Lok Sabha Question No. 5717 (UNSTARRED), answered on 2025-04-04
Subject: Treatment in CGHS Panel Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Y S Avinash Reddy

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

## LOK SABHA UNSTARRED QUESTION NO. 5717 TO BE ANSWERED ON 4 TH APRIL, 2025

## TREATMENT IN CGHS PANELHOSPITALS

## 5717. SHRI Y S AVINASH REDDY:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether it is a fact that some hospitals/CGHS dispensaries, empanelled hospitals are not giving proper treatment and OPD staff/doctors are also showing utter negligence, insulting and avoiding the CGHS beneficiaries especially pensioners and their family members, if so, the details thereof and the reasons therefor.
- (b) whether the Government refunds the one-time payment/adjust the payment paid for pensioner CGHS card after surrendering the pensioner card and taking the serving CGHS cards by the spouse on getting employment, if so, details thereof, and
- (c) the number of such cases noticed/registered in each office/CGHS along with the action taken thereon?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a) to (c): Some complaints have been received against private empaneled hospitals regarding denial of credit/services and overcharge amount. The details such complaint along with action taken is attached at Annexure .

Instruction for refund of subscription, after deducting an amount for the period for which CGHS card was utilized as family pensioner, are in place. vide Office Memorandum No. S.11012/1/2016-CGHS(P) dated 19.09.2016. Two cases through physical letter were received in Nagpur city, for refund of one-time payment/adjust the payment paid for pensioner CGHS card after surrendering the pensioner card and taking the serving CGHS cards by the spouse on getting employment.

## List of complaints along with action taken

|   S. No. | Name of Hospital                                                                                                                                 | Action Taken                                                                                                                                                                                                            |
|----------|--------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|        1 | Paras HMRI Hospital, Patna Complaint letter received in physical form regarding negligence. CGHS empanelment of hospital suspended for 6 months. | Paras HMRI Hospital, Patna Complaint letter received in physical form regarding negligence. CGHS empanelment of hospital suspended for 6 months.                                                                        |
|        2 | Kailash Hospital & Heart Institute, Noida                                                                                                        | Complaint letter received in physical form regarding non- compliance of CGHS guidelines. Hospital penalized by liquidating Rs. 1.5 Lacs from Performance Bank Guarantee and overcharged amount refunded to beneficiary. |
|        3 | Jaypee Hospital, Noida                                                                                                                           | Acomplaint was received through e-mail regarding overcharging. Show Cause Notice issued. Hospital refunded the overcharged amount to beneficiary.                                                                       |
|        4 | Max Super Specialty Hospital, Saket                                                                                                              | Complaint letter received in physical form regarding overcharging. Show Cause Notice issued Hospital refunded the overcharged amount to beneficiary.                                                                    |
|        5 | Fortis Escorts Hospital, Faridabad                                                                                                               | Complaint letter received in physical form regarding non- compliance of CGHS guidelines. Awarning letter issued to the hospital.                                                                                        |

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