ECHS advisory for empanelled hospital regarding choice of costlier IOL Coronary Stent/any other authorised Implant/Device/equipment for ECHS Central Organization, ECHS Adjutant General's Branch Integrated Headquarters Ministry of Defence (Army) Maude Lines Delhi Cantt-110010 B/49773/AG/ECHS/Rates/Policy 25 Aug 2015     ADVISORY FOR EMPANELLED HOSPITALS: CHOICE OF COSTLIER lOL CORONARY STENT/ ANY OTHER AUTHORISED IMPLANT/ DEVICE/ EQUIPMENT FOR ECHS BENEFICIARIES 1. Ref: (a) Para 3 of Central OrgECHS letter No. B/49773/AG/ECHS/Rates/Policy dt 26Jul 13. (b) This office letter No B/49773/AG/ECHS/Rates/Policy dt 25 Nov 2014 (fwd to all Regional Centres only) (c) This office letter No B/49773/AG/ECHS/Rates dt 17 Dec 2014 (fwd to all Regional Centres only). 2. As per the letter under reference ECHS beneficiaries are permitted to get costlier IOL/ Coronary Stents/ any other authorised Implant/ Device/Equipment after paying for the difference in cost over and above the laid down ceiling rates. A certificate to this effect duly signed by the ECHS beneficiary will be attached with the medical claim. 3. .This office is receiving complaints from ECHS beneficiaries that in many cases, where the patient was in the operation theatre, his relatives were asked by the empanelled hospitals to sign such certificate, who were not aware. of the rules. All ROs are hereby instructed to apprise the empanelled hospitals in their AOR to refrain from such underisable activities. 4. It has now been decided that all such certificate will be signed by the ECHS beneficiary i.e. the Ex-Serviceman only. However, if the ex-serviceman is unable to sign the form being unconsious incapaciated then his wife or children can sign the certificate with .the condition that they will not ask for the reimbursement of the extra cost over and above the ceiling rates. A format of the certificate is attached as appx with this letter. All empanelled hospitals will use this format only with effect from 01 sep 2015 and will be liable for deduction of the extra amount charged from the ECHS beneficiary or his next of kin if the policy is not followed. 5. All Regional Centres are advised to fwd a copy of this letter to all empanelled hospitals and take a feed back from them that the letter along withits appx has been received by them. sd/- (Vijay Anand) Col Dir Med MD ECHS certificate-by-ex-servicemen Source: http://echs.gov.in/images/pdf/med/med143.pdf