Prof. Jarugu Narasimha Moorthy, Director, Indian Institute of Science Education and Research Thiruvananthapuram (IISER TVM) inaugurating the blood donation camp in our New Health Centre on 03-04-2019
The individual users of Health Centre can send their suggestions and grievances ,if any to any of the above listed UCHC members by email. You can be rest assured that they will positively be taken up during the periodic or emergency meetings of UCHC called as per needs and discussed thread bare .Every effort will be made to arrive at best possible solutions and the same will be put up for implementation .
The CHSS claims, for both outpatient and inpatient treatment i.e for self and eligible dependants should be submitted in relevant filled up forms- downloadable from campus mate IISER tvm website within six months from date of availing treatment /investigation to Medical officers of the Institute for Scrutiny. Submission in person is not required. They can simply be sent to Health Centre and it will be then received, recorded ,undergo scrutiny and forwarded to Institute Finance Dept at the earliest.
Original bills along with Prescription, Requisition for Investigations ,discharge summary (inpatient treatment) etc should be attached to Claim forms during submission. If Original Prescription/discharge summary is required for future reference by claimant, One can submit self attested copies of the same along with claim forms.
Cosmetic treatment in general is not reimbursable under CHSS.
The CHSS publishes guidelines periodically (once in every 3 or more years ) along with applicable reimbursable amounts for different treatments. It also lists package rates allowed for reimbursement for almost all common medical and surgical ailments in all specialities .The published rates are different for different regions and cities of India. Various medical and surgical investigations and interventions also have individual rates listed for reimbursement which are published periodically for CHSS by Govt of India.
Claims for treatment availed from specialists in Ayurveda, Homeopathy and other systems of medicine also have relevant published CHSS guidelines . CHSS Claims relevant to these systems submitted for reimbursement will dealt with as per CHSS norms.
In general, the cost of consumables like IV drip sets , syringes etc and nutritional supplements are not reimbursable under CHSS . Whenever official Package rates are available, only the published and listed amount for particular treatments under CHSS irrespective of money spent or cost mentioned in attached bills, even if it is a significantly higher amount , only the maximum permissible published/listed amount for reimbursement is allowable as per CHSS norms.
As per existing and relevant CHSS norms , it is not mandatory to get sanction or referral from institute medical officers for specialist consultation or treatment from Govt or Private consultant / hospital .
As regards Vaccination- as on date ,only the following are eligible for reimbursement.
DPT, Measles, OPV, MMR, Hepatitis B, Typhoid And TT vaccines. On Specialist Advice/Prescription additionally Leprovac vaccine, Influenza vaccine and Anti Rabies Vaccine (Post Exposure ) are eligible for reimbursement.
The Institute students are covered under Group Health Policy obtained from United Health Insurance Company. It is being renewed Yearly .As it is agroup Policy the yearly renewable policy is taken every year batch wise and all the batch students are individually listed in the list of beneficiaries in the Policy document.
Medical Coverage for students with following additional features Is made available from 2017 onwards in United India Insurance Company approved Hospitals.
Please Note : The Insurance company on it’s own scrutinises the claims, processes it and decides on eligibility and quantum of Reimbursement etc. In general, all above mentioned treatment facilities are to be availed from said insurance company’s approved Hospitals. In general, out patient services inclusive of consultation, minor procedures and investigations are not eligible for reimbursement as per Policy where as , as an inpatient these are mostly reimbursable .
Queries if any may be addressed to Insurance Company or agent listed in Policy document . The Institute Academics Office can also provide details Of policy on request .
The student’s will be issued medical certificates with recommendation for leave on medical grounds only for valid reasons and based on scrutiny of documents produced.
If the student had availed treatment from Institute medical centre on requested dates as an in patient i.e either been kept under observation or admitted as an inpatient in Institute health centre, then if needed the student will be issued Medical Certificate recommending leave for the period correlating with relevant entries in Student’s health diary.
If the student had taken inpatient treatment from outside - from Home town etc, as per recommended procedure ,the student must inform the relevant Faculty, Academic office and institute Medical officers at the earliest by email and submit relevant records ( prescriptions, Investigations, Hospital Discharge summary, Consultant Dr’s Recommendation etc as applicable for Scrutiny. Based on scrutiny , if it is is found justifiable, the institute medical officers Will recommend leave on medical grounds for the required justifiable period.
If the student had availed treatment purely as an out patient in Institute medical centre or produces an Outpatient Prescription /recommendation from a hospital or consultant outside campus, then it will be subject to scrutiny. Based on merits (justifiability ) only, the Institute Medical officer will recommend leave on medical grounds. Recommendation for leave on medical grounds for out patient treatment will not be issued as a matter of routine. Individually each request will be judged on merits and only if found justifiable recommendation will be issued otherwise it will be denied. This is also in aggrement with institute guidelines.
Two well equipped ambulances are available for use 24/7-365 days. The ambulance is provided for use to transport patients in case of referral to higher Medical centres for specialised treatment and when the student is not in a medically fit position to go on his own and in case of emergencies accidents ,prolonged illnesses etc. The patients will be accompanied by Medical attendant or para medical staff during transport.
The Medical attendant /paramedical staff accompanying the Student / patient will do the needful to admit the patient to referral Hospital.
Once the patient reaches the hospital , received by hospital Staff and gets admitted, the ambulance is to return to the institute. Once it is ascertained that the patient’s condition has become stable, the medical attendant /paramedical staff will report the patient’s condition to medical officer over phone and report back to medical centre after providing necessary contact numbers to hospital.
The medical attendant/para medical staff cannot not be deployed as bystanders as a matter of routine , as the medical needs of other students also needs to be taken care off.
In case, the hospitalization is expected to involve longer periods, the student/ bystanders should intimate the same to parents/guardians so as to make arrangements for treatment and for providing bystander. The institute will follow up the cases if necessary and provide the necessary assistance if required.
Ambulance is sent for pick up of sick and needy students on proper intimation to health centre from inside campus buildings to be brought to medical centre. It is meant to be used judiciously. For short periods -only based on clinical evaluation, the medical officer may permit use of ambulance by needy students.
Ambulance useage is not permitted on a routine basis for reviews in outside Hospitals/ Consultant Clinics. It will be dealt on a case to case basis and decided on merits .
Ambulance is primarily meant for emergency use . Useage of ambulance especially for transport outside campus would imply that it’d become unavailable in campus for close to 1 to 3 hours or more. So unless and otherwise it is an emergency for eg. The patient is incapacitated , it is not sent for routinely for non emergency purposes like review cases etc.
For more information contact Health center at +91(0) 471-2778144