Tender Notice Dt - Department of Health , J&K
Tender Notice Dt - Department of Health , J&K Tender Notice Dt - Department of Health , J&K
Annexure – 6PROVISIONAL/SUGGESTED LIST FOR MEDICAL AND SURGICALINTERVENTIONS / PROCEDURES IN GENERAL WARD FOR WHICHPACKAGE RATES MAY BE FIXEDThese package rates will include bed charges (General ward), Nursing andboarding charges, Surgeons, Anesthetists, Medical Practitioner, Consultantsfees, Anesthesia, Blood, Oxygen, O.T. Charges, Cost of Surgical Appliances,Medicines and Drugs, Cost of Prosthetic Devices, implants, X-Ray andDiagnostic Tests, Food to patient etc. Expenses incurred for diagnostic testand medicines upto 1 day before the admission of the patient and cost ofdiagnostic test and medicine upto 5 days of the discharge from the hospitalfor the same ailment / surgery including Transport Expenses will also be thepart of package. The package should cover the entire cost of treatment of thepatient from date of reporting (1 day Pre hospitalisation) to his dischargefrom hospital and 5 days after discharge, Transport Expenses and anycomplication while in hospital, making the transaction truly cashless to thepatient.Medical (Non surgical) hospitalisation procedures means Bacterialmeningitis, Bronchitis- Bacterial/Viral, Chicken pox, Dengue fever,Diphtheria, Dysentery, Epilepsy, Filariasis, Food poisoning, Hepatitis,Malaria, Measles, Meningitis, Plague, Pneumonia, Septicemia, Tuberculosis(Extra pulmonary, pulmonary etc), Tetanus, Typhoid, Viral fever, Urinarytract infection, Lower respiratory tract infection and other such proceduresrequiring hospitalisation etc.(i). NON SURGICAL(Medical) TREATMENT IN GENERALWARDThese package rates will include bed charges (General ward),Nursing and boarding charges, Surgeons, Anesthetists,Medical Practitioner, Consultants fees, Anesthesia, Blood,Oxygen, O.T. Charges, Medicines and Drugs, X-Ray andDiagnostic Tests, Food to patient etc. Expenses incurred fordiagnostic test and medicines upto 1 day before the admissionof the patient and cost of diagnostic test and medicine upto 5days of the discharge from the hospital for the same ailment /surgery including Transport Expenses will also be the part ofpackage. The package should cover the entire cost oftreatment of the patient from date of reporting (1 day Prehospitalisation) to his discharge from hospital and 5 daysafter discharge, Transport Expenses, food to patient and anycomplication while in hospital, making the transaction trulycashless to the patient.(ii) IF ADMITTED IN ICU:This includes bed charges (general ward), Nursing andboarding charges, Surgeons, Anesthetists, MedicalPractitioner, Consultants fees, Anesthesia, Blood, Oxygen,MaximumuptoRs.___per dayMaximumupto41
O.T. Charges, Medicines and Drugs, X-Ray and DiagnosticTests, food to patient etc. during stay in I.C.U.(iii) SURGICAL PROCEDURES IN GENERAL WARD(NOT SPECIFIED IN PACKAGE IV):This includes bed charges (General ward), Nursing andboarding charges, Surgeons, Anesthetists, MedicalPractitioner, Consultants fees, Anesthesia, Blood, Oxygen,O.T. Charges, Cost of Surgical Appliances, Medicines andDrugs, Cost of Prosthetic Devices, implants, X-Ray andDiagnostic Tests, Food to patient etc. Expenses incurredfor diagnostic test and medicines upto 1 day before theadmission of the patient and cost of diagnostic test andmedicine upto 5 days of the discharge from the hospital forthe same ailment / surgery including Transport Expenseswill also be the part of package. The package should coverthe entire cost of treatment of the patient from date ofreporting (1 day Pre hospitalisation) to his discharge fromhospital and 5 days after discharge, Transport Expenses,food to patient and any complication while in hospital,making the transaction truly cashless to the patient.(iv) SURGICAL PROCEDURES IN GENERAL WARD(SPECIFIED IN PACKAGE IV):This includes bed charges (General ward), Nursing andboarding charges, Surgeons, Anesthetists, MedicalPractitioner, Consultants fees etc, Anesthesia , Blood,Oxygen, O.T. Charges, Cost of Surgical Appliances etc,Medicines and Drugs, Cost of Prosthetic Devices, implants,X-Ray and Diagnostic Tests etc, Food to patient etc.Expenses incurred for diagnostic test and medicines upto 1day before the admission of the patient and cost ofdiagnostic test and medicine upto 5 days of the dischargefrom the hospital for the same ailment / surgery includingTransport Expenses will also be the part of package. Thepackage should cover the entire cost of treatment of thepatient from date of reporting (1 day Pre hospitalisation) tohis discharge from hospital and 5 days after discharge,Transport Expenses, food to patient and any complicationwhile in hospital, making the transaction truly cashless tothe patient.(V) Maternity benefit Package:These package will include Bed charges (General Ward),Nursing and Boarding charges, Surgeons, Anesthetists,Medical Practitioner and Consultants fees, Anesthesia,Blood, Oxygen, O.T. Charges and Cost of SurgicalAppliances etc, Medicines and Drugs, X-Ray andDiagnostic Tests etc, Food to patient etc. Expensesincurred for diagnostic test and medicines up to 1 daybefore the admission of the patient and cost of diagnosticRs.___ perdayTo benegotiatedwith Insurerbeforecarrying outtheprocedureRefer IVbelow.NormalDeliveryRs. 2500/-CaesarianSection /ComplicatedRs.4500/-42
- Page 1 and 2: GOVERNMENT OF J&KDEPARTMENT OF HEAL
- Page 3 and 4: GOVERNMENT OF J&KDEPARTMENT OF HEAL
- Page 5 and 6: Table of ContentsPART I - INFORMATI
- Page 7 and 8: 4. Unit of Enrolment:4.1. The unit
- Page 9 and 10: part of insured family member till
- Page 11 and 12: iii) Those facilities undertaking s
- Page 13 and 14: ased on basic quality criteria as g
- Page 15 and 16: Insurance Act 1938.2. Premium payme
- Page 17 and 18: (d)(e)(f)pre-defined fee.An enrollm
- Page 19 and 20: ) Beneficiary has balance in his/ h
- Page 21 and 22: intermediary institutions for the p
- Page 23 and 24: to as the “Call Centre Service”
- Page 25 and 26: The parties shall refer such disput
- Page 27 and 28: for the insurer to download.ii. Dis
- Page 29 and 30: esponsibility of the Insurer to ens
- Page 31 and 32: 36. Notification of Award And Signi
- Page 33 and 34: details of the scheme as mentioned
- Page 35 and 36: SECTION B - FINANCIAL PROPOSAL(KIND
- Page 37 and 38: SECTION D -DECLARATION BY THE BIDDE
- Page 39 and 40: Annexure - 3UNDERTAKING BY THE BIDD
- Page 41: Annexure 5Format for Providing Addi
- Page 45 and 46: 34 FP00300010 J32 Ethmoidectomy - E
- Page 47 and 48: 123 FP00500048 Q43 Duplication of I
- Page 49 and 50: 212 FP00500137 K51 Ileostomy 7 17,5
- Page 51 and 52: 301 FP00600020 D27 Ovarectomy/Oophr
- Page 53 and 54: 390 FP00900048 K25 Vagotomy with Py
- Page 55 and 56: 477 FP01100044Closed Reduction and
- Page 57 and 58: 12 PAEDIATRIC565 FP01200001 Q79 Abd
- Page 59 and 60: 653 FP01400045 N28 Repair of Ureter
- Page 61 and 62: 743 FP01800016 B53744 FP01800017 B5
- Page 63 and 64: War like operations (whether war be
- Page 65 and 66: Draft MoU Between Insurance Company
- Page 67 and 68: 4. Insurer has on the basis of desi
- Page 69 and 70: 5. The Hospital shall ensure that m
- Page 71 and 72: 2.5 Within a period of 12 hours fro
- Page 73 and 74: 2. The hospital undertakes to uphol
- Page 75 and 76: All official correspondence, report
- Page 77 and 78: 3. Notwithstanding anything to the
- Page 79 and 80: each of the terms of this Agreement
- Page 81 and 82: Annexure IHospital Services- Admiss
- Page 83 and 84: Case 3: In case of in-sufficient fu
- Page 85 and 86: Qualifying Criteria for Smart Card
- Page 87 and 88: Annexure 14List of Public Hospitals
- Page 89 and 90: 2. Smart card:2.1. OverviewA smart
- Page 91 and 92: esponsible for each of these to the
Annexure – 6PROVISIONAL/SUGGESTED LIST FOR MEDICAL AND SURGICALINTERVENTIONS / PROCEDURES IN GENERAL WARD FOR WHICHPACKAGE RATES MAY BE FIXEDThese package rates will include bed charges (General ward), Nursing andboarding charges, Surgeons, Anesthetists, Medical Practitioner, Consultantsfees, Anesthesia, Blood, Oxygen, O.T. Charges, Cost <strong>of</strong> Surgical Appliances,Medicines and Drugs, Cost <strong>of</strong> Prosthetic Devices, implants, X-Ray andDiagnostic Tests, Food to patient etc. Expenses incurred for diagnostic testand medicines upto 1 day before the admission <strong>of</strong> the patient and cost <strong>of</strong>diagnostic test and medicine upto 5 days <strong>of</strong> the discharge from the hospitalfor the same ailment / surgery including Transport Expenses will also be thepart <strong>of</strong> package. The package should cover the entire cost <strong>of</strong> treatment <strong>of</strong> thepatient from date <strong>of</strong> reporting (1 day Pre hospitalisation) to his dischargefrom hospital and 5 days after discharge, Transport Expenses and anycomplication while in hospital, making the transaction truly cashless to thepatient.Medical (Non surgical) hospitalisation procedures means Bacterialmeningitis, Bronchitis- Bacterial/Viral, Chicken pox, Dengue fever,Diphtheria, Dysentery, Epilepsy, Filariasis, Food poisoning, Hepatitis,Malaria, Measles, Meningitis, Plague, Pneumonia, Septicemia, Tuberculosis(Extra pulmonary, pulmonary etc), Tetanus, Typhoid, Viral fever, Urinarytract infection, Lower respiratory tract infection and other such proceduresrequiring hospitalisation etc.(i). NON SURGICAL(Medical) TREATMENT IN GENERALWARDThese package rates will include bed charges (General ward),Nursing and boarding charges, Surgeons, Anesthetists,Medical Practitioner, Consultants fees, Anesthesia, Blood,Oxygen, O.T. Charges, Medicines and Drugs, X-Ray andDiagnostic Tests, Food to patient etc. Expenses incurred fordiagnostic test and medicines upto 1 day before the admission<strong>of</strong> the patient and cost <strong>of</strong> diagnostic test and medicine upto 5days <strong>of</strong> the discharge from the hospital for the same ailment /surgery including Transport Expenses will also be the part <strong>of</strong>package. The package should cover the entire cost <strong>of</strong>treatment <strong>of</strong> the patient from date <strong>of</strong> reporting (1 day Prehospitalisation) to his discharge from hospital and 5 daysafter discharge, Transport Expenses, food to patient and anycomplication while in hospital, making the transaction trulycashless to the patient.(ii) IF ADMITTED IN ICU:This includes bed charges (general ward), Nursing andboarding charges, Surgeons, Anesthetists, MedicalPractitioner, Consultants fees, Anesthesia, Blood, Oxygen,MaximumuptoRs.___per dayMaximumupto41
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