Railway Board – Healthcare Policy for Railway Employees and Pensioners Administrative Instructions / Clarifications / Guidelines (रेलवे बोर्ड – रेलवे कर्मचारियों एवं पेंशनभोगियों हेतु स्वास्थ्य नीति प्रशासनिक निर्देश / स्पष्टीकरण / दिशा-निर्देश)
भारत सरकार GOVERNMENT
OF INDIA
रेल मंत्रालय MINISTRY OF RAILWAYS
रेलवे बोर्ड RAILWAY BOARD
No. 2026/1 & Trans. Cell /
Healthcare / Pt-I e-file 3516685
New Delhi, Date: 30/04/2026
The General Manager
PCMDS
PHODS
All Indian Railways
DG, RDSO
DG, CTIS
Sub: Administrative Instructions /
Clarifications / Guidelines on Healthcare Policy – reg.
Ref: i. Healthcare Policy
Instructions vide RB letter no. 2024/1 & Trans Cell/ Healthcare/P dt.
29.08.2024. ii. IR Healthcare Policy on Cancer Treatment vide RB letter no. 2025/1
& Trans Cell / Healthcare/2/P dt. 05.05.2025. iii. Standard instructions on
referral for Transplant Cases vide RB letter no. 2022/H/8/HMIS/Pt-committee dt.
12.11.2025.
It has been the endeavor of Railway
Administration to provide best healthcare services in Railway Hospitals and
Health Units for railway employees, pensioners, dependent family members and
beneficiaries covered under the Railway Medical Attendance Rules. The
healthcare policy instructions under ref. issued by the Railway Board are based
on synergistic leveraging of IT Systems, robust digital process re-engineering
and a user-friendly experience.
2. All 128 Railway Hospitals and
582 Health Units on IR are 100% on HMIS. However, instances have been reported
that HMIS digital processes are being compounded with (now redundant)
paper-based processes, thus restricting the outreach / delivery of healthcare
policy instructions issued by the Board. In order to summarily address such
issues, Administrative Instructions /Clarifications / Guidelines as at
Annexure-I are being issued for immediate strict compliance by Zonal Railway
HQr and CMS/MDs of RHs.
3. Grievances /issues reported by any staff
/pensioner/ patient may be taken up for necessary compliance action by the
ADRMs/DRMs and at Zonal/PU HQrs by the PHODs/AGMs. Railway Board, Health
Directorate (Director/Health Policy & Projects) is the ‘single point of
contact’ (SPOC) on
healthcare policy and issues regarding HMIS.
Employee benefit guides
4. This issues with the approval of
DG (RHS) and the Chairman & CEO, Railway Board. Please acknowledge receipt
and ensure compliance.
(Dr Ashutosh Garg)
Director / Health Policy & Projects
Railway Board
(Pranav
Kumar Mallick)
ED/Transformation
Railway Board
Administrative
Instructions/Clarifications / Guidelines w.r.t. Healthcare Policy letters
issued by the Railway Board
Section-A
100% paperless process for
treatment & medicines at Railway Hospitals (RHs) / Health Units (HUs)
i.
Entire patient detail is already
captured/available in HRMS and HMIS and hence Railway employees
/pensioners/dependent family members/ eligible beneficiaries are required to
only carry two things: (a) their UMID or e-UMID (in Digi-Locker as issued
document) and (b) their HMIS registered cell-phones.
ii.
For railway patients OPD/IPD/Tests/Discharge etc. is
100% paperless process.
iii.
Zonal Railways shall ensure without fail that UMID
details are in sync with HRMS details and any issue
may be taken up with the concerned CPOs and FAs to ensure its scrupulous
compliance.
iv.
OPD/IPD/Tests & Diagnostics /
Discharge etc. for treatment of non-dependent @ CGHS rates shall also be
paperless and w.r.t. instructions contained in Railway Board letter under ref.
v.
All the due payments for treatment,
including payment of diet charges or any other amount pertaining to the
patient, shall be raised / billed on HMIS and paid by the primary UMID
cardholder through the payment gateway (MERS) provided in HMIS App.
vi.
Medicine –
Despite 100% implementation of HMIS wherein all medicines are prescribed w.r.t.
patient’s UMID on HMIS, it has been observed that patients are made to carry
its paper print and submit at the railway pharmacy counter which checks (and
issues) medicines w.r.t. HMIS. This is a redundant step. No paper print is required to be issued and
once medicines have been prescribed by the Railway Doctor in HMIS, the patient
would visit the railway pharmacy with UMID no. for collecting their medicines.
Section-B
Leveraging HMIS for
Pensioners
i.
RELHS beneficiaries aged 70 years & above for
availing cashless facility for direct OPD consultation & related
investigation from specialists of the private empanelled HCOs in
terms of Railway Board letter no. 2023/H/ 28/ 1/RELHS /Empanelled (CGHS) dated
02.01.2025 and inter alia not drawing Fixed medical Allowance (FMA).
a.
Such beneficiaries can avail of the
above facility at any Empanelled HCO on IR (the directory of empanelled HCOs is
already in-built in HMIS App) carrying only their UMID and HMIS registered
cell-phone no.
b.
The Empanelled HCO shall use its
HMIS login ID, punch patient’s UMID and click the form (visible on the screen
as “RELHS 70+”) provided therein for this facility based on which an HMIS
generated OTP verification/confirmation would be done and a unique digital
token ref. ID would get generated.
c.
Patients would also be able to
submit their feedback about the treatment/services at the Empanelled HCO from
their HMIS App.
ii.
UMID card for RELHS-
.
“RELHS” is a scheme under which
retired Railway employees and their dependent family members/ eligible
beneficiaries are allowed to avail medical facilities under the Railway Medical
Attendance Rules.
a.
It has been observed that Zonal
Railways are issuing RELHS Card in addition to UMID. There is no requirement of issuing any RELHS
Card and (to reiterate) Zonal Railways shall ensure that
UMID details of pensioners are in sync with HRMS.
iii.
Railway Healthcare Policy
Instructions vide Railway Board letter no. 2024/1 & Trans Cell/
Healthcare/P dated 29.08.2024, para-5 stipulates “Those railway pensioners and/or their dependent beneficiaries, who
are entitled to medical treatment/services/medicines at RH/ HU but no UMID has
been issued to them, shall not be denied medical treatment/services/ medicines
at RH/HU. Their UMID No. would be generated, at first opportunity, w.r.t. their
PPO and Aadhaar, whenever they approach RH/HU, to enable them to avail of
entitled facility. Remaining details /fields in UMID card would be verified and
filled up in HMIS Database“
Section-C
Leveraging HMIS App for
Submission of request for Re-validation / Extension of Referrals:
Railway employees / pensioners and
their attendants visiting RH/HU for re-validation /extension of referral are
avoidable footfalls at the RH/HU and the need for generating OPD appointment
for these services is to be dispensed. Henceforth patient would submit request
for re-validation / extension of referrals through HMIS App. Instructions are
as below:
Pensioner benefits guide
|
Type of Referral Case |
Situation in which Applicable |
Leveraging HMIS – under
Digital Referral Protocol |
|
Cancer cases [Policy instructions on comprehensive & inclusive
cancer treatment issued vide RB letter dated 05.05.2025] |
If the validity of referral has
expired/lapsed and digital token is not yet consumed (i.e. treatment not
started within 90 days) OR if the sessions allowed for treatment have been exhausted |
·
Patient can submit the request
through HMIS App. Jurisdictional RH would extend within 3 days (72 hours),
failing which (HMIS) Systems based extension would be auto-generated. Note: ·
It has also come to the notice
that certain RHs / ZRHs are denying or limiting cancer treatment like
chemotherapy or radiotherapy or a particular protocol on piecemeal basis
requiring new referral for every session. This is in breach of RB’s
healthcare policy instructions on comprehensive & inclusive cancer
referral treatment vide Railway Board letter under ref.-ii, which have been
incorporated in HMIS. ·
IR has entered into a very
exclusive & comprehensive MoU/Agreement for treatment of cancer
leveraging HMIS’ digital referral protocol with Tata Memorial Centre
/Hospital viz. TMCs /TMCH as one exclusive block of empanelled HCO. Copy of
IR’s exclusive MOU/Agreement with Tata Memorial are available on Railway
Board (web-page of Health Directorate) at www.indianrailways.gov.in i.
TMCH – Mumbai, including
ACTREC-Navi Mumbai ii.
ТMС- Muzaffarpur iii.
ТMC- Vishakhapatnam iv.
TMC -New Chandigarh v.
TMC-Sangrur vi.
TMC – Varanasi vii.
TMC – Guwahati |
|
Dialysis sessions |
if dialysis session/s allowed in
the referral has been exhausted |
·
Patient can submit the request
for extension of the referral through HMIS App. The Jurisdictional RH would
extend the same within 3 days (72 hours) of the submission, failing which,
i.e., beyond 72 hours, the (HMIS) Systems based extension would be
autogenerated – but every 3rd extension would be based on a clinical review
and further treatment decision by the Railway Doctor. |
|
Referral Cases |
where the treatment has not
started within 30 days from the date of issue ofthe referral (i.e., |
·
Patient can submit the request
for extension of the referral through HMIS App based on which the
jurisdictional RH, within 72 hours, would either approve the same in HMIS or
may call the patient for a clinical review before granting the same. If the
patient gets a message in HMIS App for having to come for a clinical review
by the Railway Doctor, no OPD registration is required. |
Section-D
Referrals for treatment of Railway Patients viz. serving railway employees, railway
pensioners and their eligible family members/dependents.
|
Don’ts/Irregularities /
inefficient practices in RHs/HUs (col.-I) |
Dos / instructions for 100%
compliance by the CMS’/ MDs/ Sr DMOs / Officials in-charge of RHs / Hus
col.-II |
|
|
·
Complaints have been received
that patients even with referral (in HMIS) are being denied treatment at the
empanelled HCO by asking the patients to bring a further recommendation /
endorsement / stamp / letter /e-mail /WhatsApp message etc. from the ZRH /RH
with which the empanelled HCO has its MoU. |
·
OPD Patients for whom referral
has been processed/ initiated / recommended by the Railway Doctor – are not
required to be present in the RH / HU. The patients should be informed and
assured that they should go to their home or workplace and that the referral
would automatically get reflected in their HMIS App by the same day. The
patient would receive a message, in HMIS App, the moment their referral is
initiated and also an update message when referral has been approved /issued
in HMIS App. |
·
Railway patients, having a prior
referral in HMIS or in medical emergency for which no prior referral is
required, can avail treatment at any IR empanelled HCO as per her/his choice. [important reference: para-2-(i) and Annexure-I of the RB
letter no. 2024/1 & Trans. Cell/ Healthcare/P dt 29.08.2024.] ·
The empanelled HCO must, without
exception, register the patient in HMIS (using its HMIS login ID access for
OTP based verification of patient’s UMID / acceptance of referral token) for
treatment / admission / discharge. The healthcare policy instructions vide
Railway Board letter under ref. may be referred to for guidance. ·
Box-D-I contains key steps in
digital referral protocol as per RB’s healthcare policy instructions under
ref |
|
·
It has also been observed that
for the same patient and same treatment, multiple referrals are being
generated / insisted – one from the RH that had initially generated / gave
the referral and another, at the insistence of the empanelled HCO on
selective basis, from the RH / ZRH with which the empanelled HCO has its MoU.
This is irregular. |
·
It is reiterated that once a
referral letter has been generated in HMIS, no further paper print-out
/endorsement/ recommendation / stamp letter / email or telephonic message
etc. is required from any Railway Doctor / Railway Hospital. Only the
referral ID and digital token no. of the referral letter generated in HMIS is
required. The patients will not be required to wait at the RH/ HU merely to
collect and chase referral print-outs or local/private nos. The referral
letter once generated would be visible on patient’s HMIS App. |
·
Referral shall be given for
complete treatment of the patient for the referred treatment as per the MoU
and not in parts or specific number of days which may be then extendable in
piecemeals by RHs at the request of the patient or empanelled HCOs. ·
However, wherever clinical
condition of the patient necessitates any modification / extension of indoor
treatment beyond standard treatment/period (if any) as per CGHS/MoU, the
empanelled HCO shall generate modification / extension request through their HMIS
login-ID and digital referral token therein w.r.t. which the patient is being
treated. ·
note: in the clinical remarks on
referral letter issued by Railway Doctor no extraneous / nonmedical comments
would be recorded, but strictly only the patient’s clinical / medical
condition and related remarks that require attention for imparting referred
treatment. |
रेलवे बोर्ड आदेश – स्वास्थ्य नीति पर प्रशासनिक निर्देश / स्पष्टीकरण / दिशा-निर्देश
भारत सरकार – रेल मंत्रालय – रेलवे बोर्ड संख्या:
2026/1 & Trans. Cell / Healthcare / Pt-I e-file 3516685 दिनांक:
30/04/2026
प्रेषित: महाप्रबंधक, PCMDs, PHODs, DG RDSO,
DG CTIs, सभी भारतीय रेल
विषय: स्वास्थ्य नीति पर
प्रशासनिक निर्देश / स्पष्टीकरण / दिशा-निर्देश
संदर्भ:
·
रेलवे
बोर्ड पत्र संख्या
2024/1 & Trans Cell/Healthcare/P दिनांक
29.08.2024
·
कैंसर
उपचार हेतु IR स्वास्थ्य
नीति, रेलवे बोर्ड
पत्र संख्या 2025/1 & Trans Cell/Healthcare/2/P दिनांक 05.05.2025
· प्रत्यारोपण मामलों हेतु HMIS आधारित मानक रेफ़रल निर्देश, रेलवे बोर्ड पत्र संख्या 2022/H/8/HMIS/Pt-committee दिनांक 12.11.2025
मुख्य बिंदु
·
रेलवे
प्रशासन का उद्देश्य
कर्मचारियों, पेंशनभोगियों एवं आश्रित
परिवारजनों को सर्वोत्तम
स्वास्थ्य सेवाएँ प्रदान करना
है।
·
सभी
128 रेलवे अस्पताल एवं 582 स्वास्थ्य
इकाइयाँ
अब 100% HMIS पर कार्यरत
हैं।
·
HMIS डिजिटल
प्रक्रिया को कागज़ी
प्रक्रियाओं से बाधित
नहीं किया जाए।
·
UMID/e-UMID
एवं HMIS पंजीकृत मोबाइल ही
उपचार हेतु पर्याप्त
हैं।
·
OPD/IPD/Tests/Discharge आदि की
प्रक्रिया पूर्णतः पेपरलेस होगी।
· दवाएँ सीधे UMID नंबर के आधार पर रेलवे फार्मेसी से उपलब्ध कराई जाएँगी, किसी पेपर प्रिंट की आवश्यकता नहीं।
पेंशनरों हेतु HMIS का उपयोग
·
70 वर्ष
से अधिक आयु
के RELHS लाभार्थी कैशलेस OPD परामर्श
एवं जाँच का
लाभ निजी मान्यताप्राप्त
HCOs में ले सकते
हैं।
·
केवल
UMID एवं HMIS पंजीकृत मोबाइल आवश्यक।
·
अलग
से RELHS कार्ड जारी करने
की आवश्यकता नहीं,
UMID ही पर्याप्त है।
· जिन पेंशनरों को अभी UMID जारी नहीं हुआ है, उन्हें उपचार से वंचित नहीं किया जाएगा। PPO एवं आधार के आधार पर UMID तुरंत जनरेट किया जाएगा।
रेफ़रल पुनः मान्यकरण / विस्तार हेतु HMIS ऐप का उपयोग
·
कैंसर,
डायलिसिस एवं अन्य
उपचार मामलों में
रेफ़रल विस्तार हेतु HMIS ऐप
से अनुरोध किया
जा सकता है।
·
कैंसर
उपचार हेतु टाटा
मेमोरियल सेंटर (मुंबई, नवी
मुंबई, मुज़फ्फरपुर, विशाखापट्टनम, चंडीगढ़, संगरूर, वाराणसी,
गुवाहाटी) के साथ
विशेष समझौता किया
गया है।
· रेफ़रल विस्तार 72 घंटे के भीतर RH द्वारा किया जाएगा, अन्यथा HMIS सिस्टम स्वतः विस्तार करेगा।
रेफ़रल प्रक्रिया – क्या करें और क्या न करें
·
मरीजों
को अतिरिक्त सिफारिश/स्टाम्प/पत्र/ईमेल/व्हाट्सऐप संदेश लाने
की आवश्यकता नहीं।
·
HMIS में
एक बार रेफ़रल
जनरेट होने पर
वह मरीज के
HMIS ऐप पर स्वतः
दिखाई देगा।
·
रेफ़रल
पूर्ण उपचार हेतु
दिया जाएगा, न
कि टुकड़ों में।
· केवल चिकित्सीय टिप्पणियाँ ही रेफ़रल पत्र में दर्ज होंगी।
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