CAPF Ayushman Card se OPD mein suvidha milti hai?

Hello,

Ayushman CAPF Card se OPD treatment ki facility mil sakti hai, lekin facility hospital ke type aur uski empanelment par depend karti hai. Normal Ayushman Card se alag, Ayushman CAPF mein serving CAPF personnel aur eligible family members ko OPD ke liye additional benefits milte hain.

1. Doctor Consultation

• CAPF ya MHA hospital: OPD mein doctor ko dikhane ki facility mil sakti hai aur generally referral ki zarurat nahi hoti.

• Government hospital: Doctor consultation aur required tests applicable rules ke according mil sakte hain.

• CGHS-empanelled private hospital: Routine OPD ke liye CAPF/Government doctor ka referral generally required hota hai.

2. Medical Tests

Doctor agar tests suggest karte hain, jaise:

• Blood tests

• X-ray

• Ultrasound

• CT scan

• MRI

• Other required investigations

toh ye facilities hospital ke rules aur empanelment ke according cashless ya reimbursement ke through mil sakti hain.

3. Medicines

Doctor ki prescription ke according medicines CAPF/Government healthcare facility se mil sakti hain. Agar kisi eligible medicine ke liye patient ko pehle payment karni padti hai, toh applicable rules ke according reimbursement ka option ho sakta hai.

4. Referral Kab Chahiye?

Private CGHS-empanelled hospital mein routine OPD ke liye CAPF/Government doctor ka referral generally required hota hai.

Normally referral 1 month ya 3 visits tak valid hota hai. Cancer aur certain chronic diseases ke cases mein referral ki validity 3 months tak ho sakti hai.

75 years se zyada age ke eligible patients ke liye OPD referral mein special exemption bhi ho sakta hai.

5. Kya OPD ke Liye ₹5 Lakh Limit Hai?

OPD ko normal PM-JAY ke ₹5 lakh family coverage ke saath directly compare nahi karna chahiye. Ayushman CAPF mein OPD benefits hospital type, applicable rates aur scheme rules ke according milte hain. Isliye OPD ke liye fixed ₹5 lakh limit nahi batayi ja sakti.

6. Reimbursement

Kuch situations mein patient ko pehle payment karni pad sakti hai. Eligible expenses ke liye applicable CAPF rules ke according reimbursement claim kiya ja sakta hai.

Isliye prescription, referral, reports, original bills aur payment receipts zaroor sambhal kar rakhein.

Documents Saath Rakhein

• Ayushman CAPF Card

• CAPF/Force ID

• Aadhaar Card ya valid ID

• Referral letter, agar required ho

• Doctor ki prescription

• Medical/test reports

• Medicine prescription

• Original bills aur payment receipts, agar reimbursement lena hai

• Previous medical records

Wishing you and your family good health always.
Warm regards,
Team HexaHealth