Guidelines/Criteria for reimbursement of expenses for In-Vitro Fertilisation (IVF) treatment to Railway beneficiaries

Guidelines/Criteria for reimbursement of expenses for In-Vitro Fertilisation (IVF) treatment to Railway beneficiaries

GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
(RAILWAY BOARD)

No. 2014 / H / 6-3 / IVF(Policy).

New Delhi, Dated:-01.07.2014

General Managers,
All Indian Railways.

GM/DG/CAO
All Production Units including RDSO.

Sub:- Guidelines/Criteria for reimbursement of expenses for In-Vitro Fertilisation (IVF) treatment to Railway beneficiaries.

Ref:- Ministry of Health and Family Welfare’s OM No. Z. 15025/5/2011- CGHS III/CGHS(P) dated 22.11.2011.
******

The issue of laying down an uniform guideline/criteria for reimbursement of expenses incurred on In-Vitro Fertilisation (IVF) treatment of the Railway beneficiaries has been engaging attention of Ministry of Railways for sometime. Matter has been examined in consultation with Finance Directorate in the Board’s Office.

After careful consideration in the matter, Ministry of Railways (Railway Board) has decided to adopt the guidelines laid down by Ministry of Health and Family Welfare for CGHS beneficiary vide their OM No. Z.15025/5/2011-CGHS III/CGHS(P) dated 22.11.2011 (copy enclosed) with the following modifications:-

“Request for IVF treatment for Railway beneficiaries would be considered only on the basis of advice tendered by adequately qualified Government/Railway Gynaecologist and not form a CMP/Consultant. Permission for IVF procedure to be accorded by Chief Medical Director of the Zone in consultation with Associate Finance on receipt of advice for the same from Gynaecologist of Government/Railway Hospital. Sanctioning Authority for sanction of reimbursement would be G.M. Remaining terms and conditions as laid down in CGHS guidelines would remain the same”.

The issue with the concurrence of Finance Directorate.

(R.S. Shukla)
Dy. Director / Health
Railway Board.

No. 2014 / H / 6-3 / IVF(Policy). New Delhi, Dated:-01.07.2014.

 Guidelines / Criteria for reimbursement of expenses for In-Vitro Feritilisation(IVF) treatment to CGHS beneficiaries and beneficiaries under Central Services (Medical Attendance) Rules, 1944.

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi 110 108

No: Z.15025/5/2011-CGHS III/CGHS (P)

Dated, the 22nd November, 2011

O F F I C E M E M O R A N D U M

Subject: Guidelines / Criteria for reimbursement of expenses for In-Vitro Feritilisation(IVF) treatment to CGHS beneficiaries and beneficiaries under Central Services (Medical Attendance) Rules, 1944.

The undersigned is directed to say that the Ministry of Health & Family Welfare has been receiving requests for providing clarifications as to whether the expenditure incurred on In-Vitro Fertilisation (IVF) treatment is admissible under CGHS, and if so, whether any guidelines have been laid down for reimbursement of the expenses incurred on IVF treatment.

(2) The matter has been examined by a Technical Committee of the Heads of Department of Gynaecology & Obstetrics of Government Medical Institutions, and based on the recommendations of the Committee, the following guidelines are laid down for considering cases for reimbursement of expenses incurred on IVF treatment by CGHS beneficiaries and beneficiaries under Central Services (Medical Attendance) Rules, 1944:-

(i) Requests for IVF treatment will be considered only on the basis of advice tendered by the Head of Department of Gynaecology & Obstetrics of a Government Medical institution;

(ii) Permission for IVF treatment to be undertaken may be given by the Head of Department in the Ministries / Departments on the recommendations of the Head of Department of Gynaecology & Obstetrics of a Government Medical institution;

(iii) IVF procedure will be allowed in a Government Medical institution on the recommendations of the Head of Department of Gynaecology & Obstetrics of a Government Medical institution;

(iv) IVF procedure may be allowed, on a case to case basis, in a private medical institution if the Institution is registered with the State / Central Government and has the necessary facilities including equipment and trained manpower for carrying out the procedure. It is, however, mandatory to obtain the recommendations of the Head of Department of Gynaecology & Obstetrics of a Government Medical institution for permitting the procedure to be undertaken in a private institution;

(v) There should be clear evidence of failure of conventional treatment before permitting IVF treatment procedure;

source-http://airfindia.com/Orders%202014/Guidelines%20for%20reimursement%20of%20expenses%20for%20IVF_01.07.2014.pdf