In a move likely to set new pricing standards for medical procedures in the country, The National Health Protection Scheme (NHPS), popularly known as Modicare, will offer common treatments such as coronary bypass, knee transplant and C-section at a rate which is around 15-20% lower than the Central Government Health Scheme (CGHS).
CGHS provides healthcare to government staff, pensioners and dependants. The health ministry has finalised the rates for 1,354 packages to be covered under NHPS. The packages include 23 specialties, such as cardiology, ophthalmology, orthopaedics, urology and oncology, an official said.
Low prices list under Modicare :-
- For instance, the rate for vertebral angioplasty with single stent has been fixed at Rs 50,000, whereas that with double stent will cost Rs 65,000. Similarly, the price for total knee replacement is fixed at Rs 80,000, whereas a caesarean section will be charged at Rs 9,000.
- The list also includes paediatric surgeries, different packages for cancer treatment as well as mental disorders.
- For comparison, an angioplasty would cost about Rs 1.5-2 lakh, a C-section around Rs 1.5 lakh and a total knee replacement would set a patient back by around Rs 3.5 lakh in any of the reputed private hospitals in Delhi.
About :-
- The NHPS rate list is part of a model tender document for the Pradhan Mantri Rashtriya Swasthya Suraksha Mission.
- The document, finalised after consultation with Niti Aayog and Indian Council of Medical Research (ICMR).
- Also details the minimum number of days of hospitalisation required to make a claim as well as pre-surgery and post-surgery investigations needed for approval.
- The document has been shared with state governments for comments. It will also be circulated among the bidding insurers by the states.
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