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ECHS Membership Application Form : Ex-Servicemen Contributory Health Scheme

Organisation : Ex-Servicemen Contributory Health Scheme (ECHS)
Facility : Membership Application Form

Download Membership Form here : https://www.statusin.in/uploads/18659-Revised_Application.pdf
Home Page : https://desw.gov.in/en/about-echs

Membership :

Eligibility :
(a) Should be an Ex-Serviceman and drawing pension/disability pension/family pension from Controller of Defence Accounts including Indian Coast Guard personnel.

Related : DESW ECHS Grievances Redressal Mechanism : www.statusin.in/10270.html

(b) War Widows (Veer Naris) / NOK of Battle causalities.
(c) Personnel disabled in Operations.
(d) Recruits medically boarded out during training and in receipt of disability pension.

Notes :
(i) Ex-Servicemen not drawing pension are NOT eligible.
(ii) To take benefits of ECHS you CAN NOT be drawing benefits of any other Government medical Scheme.

Dependents :
(a) Spouse including legally more than one spouse.
(b) Unemployed Son(s) up to 25 years of age.
(c) Minor brother(s) upto the age of becoming a major.
(d) Unemployed/unmarried Daughter (s) / Sister including widow / legally divorced irrespective of age.
(e) Physically/ Mentally handicapped child / brother / sister for life.
(f) Wholly dependent Parents whose combined monthly income from all source does not exceed Rs 3500/- plus DA and are generally residing with the member.
(g) Parents of deceased soldier can be eligible, subject to meeting dependency criteria.
(h) If both husband and wife are Defence Personnel, parents of both members are eligible if both pay subscription, subject to meeting dependency criteria.

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Notes :
(i) Widow after remarriage in receipt of family pension is eligible for ECHS membership alongwith her children from first marriage. However, her present Husband and children born later are not entitled.
(ii) Grandparents are not entitled.
(iii) Grandchildren of widowed/separated daughters of primary beneficiary upto the age of becoming a major.
(iv) Part II Orders endorsement by service Headquarters/respective Records for marriage/children born after
retirement alongwith birth certificate.
(v) Please attach relevant medical documents of Drug Allergy (if any) and Blood Group.

Filling & Submission of Forms :
(a) Membership After Retirement
(i) Collect form from nearest Stn HQ, Polyclinic or download from internet (Website : echs.gov.in.)
(ii) Prepare affidavit on Rs. 10/- Non- judicial stamp as per specimen given at Page 12.
(iii) Attach bankers certificate/DPDO certificate showing details of pension being drawn, MRO (2 Copies), PPO copy, dependency certificate, proof of identity and demand draft for cards.
(iv) Carry service/discharge book in original for verification.

(b) Membership Before Retirement (future Retiree).
(i) Form to be collected and filled alongwith pension documents.
(ii) Copy of PPO, Bankers Certificate & MRO are NOT required.
(iii) Submit completed Application Form alongwith affidavit as follows:
(aa) Army Headquarters/AG’s Branch MP 5/6 for Non-AMC-Army Officers.
(ab) Army Headquarters/AG’s Branch MPRS(0) – for AMC, ADC & MNS Officers.
(ac) Concerned Records Office (refer Page 11) – for all JCOs or OR of the Army Including DSC Personnel.
(ad) Naval Headquarters/Director of Personnel (DOP) – for Naval Officers.
(ae) Commodore Bureau of Sailors (CABs), Mumbai – for Naval PBOR.
(af) Air Headquarter/DPP & R, through last posted unit – for Air Force Officers.
(ag) Air Force Reocrds Office (AFRO), Delhi Cantt – for Air Forces PBOR.
(ah) Coast fuard Headquarters – for Officer and PBOR.

(c) Retirement at Short Notice
ECHS Membership Application Form is generally required to be submitted to concerned Record Office 5- 6 months prior to the date of retirement.

However, in case of an Officer/PBOR proceeding on retirement at short notice, he/she is permitted to submit his/her ECHS Membership Application Form to concerned Record Office any time prior to the date of retirement or Even after retirement if he/she is not possession of PPO.

ECHS Membership Application Form can only be submitted at nearest Stn/HQ Regional Centre by a pensioner if it is supported by PPO and all other mandatory documents.
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