EX-Sevicemen Health Contributary Scheme

Click here to view OR download GOI Letters of ECHS

1. The sanction of Ex-Servicemen Contributory Health Scheme (ECHS) has been accorded vide GOI/MOD letter No. 22(1)/01/US(WE)/D(Res) dated 30 Dec 02. The Scheme will provide comprehensive medical cover for ex-servicemen and their dependants including wife/husband, children and dependant parents.

2. As the name itself suggests, ECHS would be a contributory scheme. On retirement, every service personnel will compulsorily become a member of ECHS by contributing his share. Similarly, ex-servicemen can become members by making one time contribution, as under. To preview instructions on becoming members click here. There will be no restriction on age or medical condition.

Basic Monthly Pension (Excluding DA) One Time Contribution
Upto      Rs.3,000 Rs  1,800
Rs.3,001 to 6000 Rs  4,800
Rs.6,001 to 10,000 Rs  8,400
Rs.10,001 to 15,000 Rs 12,000
Above   Rs. 15,001 Rs 18,000

   Amended vide 035 IG dated 02 Feb 2005

3. Existing Medical Allowance. Retired personnel joining the scheme will forfeit the medical allowance of Rs. 100/- presently admissible to them. Those who do not join the scheme will continue getting medical allowance but would not be entitled to any medical facility from Augmented Armed Forces clinics (AAFC) or Polyclinics set up under the Scheme.

4. Unlike CGHS which covers only a limited number of cities, ECHS will cover entire country by establishing new Armed Forces Polyclinics (AFP) at 123 non-military stations and Augmented Armed Forces clinics (AAFC) at 104 military stations. The facilities in each station will be configured based on the concentration of ESM population and classification of stations will be done as under: -xx

Type A 20,000 & above
Type B 10,000 - 20,000
Type C 5,000 - 10,000
Type D 2,500 - 5,000

5. The stations where population of ESM is less than 2500, dependency on the new Armed Forces Polyclinics or Augmented Armed Forces Clinics will be provided. The infrastructure will be created at the earliest but not later than 31 Mar 2008.

6. Equipment.  All types of AAFC and AFP will be equipped with X-Ray machine, Ultrasound, Lab Auto Analyzer, Dental Equipment set and Chair, Physiotherapy and ECG machine. In addition those at Type A & Type B stations will be provided with Monitor Defibrillator. Each facility will be manned by medical officers, medical specialist, gynecologist, dental officers, nurses, lab assistant and other support staff recruited mostly on contractual basis.

7. Subject to existing facilities and load, all facilities in Military/Naval/Air Force Hospitals in the same station or nearest or any other station will be used. Reference will be permitted to be made for consultation, diagnostic tests and treatment to empanelled Medical Centres/Polyclinics/Hospitals/Nursing Homes.

8. Reimbursement. The Scheme will be funded entirely by the Govt. and will cater for free out patient treatment. Reimbursement will be provided to the patients or paid directly to empanelled centres for diagnostics tests, consultation, hospitalisation and medicines/consumables not provided at ECHS facilities. A sum of Rs. 200.85 Crores has been earmarked annually for reimbursement subject to increase as the ESM population increases.

9. In the case of emergency, the beneficiary may report to the nearest Govt. hospital or empanelled hospital under the Scheme. The bill for expenditure incurred in such cases will be fully reimbursed. In case of accidents and trauma cases where time for rendering medical aid is crucial for life saving, an Ex-Serviceman may go to any Nursing Home/Hospital. Ex-post facto sanction for reimbursement for such cases will be accorded.

10. The estimated expenditure overall will be as follows (figures in Crores of Rupees) : -

New Poly clinics
Augmentation of MHs


11. The ECHS will be implemented by a Project Management Group (PMG) based at Delhi. It would be headed by a Managing Director (Brig equivalent), 5 Directors and other support staff. There will be 12 Regional Centres, each manned a Director and 3 Deputy Directors. Personnel for these establishments will be drawn from existing resources of the three services.

12. Down Load your Forms from links mentioned below: