Cancer treatment facility with Tata Memorial Center/s all over India and basic features of Indian Railway’s healthcare policy (कैंसर उपचार केंद्र – टाटा मेमोरियल सेंटर (संपूर्ण भारत में) टाटा मेमोरियल सेंटर
Cancer treatment facility with Tata
Memorial Center/s all over India and basic features of IR’s healthcare policy
on cancer treatment: Railway Board Order 30.04.2026
भारत सरकार
GOVERNMENT OF INDIA
रेल मंत्रालय MINISTRY OF RAILWAYS
रेलवे बोर्ड RAILWAY BOARD
No. 2026 /H-1 /11/1 /TMH Recog.
New Delhi, Date: 30/04/2026
The General Manager DG, RDSO
PCMDs, PHODs DG, CTIs
All Indian Railways
Sub: Cancer treatment facility with Tata Memorial Center/s all
over India and basic features of IR’s healthcare policy on cancer treatment —
reg.
Ref: IR Healthcare Policy on Cancer Treatment vide RB letter no.
2025/I & Trans Cell/ Healthcare/2/P dt. 05.05.2025 read with Healthcare
Policy instructions vide RB letter no. 2024/1 & Trans. Cell/ Healthcare /P
dt. 29.08.2024
Railway Board vide letter under ref. has issued IR Healthcare
Policy on Cancer Treatment issued and as continuing efforts to provide most
advanced healthcare facility available for complex and critical illness like
cancer, IR has entered into an exclusive & comprehensive Agreement with the
Tata Memorial Centers (TMCs) – a premier cancer institution recognised by the
Gol, Ministry of Health & FW and under the aegis of Gol, Dept of Atomic
Energy. Any railway employee, pensioner and dependent family members can avail
the benefit of cashless cancer treatment at all the eight (08) TMCs. Basic
features of the Healthcare Policy instructions on cancer treatment are at
Annex-I.
2. IR’s exclusive & comprehensive Agreement/s with
TMCs as below, are available on Railway Board (web-page of Health Directorate)
www.indianrailways.gov.in —> Ministry of Railways > Railway Board >
About Indian Railways > Railway Board Directorates > Health Directorate
> MoUs with Units of TMC for Cancer Treatment: –
i.
Tata Memorial
Hospital / Mumbai and ACTREC (Advanced Center for Treatment Research & Education
in Cancer) / Navi Mumbai
ii.
TMC (Homi Bhabha
Cancer Hospital & Research Centre) — Muzaffarpur, Bihar.
iii.
TMC (Homi Bhabha
Cancer Hospital & Research Centre) — Vishakhapatnam, Andhra Pradesh.
iv.
TMC (Homi Bhabha
Cancer Hospital & Research Centre) — Mullanpur, New Chandigarh.
v.
TMC (Homi Bhabha
Cancer Hospital) — Sangrur, Punjab.
vi.
TMC (Mahamana
Pandit Madan Mohan Malaviya Cancer Centre) — BHU Campus, Varanasi, UP.
vii.
TMC (Dr Bhubaneswar
Borooah Cancer Institute) – Guwahati, Assam.
3. In order to preclude errors and ensure that 100% of
the cancer referral letters are as per the policy instructions on comprehensive
& inclusive cancer treatment issued vide Railway Board letter no. 2025/ I
&Trans Cell /Healthcare/ 2/ P dated 05.05.2025, the HMIS process flow for generation
of a Cancer Referral is given in the box below:
|
Process flow for
generation of a Cancer Referral: HMIS > OPD Doctor’s Desk > Referral /
Cross Consultation > Refer Type (Select) Private Empanelled HCO >
Department (Select) ONCOLOGY / CANCER. |
|
note: in the clinical remarks
on referral letter issued by Railway Doctor no extraneous / non-medical
comments should be recorded and strictly only patient’s clinical / medical
condition and related remarks that require attention for imparting referred treatment. |
4. Railway Board, Health Directorate (Director /Health
Policy & Projects) is the ‘single point of
contact’ (SPOC) on healthcare
policy and issues regarding HMIS.
5. This issues with the approval of DG (RHS).
Please acknowledge receipt and ensure compliance.
|
Sd/- |
Sd/- |
|
No
referral / permission / endorsement is required for initial Diagnostics /
Tests / Consultation / Investigation at Preventive Oncology Branch or OPD in
Tata Memorial Centre Hospital (TMCH) – and the medical reimbursement claim
for such treatment at TMCH shall be admissible as per rates stipulated in
IR’s MoU with TMCH or on actuals, whichever is lower, and may include cost of
registration, consultation, initial Tests / Medication etc. in OPD. |
|
||
|
For
medically expedient cancer cases needing referral to TMCС /TMH (including
ACTREC) on the basis of OPD/ Consultations / Investigations / Diagnostics /
Tests |
the
cancer patient may exercise the option of |
either
taking referral from jurisdictional RH (mentioned in patient’s UMID) or take referral in Mumbai
itself from any of IR’s two nodal ZRHs for TMCН. namely Dr Babasaheb Ambedkar
Memorial Rly Hospital or Babu Jagjivan Ram Rly Hospital. |
|
|
Referral
by Railway Doctor is inclusive of the in-house treatment (Consultation,
Investigations, Chemotherapy, Radiotherapy, Surgery etc) |
During
IPD treatment, the robotic / laparoscopic / implants / special surgery etc.
as allowed under CGHS and including chemotherapy administered, radiation,
medicines dispensed, Tests or other diagnostics done, would be covered in the
expenses met during the treatment. |
Medicines,
including post-operative protocol medicines and follow-up medicines, as
prescribed shall be provided by the TMCH. In the event medicines are not
provided by TMCH it will certify that the medicine was not provided to the
patient and the same would be provided by any RH/HU as per patient’s request. |
|
|
Cancer
treatment in Government Hospitals (GHs) and Institutes of National Importance
(INIs) |
No
referral/permission / endorsement is required for cancer treatment including
OPD/IPD/Tests in INIs. |
Reimbursement
as per actuals or city specific CGHS rates, whichever lower & may include
cost of registration, consultation, initial treatment, medication etc in OPD |
|
|
For
cancer cases needing referral treatment /IPD on the basis of OPD
/consultations /investigations /diagnostics /tests, the referral would be
given by the jurisdictional RH as per patient’s UMID. |
|||
|
Medicines
(post-operative & follow-up) to be provided by the INI |
If
INI or GH – where treatment has been taken – certify that the medicines could
not be provided, the same would be provided by any RH/HU as per patient’s
request – since UMID has been granted pan-IR validity. |
||
|
|
Referral/permission/endorsement
not required for cancer OPD/ Consultations / Investigations / Diagnostics /
Tests (except IPD) in empanelled HCOs of IR/C |
BUT
the reimbursement in these cases would be admissible only, and only if cancer
/malignancy mangnaney is confirmed in which case is coniirmed in which case
reimbursement would be as per actuals or city specific CGHS rates, whichever
lower & may include cost of registration, consultation, initial
treatment/medication etc in OPD. |
|
|
|
Referral
would be given by Jurisdictional RH as per patient’s as pa UMID for cancer
cases needing referral treatment / IPD on the basis of OPD / consultations/
investigations / diagnostics/Tests. |
Referral
/treatment to be inclusive. IPD treatment to be as per MoU with respective
EH, and chemotherapy administered, radiation, medicines dispensed, Tests
& other diagnostics done would be covered in the expenses met during the
treatment. |
|
|
Cancer
treatment in any IR Empanelled or a CGHS Empanelled HCO (E) |
Medicines
that the EH could not provide and all postoperative protocol /medicines, as
prescribed shall be provided by any RH /HU as per patient’s request. |
|
|
Process flow for generation of Cancer Referral
किन टाटा मेमोरियल कैंसर सेंटरों में इलाज मिलेगा (कैशलेस सुविधा)
भारतीय रेलवे ने Tata Memorial Centre के साथ समझौता किया है।
इन लोगों को लाभ मिलेगा:
- रेलवे कर्मचारी
- रेलवे पेंशनर
- आश्रित परिवार सदस्य
वे निम्न केंद्रों में कैशलेस कैंसर उपचार करा सकते हैं:
- Tata Memorial Hospital
- ACTREC
- Homi Bhabha Cancer Hospital & Research Centre
- Homi Bhabha Cancer Hospital & Research Centre
- Homi Bhabha Cancer Hospital & Research Centre
- Homi Bhabha Cancer Hospital
- Mahamana Pandit Madan Mohan Malaviya Cancer Centre
- Dr. Bhubaneswar Borooah Cancer Institute
2) शुरुआती जांच/OPD के लिए रेफरल की जरूरत नहीं
निम्न के लिए सीधे जा सकते हैं:
- पहली सलाह (Consultation)
- OPD
- टेस्ट
- जांच
- डायग्नोसिस
- कैंसर स्क्रीनिंग
रेलवे रेफरल/अनुमति की जरूरत नहीं है।
खर्च का भुगतान/रिइम्बर्समेंट मिलेगा:
- रजिस्ट्रेशन शुल्क
- डॉक्टर फीस
- शुरुआती टेस्ट
- दवाइयाँ
- OPD खर्च
(वास्तविक खर्च या निर्धारित रेलवे दर — जो कम हो)
3) बड़े इलाज/भर्ती (IPD) के लिए रेफरल जरूरी
यदि कैंसर पुष्टि हो जाए और आवश्यकता हो:
- सर्जरी
- कीमोथेरेपी
- रेडियोथेरेपी
- अस्पताल में भर्ती
तो रेफरल लिया जा सकता है:
अपने रेलवे अस्पताल से
(UMID के अनुसार)
या मुंबई में:
- Dr. Babasaheb Ambedkar Memorial Railway Hospital
- Babu Jagjivan Ram Railway Hospital
4) कौन-कौन सा इलाज कवर होगा
रेलवे नीति में शामिल है:
✅ डॉक्टर परामर्श
✅ सर्जरी
✅ कीमोथेरेपी
✅ रेडियोथेरेपी
✅ टेस्ट
✅ जांच
✅ दवाइयाँ
✅ भर्ती खर्च
इसके अलावा:
- रोबोटिक सर्जरी
- लैप्रोस्कोपिक सर्जरी
- इम्प्लांट
- विशेष सर्जरी
(CGHS नियमों के अनुसार
5) इलाज के बाद दवाइयाँ
यदि टाटा अस्पताल दवा देता है → वहीं से मिलेगी।
यदि अस्पताल दवा उपलब्ध नहीं कराता → रेलवे अस्पताल/हेल्थ यूनिट मरीज को दवा उपलब्ध कराएगी।
6) सरकारी अस्पताल/राष्ट्रीय संस्थानों में इलाज
जैसे:
- All India Institute of Medical Sciences
- Postgraduate Institute of Medical Education and Research
इनमें:
- OPD
- टेस्ट
- जांच
के लिए रेफरल नहीं चाहिए।
लेकिन भर्ती/बड़े इलाज के लिए रेफरल चाहिए।
7) प्राइवेट एम्पैनल्ड अस्पतालरेलवे/CGHS पैनल अस्पताल में:
- शुरुआती जांच के लिए रेफरल नहीं चाहिए
- लेकिन कैंसर कन्फर्म होना जरूरी है
भर्ती के लिए रेलवे रेफरल जरूरी होगा।
8) सबसे बड़ा फायदा
पहले मरीजों को रेफरल में समय लगता था।
अब मरीज सीधे टाटा मेमोरियल या बड़े सरकारी कैंसर अस्पताल जाकर जल्दी जांच शुरू कर सकता है।
कैंसर इलाज में समय बहुत महत्वपूर्ण होता है — यह आदेश उसी देरी को कम करता है।
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