A Mumbai-based pensioner has alleged that he was unjustly denied full reimbursement for a heart transplant performed at a private hospital, despite being left with no alternative due to the unavailability of necessary facilities at government-approved hospitals. Under the Central Government Health Scheme (CGHS), empanelled hospitals are designated to provide subsidized healthcare services to union government employees, pensioners, and their dependents. The pensioner was diagnosed with cardiomyopathy in 2009.
By 2019, his condition had deteriorated significantly, with his heart’s left ventricle functioning at just 15%, severely restricting blood flow and posing a life-threatening risk. Doctors advised an urgent heart transplant. However, none of the CGHS-empanelled hospitals had the required license or expertise to perform the procedure, compelling him to seek treatment at a private…
