Circular
Circular
DA: As above.
-/ पीसीपीओ /मध्य रे ल वे
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The issue of providing better railway healthcare has been a constant endeavour of the
Railway Administration. Suggestions / references on the same have been under active
consideration of the Railway Board and the following has been decided:
1. Pan-IR UMID Card for Serving Staff, Pensioners and Dependent Beneficiaries:
i. QR coded pan-IR UMID card may be issued on request through HMIS @ Rs 100/-
per card (Rs one hundred per card.)
ii. e-UMID: All UMID Cards would be placed, as ‘issued document’, in Digi-Locker of
the Primary Card Holder (i.e., IR’s Serving Employee / Pensioner) and made
available on beneficiary’s profile on HMIS App.
iii. pan-IR validity: for treatment at all Railway Hospitals / Health Units and for referral
or emergency treatment at any of IR empanelled HCOs (Health Care Organisations
like private hospitals, diagnostics, specialists etc.)
2. Referral:
i. Referral shall not be in favour of any particular empanelled hospital by name. All
referrals shall only mention that the referral for treatment is valid for any IR
empanelled HCO on IR. (ref. GoI, Ministry of Health & FW, O.M. No. Z 15025 /105
/2017 /DIR /CGHS/EHS dt. 9th Nov. 2017).
ii. Zonal Railway shall empanel HCOs for all employees/ pensioners/ dependents
on IR as entitled to avail treatment /services. This shall be incorporated in all
extant empanelled HCOs with immediate effect.
iii. All referrals would be valid for a period of 30 (thirty) days or as further specified.
Referral would be subject to revalidation, wherever required, by the same referring
Railway Authority / Railway Doctor.
b) Medicines prescribed by these INIs shall be obtained from the Railway Hospital
after initial treatment and medication in OPD / Emergency.
c) With respect to the IPD treatment, till the time patient is admitted in these hospitals,
medicines dispensed by these INIs, Tests and other diagnostics done at these INIs,
would be covered in the expenses met during the treatment at these INIs.
d) Medicines prescribed by these INIs, including the follow up medicines and other
services shall be provided by the Railway Hospital / Health Unit.
e) Reimbursement for treatment at these INIs shall be as per actuals or city specific
CGHS Rates, whichever is lower.
f) The above excludes dental implants and / or such treatments that are not allowed
under extant instructions.
g) Any addition to the list of INIs at para 3 would require prior approval of the Railway
Board.
a. HMIS App would show live Directory of IR’s empanelled HCOs. The Directory
would have two Lists (sub-Directories): (i) Empanelled HCOs where cashless
treatment facility is available on referral and emergency (ii) Empanelled HCOs with
Non-cashless facility, categorized as ‘CARE’.
b. HMIS App has been provided with a feature of rating by the Patient availing
treatment at IR empanelled HCOs. Zonal Railways shall use this feature for
performance assessment of empanelled HCOs and addressing issues resulting in
poor ratings.
b. Indian Railway Medical Manual contains provision that servants / attendants or non-
dependents temporarily staying with the railway employee / pensioner, who are
in need of medical attention, could avail medical treatment / services /medicines
at RH / HU as private patients on payment: It has been decided that the same may
be availed w.r.t. Primary UMID Card on payment @ city specific CGHS Rates or as
prescribed by Railways wherever CGHS rates are not available. In HMIS treatment of
such non-dependents shall be limited to the jurisdiction of Railway Hospital / Health Unit
where the railway employee resides. At all other RHs / HUs such usage is prohibited
and would be system blocked in HMIS. In all cases where treatment is not being availed
by the Primary Card-holder herself / himself, all transaction slips in HMIS w.r.t. such
non-dependents as private patients shall capture Name, Relationship and Aadhar no.
of the Patient availing treatment along with OTP based confirmation by Primary UMID
Card-holder and payment. All such transactions would be reflected in HMIS profile of
the Primary Card-holder.
[note: Special Instructions: Card is non-transferable. Primary Card-holder is required to keep the
card in her / his safe custody and use scrupulously. Changes or up-dations are the responsibility of
the Primary Card-holder who, when a fresh card is required to be issued due to changes / up-dations,
shall block it in HMIS and request for a fresh card to be issued. Misuse shall be liable for proceedings
under D&AR and/or civil/criminal proceedings. Loss / Theft to be immediately reported by the
Primary Cardholder to the controlling officer and Medical Officer along with a copy of the FIR and
Card to be blocked in HMIS.]
7. Standardised format of pan-IR UMID card for serving employees, pensioners and
dependents is at Annexure-IV.
8. Health Directorate (ED/Health and / or Director /Health Policy & Projects) Railway
Board is the ‘single point of contact’ (SPOC) for HMIS and coordination with
RailTel / C-DAC on issues regarding HMIS.
This issues with the approval of Railway Board (DG/RHS, DG/HR, MF and the CRB & CEO).
Kindly acknowledge receipt and ensure compliance. Hindi version would follow.
SARKAR
SARKAR
Date: 2024.08.29 16:55:21 +05'30'
Mallick Date: 2024.08.29 16:51:11
+05'30'
1. The Executive Director, Indian Railways Centre for Advanced Maintenance Technology,
Gwalior.
2. The Registrar, Railway Claims Tribunal, Delhi.
3. The Chief Commissioner of Railway Safety, Lucknow.
4. The Secretary, Railway Rates Tribunal, Chennai.
5. The Chairman. Railway Recruitment Board, Ahmedabad. Ajmer, Allahabad, Bangalore,
Bhopal, Bhubaneshwar, Chandigarh, Chennai, Gorakhpur. Guwahati, Jammu & Srinagar,
Kolkata, Malda, Mumbai, Muzaffarpur, Patna, Ranchi, Secunderabad and Trivendrum.
Digitally signed by Pranav Kumar
Pranav Kumar Mallick Mallick
Date: 2024.08.29 16:51:34 +05'30'
Copy to:
1. The Genl. Secy., AIRF, Room No. 248, & NFIR Room No. 256-C, Rail Bhavan
2. The Secy. Genl., IRPOF, Room No. 268. FROA, Room No. 256-A & AIRPFA, Room No. 256-D
Rail Bhavan
Pranav Kumar Digitally signed by Pranav Kumar
Mallick
Mallick Date: 2024.08.29 16:51:49 +05'30'
Copy to:
Annexure-I
Referral:
a. Simplified (2-step) Referral process has already been introduced vide para 1 of the
Railway Board letter no. 2018/Trans Cell / Health / Medical Issues dated 24.01.2019.
Representations are being received that the RH/HU are not following the said instructions.
The administrative in-charge of the RH/HU and the DRM / AGM/ GM may ensure strict
adherence to the same.
b. Referral shall not be made in favour of any particular vendor or empanelled private
hospital or any other HCO by name. In this regard the Regulation on Professional
Conduct and Ethics as per Gazette Notification No. R-12013/01/2022/Ethics of 2nd August
2023 issued by the National Medical Mission is also to be kept in view. GoI, Ministry of
Health & FW, CGHS instructions debar this specifically. Such instances could invite
vigilance angle and in addition shall make the erring railway doctor liable for conduct rules
violation.
c. All referrals shall only mention that the same is for any IR empanelled HCO
anywhere on IR. (ref. GoI, Ministry of Health & FW, O.M. No. Z 15025 /105 /2017 /DIR
/CGHS/EHS dt. 9th Nov. 2017).
d. Notwithstanding the fact as to which Zonal Railway has empanelled an HCO (Health Care
Organisations like empanelled private hospitals, diagnostics, specialists etc.), as a cross-
approval policy approach, all empanelment are for IR and all employees/ pensioners/
beneficiaries are entitled to avail treatment /services at any of the IR empanelled HCOs.
e. All referrals would be valid for a period of 30 days. Referral would be subject to
revalidation, wherever required, by the same referring Railway Authority / Railway Doctor
g. In all Referral cases, a referral authentication token, along with a Digital Referral Letter,
in HMIS would be generated by the RH / HU that has referred the patient. The empanelled
HCO wherever the patient chooses to avail the referral treatment / facility would use its
own (HCO specific login ID) to accept the referral token available against the UMID Card
detail in HMIS App.
h. In emergency cases [already laid down in the para 4 of the draft MoU stipulated vide
Railway Board letter No. 2021/H-1/10/MoU dated 20.11.2023 – copy enclosed] the
empanelled HCO would use its login ID to verify UMID card and tick on the ‘red-flag’. An
SMS (SOS) message in HMIS against that UMID would be sent to the concerned RH in-
charge of the Unit of the Primary UMID Card-holder and Zonal Railway Hospital
Administrator.
*****
Annexure-II - Illustration
Patient A may choose cashless treatment facility at any one of the empanelled Hospital in List
A of the Directory.
Alternatively, if Patient A finds that one Hospital in list B suits her / him better, in terms of
location or specialization services, Patient A may avail treatment at her / his chosen Hospital in
List B.
IR empanelled Hospital (either List A or List B) would have an OTP based (login) access to
verify the Patient’s UMID card and tick the unique referral token - shown against that UMID
Card - to acknowledge the digital referral letter issued by the Railway Doctor.
If Patient A goes to chosen Hospital in List B, avails of the treatment as per railway referral and
makes all payments herself / himself @ CGHS Rates, the Patient A, after getting a fit / discharge
certificate and resuming railway duty (if serving employee) would submit bills for reimbursement
(with all the records as required) to the designated jurisdictional RH/HU of the Primary Card-
holder, for having availed of the treatment w.r.t. referral by Railways. The eligible
reimbursement claim is credited within the prescribed time limit for reimbursement, in the salary
account for serving employee and bank account indicated by the pensioner.
Patient B is in need of (defined) emergency treatment. Patient B checks up the live HMIS
Directory to choose an empanelled Hospital that suits her / him best (location-wise or rating-
wise or service-wise). Empanelled Hospital could be in List A or List B of the Directory.
The empanelled Hospital uses OTP based (login) access to verify Patient B’s UMID card and
ticks the emergency treatment ‘red flag’ against the UMID. Systems (HMIS) triggered message
(SMS-SOS) against that UMID is sent to the concerned RH in-charge of the jurisdictional unit
of the Primary UMID Card-holder and Zonal Railway Central Hospital.
Patient B, after availing treatment submits bills to jurisdictional RH / HU for reimbursement with
all the records for having availed of the treatment w.r.t. emergency treatment. The eligible
reimbursement claim is credited within the prescribed time limit for reimbursement, in the salary
account for serving employee and bank account indicated by the pensioner.
Illustration C:
Patient C avails of certain treatment / services at the List B of the Directory but has neither any
prior referral nor is in need as an emergency. Though Patient B avails benefit of treatment /
services at the List B empanelled Hospital @ CGHS rates, expenditure incurred by Patient C
is not eligible for reimbursement.
*****
Digitally signed by
Pranav Kumar Pranav Kumar Mallick
ARUNANGS Digitally signed by
ARUNANGSHU SARKAR AVNINDER
Digitally signed by
AVNINDER SINGH BHASIN
Mallick Date: 2024.08.29
HU SARKAR Date: 2024.08.29
16:56:17 +05'30' SINGH BHASIN Date: 2024.08.30 14:39:43
+05'30'
16:52:41 +05'30'
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Category Features
*****
Digitally signed by
ARUNANGS ARUNANGSHU
SARKAR AVNINDER
Digitally signed by
AVNINDER SINGH BHASIN
Digitally signed by
Pranav Kumar Pranav Kumar Mallick
HU SARKAR Date: 2024.08.29 SINGH BHASIN Date: 2024.08.30 14:40:14 Mallick Date: 2024.08.29
16:56:32 +05'30' +05'30' 16:53:00 +05'30'
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Annexure-IV – standard format of pan-IR UMID Card
16)
Pensioner User Manual for Unique Medical ID Card
The Numbering scheme is adopted to remain unique across all the units in Indian Railways
Pensioner User Manual for Unique Medical ID Card
so as to facilitate availing medical services from any other units by their unique identification
and validation.
16) The Numbering scheme is adopted to remain unique across all the units in Indian Railways
so as to facilitate availing medical services from any other units by their unique identification
Access to Web site
Use the following URL to access to the web site for all the services related to Medical Identity
Access to Web site
Card
www.digitalir.in/umid/ Use the following URL to access to the web site for all the services related to Medical Identity
Card
This web site can be accessed through PCs & Mobiles’ browsers having internet connection. It
is not restricted to Rail Net connection. www.digitalir.in/umid/
The mobile users can access to the application from Google Play Store under the following logo This web site can be accessed through PCs & Mobiles’ browsers having internet connection. It
(UMID) is not restricted to Rail Net connection.
The mobile users can access to the application from Google Play Store under the following logo
Government of India
(UMID)
Government of India
Ministry of Railways
Ministry of Railways
Indian Railways Indian Railways
Validity Upto ___ / ___ / _____ Validity Upto ___ / ___ / _____
Valid at all Railway Hospitals (RHs) / Health Units (HUs) on IR. Valid at all Railway Hospitals (RHs) / Health Units (HUs) on IR.
Instructions: (please refer to instructions formally issued on the matter) Instructions: (please refer to instructions formally issued on the matter)
• Primary Card-holder / Dependents: Referral or Emergency cases entitled to cashless treatment at any IR • Primary Card-holder / Dependents: Referral or Emergency cases entitled to cashless treatment at any of the IR
emnapelled Hospitals shown in HMIS Directory. At Institutes of National Importance viz. AIIMS /PGIMER- emnapelled Hospitals shown in HMIS Directory. At Institutes of National Importance viz. AIIMS /PGIMER-
Chandigarh /JIPMER-Puducherry /NIMHANS-Bengaluru - no referral required and is reimbursable as eligible. Chandigarh /JIPMER-Puducherry /NIMHANS-Bengaluru - no referral required and is reimbursable as eligible.
• Servant / Attendant or non-dependents: temporarily staying with Primary UMID Card-holder and in need of
!ािधकार/ Issuing Authority medical attention may avail of medical treatment / services /medicines at RH / HU as private patients on payment
@ city specific CGHS Rates or as prescribed. Such usage to be strictly limited at the RH / HU where Primary
Card holder resides. All transactions secured and captured w.r.t. HMIS profile of Primary Card-holder.
16) The Numbering scheme is adopted to remain unique across all the units in Indian Railways
Pensioner UMID Card-holders’ Name : • xxxxxxxxxxxxxxxxxxxxx Pensioner UMID Card-holders’ Name : • xxxxxxxxxxxxxxxxxxxxx
Pensioner UMID Card No.: • xxxxxxxxxxxxxxxxxxxxx Pensioner UMID Card No.: • xxxxxxxxxxxxxxxxxxxxx
Designation at the time of retirement: Designation at the time of retirement: • xxxxxxxxx
• xxxxxxxxx
Station/Unit and HQ of employee from where retired: Station/Unit and HQ of employee from where retired: • xxxxxxxxx
• xxxxxxxxx HRMS ID
HRMS ID • xxxxxxxxx • xxxxxxxxx
masked Cell No. masked Cell No. • xxxxxxxxxxxxxxxxxxxxxx
• xxxxxxxxxxxxxxxxxxxxxx PPO No.
PPO No.
• xxxxxx- _ _ _ _ • xxxxxx- _ _ _ _
Jurisdictional RH /HU Jurisdictional RH /HU
• _ _ _ _ / _ _ _ _ (Div. _ _ _ / Rly ____) • _ _ _ _ / _ _ _ _ (Div. _ _ _ / Rly ____)
Special Instructions: Card is non-transferable. Primary Card-holder is required to keep the card in her / his safe
Special Instructions: Card is non-transferable. Primary Card-holder is required to keep the card in her / his safe
custody and use scrupulously. Changes or up-dations are the responsibility of the Primary Card-holder who, when a
custody and use scrupulously. Changes or up-dations are the responsibility of the Primary Card-holder who, when a
fresh card is required to be issued due to changes / up-dations, shall block it in HMIS and request for a fresh card to
fresh card is required to be issued due to changes / up-dations, shall block it in HMIS and request for a fresh card to
be issued. Misuse shall be liable for proceedings under D&AR and/or civil/criminal proceedings. Loss / Theft to be
be issued. Misuse shall be liable for proceedings under D&AR and/or civil/criminal proceedings. Loss / Theft to be
immediately reported by the Primary Cardholder to the controlling officer and Medical Officer along with a copy of
immediately reported by the Primary Cardholder to the controlling officer and Medical Officer along with a copy of
the FIR and Card to be blocked in HMIS.
the FIR and Card to be blocked in HMIS.
!ािधकार/ Issuing Authority
!ािधकार/ Issuing Authority
Annexure-V
Benefit of reimbursement of Medical Expense from two sources vide Railway Board letter
No. 2009/H/6-4/Policy dated 09.04.2015 which also has an illustration attached to it.
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