Tele 25683476
Mil: 36833 Central Organisation ECHS
Adjutant General’s Branch
Integrated Headquarters
Ministry of Defence (Army)
Thimayya Marg, Near Gopinath Circle,
Delhi Cant-110010
B/49761/AG/ECHS 34 Dec 2022
IHQ of MoD (Navy)/Dir ECHS (N) Air Ha (VB)/DPS
Ha Southern Command (A/ECHS) HQ Eastern Command (A/ECHS) Ha Western Command (A/ECHS) HQ Northern Command (A/ECHS) HO Central Command (A/ECHS) HQ South Western Command (A/ECHS) HQ Andaman & Nicobar Command (A/ECHS) (All Regional Centres)
REIMBURSEMENTOF HOSPITAL STOPPAGEROLL CHARGES
1 Pl refer too
(a) Govt of India, Ministry of Defence letter No 24(8)/03/US(WE}/D(Res) dated 19 Dec 2003.
(b) Regulations for Medical Services of The Armed Forces -2010
(Revised Version).
(c) Govt of India, Ministry of Defence letter No 22D(13)/2020-D(WE/Res-1) dated 14 Dec 2012.(Copy attached)
Existing Policy dated 2. As 19 per Dec Para 2003 2 of all the Ex-servicemen(ESM) Govt of Ihdia, MoD/DESW and their letterdependent No 24(8)/03/US(WE)/D(Res) requiring hospital admission wll in normal course be referred to Service Hospital in station. For this purpose,
DGAFMS will earmark a suitable proportion of beds in all Service Hospitals for ECHS beneficiaries. In case of non-availability of beds /facilities in service hospitals patients will be referred to an empaneled hospital for admission. As per provisions of RMSAF-2010(Revised), only the ECHS beneficiary, his/her spouse and children below the age of 25 years are entitled for treatment in service hospitals. All other dependents who are ECHS beneficiaries such as parents, brothers/sisters, disabled PWD 2016 beneficiaries above 25 years age are accorded medical attention as non-entitled cases in service hospitals. Hospital Stoppage Roll Charges and miscellaneous medical charges are required to be paid paid for
for treatment undertaken in AFMS Hospitals. Such charges treatment in AFMS Hospitals are not reimbursable as MoD /DESW letter No per Para 4 of Govt of India, 24(8)/03/US(WE}/D(Res) dated 19 Dec 2003.

3. There are a number of cases where dependent ECHS beneficiaries such as parents,
4. brothers/sisters, 2016 beneficiaries above 25 years age who are not entitled for Service Hospitals are treated in there. treatment in According to Para 297 may (a) these non-entitled patients be treated in AFMS hospitals with permission of Station Commander after with the CO Hospital if accommodation is consultation available on payment of the stoppages. However, prescribed hospital as per Para 4 () of the Govt of 24(8)/03/US(WE)/D(Res) dated 19 Dec 2003 Hospital India, Ministry of Defence letter No Stoppage Rolls and any other charges paid for treatment in AFMS Hospitals will be paid in full by the ECHS member and are not reimbursable.
   Amendments to Existing Policy 2 n order to facilitate Denericiaries, reimbursement of Hospital Stoppaae Roll Charges paid by Er an amendment has been issued to Para 4 of GOI, MoD 24(8)/03/US(WE)/D(Res) dated 19 Dec /DES e 2003 vide Gol/MoD vide its letter No D(WE/Res-1) 22D(1320 dt 14 Dec 2022 as under (Copy attached). attachea).
5. The amendment reads
   Hospital Stoppage Rolls (HSR) and any other charges expended for treatmentak in Militaryl Armed paid by the forces Hospital will be paid in full by the beneficiary and charges beneficiary will be reimbursed by ECHS.”
   Procedure for reimbursement
6. After admission and treatment, the AFMS hospital will levy HSR and charges on the ECHS any other beneficiaries. The hospital will provide a copy of the bill of the HSR and other charges levied from the ECHS beneficiary along with a break up of the bill, the discharge slip and discharge summary.
   The ECHS beneficiary will pay the HSR and any other charges in full to the AFMMS Hospital and take a receipt of the bill having paid.
   8. After discharge the beneficiary will either upload the bills of the HSR on the site ofthe Bill Processing Agencyhttps://www.echsbpa.utitsl.com/ECHS/Beneficiary.or submit the bills to his parent polyclinic for reimbursement.
7. The bills so submitted will be processed as Individual Reimbursement Bills as per procedure.
8. The Bill Processing Agency (BPA) will process the bill and reimburse the bill 100% as applicable to any Govt Hospital. A referral from ECHS Polyclinic will not be mandatory for treatment in Service Hospitals and reimbursement of HSR Charges paid by the ECHS Beneficiary.
   The above policy will be
   letter No applicable from the date of issue of the GO, MoD/DESW 22D(13)/2020-D(WE/Res-1) dt 14 Dec 2022.
9. 
   (SK Gupta) Col
   Offg Dir(Med) For MD ECHS
   Encls: As above
   Copy to:
   MoD/DoESW for info wrt your letter under ref.
   Olo DGAFMS
   DGMS Army
   DGMS Navy for info
   DGMS Air
   CDA
   Internal’
   Ops &Coord, P & Fc, Claim Sec, C& l
   Stats & Automation Sec
   for info.
   for uploading on ECHS Website.
   No. 22D (13)/2020-D(WE/Res-l)
   Government of India
   Ministry of Defence
   (Deptt. Of Ex-Servicemen Welfare)
   Room No. 221, B-wing, Sena Bhavan, New Delhi,
   Dated: 11 December, 2022
   To
   Fhe Chief of Army Staff The Chief of Naval Staff The Chief of Air Staff Subject Procedure for payment and reimbursement of Medical EXpenses de ECHS reg.
   Sir
   With reference to Govt of India, Ministry of Defence Letter No
   24(8)/03/Us(WE)/D(Res) dated 19 Dec 2003, I am directed to convey the sanction of the President on the partial modification in Para 4 ( of Annexure to the above referred letter dated 19 December 2003 regarding treatment at Military/Service Hospital, as under For.
   Hospital Stoppage Rolls and any Para 4 (f Treatment at Military Hospital. other charges expended for treatment in Military Hospitals will be paid in full by the member and is not reimbursable.Read
   Para 4 (f. Treatment at Military/Armed Forces Hospital. Hospital Stoppage Rolls (HSR) and any other charges expended for treatment taken in Military Armed Forces Hospital will be paid in full by the ECHS beneficiary and the charges paid by
   the ECHS beneficiary will be reimbursed by ECHS.
10. This amendment in the policy shall be effective from the date of issue of this letter. This issues with the concurrence of MoD (Fin/Pen) vide their
    32(08)/2021/FIN/PEN dated 20.07.2022.
    ID No. 3.
    Yours faithfully,
    (Dr. P P Sharma) OSD (WE & Copy to IC)
11. PPS to RM
12. PPS to RRM
13. CGDA, New Delhi
14. AG, IHQ of MoD (Army) 5. COP, IHQ of MoD (Navy