EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME

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EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME
ECHS UPDATEMON 21 JAN 08
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PRESENTATION

• AIM
• SCHEME
• STATUS
• EXPANSION
• NEWS LETTERS
• CONCLUSION

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

• 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

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SCHEME

• 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

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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

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PRESENT STATUS

• 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

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CURRENT ISSUES

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

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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

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MEDICARE FOR ESM PENSIONERS

• 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

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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

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ECHS SUMMARY

• 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

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ECHS SUMMARY

• CHALLENGES
• Membership to 100 ESM Pensioners
• Empanel more Private Hospitals
• Implementation of Expansion Network (Addl 197
  Polyclinics)

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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

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CONCLUSION

• COMPREHENSIVE MEDICARE
• TO ECHS MEMBERS
• AT POLYCLINICS /MIL / PVT HOSPS