Lok Sabha Question No. 5724 (UNSTARRED), answered on 2025-04-04
Subject: Ex-servicemen Contributory Health Scheme
Ministry: DEFENCE
Asked by: Shri Gurjeet Singh Aujla

## GOVERNMENT OF INDIA MINISTRY OF DEFENCE DEPARTMENT OF EX-SERVICEMEN WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 5724

TO BE ANSWERED ON 04 th  April, 2025

## EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME

## 5724. SHRI GURJEET SINGH AUJLA:

Will the Minister of DEFENCE be pleased to state:

- (a)  the  details  of  fund  spent  by  the  Government  under  Ex-servicemen  Contributory  Health Scheme during the last ten years, State-wise;
- (b) the detailed breakdown for each empanelled hospital specifying funds allocated, diseases treated and number of patients benefited;
- (c) the number of hospitals found guilty of misusing the said scheme along with the specific actions taken by the Government against these hospitals;
- (d) the number of hospitals de-empanelled or had their ECHS approval cancelled due to this misuse; and

(e) the number of hospitals which have been re-empanelled along with the criteria to grant them permission to operate under ECHS again despite their past misuse?

## A  N  S  W  E  R

## MINISTER OF STATE IN THE MINISTRY OF DEFENCE

(SHRI SANJAY SETH)

(a):    Details  of  funds  spent  by  the  Government  under  Ex-Servicemen  Contributory  Health Scheme (ECHS) are not maintained State-wise. However, the expenditure made by the ECHS Regional Centres covering various States during the last ten years is at Annexure-I.

(b):  There are a total of 2697 Healthcare Organisations (Hospitals, Eye Care Centres, Dental Clinics, Laboratories etc.) which are empanelled under ECHS. Health Care Organizations are empanelled to treat various types of diseases. This information is in the public domain and can be accessed from the website www.echs.gov.in The hospitals are not allocated funds under the ECHS. Payments are made to the hospitals through the Regional Centres against the claims raised by them. The details of claims raised and the amount disbursed during the last 4 years are at Annexure-II.

- (c):  The details of hospitals found guilty of misusing the ECHS and the actions taken by the Government against the hospitals during the last two years (2023 and 2024) is at Annexure-III.
- (d):  Five hospitals have been dis-empanelled or had their ECHS approval cancelled due to this misuse during the last two years (2023 and 2024).
- (e):  One hospital has been re-empanelled under ECHS again despite its past misuse due to the criteria of change of ownership during the last two years (2023 and 2024).

## ANNEXURE-I  REFERRED  TO  IN  REPLY  TO  PART  (a)  OF  LOK  SABHA UNSTARRED QUESTION NO. 5724 TO BE ANSWERED ON 04.04.2025 REGARDING 'EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME'.

Details of the expenditure made by the ECHS Regional Centres under Medical Treatment Related Expenditure (MTRE) covering various States during the last ten years

(Amt in Crore)

| Sl. No.                    | Regional Centre ECHS       | States Covered             | 2015- 16                   | 2016- 17                   | 2017- 18                   | 2018- 19                   | 2019- 20                   | 2020- 21                   | 2021- 22                   | 2022- 23                   | 2023- 24                   | 2024- 25                   |
|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|
| 1.                         | Visakhapatnam              | Andhra Pradesh             | 3.8                        | 8.7                        | 13.4                       | 13.5                       | 26.3                       | 17.6                       | 19.1                       | 33.5                       | 41.4                       | 44.1                       |
| 2.                         | Guwahati                   | North Eastern States       | 2.4                        | 6.2                        | 10.4                       | 7.5                        | 11.8                       | 9.5                        | 10.2                       | 15                         | 20                         | 30.8                       |
| 3.                         | Patna                      | Bihar                      | 5.4                        | 12.5                       | 18.9                       | 18.9                       | 35.1                       | 30.1                       | 33.6                       | 59.3                       | 99.6                       | 114.8                      |
| 4.                         | Chandimandir               | Chandigarh                 | 205.1                      | 276.7                      | 384.8                      | 244.4                      | 489.6                      | 393.2                      | 396.5                      | 586.5                      | 823.8                      | 955.9                      |
| 5.                         | Delhi                      | Delhi NCR                  | 215.3                      | 289.9                      | 332.9                      | 246.1                      | 434.6                      | 600.2                      | 560.8                      | 842.7                      | 1198.8                     | 1159.1                     |
| 6.                         | Delhi 2                    | Delhi NCR                  | 164.4                      | 199.6                      | 238.9                      | 159                        | 258.3                      | 244.2                      | 216.7                      | 462.4                      | 597.4                      | 840.9                      |
| 7.                         | Ahmedabad                  | Gujarat ; Rajasthan        | 7.3                        | 20.8                       | 35.5                       | 28                         | 59.8                       | 47.2                       | 60.6                       | 71.2                       | 110.9                      | 119                        |
| 8.                         | Ambala                     | Haryana                    | 35.9                       | 50.6                       | 126.2                      | 86.2                       | 195.9                      | 236                        | 249.3                      | 295.4                      | 448.5                      | 533.3                      |
| 9.                         | Hisar                      | Haryana ; Rajasthan        | 25.9                       | 34.9                       | 82.9                       | 97.7                       | 123.3                      | 166.9                      | 311.4                      | 347.5                      | 614.3                      | 644.2                      |
| 10.                        | Yol                        | Himachal Pradesh           | 0                          | 0                          | 0                          | 0                          | 0                          | 0                          | 4.9                        | 47.4                       | 81.8                       | 95.5                       |
| 11.                        | Jammu                      | Jammu& Kashmir ; Ladakh    | 20.9                       | 43.5                       | 107.4                      | 83.9                       | 121.1                      | 94.5                       | 100.1                      | 112.4                      | 170.4                      | 151                        |
| 12.                        | Ranchi                     | Jharkhand                  | 4.9                        | 8.3                        | 21.3                       | 13.3                       | 39.4                       | 30.2                       | 17.8                       | 19.8                       | 27.9                       | 30.2                       |
| 13.                        | Bangalore                  | Karnataka                  | 19.7                       | 46.7                       | 58.4                       | 35.9                       | 103.8                      | 87.1                       | 116.5                      | 154.5                      | 180.1                      | 163.1                      |
| 14.                        | Kochi                      | Kerala                     | 81                         | 93.1                       | 106.4                      | 103.8                      | 168.9                      | 210.2                      | 178.4                      | 149.7                      | 314.9                      | 300.8                      |
| 15.                        | Trivandrum                 | Kerala                     | 81.7                       | 91.1                       | 102.4                      | 66.9                       | 152.1                      | 105.5                      | 139.7                      | 187                        | 278.1                      | 296.7                      |
| 16.                        | Jabalpur                   | Madhya Pradesh             | 4.9                        | 9.7                        | 24.5                       | 20.1                       | 50.4                       | 29.6                       | 45.9                       | 53.2                       | 90.8                       | 75.6                       |
| 17.                        | Mumbai                     | Maharashtra                | 1.4                        | 5.1                        | 7.9                        | 8.4                        | 27.3                       | 20.7                       | 23.4                       | 32.4                       | 60.1                       | 70.4                       |
| 18.                        | Nagpur                     | Maharashtra                | 2.9                        | 5.7                        | 6.4                        | 4                          | 10.8                       | 10.1                       | 15.7                       | 19.9                       | 31.4                       | 46.4                       |
| 19.                        | Pune                       | Maharashtra                | 29.2                       | 39.4                       | 71.6                       | 40.5                       | 101.7                      | 85.7                       | 126.3                      | 135.7                      | 198.6                      | 256.4                      |
| 20.                        | Bhubaneswar                | Odisha                     | 0                          | 0                          | 0                          | 0                          | 0                          | 0                          | 15.7                       | 25.1                       | 41.8                       | 38.2                       |
| 21.                        | Jalandhar                  | Punjab                     | 266.9                      | 328.8                      | 442.8                      | 304.4                      | 621.6                      | 541.8                      | 307.5                      | 720.1                      | 966.3                      | 1053.8                     |
| 22.                        | Jaipur                     | Rajasthan                  | 77.9                       | 60.4                       | 148.1                      | 117.8                      | 218.4                      | 182.2                      | 216                        | 324.9                      | 621.9                      | 864.7                      |
| 23.                        | Secunderabad               | Telangana                  | 55.9                       | 66.9                       | 74.4                       | 45.8                       | 105.2                      | 72                         | 67.5                       | 86                         | 173                        | 159.6                      |
| 24.                        | Coimbatore                 | Tamilnadu                  | 7.9                        | 22.3                       | 26.9                       | 19.9                       | 48.8                       | 36.8                       | 49.9                       | 53.9                       | 74.6                       | 79.7                       |
| 25.                        | Chennai                    | Tamilnadu                  | 18.4                       | 32.1                       | 53.4                       | 51.2                       | 60.9                       | 24.6                       | 33.7                       | 63.9                       | 66.3                       | 88.2                       |
| 26.                        | Allahabad                  | Uttar Pradesh              | 5.4                        | 23.4                       | 31.5                       | 22.2                       | 52.4                       | 33.4                       | 42.1                       | 78.9                       | 141.5                      | 155                        |
| 27.                        | Bareilly                   | Uttar Pradesh              | 20                         | 43                         | 91.9                       | 177.5                      | 198.8                      | 149.7                      | 143.3                      | 202.2                      | 286.9                      | 332                        |
| 28.                        | Lucknow                    | Uttar Pradesh              | 22.4                       | 30.4                       | 42.9                       | 36.6                       | 34.4                       | 89.8                       | 60.8                       | 82.1                       | 162.8                      | 172.9                      |
| 29.                        | Dehradun                   | Uttarakhand                | 29.4                       | 40.4                       | 60.9                       | 58.2                       | 70.7                       | 52.1                       | 62.5                       | 94.9                       | 152.4                      | 175.1                      |
| 30.                        | Kolkata                    | West Bengal                | 27.9                       | 28.7                       | 51.9                       | 41.1                       | 94                         | 35                         | 34.5                       | 67.8                       | 139                        | 152.8                      |
| Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 | Total 1444.2 1918.9 2774.9 |

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ANNEXURE-II  REFERRED  TO  IN  REPLY  TO  PART  (b)  OF  LOK  SABHA UNSTARRED QUESTION NO. 5724 TO BE ANSWERED ON 04.04.2025 REGARDING 'EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME'.

The details of claims raised and the amount disbursed during the last 4 years

|                | Indoor Patients (IP)                                        | Indoor Patients (IP)                                   | Indoor Patients (IP)        | Outdoor Patients (OPD)                                     | Outdoor Patients (OPD)                                  | Outdoor Patients (OPD)      |
|----------------|-------------------------------------------------------------|--------------------------------------------------------|-----------------------------|------------------------------------------------------------|---------------------------------------------------------|-----------------------------|
| Financial Year | Total number of Indoor Patients (IP) Claims settled in a FY | Indoor Patients (IP) Hospital claim amount (Rs. Crore) | Approved amount (Rs. Crore) | Total number of Outdoor Patients (OP) Claims settled in FY | Outdoor Patients (OP) Hospital claim amount (Rs. Crore) | Approved amount (Rs. Crore) |
| 2021-2022      | 5,74,770                                                    | 3663.73                                                | 3208.86                     | 18,53,229                                                  | 500.07                                                  | 480.86                      |
| 2022-2023      | 7,79,310                                                    | 5369.76                                                | 4842.08                     | 27,23,115                                                  | 669.44                                                  | 639.79                      |
| 2023-2024      | 10,70,102                                                   | 8037.68                                                | 7303.43                     | 42,60,600                                                  | 1052.89                                                 | 999.37                      |
| 2024-2025      | 9,95,808                                                    | 9289.31                                                | 8302.37                     | 42,73,954                                                  | 1058.05                                                 | 1002.83                     |

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## ANNEXURE-III  REFERRED  TO  IN  REPLY  TO  PART  (c)  OF  LOK  SABHA UNSTARRED QUESTION NO. 5724 TO BE ANSWERED ON 04.04.2025 REGARDING 'EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME'.

Details of hospitals found guilty of misusing the ECHS and the actions taken by the Government against the hospitals during last two years (2023 & 2024).

|   Sl. No. | Details                                                         |   No of Cases |
|-----------|-----------------------------------------------------------------|---------------|
|         1 | Number of Hospitals found guilty                                |            33 |
|         2 | Stop Referral invoked                                           |            29 |
|         3 | Recoveries                                                      |            10 |
|         4 | Partial/Complete Forfeiture of Performance Bank Guarantee (PBG) |            18 |

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