eligibility - ECHS

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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’.
2 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.
Page 4 and 5: 3 (e) The Govt should consider gran
Page 6 and 7: 5 (e) Service Officers who, prior t
Page 8 and 9: 7 (aa) (ab) Birth Certificate. Fres
Page 10 and 11: 9 Notes: - (a). Deduction of contri
Page 12 and 13: 11 (c) Proof of new address like el
Page 14 and 15: 13 4. Conditions of Emergency. It i
Page 16 and 17: 15 of repair and annual maintenance
Page 18 and 19: 17 (b) Attendence To be presided ov
Page 20 and 21: 19 Appx ‘B’ TELE NO : REGIONAL
Page 22 and 23: ADVISORY NOTE NO - 2 CONSULTATION B
Page 24 and 25: ADVISORY NOTE 4: AGED/INVALID PATIE
Page 26 and 27: ADVISORY NOTE NO - 3 ARRANGEMENT OF
Page 28 and 29: CLARIFICATION ON TERM ‘FAMILY’
Page 30 and 31: EX-SERVICEMEN CONTRIBUTORY HEALTH S
Page 32 and 33: Name of CHILD Citizenship ( ) Date
Page 34 and 35: 5 Registration No ______________ RE
Page 36 and 37: 7 GENERAL INSTRUCTIONS 1. Eligibili
Page 38 and 39: 9 Notes: (i) Data field, as UID, PA
Page 40 and 41: 11 SAMPLE OF AFFIDAVIT (For initial
Page 42 and 43: 13 INSTRUCTIONS FOR MRO Controller
Page 45 and 46: ECHS SMART CARD 1. Refer our follow
Page 47 and 48: ECHS MEMBERSHIP TO COAST GUARD PENS
Page 49 and 50: 9. Manufacture and Despatch of Smar
Page 51 and 52: 6. All other procedures and policie
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ECHS MEMBERSHIP TO TERRITORIAL ARMY
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ELIGIBILITY FOR JOINING ECHS : RECR
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ELIGIBILITY OF DEPENDENTS : ECHS ME
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IMPLEMENTATION OF SUPREME COURT ORD
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ISSUE OF ECHS SMART CARD 1. Referen
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APPLICATION FORM FOR UPGRADATION OF
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ADVISORY NOTE 4: AGED/INVALID PATIE
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CONTEMPT PETITION (C) NO. 16 OF 200
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TREATMENT TO PARENT ON ADD ON CARD
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MATERIAL ON ECHS FOR BAAT CHEET/SAI
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REVISED POLICY ON ECHS APPLICATION
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ECHS HELPLINE 1. Refer Integrated H
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AMENDMENT TO SAMPLE OF AFFIDAVIT WI
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ELIGIBILITY OF DEPENDENT SON (S) 1.
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TERMS AND CONDITION FOR CONTRACTUAL
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POLICY ON ISSUE OF DUPLICATE SMART
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ELIGIBILITY OF DEPENDENT SON (S) 1.
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CLARIFICATION ON TERM ‘FAMILY’
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6. Station HQ will place the demand
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Subject : Agreement between contrac
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AGREEMENT BNETWEEN CONTRACTUALLY EN
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12. The Engaged person will also ha
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ECHS MEMBERSHIP TO RESERVISTS 1. Th
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POLYCLINIC DEPENDENCY IN DELHI AND
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POLICY ON AVAILING ECHS FACILITIES
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VERIFICATION OF DEPENDENTS OF OLD R
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ELIGIBILITY FOR JOINING ECHS: OFFIC
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Appendix ‘A’ CERTIFICATE OF DIS
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APPOINTMENT OF OIC POLYCLINIC 1. Fu
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VERIFICATION OF DEPENDENT 1. There
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ISSUE OF MEDICAL CERTIFICATES TO EC
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ECHS : AVAILING OF ECHS FACILITIES
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EXEMPTION OF PAYMENT OF ECHS CONTRI
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Procedure For Seeking Refund 5. Gov
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STATUS/ENTITLEMENT OF GORKHA SOLDIE
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ECHS CONTRIBUTION BY WIDOWS OF SERV
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(iii) Legally separated spouse is i
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B/49711/AG/ECHS 25 Mar 2011 CESSATI
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Appendix ‘A’ (Refer to Para 5 (
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49762/AG/ECHS 02 Jun 2011 ADVISORY
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B/49760/AG/ECHS (R) May 2011 TENURE
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-3- 8. To ensure functional efficie
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POLICY ON SUBMISSION/ACCEPTANCE OF
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6. Action at Stn HQ. (a) On receipt
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DISCIPLINARY ACTION AGAINST ECHS ME
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