Ex-Servicemen Contributory Health Scheme (ECHS): Compendium of Govt Letters 30 Dec 2002 to 31 Mar 2021

Ex-Servicemen Contributory Health Scheme (ECHS): Compendium of Govt Letters 30 Dec 2002 to 31 Mar 2021

Ex-Servicemen Contributory Health Scheme (ECHS): Compendium of Govt Letters 30 Dec 2002 to 31 Mar 2021



1. The Ex-Servicemen Contributory Health Scheme (ECHS) was launched in April 2003 to provide quality medical care to the Ex-servicemen and their dependents by utilizing the existing medical infrastructure of Armed Forces and the Civil/Government Hospitals. It was a mammoth task to conceptualise, plan and execute this scheme.

2. The scheme today has rapidly gained credibility and has made phenomenal progress over the past 19 years from 13 Regional Centres and 227 Policlinics to 30 Regional Centres and 433 Polyclinics with a total beneficiary base of approximately 55 lakhs. The scheme is also extended to Gorkha Domiciles for Nepal.

3. The scheme is dependent on a large number of agencies for its day-to-day functioning, which includes the command structure of the three Services, facilities of the Armed Forces Medical Services, ECHS Polyclinics, Regional Centres and Central Organisation ECHS, apart from the PsCDA, DG Defence Estates and Empanelled Medical facilities. To enable this organisation to keep delivering quality medical services, a large number of policies and regulations are issued from time to time. It is therefore, imperative that all the functionaries concerned are kept updated at all time of the policies that regulate the functioning of ECHS.

4. It is with the above aim in mind that the revised and updated edition of ‘Compendium of Government Letters on ECHS’ has been digitised and prepared in a PDF form. This will facilitate easy accessibility to functionaries at all levels to understand the nuances of ECHS in a more lucid yet comprehensive manner. Endeavours have been made to include all the policy guidelines issued by the Government with regards to ECHS ever since its inception, and also to incorporate various amendments issued to the same from time to time. The compendium can now be easily accessed on computer or smartphone by logging on to ECHS website i.e.https://echs.gov.in .Compendium prepared in PDF format is user friendly and consists of features like, hyperlinking of important letters, internet search through lookup function and full search option.

Jai Hind !!

Station : New Delhi Date : 07 Feb 2022

(NR Indurkar) Maj Gen

Ex-Servicemen Contributory Health Scheme (ECHS) – Compedium : Index

Ser NoLetter No & DateSubjectPage No
Part I – General Information
1General Information about ECHS01-16
Part II – Genesis & Growth of ECHS
222(1)/01/US(WE)/D(Res)dt 30 Dec 2002Ex-Servicemen Contributory Health Scheme17-47
322D(44)/2007/US(WE)/D(Res) dt 18 Oct 2010Expansion of Ex-Servicemen Contributory Health Scheme48-56
Part III – Contribution
422(1)/01/US(WE)/D(Res)dt 08 Mar 2004ECHS Exemption to War Widows from Payment of Contribution57-58
5PC to 24(2)/05/US /(WE)/D(Res) dt 24 Jul 2005ECHS Exemption to War Disabled Pensioners from Payment of Contribution59
6PC to 24 (2)/05 /US/(WE)/D(Res) dt 07 Feb 2006ECHS Exemption to War Disabled Pensioners from Payment of Contribution60-61
7PCto 24 (2)/05 /US/(WE)/D(Res) Pt IIIdt 16 Feb 2006ECHS Exemption to War Disabled Pensioners from Payment of Contribution62
817(10)/06/US(WE)/D(Res)dt 13 Apr 2007Civil Writ Petition No 210/1999 filed by Confederation of Ex-Servicemen Associations V/S Union of India- Implementation of the Court Judgment63
922D(20)/2010/US(WE)/D(Res) dt 06 Sep 2013Exemption of ECHS members from payment of ESI contribution- Regarding64
1022D(11)/2015/US(WE)/D(Res) dt 23 May 2017Refund of one time contribution deducted/recovered for ECHS Membership65-66
1122D(17)/2016(WE)/D(Res) dt 02 June 2017Clarification regarding rates of subscription of ECHS Membership / Refund of Fixed Medical Allowance (FMA) in certain specific cases67-68
1222D(04)/2010/WE/D(Res-I) dt 29 Dec 2017Revised rates of ECHS contribution and Ward Entitlement69-70
1318(77)/2017/WE/D(Res-I)dt 18 Sep 2018Eligibility of Permanently Disabled Unmarried son of ECHS beneficiary to avail ECHS facility71
1417(17)/2015/WE/D(Res-I)dt 05 Mar 2019One time contribution for ECHS Membership and entitlement of ward in empanelled hospitals / medical facilities in respect of Assam Rifles Pensioners and their dependents72-73
1517(11)/2018/WE/D(Res-I)dt 12 Apr 2019One time contribution for ECHS Membership and entitlement of ward in empanelled Hospitals / Medical facilities in respect of World War II Veterans, ECOs, SSCOs and Pre- mature Retirees74-75
Part IV – Contractual Staff : ECHS Polyclinics
1624(6)/03/US(WE)/D(Res)dt 22 Sep 2003Procedure for Contractual Employment of Staff for ECHS Polyclinics76-85
1724(6)/03/US(WE)/D(Res)dt 29 Jun 2005Revision of terms and conditions for contractual employment of medical specialists and gynecologist86-87
1822(84)06/US(WE)/D(Res)dt 27 Jun 2007Shifting of vacancies of Doctors and Para-medical staff from the Polyclinic having low daily sick report of the Polyclinics with large number of daily sick report88
1924(06)03/US(WE)/D(Res)dt 14 Feb 2008Corrigendum (Procedure for contractual employment of staff for Ex- Servicemen Contributory Health Scheme (ECHS Polyclinics)89-90
2022(72)/06/D(Res)/US(WE) (Vol-IV) dt 12 Nov 2013Revised Interim Scales of Contractual Manpower for ECHS91-92
2122(72)/06/US(WE)/D(Res).Vol.IVdt 25 Feb 2014Qualitative Requirements for contractual employed of staff for Ex- servicemen Contributory Health scheme (ECHS) Polyclinics93-95
2224(06)/03/US(WE)/D(Res) dt 01Jul 2016Corrigendum96-97
2322D(19)/2017/WE/D(Res)dt 16 Aug 2017Order98-99
2422D(24)/2017/WE/D(Res)dt12 Sep 2017Delegation of Powers to MD ECHS to hire MOs (MBBS) in lieu of sanctioned but vacant posts of Med Spls and to hire Para Med Staff in lieu of sanctioned but vacant posts of Para Med Staff of other categories100
2522D(25)2017/WE/D(Res-I)dt 20 Nov 2017Corrigendum101-102
2622(22)/2017/WE/D(Res-I)dt 18 Dec 2017Corrigendum103-104
2722D(22)/2017/WE/D(Res-I) dt 24 Jan 2018Corrigendum105-106
2822(01)/2017/(WE)/D(Res)dt15 Feb 2018Delegation of Powers to MD ECHS to shift vacancies of non-medical staff from one Policlinic to another / CO, ECHS/and also to employ one category of non-medical staff in place of another category of non-medical staff107
2922D(04)/2018/(WE)/D(Res-I)dt 23 Apr 2018Delegation of Powers to MD ECHS to employee persons of certain trades based on the functional requirements to run ECHS establishments in lieu of vacancies with equivalent emoluments108-109
3022(08)/2018/WE/D(Res-I)dt 21 May 2019Maternity Benefits Act 1961 for contractual staff employees at ECHS Polyclinics110
3122D(06)/215/WE/D(Res-1) dt 06 Sep 2018Agreement between contractually engaged person and Stn Commander for rendering services to ECHS Establishment111-114
3218(107)/2017/WE/D(Res-I)dt 05 Dec 2018Opening of Type D ECHS PC at Indore, MP – Sanction of scale of manpower115
3322D(19)2017/WE/D(Res-I) dt 06 Jun 2018Corrigendum116
3422D(19)/2017/(WE)/D(Res-1) dt 24 Jan 2019Corrigendum117
3722D(14)/2018/(WE)/D(Res-1) dt 05 Feb 2020Procedure for Contractual employment of staff for ECHS Polyclinic118-119
3823(4)/E.Coord/2020/1 dt 20 May 2020Office Memorandum (Payment of wages to outsourced person of Ministries/Department and other Organisations of Government of India during lockdown period due to Covid- 19120
Part V – Membership
3912/I/2005/D(Res) dt 01 Feb 2006Office memorandum (Grant of Ex- servicemen status to recruits boarded out on Medical Grounds with disability pension)121
4022(20)05/US(WE)/D(Res)dt 10 Feb 2006Clarification on ECHS membership when husband and wife are defence personnel122-123
4122(68)2006/US(WE)/D(Res) dt 22 Jan 2008Corrigendum (Membership to Coast Guard Pensioners)124
4222D(42)/2006/US(WE)/D(Res) dt 14 Sep 2010Extension of ECHS facilities to Nepal Domiciled Gorkhas (NDG) ESM125-129
4322D(12)/US(WE)/D(Res)/2010 dt 04 Mar 2011Eligibility for joining ECHS Ex-recruits with disability Pension130
4422D(10)10/US(WE)/D(Res) dt 21 Mar 2011Corrigendum (Membership to Special Frontier Force PBOR)131
4522D(03)/2015/WE/D(Res)dt 17 Nov 2016Clarification with regard to ECHS Membership132
4617(17)/2015/WE/D(Res-1) dt 07 Mar 2019Grant of ECHS facilities to World War II Veterans, ECOS, SSCOS and Pre- mature retirees133-134
4717 (11)/2018/WE/D(Res-I) dt 18 Mar 2019Grant of ECHS facilities to World War II, Veterans ECOS, SSCOS and pre mature retirees135-136
Part VI- ECHS Polyclinics
4824(4)/03/US(WE)/D(Res)dt 01 Aug 2003Design of Polyclinic for ECHS137-141
4924(5)/03/US(WE)/D(Res)dt 08 Sep 2003Procedure for hiring Buildings for ECHS Polyclinics in Non Military Stations142-144
5024(7)/03/US(WE)/D(Res)dt 17 Sep 2003Procedure for construction of ECHS Polyclinics145-148
5124(15)/03/US(WE)/D(Res) dt 20 Feb 2004Limits for Powers for hiring of immovable properties for ECHS Polyclinics at Non-Military Stations149-150
5224(14)/03/US(WE)/D(Res) dt 31 Jan 2005Procedure for Procurement of Land in Non Mil Stations for ECHS151-155
5322(3)/06/US(WE)/D(Res)dt 13 Mar 2006Corrigendum (allocation of annual budgetary funds from Capital Head)156
5424(14)03/US(WE)/D(Res)dt 25 May 2009Procedure for procurement of land in non military stations for ECHS157
55No.22C(31)/VIP/2016/WEdt 24 Apr 2017Corrigendum158
56.18(107)/2017/WE/D(Res-I) dt 05 Sep 2018Opening of Type D ECHS Polyclinic at Indore, Madhya Pradesh-Sanction of Scale of manpower159
57.22C(09)/2013/WE/D(Res) dt 08 Jan 2019Setting up of two additional Regional Centres at Yol Shimla (HP) and Bhubaneswar (Odisha)160
58.22D(16)/2009/US(WE)/D(Res-I) dt 03 Jun 2019Extension of time limit for hiring of Immovable properties for ECHS Polyclinics at Non-Military Stations161
59.22C(09)/2016/WE/D(Res-I)dt 22 Nov 2019Extension of Time limit for procurement of land In Non Military Stations for Ex- Servicemen Contributory Health Scheme (ECHS), polyclinics162-163
60.18(222)/2019/WE/D(Res-1) dt 30 Dec 2020Prioritising the Construction of ECHS Polyclinics. –reg.164
Part VII – Processing and Reimbursement of Bills
5822(14)/05/US(WE)/D(Res) dt 05 Jul 2005Provision of Civil Tele with STD facility for Smart Card Servers165-168
5924(42)/05/US(WE)/D(Res) dt 10 Mar 2006Provision of Civil Tele with STD facility for ECHS Regional Centres169-170
6022A(10)/10/US(WE)/D(Res)dt 23 Feb 2012Procedure for payment and Reimbursement of medical Expenses under ECHS : Processing of bills by processing agency (BPA) UTI.ITSL171-172
6125(01)/2018/WE/D(Res-I)dt 09 Jul 2019Payment and Re-Imbursement of Med Expenses under ECHS in respect of Nepal domiciled Gorkha (NDG) ESM Pensioner in Nepal173
6222A(10)/2010/US(WE)/D(Res) dt 05 Nov 2012Procedure for payment and reimbursement of medical expenses under ECHS : Processing of bills by bill processing Agency(BPA),UTI-ITSL174-175
6322A(10)/2010/US(WE)/D(Res)/Vol-VIII dt 14 Feb 2014Procedure for payment and reimbursement of medical (iv) expenses under ECHS: Processing of bills by Bill Processing Agency (BPA) UTI-ITSL176-177
6418(100)/2017/WE/D(Res-I) dt 02 Jan 2018SMS for intimating Status of claims of medical reimbursement in respect of ECHS beneficiaries by Bill Processing Agency178
6522(03)/2016/WE/D(Res-I)dt 22 Feb 2018Revision of Bill Processing Agency Service Fees in tune with revised CGHS rates : online ECHS Medical Bill Processing179
6622D(31)/2017/WE/D(Res-I)dt 01 Mar 2018Payment of Bill Processing Agency (BPA) Service Fees by ECHS for indl Medical Re-imbursement claims180-181
6722(03)/2016/We/D(Res-I)dt 04 Jun 2018Amendment to Government of India, Ministry of Defence, Department of Ex- Servicemen Welfare letter No. 22(03)/2016/We/D(Res-I) dated 4th Feb 2018 provision of bill processing agency service fees in tune with revised CGHS rates online ECHS med bill processing182
6822A(04)2016/WE/D(Res)dt 26 Dec 2018Authorisatison of telecommunication resources for CO ECHS and subordinate offices of CO ECHS183-184
Part VIII – Procurement & Fund Control
6924(3)/03/US(WE)/D(Res)(i) dt 08 Sep 2003Delegation of Financial Powers for ECHS185-189
7024(3)/03/US(WE)/D(Res)(ii) dt 09 Sep 2003Financial Procedures for ECHS190-225
7124(5)/04/US(WE)/D(Res)dt 26 Aug 2004Scales of Furniture and Non Medical Equipment for Polyclinics of ECHS226-229
72A/32697/ECHS/EME Ops3 dt 18 Nov 2004Policy on repair and maint of vehs and eqptauth to ECHS and Central Organisation, Regional Centres and Polyclinics230-231
73A/48474/FOL/Q1(B)dt 23 Jun 2005Issue of Fol Ex-Servicemen Contributory Health Scheme (ECHS) Vehicles232-233
7424(2)/04/US(WE)/D(Res)dt 15 Jul 2005Purchase of Light Vehicles for Central Organisation and Regional Centres of ECHS234
7524(2)/04/US(WE)/D(Res)Pt-I dt 03 Feb 2006Purchase of Light Vehicles for Regional Centre of ECHS at Guwahati235
76AT/IV/4807/ECHS/VIIdt 11 Nov 2008Release of cash Assignment : ECHS236
77AT/IV/4807/ECHS/Vol-Xdt 04 Oct 2013Release of cash Assignment to ECHS Polyclinic237
78AT/IV/4807/ECHS/VIIdt 08 Oct 2009Release of cash Assignment Vote on account : FY 209-10238
891011/2011-PPCdt 30 Nov 2011Office Memorandum (Mandatory Publication of Tender Enquiries on the Central Public Procurement Portal)239-241
8010/3/2012-PPCdt 30 Mar 2012Office Memorandum(Implementation of Comprehensive end-to-end e- procurement)242-249
8122D(05)/2011/US(WE)/D(Res) dt 22 Aug 2012Mobile Medical units for ECHS type E- Mobile Clinics250
82B/03566/Gen/DDG IT(Proj)dt 28 Aug 2012Mandatory Pub of Tender Enquiries on the Central Public Procurement (CPP) Portal251-253
8322D(02)/2011/WE/D(Res)dt 29 Aug 2012Authorisation of Motor Cycles and Light Vehicle for Regional Centers of ECHS255-256
84C/22868/e-proc/OSCC dt 20 Sep 2012Mandatory Pub of Tender Enquiries on the Central Public Procurement (CPP) Portal257-268
8525(02)/2012/(WE)/D(Res)dt 10 Sept 2013Financial guidelines for extension of ECHS facilities to Nepal Domiciled Gorkha(NDG) ESM pensioners in Nepal269-270
8625(01)/2014/US(WE)/D(Res)-Part-I dt 04 Aug 2014Revision of delegation of financial powers & for payment and reimbursement of manual medical bills271
87.8/4/2018-O2Pdt 20 Jul 2015Scale of Silent Generator set to Central Organisation, ECHS and Regional Centres of ECHS.272
8722D(18)/2017/WE/D(Res-I) dt 07 Aug 2018ECHS Travelling Allowances for medical Treatment273-275
88No.55/2018(F.No.178/15/ 2018 -ITA-1) dt 26 Sep2018In exercise of the powers.276
8922(01)/2011/(WE)/D(res-I) dt 01 Nov 2018Grant of FMA to ESM Ex-servicemen pensioners and Ex-servicemen family pensioners who are ECHS member and residing in dis not covered by ECHS Polyclinic/Armed Forces Hospitals/MI room upgraded to accommodate ESMS277-290
90No.22D(03)/2017/WE/D(Res-I) dt 13 Nov 2018Purchase of Motor Cycle &light vehicle.291
9122D(03)/2017/WE/D(Res-I) dt 12 Nov 2018Sanction for purchase one Motor Cycle (TVS Stryker) by ECHS Branch, Embassy of India, Kathmandu, Nepal.292-293
9222D(03)/2017/WE/D(Res-I) dt 12 Nov 2018Sanction for purchase one Light Vehicle with 4WD (Tata Storme VX4WD) by ECHS Branch, Embassy of India, Kathmandu, Nepal.294
9322D(01)/2017/WE/D(Res-I) dt 28 Dec 2018Sanction for expdr for procurement of One 30 KVA DG Set (Water Cooled) each for the three ECHS PCs at Kathmandu, Pokhara and Dharan in Nepal, by ECHS, Embassy in India.295
9425(01)/2018/WE/D(Res-I)dt 09 Jul 2019Payment and re-imbursement of Medical Expenses under ECHS : Processing of Online Bills by Bill Processing Agency (BPA)296-297
9525(01)/2018/WE/D(Res-I)dt 09 Jul 2019Payment and re-imbursement of Medical Expenses under ECHS Nepal Domiciled Gorkha (NDG) ESM Pensioners in Nepal.298-299
96.8/4/2018-O2Pdt 25 Jul 2019Addition of a separate schedule- 26 in ASP 2016 of DFPDS-2016 for ECHSfunctionaries at Regional Centres and Central Organisation ECHS –reg.300-301
9622(01)/2011/(WE)/D(Res-I) dt 19 Nov 2019Grant of FMA to ESM and ESM Family pensioners who are ECHS Members and residing in districts of Nepal not covered by ECHS PCs / Armed Forces Clinics / MI Rooms upgraded to accommodate ESMs302-304
97.22D(11)/2019/D(WE)(Res-1)dt 28 Aug 2020Authorisation of Additional One Staff Car & Four Light Vehicles for Central Organisation, ECHS – reg.305
Part IX – Medical
9724(10)/03/US(WE)/D(Res) dt 25 Nov 2003Procedure for Procurement of Drugs and Consumables for ECHS306-310
9824(8)/03/US(WE)/D(Res)dt 19 Dec 2003Procedure for Payment and reimbursement of Medical Expenses under ECHS311-320
9922D(18)/09/US(WE)/D(Res)/ Pt-I dt 13 Apr 2010Procedure for procurement of medical equipment for ECHS321-324
10022A(48)/2007/US/WE/D(Res) dt 19 Aug 2010Revision of ECHS Rates325
10122B(04)/2010/US(WE)/D(Res) dt 18 Feb 2011Procedure for empanelment of Hospitals, Nursing Homes and Diagnostic Centers under Ex- Servicemen Contributory Health Scheme (ECHS)326-329
10222D(04)/2011/US(WE)/D(Res) dt 22 Jul 2011Procedure for empanelment of Hospitals, Nursing Homes and Diagnostic Centres under ECHS330-331
103List of Government Letters regarding Empanelment of Civil Hospitals/Nursing Homes/Eye Care Centers/Imaging Centers/Diagnostic Laboratories/Dental Clinics/Hospices Under ECHS wef 2003332-333
10422D(01)/2012-(WE)/D(Res)dt 18 Dec


Scale of Medical Equipment for ECHS Polyclinics334-346
10522(02)/11/US(WE)/D(Res) dt 10 May 2013Travelling Allowance for Medical Treatment347-348
10622A(55)/2013/US(WE)/D(Res)dt 05 Jul 2013Permission for treatment/investigations in respect of ECHS beneficiaries availing treatment for Diabetes, hypertension & other Cardiac diseases, Dialysis and Cancer.349
10722D/(09)/2013/US(WE)/D(Res)dt 21 Aug 2013Medical Facilities for in-patient treatment and post-operative follow-up treatment to ECHS beneficiaries residing in districts not covered by ECHS350-351
10822D(07)/2014/(WE)/D(Res) dt 22 Apr 2015Issue of medicines by Empanelled Hospitals for 07 days Post discharge352-353
10922D(07)/2014/(WE)D(Res) dt 23 Apr 2015Procedure for payment and reimbursement of medical expenses under ECHS354
11022B(01)/2016-WE/D(Res)Part-II dt 03 Nov 2016Office memorandum355-358
11122D(09)/2013/US(WE)/D(Res) dt 26 Jul 2016Medical facilities for in-patient treatment and post-operative follow-up treatment to ECHS beneficiaries.359-361
11222D(01)/2016/WE/D(Res-I) dt 22 Aug 2017Modification of procedure for procurement of Drugs and consumables for ECHS362-365
11322D(14)/2016/WE/D(Res)dt 26 Oct 2017Financial Guidelines for extension of ECHS facilities to Nepal Domiciled Gorkha (NDG) ESM pensioners in Nepal366
11422B(10)/2017/WE/D(Res)dt 05 Dec 2017Delegation of Powers to MD, ECHS for making changes in respect of Name, A/C No. etc. of ECHS Empanelled Medical Facilities, already empanelled.367
11522B(10)/2017/WE/D(Res)dt 26 Dec 2017Proposal of ECHS seeking provision of re- imbursement of medical Expenses incurred by ECHS member while their stay outside India.368
11622B(01)/2016/WE/D(Res-1) dt 26 Jun 2018Supply of Medicines to ECHS Beneficiary and amendment to Provision regarding Authorised Local Chemist(ALC).369-370
12022D(01)/2016/WE/D(Res-1)dt 30 Jan 2019Suppl of Medicines to ECHS Beneficiary and amendment to provision regarding Authorised Local Chemist(ALC)388
12118(114)/2017/WE/D(Res-1)dt 18 Sep 2019Domiciliary Medical Equipment for ECHS Beneficiary.389-390
12222D(08)/2018/D/WE(Res-1) dt 25 Sep 2019Revised Scale of medical equipment (Dental) ECHS Polyclinics.391-402
12322D(01)/2018/D/WE(Res-1) dt 25 Sep 2019Clarification regarding definition of empanelled hospital and consequent handling of cases of treatment taken by ECHS beneficiaries in such hospitals.403
124S1011/09/2019/Addg.HQ/C GHS dt 14 Jan 2020Notification of CGHS rates for 15 investigations under CGHS404-405
125Z15025/12/2020/DIR/CGHSdt 29 Apr 2020Reimbursement of cost of OPD medicines: special sanction in view of Covid-19- till 31st may 2020- regarding406-407
126S-11011/09/2019/ Addl.DDG(HQ)/CGHS

dt 03rd jun 2020

Notification of CGHS rates for 25 investigations408-409
127Z.15025/18/2020/DIR/CGHS dt 09 Jun 2020Advisory to Health care organisation (HCOS) empanelled under CGHS in view of the prevalent Corona Virus (Covid-19) pandemic410-414
128No: B/49717-C/AG/ECHS dt 27 Mar 2008SOP for Disciplinary Action Against ECHS Members415-417
129B(49717-Disc SOPIAG/ECHS dt 28 May 09)Initial Report: Disciplinary Action Against ECHS Members418-420
130ECHS Scanned LettersECHS Scanned Letters421-536

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