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    Revision of Ceiling Rates For Intra Ocular Lenses - 1

    Uploaded by

    Dharaniselvam
    This document revises the rates for different types of intraocular lenses (IOL) that are reimbursable for beneficiaries under the Central Government Health Scheme (CGHS). It outlines the new ceiling rates for four types of IOL: hydrophobic foldable (Rs. 5,000), silicon foldable (Rs. 3,600), hydrophilic acrylic (Rs. 5,800), and PMMA (Rs. 490). The revised rates are effective from the date of issue and reimbursement will be based on actual expenditure or the ceiling rate, whichever is less. Surgeons must provide documentation like an empty IOL sticker to support reimbursement claims.

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    Revision of Ceiling Rates For Intra Ocular Lenses - 1

    Uploaded by

    Dharaniselvam
    895 views2 pages
    This document revises the rates for different types of intraocular lenses (IOL) that are reimbursable for beneficiaries under the Central Government Health Scheme (CGHS). It outlines the new ceiling rates for four types of IOL: hydrophobic foldable (Rs. 5,000), silicon foldable (Rs. 3,600), hydrophilic acrylic (Rs. 5,800), and PMMA (Rs. 490). The revised rates are effective from the date of issue and reimbursement will be based on actual expenditure or the ceiling rate, whichever is less. Surgeons must provide documentation like an empty IOL sticker to support reimbursement claims.

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    Revision of ceiling rates for intra Ocular lenses_1 (8)

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    This document revises the rates for different types of intraocular lenses (IOL) that are reimbursable for beneficiaries under the Central Government Health Scheme (CGHS). It outlines the new ceiling rates for four types of IOL: hydrophobic foldable (Rs. 5,000), silicon foldable (Rs. 3,600), hydrophilic acrylic (Rs. 5,800), and PMMA (Rs. 490). The revised rates are effective from the date of issue and reimbursement will be based on actual expenditure or the ceiling rate, whichever is less. Surgeons must provide documentation like an empty IOL sticker to support reimbursement claims.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    895 views2 pages

    Revision of Ceiling Rates For Intra Ocular Lenses - 1

    Uploaded by

    Dharaniselvam
    This document revises the rates for different types of intraocular lenses (IOL) that are reimbursable for beneficiaries under the Central Government Health Scheme (CGHS). It outlines the new ceiling rates for four types of IOL: hydrophobic foldable (Rs. 5,000), silicon foldable (Rs. 3,600), hydrophilic acrylic (Rs. 5,800), and PMMA (Rs. 490). The revised rates are effective from the date of issue and reimbursement will be based on actual expenditure or the ceiling rate, whichever is less. Surgeons must provide documentation like an empty IOL sticker to support reimbursement claims.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    ·F. No.

    S-1413/2005-06/CGHS/R &H
    ,Government of India,
    Ministry of Health ~&Family Welfare
    Department of Health & Family Welfare
    *************

    Nirman Bhawan, New Delhi 110 108


    Dated the, 26th June, 2008

    OFFICE'

    The undersigned is directed to refer to the Office Memorandum, No: S-


    11011/30/2001/CGHS Desk II/CGHS (P) dated the 2151 December, 2004,
    issued by the Ministry of Health & Family Welfare, vide which rates for foldable
    and non-foldable Intra-Ocular Lenses (IOL) were fixed and to state that
    representations were received in the Ministry requesting for revision of the
    rates. The representations received were examined by a Committee of
    experts constituted by the Ministry of Health & Family Welfare. Based on the
    recommendations of the Committee, it has decided to revise the rates for IOL,
    as followed by the All India Institute of Medical Sciences, and to circulate the
    guidelines to be followed for various types of IOL for reimbursement to
    beneficiaries under CGHS 1 CS (MA) Rules, 1944, with regard to the purchase
    of IOL:

    (1) Hydrophobic Foldable IOL .'0 •••••• Rs~5,000/-'


    (2) Silicon Foldable IOL ••• '0' .0. Rs.3,600/-
    (3) Hydrophilic Acrylic Lens •••• 0 •••• Rs.5,800/-
    (4) PMMA IOL .0' •••••• Rs. 490/-' '

    2. The ceiling rates, mentioned above for the different types of IOL
    implants to be used will be as per actual expe'nditure or the rates mentioned,
    whichever is less, and will be reimbursable in addition to the package rates for
    cataract surgery procedure.

    3. The reimbursement at the above mentioned ceiling rates will be done


    as per the rates fixed for the various IOL mentioned above and the IOL
    actually used in the surgery. It is mandatory for the operating surgeon (of all
    ~~:
    ?". private em panelled hospitals 1 CGHS and CS (MA) beneficiaries to attach the
    ~i:
    1~~: empty IOL sticker, bearing the signature and stamp of the operating surgeon
    ",
    .11;,

    dt
    on it, alongwith the bill in support of the type of IOL used, containing its' batch
    ~~.~~:~
    . number. In the event of the private empanelled hospital not giving the batch
    number and 1 or empty IOL sticker then the beneficiary will be required to
    obtained the same from the hospital before the CGHS 1 concerned Department
    1 Ministry finally settles the claim for reimbursement.
    4. The revised rates take effect froin the date of issue of the Office
    Memorandum.

    5. This Office Memorandum is issued with the concurrence of Finance


    Division vide their Dy. No: C-1163/2008-IFD dated the 24th June, 2

    \,)'}O4
    ... (R. Ravi)
    Deputy Secretary to the Government of India
    [Tel: 23063483]

    1. All Ministries I Departments of Government of India


    2. Director, CGHS, Nirman Bhawan, New Delhi
    3. All Pay and Accounts Officers under CGHS
    4. Additional Directors I Joint Directors of all CGHS cities
    5. JD(Gr.) I JD(R&H), CGHS, Delhi
    6. CGHS Desk-I/Desk-II/CGHS-I/CGHS-II, Directorate General of Health
    Services, Nirman Bhawan, New Delhi
    7. Estt. I I Estt. III Estt. III I Estt. IV Sections, Min. of Health & Family Welfare
    8. Admn. I I Admn. II Sections of Directorate General of Health Services
    9. M.S. Section, Ministry of Health & Family Welfare
    10. Rajya Sabha I Lok Sabha Secretariat
    11. Registrar, Supreme Court of India I Delhi High Court, Sher Shah Road, New
    Delhi
    12. U.P.S.C.
    13. Finance Division, Ministry of Health & Family Welfare
    14. Deputy Secretary (Civil Service News), Department of Personnel & Training,
    5th Floor, Sardar Patel Bhawan, New Delhi .'
    15. PPS to Secretary (H&FW) I PPS to'SS (DG)··· ,: ...
    16. PPS to DGHS I AS&FA I AS&PD, NACO I AS & MD, NRHM
    17. Swamy Publishers (P) Ltd., P. B. No.2468, R. A. Puram, Patna- 600028.
    18. Swamy Publishers (P) Ltd., 4855, 24, Ansari Road, Near Sanjeevan Hospital,
    Daryaganj, New Delhi - 110002.
    19. Mis Bahri Brothers, 742 Lajpat Rai Market, Delhi 110 006
    20. Shri Umraomal Purohit, Secretary, Staff Side, 13-C, Ferozshah Road, N. Delhi
    t;;-
    -fjt;- 110001.
    21. All Staff Side members of National Council (JCM).
    22. Office of the Comptroller- & Auditor General of India, 10 Bahadur Shah Zafar
    Marg, New Delhi.
    23. All Officers I Sections I Desks intheMinistry of Health & Family Welfare
    24. Shri V. Ringe, Technical Director, NIC, Nirman Bhawan, New Delhi, with the
    request that the Office Memorandum by uploaded on the website of CGHS.
    25. Office Order folder
    26. Guard file

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