- When specialised treatment, advanced procedures or diagnostic facilities are not available at the local Railway Hospital, the authorised Medical Officer refers the patient to a higher medical centre or an empanelled private hospital.
- In an acute life-threatening emergency, such as sudden cardiac arrest, a severe road accident, coma or acute respiratory failure, the patient may be admitted directly to the nearest recognised private or empanelled hospital without prior referral.
- In an emergency admission, written or digital intimation must be submitted to the concerned Railway Medical Officer (CMS/MD) within 48 hours of admission.
- For reimbursement, the claimant must submit an application along with original bills, discharge summary, emergency certificate and detailed case reports.
- The Railway Medical Committee evaluates the medical urgency and sanctions reimbursement based on approved CGHS/Railway rates.
Referral Hospital Policy
Specialist treatment, emergency admission and reimbursement process
Confirm current applicability with the competent Railway Medical Authority before acting on these provisions.