No.22A (55)/2013/US(WE)/D(Res)
Government of India
Ministry of Defence Department of Ex-Servicemen Welfare
Sena Bhavan, New Delhi

Dated    5th July, 2013

The Chief of army Staff The Chief of Naval Staff The chief of air Staff

Subject: Permission for treatment/investigations in respect of ECHS beneficiaries availing treatment for Diabetes, hypertension & other Cardiac diseases, Dialysis and Cancer.

The undersigned is directed to refer to the subject mentioned above and to state that at present the ECHS beneficiaries undergoing treatment for Diabetes, Hypertension & other Cardiac Diseases, Dialysis and Cancer require repeated investigations/treatment procedures over a period of time and as per the existing guidelines they are required to procure permission (referrals letter) every time to get the prescribed treatment/investigations done at ECHS empanelled hospitals/diagnostic centres.

2.    With a view to alleviate the inconvenience to ECHS beneficiaries in obtaining the requisite permissions (referrals) every time, this Ministry has decided to permit issue of permission (referral) letters by 1CHS polyclinics with a validity of six months from the date of issue of the original prescription for undergoing the prescribed investigation/treatment procedures to be conducted at the prescribed intervals over a period of six months as advised by a ECHS/Service/Govt. specialist, The same permission (referral) letter shall be valid for undergoing the prescribed treatment procedures/investigations on multiple times during the six months, at intervals as advised by the ECHS/Service/Govt. Specialist.

3.    This issues with concurrence of MoD(Finance) vide their U.O. No.1782/F/Pcn dated 5-7-2013

Yours faithfully,
Under Secretary to the Govt. of India