Railway Accounts Department Examinations

Showing posts with label 75. Show all posts
Showing posts with label 75. Show all posts

Saturday, September 23, 2023

RELHS - OPD @ Private Hospitals - 75 Years & above

  




RELHS - OPD @ Private Hospitals - 75 Years & above 



  

  • Pilot Project - One year  - From 1st November, 2023 to 31st October, 2024 

 

  • Empanelled Private Hospitals - Access to HMIS portal  (Hospital Management Information System) 

 

  • Eligibility conditions:


  1. RELHS beneficiaries 

  2. Eligible for OPD (Out Patient Department) consultation at Railway Hospitals

  3. 75 years and above 

  4. Not opted for FMA - Fixed Medical Allowance 

 

  • RELHS stands for Retired Employees Liberalized Health Scheme  

 

  • Cashless procedure   

 

  • At CGHS rates for that city/as per MOU with the Railways   

 

  • Medicines prescribed by empanelled Private Hospitals: Issued by Railway Hospitals on authorisation of available Railway Doctor.

 

  • Reimbursement: The Empanelled Private Hospitals can be reimbursed by Railways duly submitting the following:  


  1. Bills 

  2. Copy of UMID of RELHS beneficiary 

  3. Copy of Prescriptions/Reports 

  4. Declaration of RELHS beneficiary    



Emergency Cases: 

 

  • Railway Hospital referral is not required  


  • Facilities available @ Empanelled Private Hospitals 


  1. Consultations from Specialists Doctors  

 

  1. Investigations/Procedures  



Non-Emergency Cases: 

 

  • A Railway Hospital referral is required  


  • Facilities available @ Empanelled Private Hospitals 


  1. CGHS listed investigations which cost above Rs. 10,000/- 

 

  1. CGHS Non-listed investigations/planned procedures 


Key points for MCQ:  



  1. Pilot Project - 1 year - From 01.11.2023 to 31.10.2024 

  2. For 75 years and above  

  3. Non-Emergency cases - Railway Hospital referral is required for CGHS listed investigations which cost above Rs.10,000/-

  4. RELHS stands for Retired Employees Liberalized Health Scheme 

  5. OPD stands for Out Patient Department 

  6. FMA stands for Fixed Medical Allowance 

  7. MOU stands for Memorandum Of Understanding 

  8. CGHS stands for Central Government Health Scheme 

  9. UMID card stands for Unique Medical IDentity card

  10. HMIS stands for Hospital Management Information System 

  11. CTSE stands for Cashless Treatment Scheme in Emergency

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