ECHS Handbook
ECHS Handbook
INDEX
ELIGIBILITY CONDITIONS
1. The scheme caters for Cashless and Capless quality medical care to all
Ex-Servicemen (ESM) pensioners includes disability, family pensioners and their
dependents. It also includes wife/ husband, legitimate children and wholly dependent
parents of the ESM. To be eligible for membership of ECHS, a person must meet
following twin conditions:-
(b) Should be drawing normal service/ disability/ family pension from CDA.
2. ESM Pensioners. Any personnel who has served in any rank as a combatant
or non- combatant in the regular Army, Navy and Air Force of the Indian Union and
fulfills the following conditions:-
(a) Who has retired from service after earning his/ her pension.
(b) Who has been released from service on medical grounds attributable to
military service or, in circumstances beyond his control, and is in receipt of
medical/ disability pension.
Note:- ESM who are drawing only disability element (without service/ retiring
pension) cannot be considered as pensionary award. Hence, such types of
ESM may not be granted ECHS membership.
(i) Persons with disability attributable to mil service, who meet the
twin eligibility conditions as mentioned at Para 1 above.
(ii) Gallantry Award winners who meet the twin eligibility conditions
as mentioned at Para 1 above.
(h) Whole Time NCC Officers of National Cadet Corps (NCC) who are ESM
and in receipt of pension/disability/family pension.
(j) Eligible APS pensioners who were existing 16/32Kb ECHS card holders
prior to 17 Nov 2016 and who finally retired directly from the APS without
reversion to the Dept. of Posts.
4. Family Pensioners.
(b) Parents i.e. mother and father of an unmarried deceased soldier and in
case of deceased parents, the NOK of unmarried deceased soldier are also
eligible, provided they are in receipt of liberalized family pension.
6. Parents.
(b) Parents of the spouse of ESM are not permitted to become members.
(c) In case a widow, who is in receipt of family pension joins the ECHS, then
parents of her late husband can be made dependents.
(d) In case both husband and wife are defence personnel, parents of both
members are eligible if both pay subscription subject to meeting dependency
criteria. As well as in case of female employees, parents or parents-in-law at
her option subject to the conditions of dependency and residence etc. being
satisfied.
(e) If adoptive father has more than one wife, only the first wife is eligible.
7. Spouse.
(a) Legally wedded wife including more than one wife. Spouse living
separately is included as dependent, as long as the ESM pensioner is
responsible for her maintenance. In case spouse remarries, then he/she is not
entitled.
(b) When the spouse is legally separated, he/ she cannot be termed as a
dependent and hence cannot be made member of ECHS.
(c) In the event of plural marriage, where it is permitted by the rules, the
following conditions should be fulfilled for claiming ECHS membership:-
(i) Necessary casualty for entering into plural marriage should have
been published through unit Part II orders and names of both the wives
should be found recorded in the service discharge book/ service
particulars of retired officer’s booklet issued by respective Service HQ.
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(ii) The names of both the wives should be found recorded in the
PPO for grant of family pension award.
(iv) If a war widow remarries then she and her children from first
marriage are eligible. Her husband, however, will NOT be eligible.
8. Daughter.
Auth: Central Org ECHS letter No B/49701-PR/AG/ECHS dated 01 Jun 2006 and
27 Sep 2017.
(b) Income should be less than Rs 9000/- per month excluding DA thereon.
Auth: Central Org ECHS letter No B/49701-PR/AG/ECHS dt01 Jun 2006dt27 Sep
2017 and 16 Nov 2017.
10. Son. Son is eligible for ECHS membership till he starts earning or attains the
age of 25 years or gets married, whichever is earlier. A mentally/ physically
handicapped son who is unable to earn his livelihood is permitted to be dependent for
life time. It means that ECHS benefits are entitled to dependent disabled son beyond
25 years of age subject to the following eligibility conditions:-
(d) Income should be less than Rs 9000/- per month excluding DA thereon.
11. Personnel With Disability Act. Disability should be listed in PWD Act 2016
(List of 21 diseases as per PWD Act 2016 are:- Blindness, Low-vision, Leprosy Cured
persons, Hearing Impairment (deaf and hard of hearing), Loco-motor Disability,
Dwarfism, Intellectual Disability, Mental Illness, Autism Spectrum Disorder, Cerebral
Palsy, Muscular Dystrophy, Chronic Neurological conditions, Specific Learning
Disabilities, Multiple Sclerosis, Speech and Language Disability, Thalassemia,
Hemophilia, Sickle Cell Disease, Multiple Disabilities including deaf, blindness, Acid
Attack Victim and Parkinson’s Disease.
Note : PWD Act 2016 annuls PWD Act 1995. However the benefits extended under
PWD Act 1995 to existing members will continue, even under PWD Act 2016
irrespective of category(Married/ unmarried) subject to applicant meeting the income
criteria Rs 9000/-pm excluding DA thereon.
Auth : MoD, DoESW letter No 18(77)/2017/WE/D(Res-1) dt 18 Sep 2018 and CO
ECHS letter No B/49701-PR/AG/ECHS/2020 dt 14 Jul 2020.
(a) Whole time NCC officers who do not meet the twin conditions of being
an ESM and in receipt of pension.
(c) Married and/or employed daughter/ and any child whose total monthly
income from all sources in more than Rs9000/- + DA pm thereon.
(d) Sons above 25 yrs of age or who have started earning or get married
whichever is earlier.
(f) Husband of a re-married war widow including children born from him.
(g) ESM drawing only disability element (without service/ retiring pension)
cannot be considered as pensioner’s award. Hence, such types of ESM are
ineligible for ECHS facility.
(h) Ex-cadets/ disabled cadets who were boarded out on medical grounds
do not have ESM status. Hence, ECHS facility is not considered.
CONTRIBUTION
14. Exemption from ECHS Contribution. Following pers are exempted from
payment of ECHS contribution:-
15. Income Tax Exemption. GoI has exempted contribution made under ECHS
under Sec 80D (deduction for premium paid for medical insurance) of the IT Act from
Income Tax. This is applicable from the AY 2019-20 and subsequent assessment
years.
16. Fixed Medical Allowance (FMA). GoI has granted FMA to all ECHS
beneficiaries who are residing in districts not covered by ECHS Polyclinics, Service
hospitals or MI Rooms. Despite being an ECHS member, personnel residing in such
area would be eligible for FMA and IPD treatment. The residence address for this
purpose would be the same as the permanent address mentioned in the PPO. A list
of such districts (revised yearly) for which FMA is admissible, is available on the ECHS
website www.echs.gov.in. It may be noted that ECHS beneficiary drawing FMA would
not be entitled to OPD facility at ECHS Polyclinic and Service hospitals. These
beneficiaries would also not be eligible for referral to empaneled facilities for treatment
in OPD. As and when an ECHS Polyclinic is operationalised in a district, FMA for
ECHS beneficiaries of that district would cease from the following month.
17. 64 KB ECHS Smart Cards. All 16 and 32 KB ECHS cards are invalid w.e.f
31 Dec 22. Beneficiaries are being continuously informed to renew their cards and
majority of the beneficiaries have upgraded their cards also.
20. White Cards. A visually different White Smart Card is being provided to
category of beneficiaries as mentioned below:-
(a) Category.
(b) Facilities. As per existing provisions, White Card holders are given
priority treatment at all ECHS polyclinics. They enjoy priority in being attended
by a doctor as well as in issuance of medicines at the Polyclinic.
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21. Treatment in Service Hospitals. All eligible ECHS members (except for those
mentioned at Para 3 are entitled treatment in service hospitals. Service hospitals will
provide them treatment required on a referral basis through the parent polyclinic. They
can also report directly to a service hospital in case of an emergency or even when
the polyclinic is closed or does not exist in a station. The treatment provided to an
ECHS member is subject to the availability of bed, required specialty and diagnostic
facility in the service hospital.
(b) A single referral for treatment in the empanelled hospital will be valid for
30 days. Referral for the cases of Cancer will be valid for a period of three
months.
(c) Patient can be referred for indoor treatment, Investigation, day care and
consultation in empanelled hospital, if required facility is not available in the
service hosp.
(d) ECHS smart card with photocopy and referral will be produced at the
hospital reception for availing of the treatment.
(c) Reimbursement will only be allowed for the actual emergency at the
CGHS rate or actual claim whichever is less, irrespective of amount spent by
the individual.
(d) Onus of proving that the treatment was taken for an emergent condition
lies on the ECHS member.
24. Treatment under AYUSH. Govt has authorised treatment under AYUSH
(Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy) for all ECHS
beneficiaries. Accordingly, treatment in Govt AYUSH hospitals is permitted on
reimbursement basis at full rates including the cost of prescribed medicines.
Permission has to be taken from Oi/c of the Polyclinic or Director, Regional Centre or
CO ECHS, for a particular disease. However, only one system of treatment is allowed
at any one time and the choice has to be made by the beneficiary prior to
consultation/treatment.
(a) Denture will be permitted on the advice of a Dental Officer in the ECHS
Polyclinic/ Service Dental Centre.
26. Dialysis.
(b) Stations where facility of Dialysis doesn’t exist, the dialysis can be
carried out in a non-empanelled hospital. It will be reimbursed at CGHS rate or
amount paid, whichever is less, once in a month.
28. Treatment in the Govt/ Civil Hospital and an Institute of National Repute.
(e) (e) If medicines are Not Available (NA) at the dispensary of ECHS PC,
then OIC PC will procure medicines from Authorised Local Chemist (ALC) and
provide the same to the beneficiary within 48-72 hrs. If medicines are NA in
dispensary as well as ALC, then NA will be given on prescription to ECHS
beneficiary based on which the beneficiary can purchase the medicines from
local med store and claim reimbursement. There is no provision for
reimbursement of expenses on medicines purchased by ECHS member
on his own.
GOOD TO KNOW
32. All ECHS members are provided medical services through Parent Polyclinic in
a station. The ECHS member must always have the following documents with him:-
(b) A list of documents required for submission to ECHS Polyclinic for re-
imbursement in case of availing an emergency treatment in as non-empanelled
hospital.
(a) An ECHS beneficiary can change his parent Polyclinic online once in six
months, in case desired.
(b) Data related to ECHS beneficiary and his/ her dependents can be
amended/ changed online.
(c) There exists an online provision to add dependents after filing necessary
application form which is available online.
(f) Claim related waivers and sanction can be processed online for
reimbursement of all individual claims.
(g) The facility for online uploading of claims for reimbursement with options
of IPD, OPD and pharmacy bills has been enabled on the BPA portal. The status
of the claim is also visible to the beneficiary on the BPA portal.
(h) An NA/ LP of Med Module exist wherein the ECHS Polyclinics can
prepare summary of NA medicines on daily basis and demand the NA
medicines from Authorised Local Chemist (ALC).
GRIEVANCE REDRESSAL
38. ECHS Beneficiaries have the following options available for seeking redressal
of their grievances:-
(a) Online.
(ii) E-mail. CMDE ECHS (N) can be reached for addressing any
grievance or litigation on echsdelhi@navy.gov.in. Additionally,
complaints can also be registered by e-mail to the Director (Complaints
and Litigation), Central Organisation on dircomplaints-mod@nic.in.
RESOURCES/ CONTACT US
39. Timings of ECHS Polyclinics.
41. Important Websites & emails. There are a number of websites with useful
information concerning our Veterans. A few important ones are as follows:-
(a) www.desw.gov.in and secyesw@nic.in
(b) www.echs.gov.in and mdechs-mod@nic.in and echsdelhi@navy.gov.in
(c) www.ksb.gov.in and secretaryksb@gmail.com
(d) www.pcdapension.nic.in and cd-albd@nic.in
(e) www.pcdanavy.nic.in and pcdapension@nic.in
(f) http://indianarmy.nic.in
(g) www.indiannavy.nic.in
(c) Upload Copy of MRO, if applicable. (AFVs retired prior to 01 Jan 1996
and battle casualties / war widows are exempted from paying contribution)
(d) Upload Copy of PPO / Pension book and service discharge book
showing details of dependents.
(a) Collect 64Kb ECHS smart card both physically and electronically.
(b) If data needs correction, check his/her online verified application.
(c) If data needs correction and data printed on the card is same as verified
online application.
(d) ESM will login to ECHS website, echs.sourceinfosys.com using his login
credentials.
(a) Spouse to apply through DESA (Naval Veterans) with copy of PPO (if
not held by Spouse then same will be provided by DESA)
(c) Upon approval of CO, ECHS the spouse will be able to register as
Marital Discord case on the ECHS website.
(d) Individual to login using login credentials and fill the online application
form.
(a) The cards once printed will be forwarded to the Parent Polyclinic.
Important Note. Please remember that this information Brochure provides only
“General Guidelines” which are subject to amendments from time to time. Exact
details must be obtained from the parent Polyclinic/Station HQ whenever
needed by an ECHS member.
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Q1. I have an ECHS card but I don’t know whether it is 16KB/ 32b/ 64 kb card?
Ans - (a) If you had applied between 2003 (commencement of scheme) till Apr
2010 and have never upgraded/ re-applied then you have a 16 kb card and the
same would have expired w.e.f 31 Mar 2019.
(b) If you had applied between May 2010 and May 2015, you have 32 kb card.
(c) If you had applied after Jun 2015, you have 64kb card.
Q2. Please tell me the process for filling of online application for ECHS Smart
Card?
Ans - To know the process of online application, please visit our website
www.echs.gov.in – ONLINE SMART VCARD APPLICATION – INSTRUCTIONS.
Ans - Photograph and Signature of all members is required to be attached with each
type of application. However, attachment of documents depends upon the type of
application. A list of documents required to be attached to each type of application is
mentioned below:-
Q6. I have filled my application and uploaded all the documents. How do I
know the status of my application?
Ans - The status of application can be checked by logging on to the website by ECHS
Beneficiary. Status (Observation/Verified/Card printed or dispatched) is shown on
viewing the application.
Ans - In such cases, these online applications are required to be withdrawn and fresh
application is required to be filled. This can be done online through a software module
available on the ECHS website. Central Organisation letter B/49711-
NSC/AG/ECHS/Withdrawal dated 04 Oct 2021 refers.
Ans – A facility of Revert Application has been provided in the system, wherein the
primary beneficiary can log-in and change the previously incorrectly filled data. This
facility would be feasible only till such time that the card has not been printed.
Q9. I have applied for a 64 kb card but have not received it yet. What should I
do?
(c) Card Printed/ Dispatched: - The card is printed and dispatched to Station
Headquarters/ Parent Polyclinic.
Q10. I have proffered a claim for X amount however the amount sanctioned is
less than the amount claimed?
Q11. Can all beneficiaries avail the direct specialist OPDs facility at Service/
Empanelled Hospitals?
Ans - No, only ECHS beneficiaries above 75 years of age can visit specialist OPDs at
Service/ Empanelled Hospitals without obtaining referral from ECHS Polyclinics. All
others are required to obtain referral from the Polyclinic to which they are attached to.
Q12. I had applied for 04 ECHS cards but all cards are not received?
Ans - In some cases, Record Office verifies the details for those beneficiaries whose
details are correct as per data held with the office and remainder applicants of that
particular application are placed under observation view discrepancies in the details
furnished by the applicant. Applicant may check their details on ECHS website/
Application for any Observation and correct/reconcile the observations and re-submit
the application online. Handholding of veterans is being undertaken at all Polyclinics.
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Q13. I am a 1992 retiree and have applied for the online ECHS Smart Card and
have also made the payment. However, I haven’t received the online generated
Temporary Slip. I am in need of emergency treatment. What should I do?
Ans - (a) In the online Smart Card Application following downloads are being
provided after successful completion of application and payment.
(v) Loss of 32 Kb Card cases (only for whom new card has been
applied).
(c) Temporary slips are not being generated for the first time applicants like,
Pre 1996 retire, 1996 to Mar 2003 retiree and Post Apr 2003 retiree not a
member yet. Once, their online applications are verified from their Record
Offices they will receive an SMS and after that temporary slip will be provided
which can be used for availing ECHS facilities.
Q14. How can I find out the expiry date of my ECHS card?
Ans - Date of membership is printed on the card against the field DOM. This date is
also the date of issue of the card. Cards expire on completion of 10 years.
Q15. What would happen if the card is not delivered in time? There are already
mails expecting delays in verification due to work load at records and service
HQ?
Ans - Temporary slips are valid for a period of six months. Validity of the online
generated Temporary slips can be extended further by Oi/c Polyclinics, which can be
utilized for availing ECHS facility, in case cards are not received within six months of
verification by Record Office.
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Q16. Whom should I approach in case the ECHS card is not issued to me in the
prescribed time?
Ans – The status of the card can be tracked by logging in on ECHS website or ECHS
Beneficiary Application. Discrepancies, if any, may be resolved by the beneficiary at
the earliest. Following can be contacted for resolving issues as the case may be:-
(a) In case application pending for verification contact to your Record office,
contact details of Record office are available on ECHS website.
(b) In case verified, but card has not been printed, beneficiary can contact
any of the following Helpline numbers:-
(i) 011-25682870
(ii) 1800-114-115
(c) If the beneficiary is still not satisfied or the issue has not been resolved,
an e-mail describing the issue can be sent on the following IDs:-
(i) jditechs1@echs.gov.in
(ii) jditechs-mod@nic.in
Ans - In case ECHS card is lost, the beneficiary should immediately login on ECHS
website (www.echs.gov.in) and apply for re-issue of Card after making the payment
online. The old Card will automatically get blocked. The new Card will be printed and
forwarded to Station Headquarters/ Parent Polyclinic. The beneficiary may also
download online Temporary slip and get it countersigned from the Oi/C of parent
polyclinic to continue getting entitled medical cover.
Q18. What should I do if the details on the card viz. name, date of birth,
entitlement etc. are wrong?
Ans - The beneficiary may login on ECHS website echs.gov.in by using login
credentials and apply for change of data. An auto populated application will open and
beneficiary can carry out required changes and upload the application by clicking
check box “I agree” and save the application. Make necessary payment online and
wait for verification by Record office. After verification, the card will be sent for printing.
In the interim, a Ty-Slip can be printed and used in lieu of card.
Q19. Is there a colour scheme for plastic cards? What are they?
Ans - There are following types of cards:-
(a) ECHS Normal Card
(b) PMR & SSCO
(c) White Card – White in colour (for PWD Disable)
MY ECHS INFORMATION
Beneficiaries are requested to fill in the following details for ready reference:-
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