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F'.I!o.S.1'~025/3G/93 -tiSGov~rnment of India

f'iLtistry of Health &. Family P9lfare

8irman Bhawan ~ew Delhi

..

d 1 of I h es forSubject ~?.::::vis.ion in. thc sche u e c argreimbursement of expenses on?urchas2/rcplac~~ent/repair/adjustment of H8a:ingAid u~d0r CS(liA) Ru1Gs, 1944 and eGHS .-Regardlng.

The ~~~crs:gned is directed to say that a Committee'l,;~S appoin l:c=~d t:) consider the issue of revision of rat8sof Hea.ri~9 L;ids fixed by this l!inistry. vide ·OH no ••S..I;;';025/3G/93-m:; dated 26. S. 94 and also to determine atime period fo~ =eplacement of the Hearing .Aids. On therecommenda tionG of the Com.rnittee of experts, it h3.s··beend~ci.d0d to fix the maxlrnurs ceiling rate upto fts. 10,"000/-""£or h, )dy ,,,orn/oocket/behind the ear type/in the canaltype (cc.n~r'2!1tio-nal) r as p,,~r requirement of the p,~tient~or 0f18 -sided Hearing Ald. Any patient reqly{ring aD11.'ltor.·&'>1Mt~.:::i.ng Aid on the basis of his/heL" hearing'logs. a:10 its attendant· disahi1i ty ISP8~Pl1' trainingrequ:-remc1l t/ rch~hili tat ion , specially "in child/job,rc:ru:-r:::lm011t in adult may be pcrrn..i.ttod upto a. maximum·c2.ll1ng of ~s. 20,0001-. HovTcver; the Hearing Aid shouldbe ~0c08~2ndcJ by' EUT s~rgeon ~fter considering ·the.hearlng lClss of a patient and its attendant disRbilitysupported !.)y audiom~tric evic1encc. . I'

2. Tn s'.)C;cial circumstances , digital hearing aid mayalso he r:::5mbursed upto a limit of Rs. GO, 000/- on_.J;11.G....----·.··recomG2nd2 tioD of three EUT experts. _ "'.' .._--.. 'J

3. l-~ce)?ing ill vim" th~ ~vcrage life of hearin:J' aid as5 'years I' a n:::p1.3.r:ocrnt,;;ntmay hc permitted on thg·· basis of 'acondemn~ti~n oertificate from a technical ~xpert and onapprova~ of a ENT Spscialist. .

4. These· or~0rs \1illbe applicable to bC'thbeneficiaries viz., CGHS beneficiariesl:>enefd.ciar ieG covered undGr CS(r1A) Rules,· ~944 •

..5 ~ ·The (lrd~rs \"i1l como into effect from. the date 0'£issue.

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types of.and the

6. ~rhis i.sSt~es Y-lith the concurrence of Finance Divisionvide their Dy. No.3653/99 JS & FA(H) dated 23.7.1999. I..tt-~-

( BRAHAll DEV .. ) ; ,, , I',

UNDER SECRETARY .TO THE··.GOVT •. 0'2 ILJD.I,A· ,I

\.'j r- 0 i. I' .,',

F.No.S.14025/10/2002-MSGovernment of India

MinistTy()fHealth and r.~T·lily Welfare(Department of Health)

Nirnlan Bhavsn, New DelhiD~ted the 28th Oct., 2002

Sub: Revision in the schedule of charges for reimbursement of expenses onpurchase/replacement/repair/adjustment of Hearing Aid under CS(MA) Rules, 1944Clarification regarding.

ln continuation of this Ministry's G.M. Nos. S.14025/36/93-MS dated 26.3.94 and17.8.1999 on the subject mentioned above the undersigned is directed to say that the rates andprocedure in this behalf as prevailing in CGHS will be applicable to Central Governmentservants covered under CS(MA) Rules, 1944 also.

2. The special circumstances under which the digital hearing aid may be reimbursed uptoa limit of Rupees Sixty Thousand should include:-

(a) Moderate to Severe Sensory Neural Hearing Loss withAided Speech Discrimination Score which cannot be improved to 70% by use- ofAnalog Hearing Aid.

(b) Sharply sloping audiogram seen on P1d"~ 'T\)neAudiometry, inverted V audiogram or U 5l;aped audiogram involving 2000 Hz.

3. This should be done on the reeommendation of 3 ENT Surgeons of 3 diffi~rentGovernment Hospitals who have facilities to audiometric assessment and have all -perfOlmedtheir independent audiological assessment.

4. However, factors like the age of the: patient /educational or work requirement andbilateral congenital losses can also be taken into consideration by the prescribing Surgeons forprescribing hearing aids ba<;ed on digitil technology. The request for the procurement-of digitalhearing aid need not be put up to the Standing Committee.

5. .The technical expert competent to condemn a hearing aid after 5 years would b(~ theService Engineer of the authorised Hearing Aid Centre / Dealer. The above certificate would berequired to be countersigned by the ENT Surgeon of a Government Hospital.

6. These orders ~;" be applicable to both types of beneficiaries viz., CGHS beneficiariesand the beneficiaries covered under CS(MA) Rules, 1944.

~--"''-------(8.13.BHA IT ACHARJEE)

DEPI r IV SECRETARY TO THE GOVT. OF INDIA

GQv,ern.ri1~nt of Ir:din~\nl1.~stj'Yof Health & -Fa.mj[~/.~\;~!i~:c':;

(r){~partrr~te;ntcf J-1e-aHl1).I°·fiiiYli1fl 8hu\ ';1~·:1'~).'!·':-;·.'~'·fJ-;U"·;..Dat~d t he Iq('-O,;,;., 2d)_:

r" D" , hid 1 f h ~ . 1 ~ ;;:'UO; i\-;;Y1Sl0nill t e sene u.e 0 c arges tor reunc:ursement ot '~xpeme3 QT;pU,Ci12:5e,

replacemeniJ repair/ adjustmei3t ofHeaiing AJd under CS (J\iL-\) Rules, 1944-Clarification regarding

In Continuation of this Ministry's OM of .;ven number dated 2g.1J}20C2 cn thesubject .m.entioned above;the undersigned is directed to say that the issue ",;vhether the cemnglimit of Rupees sixty thousand towards reimbursement of expenditure incurred O!l a digiulhearing aid is applicable tor a single ear or for both ears has been examined iT] cOESultatiof'with Dte.GHS and it is accordingly darilled that the said Hmit of Rs. si:\ty thousand wasapplicable for a single hearing aid only, However, k~eping in view the Tact that the rat(;s ofthe digital hearmg aids have come down drastically an ex~rclse was undertaken for revisingthe ceiling limit ex reimbursement by caHLt1g fresh rates from different m~1Utactllrers !dealers of hearing aids. In accordance with the recommendations of the exp-ertsln Dt~.GHSthe ceiling limit for reimbursement of expenditure incurred on purchase of a digital hearingaid is fIxed at Rs...-thirtrJhousand only. The other terms and conditions of the OM underreference shall remain unchanged.

Il;\) (\~h ~• \.-. . II ~" .'l./ .~--.:::..---

(D .R.SHARi"\i\)DEPUTY SECRETARY TO THE GOVT, OF INDIA

1. All Ministries / Deptts of GOI'2. AU Administrative Sections ofMLt1istry ofHFWI Dte. GHS3. CGHS (P) Section4. Dte.GHS (MGII)5. The Manager, Editorial Department, Swarny Publishers (P) Ltd., Chenn.ai 6000286. GU!lrd File

T:' - i rt'l .., - '" j".., " •• , 1··~r.No.;:} . .I.40~~jJUI':"\)(,)~~·~I"",·~l

Goventment of India'\lirr!.3:r:v ofHeahh :3.11G Family 'Nelfa:e'

(Department -offj,e{lJth)

?'liilllall BhaVU:Ll) N~"~i/ ~OelbjDated the 1:;~tJi. Nuv.) D6.-~

Sub: Re\'ision in the schedule of charges/procedure for reimbursement of expenseson purchaseJreplacement/repairJadjustment of He3.i-ing pjd under CS (i'vLJ\)Rules, 1944 Clarification regarding.

In continuation of this JVlinistry's a.M. Nos. S. i4025/36/93-MS dated 26.3.94and 17.8.1999 and partial modification in O.lYI.No.S.14025/l0/2002-MS dated28.10.2002 of even number 19.12.2003 on '~he subject mentioned above theundersigned is directed to say that the rates and procedure ii'l Ihis behalf as pre'vaiEngin CGHS wiU be applicable. to Central Government servants covered under CS(t'iIA)Rules, 1944 also.

2. The special circumstance$ under which _the digital hearing aid may bereimbursed upto a limit of Rs.30, 000/- (Rupees. Thirty Thousand only for one Ear)should include: -

(a) Moderate to Severe Sensory Neural Hearing Loss withAided Speech DiscriI!rination Score, which caIlIlot be improved to 70% t~.·use of Analog Hea.l';ng Aid.

(b) Sharply sloping audiogram seen on Pure ToneAudiometry, inverted V audiogram or U shaped audiogram involving 2',\>~Hz.

3. This should be done on the recommendation of 2 ENT Surgeons of 2 difr;';I~-,"Government Hospitals who have facilities to audiometric assessment and hn'~'3?!performed their independent audiological assessment and an undertaking thi:'~{ h;/,7,;'::'has not been reimbursed a digital hearing aid in the precedi..l'lgFive years,

4. However, factors like the age of the patient /educational or work require:m:c".andbHateral congenital losses can also be taken into consideration by the pres'::ribi;'0Surgeons for prescribing hearing aids based on digital technology. The request for tb:lprocurement of digital hearing aid need not be put up to the Standing Committee

5. The technical expert competent to condemn a hearing aid after 5 years 'Houldbe the SetVice Engineer of the authorised Hearing Aid Centre 1 Dealer. The aDvv~certificate would be required to be countersigned by the ENT Surgeon of Eo

Government Hospital.

6. The;~' orders will be applicable to both types of beneficiaries viz., CGHSbeneficiaries and the beneficiaries covered under CS (MA) Rulys, 1944.

7. TIlls issues with the concurrence of Internal Finance Dh.;sion vide theirDy.No.5689/06-IFD dated the 18th Oct., 2006.

·~"-A,._~.; --"

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/ //"'(~ ..'~ VI)

DEPlITY SECRETARY TO THE GOVT. OF INDIA

1. All Ministries / Deptts. Of Govt. of India.2. All Adtilinistrative Sections of the Ministry of Health and Family Welfare,

Ninnan Bhavan, New Delhi.3. Dte.G.H~SlMG.II Section).(With 10 spare copies).4. The Manager, Editorial Department, Swamy Publishers (P) Ltd., Sandhya

Mansions, 64 R.K.Mutt Road, P.B.No.2468, Raja Annamalaipuram, Chennai-600028.

. 5.. Swamy Publishers' (P) Ltd., 4855,24, Ansari Road, Datyaganj, New Delhi -.. 110002.: '. " .6. CGHS (P) Section .. ;'7. Guard file afMS Section.