What is the PES maker installation process under the CHGS scheme?

Hello Lokedh Ji,

Thank you for your question regarding pacemaker installation under the CHGS scheme (Central Government Health Scheme). Pacemaker implantation is a covered procedure under CHGS, but you need to follow the correct process for approval and reimbursement or cashless treatment.

Process for Pacemaker Installation under CGHS

Step-by-Step Procedure

1. Consultation at CGHS Wellness Centre:

   • First, visit your CGHS Wellness Centre for an evaluation by a CGHS-authorised medical officer.

   • They will examine your condition and, if required, issue a referral letter for further treatment at an empanelled hospital.

2. Specialist Evaluation at Empanelled Hospital:

   • Visit a CGHS-empanelled cardiologist at a listed private or government hospital.

   • After tests (like ECG, 2D Echo, Holter monitor), the doctor will confirm the need for a pacemaker.

3. Approval Process:

   • The hospital will submit a treatment estimate and approval request to CGHS authorities.

   • On approval, pacemaker surgery will be done cashless (if the empanelled hospital and procedure are approved).

4. Post-Surgery Follow-Up:

   • Post-operative care and follow-ups can also be availed under CGHS as per rules.

Notes

• Only CGHS empanelled hospitals are eligible for cashless procedures.

• Depending on the doctor’s advice and the CGHS-approved list, you can choose from single-chamber or dual-chamber pacemakers.

• Keep all referral letters, bills, and reports safe for documentation.

Let us know if you need any other help