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EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME

EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME. ECHS UPDATE MON 21 JAN 08. PRESENTATION. AIM SCHEME STATUS EXPANSION NEWS LETTERS CONCLUSION. EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME. AIM TO APPRISE NAVY FOUNDATION ON ECHS. Govt sanctioned - 30 Dec 02 Launched - 01 Apr 03

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EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME

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  1. EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME ECHS UPDATEMON 21 JAN 08

  2. PRESENTATION • AIM • SCHEME • STATUS • EXPANSION • NEWS LETTERS • CONCLUSION

  3. EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME AIMTO APPRISE NAVY FOUNDATION ON ECHS

  4. Govt sanctioned - 30 Dec 02 Launched - 01 Apr 03 ESM pensioners - 20 Lakhs Scheme to be Established By - 31 Mar 08 Polyclinics - 227 Regional Centres - 13 Central Organisation - 01(Delhi) Budget Capital - 122 Cr one time Revenue - 355 Cr per annum (Increased to 490 Cr Per Annum w.e.f. FY 2007-08) Augment AFMS ; empanel Pvt Hosp SCHEME

  5. PRESENT STATUS • Members - 5.5 Lakhs • Polyclinics functional - All 227 • Mil - 106 • Non Mil - 121 • Clinics constructed - 61 • Construction in progress - 24 • Mil Hosp providing Medicare - 129 • Pvt Hosp empanelled - 1002 • Polyclinics Medicare - 89% • Mil Hosp Medicare - 5% • Pvt Hosp Medicare - 6% • Capital Expenditure - 55 Cr • Revenue Exp Till Date - 1003 Cr

  6. CURRENT ISSUES • MEMBERSHIP FOR NON MEMBERS • EMPANEL MORE PRIVATE HOSPITALS • EXPANSION NETWORK PROPOSAL WITH MOD • AUGMENT MIL HOSPS FOR SUPERSPECIALITY

  7. MEDICARE FOR ESM PENSIONERS • STATUS OF MEDICARE BEFORE ECHS(01 APR 03) • ENTITLED MEDICARE IN MILITARY HOSPITALS NO FURTHER REFERRALS • NO MEDICARE FOR SERIOUS DISEASES • NO GOVT FUNDS AVAILABLE FOR MEDICARE • RESTRICTED REIMBURSEMENT FROM KSB/INBA • STATUS OF MEDICARE FOR NON ECHS MENBERS AFTER 31 MAR 08 • ENTITLED MEDICARE IN MIL HOSPITALS SUBJECT TO AVAILABILITY OF FACILITIES • NO REFERRAL • NO MEDICARE IN POLYCLINICS/ PVT EMP HOSP • NO REIMBURSEENT

  8. EXPANSION NETWORK • NEW ECHS POLYCLINICS - 197 • UPGRADE - 13 • CONVERSION - 10 • REGIONAL CENTRES - 14 • BUDGET • Capital (One Time) - 130 Cr • Revenue (Per Annum) - 45 Cr * COSC Recommended & Case is with MOD for Approval

  9. ACHIEVEMENTS (APR 03 – JAN 08) Membership – 5.5 Lacs out of 20 Lacs (25% Appx) Budget : Capital – 55 Cr and Revenue 1003 Cr Medicare at 227 Polyclinics /1002 Pvt Emp Hosps/ 129 Mil Hosps CHALLENGES Membership to 100% ESM Pensioners Empanel more Private Hospitals Implementation of Expansion Network (Addl 197 Polyclinics) ECHS SUMMARY

  10. ECHS NEWS LETTERS/ BULLETINS • NEWS BULLETIN 10 DEC 2007(NAVY) • NEWS LETTER 28 AUG 2007(ARMY) • NEWS BULLETIN 2007(NAVY) • NEWS LETER JAN 2007(ARMY) • NEW BULLETIN 2006(NAVY) • NEWS LETTER 17 JUN 2005(ARMY) • EXPANSION NETWORK DATA

  11. CONCLUSION COMPREHENSIVE MEDICARE TO ECHS MEMBERS AT POLYCLINICS /MIL / PVT HOSPS

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