in the Armed Forces of

India, as a combatant or non-combatant, in any rank.

(b) That he/she should be in receipt of pension/family pension/disability pension from CDA

authorities through a PPO.

3. Since all ranks retiring on or after 01 Apr 2003 become compulsory members of the

Scheme, deduction of their contribution will take place at source, and will be reflected in their PPO,

irrespective of whether they plan to take up re-employment or not. The entire procedure for

submitting application forms for issue of ECHS cards will commence between 4-12 months in

advance of date of retirement, and this schedule also does not take into account whether an

individual is seeking re-employment or not. Such retiring personnel are, in any case, required to

attach copy of their PPO in proof of their ECHS contribution having been deducted at source.

SMART CARDS will be issued to reach their units 7-15 days before their retirement, as & when the

system stabilizes. Till such time this time schedule is achieved, HQs/units receiving the Cards will

be responsible for delivery to concerned personnel at their address of retirement.

4. Therefore, for the purposes of the Scheme, all ranks of the services who seek reemployment

after retirement are deemed to be members of ECHS and can use the issued SMART

CARD and ECHS facilities, alongwith their dependents who are eligible as per ECHS rules.

5. Pre 31 Mar 2003 retired personnel who have sought Re-employment. Joining the

ECHS is voluntary for such personnel. In their case, they shall have to apply to nearest

station HQs to enroll as members, by depositing their contribution through MRO and by submitting

their Application Form & all required documents. They and their eligible dependents shall be

deemed to be temporary ECHS members from the day their applications are accepted, subject to

subsequent verification of their documents. They shall be deemed to be confirmed ECHS members

once SMART CARDS are issued to them. Such re-employed officers, and their eligible

dependants, will be deemed to be ECHS members, as explained at Para 4 above, and can use its

facilities.

Authority: Central Organisation ECHS letter No B/49701-PR/AG/ECHS dt 09 Jul 2004.


REFUND OF ECHS CONTRRIBUTION FOR NEPAL DOMICILE ESM

1. It is once again reiterated that as of now, the Scheme is authorised to ESM residing in India

and ESM pensioner who are domiciled in Nepal are NOT covered by it.

2. In view of the aforesaid, you are requested to ensure that no contribution deductions from

the pensioners residing in Nepal are deducted. In case the deduction have been erroneously

made, then your Records are requested to issue necessary instructions to Regimental Centers and

ensure that the deductions made are reimbursed to the individuals.

3. In this regard CGDA’s letter No AT/IV/4807/ECHS dated 01 Apr 04 also refers.

Authority: Central Organisation ECHS letter No B/49708/AG/ECHS dt 16 Jun 2004.


EXEMPTION OF PAYMENT OF ECHS CONTRIBUTION

EXEMPTION OF PAYMENT OF ECHS CONTRIBUTION BY “WAR WIDOWS”

1. Vide MOD letter No 22(1)/01/US(WE)D(Res) dated 08 Mar 04 (copy enclosed), the

Government of India has sanctioned exemption of payment of ECHS contribution by “War

Widows”, that is, those who are in receipt of Liberalized Family Pension.

2. A “War Widow” is one whose spouse has died due to any of the actions listed at Appendix to

this letter.

Category `D’

Appendix

(Ref Central Org ECHS letter No B/49701-WW/

AG/ECHS dt 24 May 04)

Death due to acts of violence/attack by terrorists, antisocial elements, etc whether on duty other

than operational duty or even when not on duty. Bomb blasts in public, etc. would be covered

under this category, besides death/disability occurring while employed in the aid of civil power in

dealing with natural calamities.

Category `E’

Death arising as a result of :-

(a)

(b)

(c)

Enemy action in international war.

Action during deployment with a peace keeping mission abroad.

Border skirmishes.

(d) During laying or clearance of mines including enemy mines as also minesweeping

operations.

(e) On account of accidental explosions of mines while laying operationally oriented

mine-field or lifting or negotiating mine-field laid; by the enemy or own forces in operational

areas near international borders or the line of control.

(f)

War like situations, including cases which are attributable to/aggravated by:-

(i)

(ii)

(iii)

Extremist acts, exploding mines etc, while on way to an operational area.

Battle inoculation training exercises or demonstration with live ammunition.

Kidnapping by extremists while on operational duty.

(g) An act of violence/attack by extremists, anti-social elements etc while on

operational duty.

(h) Action against extremists, antisocial elements, etc. Death while employed in the aid

of civil power in quelling agitation riots by demonstrators will be covered under this category.

( j) Operations specially notified by the Govt from time to time.

Authority: Central Organisation ECHS letter No B/49701-WW/AG/ECHS dt 24 May 2004.


ECHS : EXEMPTION TO WAR DISABLED PENSIONERS FROM

PAYMENT OF CONTRIBUTION

1. Reference GOI MOD letter No PC to 24(2)/05/US(WE)/D(Res) dated 24 Jul 2005 (copy

attached).

2. We had not disseminated the above letter because we wanted the Govt of India to clarify

the various conditions under which the exemption was to be granted. The Govt has now given out

the nine conditions under which the disability could have been sustained and issued letter No PC

to 24(2)/05/US(WE)/D(Res) dated 07 Feb 2006 (copy attached).

Documents To Be Submitted For Seeking Exemption From Contribution

3. ESM seeking exemption of contribution/refund of contribution must submit the following

documents to establish proof of disability having been sustained in operations:-

(a)

Army

(i)

Officers

(aa) Battle casualty report issued by MP 5/6 (erstwhile Org 3) AG’s Branch,

Army HQ.

(ab)

PPO. The following details will be checked:-

(aaa) PPO of M/DIS series.

(aab) The details of injury sustained by the ESM in an Operation/War

should be mentioned in the main text of the PPO on account of which

he is receiving the Disability pension.

(ii)

PBOR

(aa)

(ab)

Battle casualty endorsed at Part VI of the Discharge book.

PPO. The PPO should be of D/BC Series.

(b)

Air Force

(i) Officers. The War disabled pensioner will be certified by DPP & R.

(ii)

PBOR. The War disabled pensioner will be certified by AFRO.

(c)

Navy

(i)

(ii)

Officers. The War disabled pensioner will be certified by PDOP.

PBOR. The War disabled pensioner will be certified by CABS.

4. Individuals must submit all documents to establish that they are covered by one of the

conditions listed in the attached Govt letter of 07 Feb 2006.


Procedure For Seeking Refund

5. Govt of India, Ministry of Defence has issued instructions vide their letter No PC to

24(2)/05/US(WE)/D(Res)/Pt III dated 16 Feb 2006 (copy enclosed).

Documents To Be Submitted

6. Those seeking refund must submit the following documents at Stn HQ:-

(a)

(b)

(c)

Contingent bill.

Proof of having paid the contribution.

Proof of Disability as mentioned in the Para 3 above.

Authority: Central Organisation ECHS letter No B/49701-MOD/AG/ECHS dt 23 Feb 200


AMPLIFICATION NOTES FOR CONTRACTUAL

EMPLOYMENT OF STAFF FOR ECHS POLYCLINICS

1. Ref our letter No B/49760/AG/ECHS dated 14 Oct 2003.

2. A query has been received whether serving/re-emp offrs can apply for appt for contractual

emp in ECHS Polyclinics. It is clarified that any offr may apply; however, at the time of assuming

the appt in the ECHS Polyclinic the offr should have attained the status of a retired ESM.

Authority: Central Organisation ECHS letter No B/49701-PR/AG/ECHS dt 27 Jan 2004.


STATUS/ENTITLEMENT OF GORKHA SOLDIERS OF NEPAL DOMICILE FOR ECHS

1. A number of queries have been received at this HQ from Gorkha Records Offices, ACC&S

and MIRC Ahmadnagar, regarding status/ entitlement of Gorkha soldiers of Nepal domicile, for the

ECHS.

2. The matter has been considered at the highest level and the current policy is that only

Gorkha soldiers of Indian domicility are entitled to join the ECHS – those of Nepal domicile are not

eligible.

3. In case any deduction has been made in the PPOs of such non-entitled soldiers,

respective Records Offices should take up case for refund by concerned pension

authorities.

4. Treatment of Gorkha soldiers of Nepal domicile shall continue to follow the existing system.

Authority: Central Organisation ECHS letter No B/49701-PR/AG/ECHS dt 28 Oct 2003.


ELIGIBILITY FOR ECHS IN RESPECT OF ESMs WHO JOINED PSUs BEFORE COMPLETING

PENSIONABLE SERVICE

1. Govt of India, Min of Defence letter No 22(1)/01/US(WE)/D(Res) dated 30 Dec 2002,

explicitly lays down following twin conditions for becoming a member of ECHS :-

(a)

Should be an Ex-Serviceman.

(b) Should be in receipt of Pension/Disability pension or Family Pension from Defence

authorities.

2. In consonance with the ibid policy, this letter deals with the case of Service officers who,

prior to completing their pensionable service, joined PSUs like Air India, Indian Airlines, Pawan

Hans, Shiping Corporation of India (SCI) in organisational interest, and Govt had sanctioned

pension to these officers on pro-rata basis. On secondment or transfer to PSUs these officers

received their pension either as a lump-sum on full commutation or on monthly basis. For those

who commuted full amount, the monthly pension was to be restored at 43% after 15 years from

their date of retirement on pro-rata basis. Hence, they would be deemed to comply with condition

1(b) above, even though their data of restoration of pension may not have arrived.

3. It has been decided that such affected officers, who meet the twin conditions at Para 1

above, shall be eligible to enroll as ECHS members. The following additional conditions will have

to be complied with by these ESMs:-

(a) Since the Govt rules prohibit an individual from taking benefit from two schemes, a

certificate to this effect/entry at new Para 10 of Affidavit will be mandatory, where it must be

stated that “I certify that I am not a member of any other Govt/PSUs medical health

scheme”.

(b) The calculable pension slab for determining contribution will be based on the pension

entitled to the rank held by the individuals at the time of release, and NOT on his restored

pension amount. In other words, they will be required to pay an amount similar to the

current pension of the rank held at the time of retirement. For example, Wg Cdr ‘A’ joined

Pawan Hans in 1989 and was granted fully commuted pension. He shall have to contribute

as per the current authorised pension of a Wg Cdr, ie Rs 9190/- and hence, the contribution

amount shall be Rs 18,000/- in the case of Wg Cdr ‘A’.

Authority: Central Organisation ECHS letter No B/49701-PR/AG/ECHS dt 18 Nov 2003.


ECHS CONTRIBUTION BY WIDOWS OF SERVICE PERSONNEL

1. A case was referred to this Headquarters for clarification whether ECHS contribution

amount by “widows” of Service personnel, is to be calculated as per “Enhanced Pension” rate or

“Basic Pension” rate.

2. All widows are initially paid ‘Enhanced Family Pension’ in cases where the death of the

Service Personnel is attributable to Military Service. However, this enhanced family pension is

subsequently reduced to ‘Basic Family Pension’ which is much lesser than the enhanced family

pension.

3. The matter has been examined and it has been decided that contribution for ECHS, by

such affected widows, will be based on the amount of “Basic Pension” which will be subsequently

drawn by them, and NOT on the ‘Enhanced Family Pension’.

Authority: Central Organisation ECHS letter No B/49701-PR/AG/ECHS dt 30 Sep 2003.


ELIGIBILITY

Eligibility Conditions

1. Entitlement for ECHS. The Scheme caters for medicare to all ESM in receipt of pension

or disability pension, as also his/her dependants, which includes wife/husband, legitimate children

and wholly dependant parents. The scheme is also applicable to NOKs of deceased pensioners

who are drawing family/special family pension. Definitions:-

(a) Ex-Servicemen Pensioner. Any person who has served in any rank (whether as

combatant or as Non-combatant) in the regular Army, Navy and Air Force of the Indian

Union, and fulfills the following conditions:-

(i)

who has retired from such service after earning his/her pension.

(ii) who has been released from such service on medical grounds attributable to

military service, or in circumstances beyond his/her control, and is in receipt of

disability pension.

(iii)

It includes personnel of the Territorial Army of the following categories.

(aa)

Pension holders for continuous embodied Service.

(bb) Persons with disability attributable to military service and drawing

disability pension.

(iv)

The following are also included:-

(aa)

Personnel of Military Nursing Service drawing pension.

(ab) Whole time officers of National Cadet Corps(NCC) who are Exservicemen

and in receipt of pension/disability/ family pension.

(b) Family Pensioner. Implies the legally wedded spouse of an Armed Forces

personnel, whose name figures in the service records of the personnel and whose husband/

wife (as the case may be) has died either while in service or after retirement and is granted

family pension. This term also includes a child or children drawing family pension on the

death of his/her pension drawing father/mother, as also parents of a deceased bachelor

soldier, who are in receipt of family pension.

2. Eligibility Status for Dependants. The following categories qualify to be called

dependants:-

(a) Parents. Father and Mother of the pensioner shall be deemed to be dependant

if they are normally residing with the ESM pensioner, and their combined income from all

sources is less than Rs. 2550/- per month.

Auth : B/49701-PR/AG/ECHS dt 06 May 2005.

(b)

Spouse

(i)

(ii)

Legally wedded Spouse.

Name should be included in the records of service.


(iii) Legally separated spouse is included as long as the ESM pensioner is

responsible for her maintenance. In case spouse remarries, then he/she is not

entitled.

(iv) If the spouse is employed in Govt service then he/she can only be a member

of any one Govt/Public sector medical benefit scheme and not a second one.

(v) If a war widow remarries then only she is eligible. Her husband, however, will

NOT be eligible.

(vi) In case the ESM pensioner marries after retirement, following documents will

be required as proof for dependancy of wife:-

(aa) Marriage certificate from authorized Registrar of Marriages/Municipal

Committee.

(ab) Application form will have to be submitted for enrolling the spouse as a

dependant.

(c)

Daughter(s)

(i) Her/their details must exist in the service record of the pensioner.

(ii)

(iii)

Unmarried and unemployed daughters must be dependant on the pensioner.

Married and or employed daughters are NOT entitled.

(iv) Widowed daughters who are dependant on the pensioner and whose income

from all sources is less than Rs.1500/- per month are entitled.

(v) Daughters with permanent mental or physical disability, irrespective of

age/medical condition.

(vi) Divorced daughters are entitled, when solely dependant on the pensioner,

and whose income from all sources is less than Rs. 2550/- per month.

(vii) In case where daughter is born after the pensioner’s retirement, following

documents will be required to enable the child to be declared as a dependant and to

become entitled to ECHS benefits:-

(aa)

(ab)

Birth Certificate

Submission of application Form to enrol as a dependant.

(d)

Sons

(i)

(ii)

His/their details must be included in the pensioners record of service.

Unemployed sons upto 25 years.

(iii) Sons suffering from permanent physical or mental disability irrespective of

age limit or medical condition.


(iv) In case where the son is born after the pensioner’s retirement, the following

documents will be required as proof of dependency :-

(aa)

(ab)

Birth Certificate.

Submission of additional application form to enroll as a dependant.

3. Pension. For the purposes of eligibility for the ECHS, the word “pension” implies any

type of pension received from the Government/Civil Services Estimate/ Defence Services Estimate

and paid by the Controller of Defence Accounts (Pension) or his subordinate offices.

Authority:- Central Organisation ECHS letter No B/49764/AG/ECHS dt 10 Oct 03 and B/49701-

SP/AG/ECHS dt 06 May 2005.


B/49711/AG/ECHS 25 Mar 2011

CESSATION OF TEMPORARY ATTACHMENT PROCEDURE

1. Reference our following letters:-

(a) B/49762/AG/ECHS dated 04 Aug 2006.

(b) B/49770-P/AG/ECHS/Referral dated 05 Apr 2007.

(c) B/49762/AG/ECHS dated 05 Nov 2009.

(d) B/49711/AG/ECHS dated 16 Dec 2010.

2. Provision of Temporary Attachment Certificate was initiated to facilitate

provisioning and issue of drugs/medicines and consumables by a Polyclinic to

outstation ECHS beneficiaries. Patients temporarily relocating to a new station were

given TAC for facilitating issue of medicines for a prescribed duration.

3. Feedback from the environment regarding utility of TAC indicates that the

procedure instead of facilitating delivery of medicare has become a hindrance. Further

the intended purpose of assisting in planning MMF is also not being achieved.

4. In light of the above feedback the entire procedure of TAC was deliberated upon

at length at the Central Organisation. Consequently, it has been decided to abolish the

procedure of temporary attachments. Hereafter, ECHS beneficiaries may receive

treatment/referral from any ECHS Polyclinic on production of ECHS Smart Card.

5. In order to minimize procedural hassles and hardship to veterans following

simplified procedure will be followed:-

(a) A veteran reporting sick at a Polyclinic other than his parent Polyclinic

can easily be identified at the reception (The cmptr shows the card belonging to

other Polyclinic by a pop up window). The outstation veteran will be given an

option of changing his parent Polyclinic or continuing as a temporary member.

He will be explained that in case he opts for change of parent Polyclinic he will

not be able to change it again for duration of six months.

(b) In case the veteran opts for change of parent Polyclinic, then the same

will be executed through the registration cmptr. He will be entitled to draw

medicines for the prescribed duration.

(c) In case the veteran opts for treatment without change in parent

Polyclinic, he will be entitled to draw medicines only for a duration of seven

days at a time. All other facilities for medical treatment except non-expendable

med eqpt such as hearing aid will be entitled to him at par with those available

at parent Polyclinic.

(d) An intimation regarding outstation member joining the Polyclinic as

permanent members (opting for parent Polyclinic) will be sent to previous

parent Polyclinic and RC as per format att at Appx ‘A’.

(e) On receipt of intimation the previous parent Polyclinic will send details of

non-expendable medical eqpt issued to the beneficiary to new parent Polyclinic

by post.


(f) OIC Polyclinic will submit a monthly return to the RC regarding

outstation members who have opted for his Polyclinic as parent Polyclinic as

per format at Appx ‘B’.

(g) Record of non-expendable medical eqpt issued to the member by parent

Polyclinic should be available in the smart card. In case the record is not

available then the same will be obtained by post from erstwhile parent

Polyclinic before issuing such stores to the member.

6. Our letters under ref at para 1 (a), (b) and (c) are hereby superseded.

(Vivek Bhatt)

Col

Dir (Ops & Coord)

for MD ECHS


Appendix ‘A’

(Refer to Para 5 (d) of Central Org letter No

B/49711/AG/ECHS dt 25 Mar 2011)

Address of New Parent Polyclinic

----------------------------------

-----------------------------------

Polyclinic file ref:--------------------

Date:………………..

INTIMATION: CHANGE OF PARENT POLYCLINIC

(Separate form to be raised for each card/copy to be sent to concerned Regional

Centre)

To

OIC ECHS Polyclinic

---------------------------

---------------------------

--------------------------- (Address of Old Parent Polyclinic)

1. ECHS Card No.....................................................

2. Name of ECHS beneficiary…………….

3. Relationship with ECHS Member…………...

4. No……………… …

5. Rank………….

6. Name of AFV………………………………….

7. Old Parent Polyclinic

8. New Parent Polyclinic

9. Date of change of Parent Polyclinic

10. Duration from-------------------- to-----------------------

Declaration by Card Holder

Certified above is true

Date:

(Sign. of Card holder)

Remarks of OIC Polyclinic

Verified details as above

Certified above is true

Date:

(Sign. of OIC Polyclinic)


Appendix ‘B’

(Refer to Para 5 (f) of Central Org letter

No B/49711/AG/ECHS dt Mar 2011)

CHANGE OF PARENT POLYCLINIC

(MONTHLY REPORT TO REGIONAL CENTRE ……………………FOR MONTH

…………………..)

S.

No

ECHS

Membership

Card No

Name of

ECHS

Beneficiary

Service

No

Rank

Name

of

AFV

Relationship

with AFV

Old

Polyc

linic

New

Polyclinic

Date of

effect

(Signature of OIC)


49762/AG/ECHS 02 Jun 2011

ADVISORY NO - 13 : MEDICINES FOR VETERANS TRAVELLING ABROAD

1. Prescribing medicines for long duration has been a subject matter of

protracted debate at the Service HQ level. This has resulted in DGAFMS recently

permitting issue of medicines for 60/90 days on a case to case basis provided that

the treating doctor endorses that the “case does not require review for 60/90 days”.

2. We are aware that in exceptional cases drugs may be required for even

longer duration, when ECHS beneficiaries have to move abroad where medicines

are not available without a medical prescription valid in that country. Considering

such exceptional cases, SEMOs/OICs ECHS Polyclinic may, subject to concerned

specialists endorsement, issue prescribed medicines for longer duration.

(SP Patil )

Brig

Dy MD

for MD ECHS


B/49701-PR/AG/ECHS 07 Jun 2011

ECHS ADVISORY NOTE NO 12 : EMERGENCY TREATMENT IN

ECHS POLYCLINIC

1. The ‘Hippocratic Oath’ or a it’s more modern version in ‘Declaration of Geneva’ enjoin

the practitioners of noble profession of medicine to provide medical care to all paitents in

emergency to the best of their ability and judgement. A few cases have come to the notice of

Central Organisation, ECHS where the polyclinic’s administrative and medical staff have

refused to provide medical treatment to patients experiencing medical emergencies. The

practice is not only in contravention of medical ethics but also of Govt orders on the subject.

2. It will be ensured that, all ECHS Polyclinics provide available/possible medicare to any

person in a situation of medical emergency. Any patient (irrespective of his status

civilian/defence personnel/non ECHS member) who is brought to ECHS Polyclinic in emergency

medical condition will be provided medical aid and subsequently referred to nearest hospital.

Serving personnel and their dependents after First Aid/emergency attendance will be referred to

nearest service hospital/civil hospital whichever is suitable for further management. In such

emergency situation ECHS ambulance may be used for speedy transfer of the patient alongwith

accompaning MO and Nursing Attendant.

(SP Patil)

Brig

Dy MD ECHS

for MD ECHS


B/49760/AG/ECHS (R) May 2011

TENURE OF CONTRACTUAL EMPLOYEES AT ECHS POLYCLINICS

1. Reference :-

(a) GoI, MoD letter No 22 (6)/03/US(WE)/D(Res) dated 22 Sep 2003.

(b) Central Organisation ECHS letter No B/49760/AG/ECHS (R) dated 07

Mar 2006.

(c) GoI, MoD letter No 24(6)/03/US(WE)/D(Res) Pt-III dated 15 Jun 2006.

2. The Govt orders on the subject initially stipulated that the employment will

be normally for a period of two years at the maximum. Subsequently owing to

limited availability of candidates and consequent expenditure on advertisements etc,

the Govt permitted extension of contractual employment upto age of

superannuation subject to review of conduct and performance.

3. The issue of periodic turn over of ECHS contractual employees was

discussed during ECHS seminar on 06 Apr 2011 and also highlighted during the

Army Cdrs’ Conf on 27 Apr 2011.

4. ECHS Polyclinics are the only Government Organization authorized to be

manned only by contractual staff with fixed contractual fees. It is therefore a

challenge for the Station Commanders to find suitable human resource and then

retain honest and efficient ones based on attitude and performance. Larger cities

may have adequate number of prospective candidates. Periodic turn over of

appropriate candidates may therefore be possible. The same is not true in respect

of smaller cities and towns. Broadly, availability of suitable human resource for

ECHS Polyclinics depends upon the following:-

(a)

Location - Larger cities - better availability.

(b) Existing Contractual Fees - Better choice of candidates when ECHS

rates better than local Govt health service pay/prevailing compensation package in

private hospitals.

(c) Working environment and work pressure - High pressure polyclinics

offer greater challenge to employees. Not many quality ex-servicemen candidates

may apply as maintaining level of satisfaction of ECHS beneficiaries is a

challenge not everyone can meet.

(d) Availability of Doctors - Ex-Servicemen MOs and Specialists generally

settle in large cities with better job opportunities. Only civilian

Doctors/Specialists are available and that too in limited numbers. Periodic

turn over may not be practical.

(e) Availability of Medical Specialists and Gynaecologists in non-military

stations would always be limited as has been the ECHS experience of the last

eight years.


-2-

(f) Degree of involvement of command chain and prominent exservicemen

of the Station/Area in running of ECHS is an important factor.

Station Commanders/ECHS staff in a number of stations have

identified/contacted/motivated Officers/Doctors/Specialists in joining ECHS for

the sake of (social) service to ex-servicemen often looking beyond financial

compensation. Such involvement has ensured full manning of polyclinics with

quality manpower. Lackadaisical attitude of Stn Cdrs and their staff towards

ECHS will result in under utilization of ECHS vacancies causing undue

hardships to the ESM community.

4. Apropos above, following are the instructions on employment and tenure of

the ECHS contractual staff:-

(a) OIC Polyclinics in and around large cities/military stations where

adequate number of retired officers are available: normal tenure of three years,

extendable upto a maximum of five years.

(b) OIC Polyclinics at locations away from large cities/military stations – no

restriction on tenure.

(c) Medical Specialists/Gynaecologists – no restrictions.

(d) Medical officers – for polyclinics in a around large cities/military

stations – three years, extendable upto five years.

(e) Dental Officers – There is good availability of dental officers. Hence

tenures in all stations would be of three years extendable to five years. The dental

officer is the only one who carries out surgery at polyclinic level. Hence, his/her

competence in surgery would require be scrutinizing, examining and clearing by the

concerned senior Dental Officer of nominated service Dental Centre. Reservation

criteria for ex-servicemen may be relaxed to ensure that better candidates are

employed.

(f)

Paramedics and non-medics – No restrictions.

5. In all above cases, it should be ensured that contracts of persons found

involved in accepting business promotion incentives from Private Hospitals/Nursing

Homes/Dental Centres/Diagnostic Centres be terminated. An appropriate clause be

included in the agreement for contract with the employees.

6. OIC ECHS of Station Cells would not be permitted to take up assignment of

OIC Polyclinics within three years of retirement.

7. To ensure grater transparency in selection process and to enable the

selection board, the advantage of the knowledge of spoken reputation of candidates,

senior armed forces veterans (ECHS members only), especially, senior station

advisory committee members / Hony advisors to Central Org ECHS be included as

observers. These observers may provided necessary inputs on spoken reputation of

the candidates. These inputs should be recorded in the proceedings.


-3-

8. To ensure functional efficiency of polyclinics, it is mandatory to ensure

immediate availability of relief when turn over of a contractual employee is to

be effected. Turn over shall not be effected if the relief is not available.

9. Our letter No B/49760/AG/ECHS (R) dated 07 Mar 2006 is hereby

superseded.

(Gulshan Chadha)

Lt Col

Offg Dir (Ops & Coord)

for MD ECHS


B/49701-PR/AG/ECHS 09 Jun 2011

VETTING OF ECHS APPLICATION FORMS : NEPAL DOMICILED

GORKHAS (NDG) ESM

1. Ref GOI, MoD letter No 22D(48)/2006/US(WE)/D(Res) dt 14 Sep 2010.

2. The vetting of ECHS applications for all NDG ESM who have retired before 14 Sep 2010

is to be carried out by AMA (Records) for correctness. Record office at Indian Embassy has

intimated that service documents of NDG ESM are received by them after completion of reserve

liability by the ESM i.e. after two to five years. Further Record Office at Indian Embassy does

not have records of NDG officers.

3. In view of the aforementioned, following procedure will be followed:-

(a) Application of officers received by AMA (Records) will be fwd to respective

service HQs. After verifying they will fwd the application to ECHS Regional Centre Delhi.

The nodal offices for vetting ECHS application are as follows:-

(i)

Army

Dir MP 5&6

Adjutant General Branch

Integrated HQ of MoD (Army),

West Block, RK Puram, New Delhi - 110066

(ii)

Air Force

Dir ECHS

Air HQ (DDP & R)

RK Puram, West Block New Delhi – 110066

(iii)

Navy

Dir ECHS (Navy)

Integrated HQ of MoD (Navy)

6 th floor, Chankyapuri

New Delhi – 110021

(b) Applications of JCOs/OR whose records are not available with Record Office at

Indian Embassy will be fwd to respective Record Offices in India for vetting.

(c) Record Offices after vetting will fwd applications to their affiliated ECHS Regional

Centres.

4. PPOs at Dharan and Pokhra may be permitted to receive application forms and issue

receipt on behalf of AMA (Records). Detailed instructions in this regard will be issued by DA,

Embassy of India.

(Vivek Bhatt)

Col

Dir (Ops & Coord)

for MD ECHS


POLICY ON SUBMISSION/ACCEPTANCE OF ECHS APPLICATION FORM WITHOUT PPO

FOR PRE-1986 RETIREES

1. References:-

(a) Central Org ECHS letter No B/49708-R/AG/ECHS/R dated 16 Feb 2004.

(b) Central Org ECHS letter No B/49708/AG/ECHS/R dated 01 Sep 2006.

2. It has been reported that Veterans who have retired prior to 1986 are facing difficulties in

obtaining duplicate copy of their PPO. The primary aim of attaching a copy of PPO with ECHS

Application Form is to verify the veracity of being an Ex-Serviceman pensioner alongwith

particulars of recipient of eligible family pensioner ie name of spouse and special child, if any. The

status of being a pensioner and that of his/her spouse can also be established from

DPDO/Bankers certificate and other details ie name of spouse etc could be ascertained from

discharge book of the individual.

3. In view of the above the ECHS Application Form in respect of pre-1986 retirees may be

accepted without a copy of PPO provided membership applied by Armed Forces Veteran

pensioner is only for himself/herself and his/her spouse (the status of being a pensioner could be

ascertained from DPDO/Banker's Certificate). In such cases a copy of following documents would

be insisted upon alongwith the Application Form:-

(a)

(b)

(c)

Discharge Book showing name of spouse.

Pension Book showing details of pension sanctioned.

DPDO/Banker's Certificate.

(d) Non Effective Strength Records Part II order in case of marriage after retirement and

the fact is not shown in the DPDO/Banker's Certificate.

4. In case of birth of any child after retirement of pre-1986 retirees submission of Non

Effective Strength Records Part II Order is a must.

5. In no case submission of 'Affidavit' will be dispensed with.

Authority: Central Org ECHS, Army HQ letter No B/49701-A/AG/ECHS dt 24 Jan 2007.


SOP FOR DISCIPLINARY ACTION AGAINST ECHS MEMBERS

Introduction

1. Various policies and procedures have been laid down for smooth and efficient functioning of

ECHS. In the recent past, cases of misuse of ECHS facilities by members or false declaration of

facts have been reported. The environment has also been reporting increase in misconduct on the

part of the members. To ensure the efficient functioning of ECHS as per rules, there is need to lay

down instructions to deal with cases of misuse and misconduct.

Aim

2. The aim of this Standard Operating Procedure is to lay down the actions to be taken at

various levels on detection of misuse of ECHS facilities and misconduct by its members.

Areas of Misuse

3. Some of the areas of misuse are given below:-

(a)

Seeking membership for ineligible dependents.

(b) Not intimating change of status of dependents due to marriage/employment/improved

financial status.

(c) Seeking membership on fraudulent or tampered documents which subsequently get

detected.

(d) Availing the treatment facility either in the Polyclinics or in empanelled hospitals for

unauthorized individual in the name of dependent members.

(e) Making false or frivolous complaints repeatedly which in subsequent investigation are

proved wrong.

(f) Availing facilities from two schemes i.e. ECHS and CGHS/Rly/State Govt/PSU/banks

simultaneously.

(g)

(h)

(j)

(k)

Misconduct including abusing/criminally assaulting/threatening the Polyclinic staff.

Preferring bogus or inflated claims for re-imbursement with intention to defraud.

Signing bills of treatment in empanelled hospital not actually utilized/availed.

Any other type of misuse/misconduct.

Reporting and Investigation of Cases

4. Cases of misuse/misconduct will be reported immediately to the concerned Stn HQ by the

Polyclinic and any other authority who has observed the misuse/misconduct. Actions to be taken at

various levels are given in succeeding paras.

5. Action by OIC Polyclinic. Cases of misuse/misconduct will be reported immediately on

occurrence by OIC Polyclinics to the concerned Stn HQ.


6. Action at Stn HQ.

(a) On receipt of such report about misuse/misconduct an inquiry to be ordered into the

same by the Stn Cdr by appointing an officer and such other person as he deems fit for an

impartial inquiry.

(b) An inquiry report shall be prepared after due investigation into the allegation and fwd

to the Stn Cdr alongwith recommendations.

(c) After due consideration of the Inquiry proceedings, if the Stn Cdr finds that any

person is blameworthy for the alleged misconduct as mentioned in para 3 above, then he

shall issue to such person a show cause notice specifically mentioning such lapses and

provide him 30 days to submit his reply thereto. Station HQ shall also fwd initial report to

the concerned Regional Centre with copy to Central Organisation ECHS as per format

attached as Appx ‘A’.

(d) The accused shall also be provided with all documents and evidence addressed

during the Inquiry.

(e) After considering the reply or after expiry of the time mentioned in the show cause

notice, if the Stn Cdr concludes that the misconduct/misdemeanor of minor nature is

established, he shall have powers to order suspension of membership of the blameworthy

for a maximum period of six months. Copy of orders of the Stn Cdr will also be given to the

accused.

(f) In case of major misconduct/misdemeanor, Stn Cdr shall recommend termination of

his/her membership.

(g) Where recommendation for termination of membership has been made, the same will

be forwarded to Central Org ECHS through the channel of command.

(h) On the recommendation of Stn Cdr and channel of Command, Adjutant General will

terminate the membership of ECHS.

7. Appeal. A member accused will be given 30 days clear time to appeal against the decision

of the Stn Cdr after receipt of the decision by the individual. On receipt of the appeal, the MG IC

Adm of HQ Command will carry out necessary review of the appeal and endorse his remarks and

fwd to Central Org ECHS for necessary action.

8. Publicity. In case where decision of termination of membership is taken, the names of

such ESM shall be highlighted on the web and wide publicity given through concerned Regional

Centre.

Reports and Returns

9. The Regional Centres shall compile and submit quarterly report of all breach of discipline

cases i.e. for quarter ending Mar, Jun, Sep and Dec to Central Org ECHS by 15 th of following

month as per format attached as Appx ‘B’.

Col

Dir (Ops & Coord)

for AG


Appx ‘A’

(Ref Central Org ECHS letter No.

B/49717-Disc SOP/AG/ECHS dt 27 Mar 08)

INITIAL REPORT

DISCIPLINARY ACTION AGAINST ECHS MEMBERS

1. ECHS Regn No. :-

2. Particulars of ECHS member:-

(a) Service No.

(b) Rank

(c) Name

3. Address and Tele No. of ECHS member :-

4. Details of Dependents :-

(a)

(b)

(c)

5. Details of Violation of Order/Policy (in brief) :-

6. Proposed Action :-

Date : ---------------------------------------------

(Sig with Name, Rank and Appt)


DISCIPLINARY ACTION AGAINST ECHS MEMBERS

Appx ‘B’

(Ref Central Org ECHS letter No.

B/49717-Disc SOP/AG/ECHS dt 27 Mar 08)

Ser

No

No, Rank

and Name

of ECHS

member

ECHS

Regn

Number

Dependent

Polyclinic

Stn HQ

Nature of

Complaint (in

Brief)

Status of Case

(in brief)

Remarks


VOLUNTARY SUSPENSION/CANCELLATION OF ECHS MEMBERSHIP

1. Some cases have come to notice that AFVs after becoming members of ECHS have taken up

emp in Central/State Govt which have their own med schemes. Hence they are requested to place their

ECHS membership in suspension/cancellation in case they are drawing benefit of Central Govt/State

Govt/PSUS/PMF funded scheme.

2. In such cases ESM must deposit their ECHS smart cards with Regional Centre ECHS alongwith

all particulars of post retirement employment. The ECHS contribution is non-refundable.

3. The Regional Centres are to keep such ECHS smart cards in safe custody till such time ESM is

employed with other Govt deptt. The same will be reactivated once the ESM chooses ECHS and does

not take any benefit from any other Govt run medical scheme on final completion/retirement of his

service with Central Govt/State Govt/PSUS/PMF.

4. The above may please be given wide publicity.

Authority : Central Org Letter NO :B/49701-PR/AG/ECHS dt14 JULY 2008

Brig

Dy MD

For MD ECHS

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