Introduction DGEHS. DELHI GOVERNMENT EMPLOYEES HEALTH SCHEME (Updated as on 16th Oct 2008)
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1 DELTA Delhi Educationists For Legal And Teaching Assistance (Regd.) Head Office: 30-A, Saraswati Kunj, Nazafgarh-Bahadurgarh Road, Nazafgarh, New Delhi-56 Brach Office: H.No. 35, Tyagi Mohalla, Chhattarpur, New Delhi -74 Mob. : , contacts@delta.org.in deltamail@rediffmail.com Website: DGEHS DELHI GOVERNMENT EMPLOYEES HEALTH SCHEME (Updated as on 16th Oct 2008) Introduction Delhi Government Employees Health Scheme (DGEHS) was launched in April 1997 with a view to provide medical facilities to Delhi Government employees and pensioners on the pattern of Central Government Health Scheme on the basis of monthly contribution. The scheme has been modified vide O.M.No.F.342/81/2003/H&FW/3264 Dated dated and dated For this purpose, the Directorate of Health Services is providing Health cards to all the Delhi Government Departments/Offices on receiving their requirement. The cards are issued to the employees/pensioners by the respective offices, which entitles them to free treatment in dispensary/hospital of Govt. of Delhi and facilities in recognized private hospitals as per provisions of scheme. In case of non-availability of medicines in the attached dispensary/hospital, the employee is entitled to reimbursement of the cost of the medicines. Some private hospitals have also been empanelled under the scheme for providing treatment/diagnostic facilities, where a beneficiary can go after referral from Authorised Medical Attendant in Non-emergency/routine cases and may also approach these hospitals directly in case of emergency. The hospitals/diagnostic centres provide treatment/diagnostic facility to beneficiaries at CGHS approved rates and also provide credit facility to beneficiaries during emergency condition to cad holders. In case of pensioners, they can avail of the benefit if they make a lump sum payment which is equivalent to their subscription for ten years i.e. 120 months. The terms and conditions relating to medical attendance/medical reimbursements etc. shall be as under: INSTITUITIONS FOR MEDICAL ATTENDANCE/ TREATMENT
2 i. All health facilities (hospitals/dispensaries) run by the Govt. of NCT of Delhi and autonomous bodies under Delhi Government, local bodies viz. MCD, NDMC, Delhi Cantonment Board, Central Government and other Government bodies [such as AIIMS, Patel Chest Institute (University of Delhi) etc.] are recognized under the scheme. In addition, some Private Hospitals/Diagnostic centers notified from time to time are also recognized/ empanelled as referral health facilities. ii. The list of private recognized hospitals/diagnostic centers recognized in Delhi has been displayed on this web page. Any changes in the list shall be notified from time to time. iii. Beneficiaries residing in NCR areas outside Delhi are allowed to get treatment even during non-emergent conditions from Government Institutions and CGHS recognized centers after referral from Government institutions in concerned areas or in Delhi as per provisions of the scheme. iv. Private recognized hospitals/diagnostic centers in NCR region outside Delhi for beneficiaries residing in these areas would be same as for CGHS beneficiaries as notified by CGHS from time to time. 2. REFERRING AUTHORITY/AUTHORIZED MEDICAL ATTENDANT i. The Authorized Medical Attendant (AMA) for referral purposes will be the CMO/MO I/C of the dispensary/hospital to which the beneficiary is attached. ii. The beneficiary will have the option of availing facility of treatment/diagnostic procedures etc. in a recognized institution of his /her choice, as are being allowed for the CGHS beneficiaries. iii. In emergency conditions the beneficiary can go to any of the recognized institutions of his/her choice, directly, without being formally referred by AMA. 3. PERMISSION FROM COMPETENT AUTHORITY No prior permission is required to undergo medical treatment Government health facilities/institutions under Delhi Government, its autonomous bodies and those under local bodies (viz. MCD, NDMC and Delhi Cantonment Board), Central Govt. etc. as per CS (MA) rules. In non-emergent/routine cases for getting treatment/diagnostic facility from the recognized private hospitals/diagnostic centres, referral /authorisation of Authorised Medical Attendant (AMA) of attached dispensary is required. However, during
3 emergency the patient can directly approach the empanelled/recognized hospitals. 4. MEMBERSHIP OF THE SCHEME The membership of scheme is compulsory for all employees. However, for the time being, the membership of the scheme will be continued to be OPTIONAL, for pensioners, till further orders. The rate of monthly contribution Delhi Government Employees/ Pensioners Health Scheme have been revised according to Pay range/pension/family pension and the corresponding contribution required for DGEHS beneficiaries is as under: - S.No. Basic Pay Plus Dearness Pay Or Basic Subscription Pension Plus Dearness Pension 1 Up to Rs Rs.15 2 Rs to 6000 Rs.30 3 Rs to Rs.50 4 Rs to Rs.75 5 Rs & above Rs.100 The above rates of contribution will be effective with effect from A lump sum payment of 120 months (10 years) membership contribution by the pensioners (as per eligible category) will enable them to avail such medical facilities for life long with perspective effect. For employees, the subscription is deducted from their salaries by the concerned office. In case of pensioners, the subscription can be deposited by the pensioners as lump sum equal to 120-month subscription to avail life long benefits under the scheme for the pensioners. 5. FIXED MEDICAL ALLOWANCE Fixed medical allowance will be granted as per CGHS rule, (at present being Rs. 100/-pm) to the retired persons/pensioners, residing in areas not covered by the scheme Fixed medical allowance will also be granted to retired persons only, residing in the areas covered by the scheme, but who do not opt to become member of the scheme.
4 S.No. List of Recognised Hospitals/ Diagnostic centers under DGEHS (As on ) Hospital/Diagnostic Centre, Address, Purpose recognised for 1. Delhi Heart and Lung Institute, Panchkuian Rd., New Delhi 5 Specialized purpose Cardiology, Cardio thoracic Surgery and Respiratory Medicine and allied Diagnostic Services 2. Dr SS Doda s Ultrasound Centre, 23 B, Pusa Road, New Delhi 05 All Radiological Investigations, CT, Mammography, Ultrasound, Colour Doppler, Echocardiography, TMT & EEG 3. Jeevan Nursing Home & Hospital, 2B, Pusa Road, New Delhi 05 General Purpose and specialized purpose : Laparoscopic Surgery 4. Jeewan Mala Hospital, 67/1 and 66 A/2, New Rohtak Road, Delhi 05 General and specialized purpose: Laparoscopic Surgery, Dialysis, Lithotripsy, Nephrology, Neurology, Neurosurgery, Non interventional Cardiology, except Cardiac Angiography/ Cardiac Surgery 5. Jessa Ram Hospital, WEA, Karol Bagh, New Delhi -05 General and Specialized purpose 6. Mahajan Nuclear Medicine and Bone Densitometry Centre, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi 60 Nuclear Medicine and Bone Densitometry 7. Millenium Bone Densitometry and Osteoporosis Research Centre, Pusa Road,(Near Tel. Exchange), New Delhi 05. Bone Densitometry 8. Mohan Eye Institute, Ganga Ram Hosp. Marg, New Delhi 60. Specialized purpose- Ophthalmology 9. New Delhi Scan Institute, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi 60. CT 10. North MR Scan Research Institute, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi- 60 MRI 11. NEW DELHI DISTT. Diwan Chand Satyapal Aggarwal Imaging Research Centre, 10B, Kasturba Gandhi Marg, New Delhi- 01 All Radiological Investigations and Nuclear Medicine 12. Dr Lal Path Labs Pvt. Ltd, 54, Hanuman Road, New Delhi -01 Lab
5 13. EAST DISTRICT Arya Vaidya Sala Kottakkal, Ayurvedic Hospital & Research Centre, 18-19X, Karkardooma Instt. Area, Delhi -92 Indian System of Medicine 14. Bapu Nature Cure Hospital & Yogashram, Patparganj, Delhi 91 Indian System of Medicine 15. Dr Anand s imaging and Neurological Research Centre, G14, Preet Vihar, Delhi 92 Conventional Radiology, CT and MRI 16. Dr Savita Jain s Arun Imaging Centre, D-29, Vivek Vihar, Delhi -95 Conventional Radiology, USG and Mammography 17. Shri Ram Singh Hospital and Heart Institute, B 25-26&26A, East Krishna Nagar, New Delhi 51. General Purpose including Laparoscopic Surgery & Lithotripsy. 18. Sun Imaging Centre, (YK Diagnostics),15, Hargovind Enclave, Vikas Marg, Delhi 93. All Radiological Investigations, CT, MRI, USG, Echocardiography, Colour Doppler and Bone Densitometr 19. NORTH DISTRICT Sant Paramanand Hospital, 18, Alipur Road, Delhi - 54 General and Specialized purpose, Diagnostic except cardiac surgery 20. St Stephens Hospital, Tis Hazari, Delhi 54 General and Specialized purpose treatment and diagnostic procedures 21. Tirath Ram Shah Charitable Hospital, Rajpur Road, Delhi -54 General purpose & Diagnostic 22. NORTH WEST DISTRICT CD Diagnostic CT Scan Centre, Sunder Lal Jain Hospital, Ashok Vihar Delhi 52 (Recognition kept in abeyance for Clinical Laboratory investigations till further orders) 23. Ganesh Diagnostic & Imaging Centre, 109, Pocket A1, Sector 8, Rohini, Near Deepali Chowk, New Delhi 85. Radiology investigations including Histopathology, PFT. OPG, EEG, EMG, NCV, VEP, TMT, Holter, Mammography and Bone Densitometry
6 24. Premadhar Research Institute and Hospitals in Ayurveda- Naturopathy, Yoga Sciences, Deep Vihar, Prahladpur Road, Pooth Kalan (opp. Sec 24 Rohini), Delhi 42 Indian System of Medicine 25. Rajiv Gandhi Cancer Institute & Research Centre, Sector 5, Rohini, Delhi - 85 Specialized purpose Cancer diagnosis, Cancer Chemotherapy and Radiotherapy 26. Saral Advanced Diagnostic Pvt Ltd. 2, Shakti Vihar, Delhi 34, MRI Centre & Nuclear Med Lab; E-1073, Saraswati Vihar, Delhi-34. Clinical Laboratory investigations, Neurological Lab Investigations, Nuclear Medicine Laboratory Investigations, All Radiological Investigations, MRI, CT, Ultrasound, Colour Doppler, Echocardiography, TMT and EEG, 27. Saroj Hospital and Heart Institute,Instt.Area, Madhuban Chowk, Rohini, Delhi 85 General and Specialized purpose including Cardiothoracic Surgery 28. Sunder Lal Jain Charitable Hospital, Ashok Vihar Phase III, Delhi - 52 General and Specialized purpose except cardiac surgery, Diagnostic procedures 29. SOUTH WEST DISTRICT NORTHEAST DISTRICT SOUTH DISTRICT Batra Hospital and Medical Research Centre, MB Road, Tughlakabad Instt. Area, New Delhi- Cardiac Procedures like CAG, PTCA, CABG, EP Study, Cardio Vascular procedure, MRI, CT, Imaging, Chemotherapy & Cancer Radiation Therapy 30. Centre for Sight, A-23, Green Park, Aurobindo Marg, New Delhi 16 Specialized purpose-ophthalmology 31. Delhi Institute of Functional imaging, K-16, South Extension, New Delhi 49. Nuclear Medicine, SPECT Scan 32. Escorts Heart Institute and Research Centre, Okhla, New Delhi Cardiovascular Surgery, Invasive and Noninvasive Cardiology and Pediatric Cardiology 33. Focus Imaging & Research Centre, CT Scan / Diagnostic Centre: C-10, Green Park Extension, New Delhi 16.
7 MRI Centre : 47/1-2, Yusuf Sarai Mkt. Aurobindo Marg, Delhi 16 All Radiological Investigations, MRI, CT, Bone Densitometry, Mammography, Ultrasound, Echocardiography, Colour Doppler, ECG, EEG. 34. GMR Institute of Imaging and Research (MRI Scans Pvt Ltd), A-13, Green Park, New Delhi-16 MRI 35. Max Devki devi Heart and Vascular Institute, 2 Press Enclave Road, Saket New Delhi Cardiology, Cardiothoracic Surgery and Vascular Surgery and related diagnostic procedures 36. Indraprastha Apollo Hospital, Mathura Road, Sarita Vihar, New Delhi 44 All Radiological Investigations & Nuclear Medicines, Laparoscopic Surgery, Dialysis, Urology, Organ Transplant (Renal, Liver), Lithotripsy, Joint Replacement, Radiation Therapy, Cardiology, Cardiac Surgery, Cardio Thoracic, Vascular Surgery 37. Krishana Dutt Health Center, Des Raj Campus, C-Block, East of Kailash, New Delhi-65 Indian System of Medicine. 38. Mahajan Imaging Centre, K18, Hauz Khas Enclave, New Delhi 16 All Radiological Investigations, MRI, CT, Bone Densitometry, Mammography, Ultrasound, Colour Doppler, Echocardiography and TMT 39. National Heart Institute, 49, Community Centre, East of Kailash Delhi. Specialized purpose : Cardiology cardiothoracic surgery 40. NMC Imaging and Diagnostic Centre, VIMHANS, 1, Instt. Area, Nehru Nagar, New Delhi 65 Conventional Radiology, CT, MRI, Ultrasound, Colour Doppler 41. RG Stone Urological Research Institute, East of Kailash, New Delhi 65 Urology including Endourology, Holmium Laser Surgeries, Lithotripsy and Minimally Invasive Surgery (incl. Laparoscopic Surgery 42. Rockland Hospital, Qutub Instt. Area, New Delhi 17. General and Specialized Purpose: Orthopedic Joint Replacement, Nephrology, Dialysis, Urology, Gastroenterology, Laparoscopic Surgery, Cancer Diagnosis and treatment (Cancer Chemotherapy, Cancer Surgery) except Radiotherapy. 43. The Heart Centre, 2, Ring Road, Lajpat NagarIV, New Delhi 24 Non-invasive cardiac Procedures
8 44. WEST DISTRICT Citi X-Ray & Scan Clinic Pvt. ltd, 4B/7 Tilak Nagar, New Delhi 18 Clinical Laboratory, Radiology investigations including Mammography, OPG, TMT, Holter, EEG,VEP, ECG, NCV, PFT, Uroflowmetry and Bone Densitometry 45. Dr Chopra Bone Densitometry Centre & Lab, 2, Rajouri Palace, J1/162, Rajouri Garden, New Delhi 27 Bone Densitometry 46. Kalra Hospital &SRHIRC,A5-6, Kirti Nagar, New Delhi 15 General and Specialized purpose: Nephrology, Dialysis, lithotripsy, laparoscopic surgery, interventional cardiology, Cardiothoracic surgery and Neurosurgery 47. Krystal MRI Scan & Diagnostic Center, 1, Paschim Enclave, Main Rohtak Road, Peera Garhi, New Delhi-87. Radiology investigations including OPG, EEG,EMG, NCV, VEP, TMT, Holter (Recognition kept in abeyance for Clinical Laboratory investigations till further orders) investigations except Histopathology 48. Kukreja Hospital & Heart Centre, C1, Vishal Enclave, Rajouri Garden, New Delhi 27 General and Specialized purpose :Laparoscopic Surgery, Endoscopic Surgery, Nephrology, Dialysis, Cardiology (Interventional and Nonintervention) excluding cardiothoracic surgery 49. Maharaja Agrasen Hospital, Rohtak Road, Punjabi Bagh, New Delhi 26 General & specialized purpose, Dialysis, Laparoscopic Surgeries, Non- Invasive Cardiac Procedure etc., diagnostic (except Cardiac Surgery) 50. Mata Channan Devi Hospital, C-1 Block, Janakpuri, New Delhi-58 General purpose, specialized purpose and Dialysis, Non invasive Cardiac Procedures, Diagnostic except cardiac surgery 51. National MRI, CT Scan & Diagnostic Centre MRI Centre : 19/35, Main Rohtak Road, Punjabi Bagh, New Delhi 26, Lab : 17, NWA, Punjabi Bagh, Club Road, New Delhi-26. All Radiological Investigations, MRI, CT, Ultrasound, Colour Doppler, Echocardiography, TMT, ECG, 52. Park Hospital, 12, Chowkhandi, New Delhi 08.General Purpose including Laparoscopic Surgery. 53. Star Imaging and Path Lab, 4B/4 and 4B/3,5 Tilak Nagar, New Delhi Clinical Laboratory and Radiology investigations including Mammography, OPG, TMT, EEG, ECG, NCV, Uroflowmetry, Bone
9 Densitometry except Histopathology 54. Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar Delhi-63 General purpose and Specialized purpose: Cardiology inclusive Cardiothoracic & Vascular Surgery, Neurosurgery, Urology, Joint replacement, Laparoscopic Surgery, Gastroenterology, Dialysis In case of the following diagnostic centers, the empanelment for the purpose of laboratory investigation has not been extended for want of NABL accreditation by these labs/diagnostic centre, while for other purposes (if any) the empanelment shall continue (vide OM No.F25 (III)/DGEHS/27/ MED/DHS/ / dated 14 Sept 2007): 1. 1st Dwarka Lab, 185, Sector 6, Pocket 1, MIG Flats, Dwarka, New Delhi Dev Diagnostics Labs. C9/13, Yamuna Vihar Delhi 53 Authorised Collection Centre : C312, Street14, Bhajanpura, Delhi Dr Garg Labs (P) Ltd., A73, Laxmi Nagar, Vikas Marg, New Delhi Dr Suri Labs Pvt. Ltd., 23 B, Pusa Road, New Delhi National MRI, CT Scan & Diagnostic Centre, MRI Centre : 19/35, Main Rohtak Road, Punjabi Bagh, New Delhi 26, Lab: 19/35, Main Rohtak Road, Punjabi Bagh, New Delhi NMC Imaging and Diagnostic Centre, VIMHANS, 1, Instt. Area, Nehru Nagar, New Delhi Saral Advanced Diagnostic Pvt Ltd. 2, Shakti Vihar, Delhi 34, 8. MRI Centre & Nuclear Med Lab; E-1073, Saraswati Vihar, Delhi-34.
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