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What is the process for pes maker installation under chgs sceme

L
Lokedh
Posted Under Cardiology / Heart, on 16 May 2025

L
Lokedh
Posted Under Cardiology / Heart, on 16 May 2025
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H
HexaHealth TeamExpert

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

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