Terms & Conditions of the Scheme
i. The scheme is to be implemented in all the Metros, State Capitals and Zonal Headquarters.
ii. Zonal Railways shall enter into an ‘MOU’ with already empanelled hospitals under their jurisdiction for the scheme. Further, if there are not enough recognized multi-specialty hospitals, zonal Railways shall recognize CGHS empanelled hospitals on CGHS approved rates and/or other hospitals as per extant policy and enter into an ‘MOU’ for the Smart Card Scheme.
iii. Smart Card should provide necessary demographic data and other relevant information on a standardized format.
iv. Zonal Railways shall award the job of issuing the Smart Card to a suitable services provider on most competitive rates, through open bidding.
v. It shall be the responsibility of the hospital to inform the authorized medical attendant regarding emergency within 24 hours. In case an admission is found to be of non-emergency nature, the treating hospital shall refer the patient to authorized medical attendant in next 24 hours.
vi. The scheme shall be implemented with the existing man power of Zonal Railways.
vii. Issuance of Smart Card is made mandatory to RELHS beneficiaries residing in the regions mentioned in (i) above and cost of the card as decided upon may also be included in the contribution towards joining RELHS at the time of retirement.
viii. The following conditions, shall qualify as emergencies.
• Acute cardiac conditions/syndromes.
• Vascular catastrophes, Carbo-vascular accidents.
• Acute respiratory emergencies.
• Acute abdomen including acute obstetrical, Gynecological emergencies.
• Life threatening injuries.
• Acute poisoning and snake bite.
• Acute endocrine emergencies.
• Heat stroke and cold injuries of a life threatening nature.
• Acute renal failure.
• Severe infections leading to life threatening situations.
• Any other condition in which delay could result in loss of life or limb.
Ref
Railway Board letter No. 2007/H/28/l/RELHS/Smart Card dated 18.07.2012 [1]
Links:
[1] http://indianrailwayemployee.com/circular/cashless-service-relhs-holder-treatment-recognized-private-hospitals-emergency