Lok Sabha Question No. 3868 (UNSTARRED), answered on 2023-08-11
Subject: Apathy in Medical Treatment of CGHS Beneficiaries
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Komati Reddy Venkat Reddy, Manne Srinivas Reddy, Y. S. Avinash Reddy

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3868 TO BE ANSWERED ON 11 TH AUGUST, 2023

## ' APATHYIN MEDICALTREATMENT OFCGHS BENEFICIARIES '

3868. SHRI KOMATI REDDYVENKAT REDDY: SHRI MANNE SRINIVAS REDDY: SHRI Y.S. AVINASH REDDY:

- Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state: (a) whether the Government has taken note of the fact that some hospitals/CGHS dispensaries/ empanelled hospitals are not providing proper treatment along with showing negligence and avoiding CGHS beneficiaries, especially the pensioners and their family members and dependent beneficiaries and if so, the details thereof; (b) whether the Government has received complaints in this regard and if so, necessary steps/ action taken since 1999 till date, State/UT-wise; (c) whether the Government refunds/adjusts the one-time payment made by the family
- pension holder for availing CGHS facility on demise of his/her spouse in harness, who after sometime gets Government job and becomes eligible for CGHS benefits; and

(d) if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) to (d): As per records, complaints are received against empanelled Health Care Organizations (HCOs). The details of action taken against such HCOs is annexed.

Instructions for refund of subscription, after deducting an amount for the period for which CGHS card was utilized as family pensioner, have been issued vide Office Memorandum No. S.11012/1/2016-CGHS(P) dated 19.09.2016.

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| City        |   Number of Show Cause Notice issued |   Deduction from PBG/Penalty |   Number of cases in which excess recoveries were made |   De-empanelled /Opted Out |
|-------------|--------------------------------------|------------------------------|--------------------------------------------------------|----------------------------|
| Delhi &NCR  |                                  320 |                           86 |                                                    199 |                          0 |
| ALLAHABAD   |                                    0 |                            0 |                                                      1 |                          0 |
| AHMEDABAD   |                                   14 |                            0 |                                                      0 |                          2 |
| BHUBANESWAR |                                    0 |                            0 |                                                      0 |                          0 |
| BANGALORE   |                                    0 |                            0 |                                                      0 |                         20 |
| BHOPAL      |                                    0 |                            0 |                                                      0 |                          4 |
| CHENNAI     |                                    0 |                            0 |                                                      0 |                          3 |
| CHANDIGARH  |                                    0 |                            0 |                                                      0 |                          2 |
| DEHRADUN    |                                    0 |                            0 |                                                      0 |                          2 |
| GUWAHATI    |                                    0 |                            0 |                                                      0 |                          0 |
| HYDERABAD   |                                    0 |                            0 |                                                      0 |                         26 |
| JAIPUR      |                                    0 |                            0 |                                                      0 |                          6 |
| JABALPUR    |                                    1 |                            2 |                                                      0 |                          0 |
| KANPUR      |                                    0 |                            0 |                                                      0 |                          0 |
| KOLKATA     |                                    0 |                            2 |                                                      0 |                          3 |
| LUCKNOW     |                                    0 |                            0 |                                                      0 |                          0 |
| MEERUT      |                                    0 |                            0 |                                                      0 |                          2 |
| MUMBAI      |                                    0 |                            0 |                                                      0 |                          1 |
| NAGPUR      |                                   97 |                            0 |                                                      0 |                         23 |
| PATNA       |                                    0 |                            0 |                                                      0 |                          1 |
| PUNE        |                                    0 |                            0 |                                                      0 |                          3 |
| RANCHI      |                                    0 |                            0 |                                                      0 |                          0 |
| SHILLONG    |                                    0 |                            0 |                                                      0 |                          0 |
| TRIVANDRUM  |                                    1 |                            0 |                                                      0 |                          0 |
| Total       |                                  433 |                           90 |                                                    200 |                         98 |