ECHS – Change In Referral System

Government of India
Department of Ex Servicemen Welfare

New Delhi, dated 02 August. 2018

Managing Director
Ex-servicemen Contributory Health Scheme,
Maude Line,
Delhi Cantt

Subject: Change in System of Referral- No referral to be in the Name of any Private Empanelled Medical Facility.

The undersigned is direct to state that as per the Ministry of Health & Family Welfare OM No.Z15025/105/2017/DIR/CGHS/EHS dated 09.11.2017 the CGHS doctor / Government Specialist shall not refer the beneficiary to any particular empanelled hospital by name but shall specify the treatment procedure and mention “referred to any CGHS empanelled centre”

2. ECHS has to follow the CGHS Norms. However, it is seen that doctors at CHS Polyclinics are issuing referrals by name to specific Pvt. Empanelled Medical Facilities.

3. In view of the above, it has been decided by the competent authority that henceforth no ECHS doctor will issue referrals by name to any Pvt. Empanelled Medical Facility. The ECHS doctors shall mention on the prescription the treatment procedure/tests required by the ECHS beneficiary and then write as follows:

“Referred to any ECHS Empanelled Medical Facility located within the Area of Responsibility of Regional Centre, (Name of City).”

4. CO, ECHS and RC, ECHS will ensure that the list of Pvt. Empanelled Medical Facilities along with the medical treatment procedures/tests for which they have been empanelled is prominently displayed on the website of ECHS, Regional Centre wise. OIC, of every Polyclinic, will be responsible for ensuring that hard copies of this list downloaded from ECHS website is kept in the Polyclinic in sufficient numbers and given to the ECHS beneficiary whenever demanded. If any change lakes place in this list, it shall be the responsibility of Director RC, ECHS concerned ensure display of the corrected/amended list on the website of ECHS without any delay.

5. Whenever an ECHS beneficiary approaches a Pvt. Empanelled Medical Facility with such a referral from ECHS Polyclinic and the Pvt. Empanelled Medical Facility is not empanelled by Ministry of Defence (MoD) for the required treatment procedure / tests, it shall be the responsibility of the Pvt. Empanelled Medical Facility to inform the beneficiary that it is not empanelled for the required treatment procedure / tests. If any Pvt. Empanelled Medical Facility is found providing treatment procedure / conducting tests to such an ECHS beneficiary for which it is not empanelled, then apart from not reimbursing the expenses incurred by the Medical Facility on such treatment, action will be taken against the said ECHS Empanelled Pvt Medical Facility under the rules / as per the provisions of Memorandum of Agreement (MoA).

6. No ECHS Polyclinic Officer/Official/Doctor should indulge in any action force canvassing for/against any ECHS empanelled Pvt. Medical Facility.

7. The above orders shall come into force with immediate effect.





Keep a syringe or needle in your home to do this…
It’s amazing and an unconventional way of recovering from stroke, read it through it can help somebody one day. This is amazing. Please keep this very handy. Excellent tips. Do take a minute to read this. You’ll never know, ones life may depend on you.

No matter where the victim is, do not move him/her. Because, if moved, the capillaries will burst. Help the victim to sit up where he/she is to prevent him/her from falling over again and then the blood letting can begin.

If you have in your home an injection syringe that would be the best. Otherwise, a sewing needle or a straight pin will do.

1. Place the needle/pin over fire to sterilize it and then use it to prick the tip of all …….10 fingers.

2. There are no specific acupuncture points, just prick about an mm from the fingernail.

3. Prick till blood comes out.

4. If blood does not start to drip, then squeeze with your fingers.

5. When all 10 digits are bleeding, wait a few minutes then the victim will regain consciousness.

6. If the victim’s mouth is crooked, then pull on his ears until they are red.

7. Then prick each earlobe twice until two drops of blood comes from each earlobe.

After a few minutes the victim should regain consciousness. Wait till the victim regains his normal state without any abnormal symptoms then take him to the hospital. Otherwise, if he was taken in the ambulance in a hurry to the hospital, the bumpy trip will cause all the capillaries in his brain to burst. If he could save his life, barely managing to walk, then it is by the grace of his ancestors.

‘I learned about letting blood to save life from Chinese traditional doctor, Ha Bu Ting, who lives in Sun Juke.
Furthermore, I had practical experience with it. Therefore, I can say this method is 100% effective.

In 1979, I was teaching in Fung Gaap College in Tai Chung.
One afternoon, I was teaching a class when another teacher came running to my classroom and said in panting,
‘Ms Liu, come quick, our supervisor has had a stroke!’. I immediately went to the 3rd floor.

When I saw our supervisor, Mr. Chen Fu Tien, his colour was off, his speech was slurred, his mouth was crooked – all the symptoms of a stroke.

I immediately asked one of the practicum students to go to the pharmacy outside the school to buy a syringe, which I used to prick Mr. Chen’s 10 fingers tips.

When all 10 fingers were bleeding (each with a pea-sized drop of blood), after a few minutes, Mr. Chen’s > face regained its colour and his eyes’ spirit returned, too. But his mouth was still crooked. So I pulled on his ears to fill them with blood.
When his ears became red, I pricked his right earlobe twice to let out two drops of blood. When both earlobes had two drops of blood each, a miracle happened.

Within 3-5 minutes the shape of his mouth returned to normal and his speech became clear. We let him rest for a while and have a cup of hot tea, then we helped him go down the stairs, drove him to Wei Wah Hospital . He rested one night and was released the next day to return to school to teach. Everything worked normally. There were no ill after effects.

On the other hand, the usual stroke victim usually suffers Irreparable bursting of the brain capillaries on the way to the hospital. As a result, these victims never recover.’

Therefore, stroke is the second cause of death. The lucky ones will stay alive but can remain paralysed for life. It is such a horrible thing to happen in one’s life. If we can all remember this blood letting method and start the life saving process immediately, in a short time, the victim will be revived and regain 100% normality.



Tips from a From Prof Irene Liu, a Chinese Professor.

The suthor is Dr. Adrian Wong.

ECHS Facilities to Ex-Servicemen

The Government has sanctioned 426 Polyclinics for Ex- Servicemen Contributory Health Scheme (ECHS). 227 Polyclinics were sanctioned in the year 2002, all of which are functional. Due to increasing ESM population an additional 199 Polyclinics including 17 Mobile Clinics were sanctioned in October 2010, out of which 43 Polyclinics are operational, thus at present 270 Polyclinics are functioning. In addition the Government has sanctioned 15 new Regional Centers to strengthen the ECHS Services, out of which 6 Regional Centers are already functional. As on 1st March, 2012, there are 39,46,898 beneficiaries which include 12,34,069 ex-servicemen and 27,12,829 dependents.
The ECHS beneficiaries can avail treatment at state Government hospitals/Clinics. The cost of treatment at Government hospitals is reimbursed at the approved rates and 80% advance of the estimated cost of the treatment at Government hospitals/Clinics is admissible to the ECHS beneficiaries.
At present 1383 Private hospitals/Dental Clinics/Diagnostics Centers and Eye clinics throughout the country are empanelled with ECHS, where the ECHS beneficiaries can avail cashless treatment. In emergency cases, reimbursement is made at approved rates, even for treatment in non-empanelled hospitals.
This information was given by Minister of State for Defence Dr MM Pallam Raju in written reply to Shri Virender Kashyap and Shri Kuldeep Bishnoi in Lok Sabha on 26 Mar 2012.

Kothrud may get its own ECHS clinic, third in city – Indian Express

Kothrud may get its own ECHS clinic, third in city – Indian Express.

ECHS Helpline…

A 24-hour helpline to give details regarding Ex-Servicemen Contributory Health Scheme (ECHS) has been opened in Bangalore . The helpline number is 18001038666 where details of the scheme will be available.

Issue of Medicines to ECHS Beneficiaries

1. Representations have been received from ECHS members that tablets of drugs issued to them are often of strengths either larger or lesser than that prescribed. Hence getting the correct dose has to be done after breaking the tablet, on many occasions, into pieces or by taking multiple tablets.

2. It may be appreciated that ensuring correct dosages after fragmenting the tablet, specially by ECHS members who are old and frail, becomes a difficult task. On some occasions, it has resulted in either over dosage or less than the prescribed strength which could have been avoided.

3. In view of the above, you are requested to issue necessary instructions to all concerned so that drugs which are usually prescribed in different strengths, specially for chronic diseases, be provisioned to ECHS beneficiaries in the commonly prescribed strengths.

(G Ghose)
Dir (Med)
For MD

Authority: Central Org ECHS, Army HQ letter No: B/49762/AG/ECHS/Policy dt 20 Feb 2007

Consultation rates at ECHS empannelled hospitals

The rates seemed to have been formalised in a hurry and without applying proper logic. The history of ECHS rates goes as below.

1. In 2002 first set of rates were introduced and implemented.
2.In 2008 new set of rates were introduced and implemented. These rates were lower than that of 2002 and many hospitals refused to get empannelled. The concerned authorities have rescended the above rates and reverted to 2002 rates.
3.In 2011 yet another set of new rates have been introduced and implemented. These rates are much lower than2008 rates.

A smple of rates as per 2011 order:

1. Consultation fee for a doctor in hospital – Non NBAH accredited : Rs.50 against 2002 rate of Rs.75
2.Consultation fee for a doctor in hospital – NBAH accredited : Rs.58
3.Consultation fee for a doctor in hospital – Multi Speciality Hospital : Rs.294
Multi Speciality hospital is defined as hospital with 300 beds and atleast 5 specialities are treated. By this logic super speciality hospitals like Sankara Netralaya, Narayana Hridayala will get Rs.58 as consultation.

What is in it for us:
1. Due to the haphazard definition, many of the super speciality hospitals will be out of reach for all of us, through referrals of ECHS.
2.Treatments under ECHS will become more of a eye wash, as many of the veterans will be referred to only those hospitals, who agree to the lower rates.
3. The purpose of ECHS was to provide quality Healthcare to veterans, where such facilities are not available in Military Hospitals. It would remain a dream and only on paper.

I request all the veterans to ponder over and suggest ways to stop this and reverse the degeneration of ECHS facilities, even if they can not be improved.

I am of the openion that we( Not just IAFveterans but all veterans in any group) should get together and plan for action.
Some of the actions coming to my mind are:
1. Petetion to the appropriate authorities for review of the same
2.Approaching courts for the stay of the impugned order and revision

Please contact below mentioned person for further details:

Rtn S.Varadarajan
Rotary Club of Madras T.Nagar
Dist 3230

ECHS Polyclinic for serving personnel dependants

Families of soldiers, who are forced to travel to city centers for free medical treatment in military hospitals, may soon be able to avail the facility at their local ex-servicemen Contributory Health Scheme (ECHS) polyclinics.

A proposal in this regard is being worked out by the Army and plans are also on anvil for increasing the number of ECHS polyclinics in the remote areas are.

“It is view the army chief to make available medical facilities at the doorstep of the dependents of the serving jawan and officer residing in remote villages who otherwise could not get medical treatment,” Lieutenant General H L Kakaria, Director General Medical Services, Army said.

“A proposal for the same is being processed. According to the plan, the dependents of the serving soldier can avail treatment at the ECHS polyclinic where till now only ex-servicemen were entitled to avail treatment,” Lt Gen Kakaria said.

Already 219 ECHS polyclinic exist in different corners of the country and a proposal to set up 199 more in remote areas is being considered.

“The dependents of a serving soldier are entitled to medical facilities at military hospitals only. Their family members, especially the elderly, living in remote areas faced difficulty in traveling all the way to the service hospital. It was a cause of concern for our soldier. After the proposal is approved, things will be easier now,” he said.


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