Purchases on recommendations of an ENT specialist?

Purchases on recommendations of an ENT specialist?

What is the procedure for reimbursement if Hearing Aid is purchases on recommendations of an ENT specialist?

Beneficiaries shall be eligible to obtain hearing aid as per the following guidelines

a. Patients/ Beneficiaries should be preferred to CGHS/Government hospital ENT specialist from the parent CGHS wellness centre.

b. The ENT specialist shall then recommend a hearing aid on basis of Audiometric and Audiological assessment, specifying the type of hearing aid most suited for the Beneficiary.

c. The ‘Audiogram report’ shall be authenticated by the ENT specialist/Consultant of the CGHS/Government hospital.

d. The permission to procure hearing aid shall be granted by the Additional Director of zone/city or by the HEAD OF DEPARTMENT/OFFICE in case of serving employees

e. An ‘undertaking’ by the beneficiary that he has not been reimbursed the cost of hearing – aid in the preceeding five years is to be submitted.

f. Reimbursement claim shall be submitted to CGHS ZONAL OFFICE through the CMO – Incharge of the Concerned dispensary by CGHS Pensioner beneficiaries in the prescribed medical 

reimbursement claim for along with the following documents

-Referral letter from parent CGHS Wellness Centre (computerized slip where computerization is done already)

-Copy of ‘prescription’ of ENT consultant (CGHS/Govt. Hospital) with the ‘Audiogram’ report duly authenticated by the treating ENT consultant (CGHS/Govt.).

-Copy of CGHS Card.

-Bill /Receipt (in original) carrying details of the hearing – aid seller i.e. NAME, QUALIFICATION, AND RCI/MCI REGISTRATION NUMBER of the hearing – aid seller.

-The ‘permission letter’ to purchase hearing – aid (in original).

-Empty Box/boxes or the Carton (s) with the label showing details of the hearing aid supplied.

g. In case of the other beneficiaries, the medical claim shall be submitted to the concerned Ministry/Department/Offices.

h. Replacement of hearing – aid may be permitted after 5 years on the basis of condemnation certificate issued by a technical expert and on approval of CGHS/Government ENT Surgeon.

i. Maintenance and repair will be the responsibility of the beneficiary.