ECHS introduces system for reimbursement claims

Sakal Times
Thursday, 4 January 2018

The system will keep the beneficiaries updated on the progress of their reimbursement claims and appraise them about the observations - if any - about the claims and guide them on the required actions for processing speedy clearances of the claims

Pune: To ensure promptness and transparency, the Ex-Servicemen Contributory Health Scheme (ECHS) has introduced a system for intimating beneficiaries regarding progress of their reimbursement claims at each stage through SMS.

The system will keep the beneficiaries updated on the progress of their reimbursement claims and appraise them about the observations - if any - about the claims and guide them on the required actions for processing speedy clearances of the claims.

According to officials, the facility will go a long way in improving transparency, accountability and enhancement of ex-servicemen’s satisfaction level by ensuring faster settlement of individual reimbursement claims.

ECHS caters to about 50 lakh beneficiaries. The scheme, which offers healthcare services to ex-servicemen is run through 28 regional centres and 426 polyclinics. A total of 1,445 civil hospitals have been brought on board to provide cashless treatment to ECHS beneficiaries.

ECHS was launched on April 1, 2003.  On retirement, every service personnel compulsorily become a member of ECHS by contributing his/her share and the scheme is applicable lifetime. The scheme aims to provide quality healthcare to ex-servicemen pensioners and their dependents through a network of ECHS polyclinics, service medical facilities and civil impaneled/ government hospitals spread across the country. The scheme has been structured to provide cashless treatment for its beneficiaries. Treatment provided under ECHS is as per the allopathic medical system and it is a government funded scheme.

ECHS Polyclinics are designed to provide ‘Out Patient Care’ which includes consultation, essential investigation and provision of medicines. Specialised consultations, investigations and ‘In-Patient Care’ (hospitalization) is provided through spare capacity available in service hospitals and through civil hospitals impaneled with ECHS.

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