[Resolved]  ECHS — Medicine Unavailability

SAME PROBLEM EVEN FOR MY FATHER(POST RENAL TRANSPLANT), , , THE ECHS HAVE NOT BEEN GIVING PERMISSION FOR PROCURING MEDICINES SINCE FEW MONTHS, WE ARE BUYING THOSE MEDICINES ...ANY WAY TO SOLVE THIS PROBLEM

The complaint raised is very much jenuene as today itself as 04 dec 09 i reported sick to ECHS DEVOLALI NASIK. The sugar level have been detected very high as f_320 and pp_430, also bp very high 152/102.out of seven medicine one is short and will be available after 20 days only stated by o i/c ECHS DEVOLALI.

The complaints raised is correct as recently my father who has undergone Angioplasty was given six medicine but Regency Hospital, Kanpur medical unit gave only two injection instead of five which were prescribed, when ECHS 7 Air Force was informed they said that they are not in picture and reply from medicine department was that they will give order for it and it can be collected after seven days and they will not reimburse the amount.

I went to echs secunderabad, one of the biggest in india, and thus best equiped and staffed, for acute respitory problem and viral fever, referal no 316, 0f 13/14/2011, reportd to Col Rama Krishana, he perscribed 5 madicines, out of which only 2 were issued and remaing 4 namely nasal drops.ccitrizin, seroflow, asthele inhaler, monte lucaste were NA, for them i was told to visit M H Secunderabad. It was already 130 pm hence i was told to go after 4.30 pm. At 5 pm i went to MH dispensary, where i found the issue window closed, some came from in gate of this dispensary, i requested him as i had high fever, he touched my wrist and realised i was speaking truth, gave me medicines, except citrizine, for which i was directed to medical store.I approached NK Manjinder sigh of medical store, who gave a negative reply saying he did not have the medicine. I wonder an M H as big as Secunderabad not having a basic drug like citrizine and wanted to meet some one higher up, this further provoked NK Manjinder who declared that I can meet any one

Similar thing did take place in May 2010, and when in fever I came out of MH Secunderabad I met with accident and damaged my car costing me 27000/

What to do, I feel sorry for wring such things for an organisation whom I love mere than my life

The under mentioned letters have been forwarded to the authority concerned, but no action have being taken by respective authorities concerned. If medicine is NA in ECHS polyclinic the member (Patient) never await for regular source of supply if do so he/his family members must count down of time without medicine at the old age. So such types of members have to procure from local market. What is the reason why ECHS members are deprive from his entitlement? If Special investigation facility is not available/ provided by empanelled hospital at location expense of Lab Charge offered to ESM as per CGHS rate. I hope it is not bargain it is a donation like offering to a bagger.


[protected]
Maj ( Retd ) Sarat Chandra Mahanta 10 Mile Amsing Jorabat
Post -Satgaon Guwahati-27
Dist -Kamrup (M) Assame

990/echs/2013 Dec 2013


To OIC ECHS Policlinic
Guwahati Assam

MEDICINE NA IN ECHS POLICLINIC: CASH PURCHASING ISSUE

1. Please refer to my letter 990/echs/13 Dated 22 Nov 13 Copy enclosed.
2. It is submitted that my wife Mrs Meena Mahanta is a neurological patient under treatment at GNRC Sixmile Guwahati through ECHS Policlinic since long. She was admitted in the GNRC hospital for 14 and 15 of Sept 13. Medicines prescribed by concerned specialist are not found available in the ECHS dispensary since Sep 13.

(a) Tablet Livipil 1000mg 1 Teb twice daily.
(b) Capsule Pregabid 50 mg 1 Cap twice daily.

3. As per your direction no claim for reimbursement to be entertained for OPD patient cash purchasing bill as per existing order. Both medicines are so important for neuro-patient and could be brake for a day; adverse effect is must. It is also not possible to wait for PVMS Supply; some medicine which is prescribed by doctor of ECHS empanelled hospital are not in the inventory of AFMSD. The doctor’s opines that prescription signed by me is a bonafied authority everywhere, and unwilling to sign the claim documents. He is not interested whether prescribed medicines are provided by ECHS policlinic or purchase by patient.

The under mentioned bills with relevant doc are resubmitted herewith.

(a) IS/130914/000090 – Rs 213/-
(b) IS/130914/000089- Rs 236/-
(c) CR/130915/000001 Rs- 1797/-
(d) CR/130915/000002 Rs- 1000/-

4. It is also requested that initiate a prompt action to provide those medicine through ECHS either through AFMSD or LP for urgent requirement, so that members not to harass for due course as well deprive form his actual entitlement. It is also observed that NCO dedicated in ECHS dispensary is sole provisioned auth, He is performed well but he has certain limitation also. Each member of ECHS has been paid the requisite membership amount deducted from service gratuity in PPO. It is unforeseen event of cash payment of treatment medicine.

5. In view of the above you are requested to process ibid bills, action please be taken on provisioning of medicine at the earliest and confirm pl.
______________________
Maj (Retd) SC Mahanta
Enclo.:-
As above with relevant papers in duplicate.

[protected]
Maj ( Retd ) Sarat Chandra Mahanta 10 Mile Amsing Jorabat
Post -Satgaon Guwahati-27
Dist -Kamrup (M) Assam

990/echs-2/2014 Jan 2014


To OIC ECHS Policlinic
Guwahati Assam

MEDICINE NA IN ECHS POLYCLINIC: CASH PURCHASING ISSUE


1. Please refer to
(i) My letter No 990/echs/13 dated 31 Dec 13.
(ii) Your letter No ECHS/008/Obsn dated 20 Jan 2014 address to Station Cell ECHS HQ 51 Sub Area

2. The claim documents submitted vide letter referred para 1(i) above for your necessary action. As per your letter above referral letter to GNRC dt 16 Sep and hospital admission papers for 14 and 15 Sep attached with ibid documents. It may possible that erroneously referral letter attached in that letter. Therefore Xerox copy of actual referral letter to GNRC ser no 00686 dated 11 Sep 13 is forwarded herewith. It is requested that previous referral letter incorrectly submitted by undersigned please be removed from enclosure and present correct copy attached for action.

3. I shall be extremely grateful if you acknowledge of this letter.

4. In conveyance regretted please.


_____________________
Maj (Retd) SC Mahanta

Enclosure-

Copy of referral letter to GNRC dt 11 Sep 13.

[protected]
Maj ( Retd ) Sarat Chandra Mahanta 10 Mile Amsing Jorabat
Post -Satgaon Guwahati-27
Dist -Kamrup (M) Assam

990/echs/2014 Feb 2014


To OIC ECHS Policlinic
Guwahati Assam


SUBMISSION OF CLAIM DOCUMENTS: SPECIAL INVESTIGATION


1 It is submitted that Maj Ashis Shukula Graded Specialist of Medicine was advised to my wife during review for a special investigation of Blood through ECHS empanelled hospital. ECHS referral letter Ser No 00158/0011 dated 03 July 13 was issued by your policlinic to GNRC Guwahati. The GNRC authority returned that referral with a remark as “This test has not been available’. The point was discussed with you by undersigned and further the simple had been given in Dr Lal Path Labs Chandmari Guwahati as advised. A sum of Rs 900/- had been paid for the ibid investigation.

2. You are requested to process re-imbursement claim since the amount paid in cash at Dr Lal Path Lab. The following documents are enclosed herewith for your necessary action.

(a) ECHS referral letter Ser No 00158/0011 dated 03 July 13;- in original
(b) Copy of advice prescription by Med Spl – 02
(c) Invoice cum Cash receipt – Original -01 Xerox copy-01
(d) Copy of Test Report- 02
(e) Copy of ECHS Card- 02

3. An early action is requested please

Please let me know what remedial measures are available on U/M letters because no reply as well as improvement till date. ESM members now become bound to count down if NA medicine not being taken from local market on cash payment


[protected]
Maj ( Retd ) Sarat Chandra Mahanta 10 Mile Amsing Jorabat
Post -Satgaon Guwahati-27
Dist -Kamrup (M) Assam

990/echs/2013 Nov 2013


To OIC ECHS Policlinic
Guwahati Assam

MEDICINE NA IN ECHS POLICLINIC: CASH PURCHASING RECEIPT FWD OF

1. It is submitted that my wife Mrs Meena Mahanta is a neurological patient under treatment at GNRC Sixmile Guwahati through ECHS Policlinic since long. She was admitted in the GNRC hospital for 14 and 15 of Sept 13. At the time of discharge GNRC was charged under mentioned I paid bill amount for taking clearance from cash counter. I was speaking with GNRC PRO Mr Sharma but he told me this is the compulsory payment. I am authorized to treated my spouse at ECHS Empanelled hospital. The following bills are forwarded herewith for further processing claim.
(a) IS/130914/000090 – Rs 213/-
(b) IS/130914/000089- Rs 236/-
(c) CR/130915/000001 Rs- 1797/-
(d) CR/130915/000002 Rs- 1000/-
2. As advice in the GNRC Hospital discharge note the following medicine was NA in ECHS as well as in Medical store.
(i) Tab Livipil (ii) Cap Pregabid 50mg.
3. To fulfill urgent requirement for combination with other medicine both medicine had been purchased from GNRC Medishop. Purchased bill No [protected] dt 22 0ct 13 Rs 1653.63 and ECHS NA Slip dt 19 Oct 13 is forwarded herewith for further processing claim please.


______________________
Maj (Retd) SC Mahanta
Enclo.:-
As above with relevant papers in duplicate.

[protected]
Maj ( Retd ) Sarat Chandra Mahanta 10 Mile Amsing Jorabat
Post -Satgaon Guwahati-27
Dist -Kamrup (M) Assam

990/echs/2013 Dec 2013


To OIC ECHS Policlinic
Guwahati Assam

MEDICINE NA IN ECHS POLICLINIC: CASH PURCHASING ISSUE

1. Please refer to my letter 990/echs/13 Dated 22 Nov 13 Copy enclosed.
2. It is submitted that my wife Mrs Meena Mahanta is a neurological patient under treatment at GNRC Sixmile Guwahati through ECHS Policlinic since long. She was admitted in the GNRC hospital for 14 and 15 of Sept 13. Medicines prescribed by concerned specialist are not found available in the ECHS dispensary since Sep 13.

(a) Tablet Livipil 1000mg 1 Teb twice daily.
(b) Capsule Pregabid 50 mg 1 Cap twice daily.

3. As per your direction no claim for reimbursement to be entertained for OPD patient cash purchasing bill as per existing order. Both medicines are so important for neuro-patient and could be brake for a day; adverse effect is must. It is also not possible to wait for PVMS Supply; some medicine which is prescribed by doctor of ECHS empanelled hospital are not in the inventory of AFMSD. The doctor’s opines that prescription signed by me is a bonafied authority everywhere, and unwilling to sign the claim documents. He is not interested whether prescribed medicines are provided by ECHS policlinic or purchase by patient.

The under mentioned bills with relevant doc are resubmitted herewith.

(a) IS/130914/000090 – Rs 213/-
(b) IS/130914/000089- Rs 236/-
(c) CR/130915/000001 Rs- 1797/-
(d) CR/130915/000002 Rs- 1000/-

4. It is also requested that initiate a prompt action to provide those medicine through ECHS either through AFMSD or LP for urgent requirement, so that members not to harass for due course as well deprive form his actual entitlement. It is also observed that NCO dedicated in ECHS dispensary is sole provisioned auth, He is performed well but he has certain limitation also. Each member of ECHS has been paid the requisite membership amount deducted from service gratuity in PPO. It is unforeseen event of cash payment of treatment medicine.

5. In view of the above you are requested to process ibid bills, action please be taken on provisioning of medicine at the earliest and confirm pl.
______________________
Maj (Retd) SC Mahanta
Enclo.:-
As above with relevant papers in duplicate.

[protected]
Maj ( Retd ) Sarat Chandra Mahanta 10 Mile Amsing Jorabat
Post -Satgaon Guwahati-27
Dist -Kamrup (M) Assam

990/echs-2/2014 Jan 2014


To OIC ECHS Policlinic
Guwahati Assam

MEDICINE NA IN ECHS POLYCLINIC: CASH PURCHASING ISSUE


1. Please refer to
(i) My letter No 990/echs/13 dated 31 Dec 13.
(ii) Your letter No ECHS/008/Obsn dated 20 Jan 2014 address to Station Cell ECHS HQ 51 Sub Area

2. The claim documents submitted vide letter referred para 1(i) above for your necessary action. As per your letter above referral letter to GNRC dt 16 Sep and hospital admission papers for 14 and 15 Sep attached with ibid documents. It may possible that erroneously referral letter attached in that letter. Therefore Xerox copy of actual referral letter to GNRC ser no 00686 dated 11 Sep 13 is forwarded herewith. It is requested that previous referral letter incorrectly submitted by undersigned please be removed from enclosure and present correct copy attached for action.

3. I shall be extremely grateful if you acknowledge of this letter.

4. In conveyance regretted please.


_____________________
Maj (Retd) SC Mahanta

Enclosure-

Copy of referral letter to GNRC dt 11 Sep 13.

[protected]
Maj ( Retd ) Sarat Chandra Mahanta 10 Mile Amsing Jorabat
Post -Satgaon Guwahati-27
Dist -Kamrup (M) Assam

990/echs/2014 Feb 2014


To OIC ECHS Policlinic
Guwahati Assam


SUBMISSION OF CLAIM DOCUMENTS: SPECIAL INVESTIGATION


1 It is submitted that Maj Ashis Shukula Graded Specialist of Medicine was advised to my wife during review for a special investigation of Blood through ECHS empanelled hospital. ECHS referral letter Ser No 00158/0011 dated 03 July 13 was issued by your policlinic to GNRC Guwahati. The GNRC authority returned that referral with a remark as “This test has not been available’. The point was discussed with you by undersigned and further the simple had been given in Dr Lal Path Labs Chandmari Guwahati as advised. A sum of Rs 900/- had been paid for the ibid investigation.

2. You are requested to process re-imbursement claim since the amount paid in cash at Dr Lal Path Lab. The following documents are enclosed herewith for your necessary action.

(a) ECHS referral letter Ser No 00158/0011 dated 03 July 13;- in original
(b) Copy of advice prescription by Med Spl – 02
(c) Invoice cum Cash receipt – Original -01 Xerox copy-01
(d) Copy of Test Report- 02
(e) Copy of ECHS Card- 02

3. An early action is requested please


_________________________
Maj(retd) SC Mahanta


Bagger


[protected]
Maj ( Retd ) Sarat Chandra Mahanta 10 Mile Amsing Jorabat
Post -Satgaon Guwahati-27
Dist -Kamrup (M) Assam

990/echs/2014 Feb 2014

To

Col HK Das (Retd)
OIC ECHS Policlinic
Guwahati Assam
[protected]


SUBMISSION OF CLAIM DOCUMENTS: SPECIAL INVESTIGATION


1. Please refer to:

(a) My letter even No dated 12 Feb 2014.
(b) Tele conversation at 10-40 AM on 15 Feb 2014.

2. You are requested to make an amendment in Para-1 of letter referred at 1(a) as under:-

For- “This test has been available’
Read- “This test has not been available’

Due to typing mistake and overlook on the hard copy the error had been occurred. Unforeseen cause of error regretted please.

3. As per telephone discussion it is confirm by you that the claim only can be process as per CGHS rate Rs 37/- only instead of Rs 900/- which had already been paid by me. If the electrophoresis test is not available in service hospital as well empanelled hospital of ECHS where should go by ECHS members that also not specified in your policlinic. CGHS rate Rs 37/- is not mandatory for me to claim.

4. You are requested to return my all claim documents submitted to you vide letter referred above. I will be extremely grateful to you if you could mention original authority under which the claim only applicable as per CGHS rate in the return letter.


Maj (Retd) SC Mahanta

Sir, I am Wg Cdr B.K.Bose (Retd) and avail the ECHS facility from ECHS Polyclinic, Salt lake, Kolkata.My wife visited the doctor on 28th Feb and as usual Saxagliptin tablet 5 mg was prescribed for 30 days. for her diabatic.The said medicine was not available on the said date and was available only on 19th March. On producing the medical document the medical assistant gave medicine for only 10 days, although it has been confirmed by both officer i/c Col Mukherji (Retd) and also Col Guha, Regional center, Kolkata.Both say the medicine was not short supply now, but this procedure of issuing medicine for balance of days are in order.My contention is that these costly medicines are purchased by the patients when not avilable at the counter. When it is available, medicine for full 30 days as per the medical document must be issued. In case the medicine is avilable on later days, the balance medicine with the patients will be utilised by the patients when ever the same gets exhausted from the counter. Government is not paying extra by issuing full 30 days medicine to the patients. Rather when less medicines are issued, chances of costly extra balance medicines going to wrong hands cannot be ignored. A suitable guide line may please be issued with a copy to my E mail address.
Thank you
Wg Cdr B.K.Bose (Retd) Tel [protected]

Virander kumar

Dear Sir
i retired from Signals as Nk on completion of 17 years with 30% disability pension and now I am a ECHS member.I use to get prescribed medicine from ECHS (Gurdaspur) punjab as the medicines for my case ( Ulcerative colitis are costly, now I have not been issued the same since last so many months, as they are life saving medicine for me so I had to procure it from civil which is very difficult for person like me who is having no income other than pension to afford such costly medicine, I want to know why the medicines are not available even after my so many requests to store personnel through O/ic. Please help me out