RAJASTHAN GOVERMENT HEALTH SCHEME

List of Expenses excluded Under RGHS Hospitalization

S. No. Items Suggestions
A Toiletries/ Cosmetics/ Personal Comfort or Convenience Items
1 Hair Removing Cream Not Payable
2 Baby Charges (unless specified/indicated) Not Payable
3 Baby Food Not Payable
4 Baby Utilites Charges Not Payable
5 Baby Set Not Payable
6 Baby Bottles Not Payable
7 Brush Not Payable
8 Cosy Towel Not Payable
9 Hand Wash Not Payable
10 Moisturiser Paste Brush Not Payable
11 Powder Not Payable
12 Razor Not Payable
13 Shoe Cover Not Payable
14 Beauty Services Not Payable
15 Belts/ Braces Not Payable

16 Buds Not Payable

17 Barber Charges Not Payable
18 Caps Not Payable
19 Cold Pack/Hot Pack Not Payable
20 Carry Bags Not Payable
21 Cradle Charges Not Payable
22 Comb Not Payable
23 Disposable Razor Charges ( For Site Preparations) Not Payable
24 Eau-De-Cologne / Room Freshners Not Payable
25 Eye Pad Not Payable
26 Eye Sheild Not Payable
27 Email / Internet Charges Not Payable
28 Food Charges (other than Patient's Diet Provided by Hospital) Not Payable
29 Foot Cover Not Payable
30 Gown Not Payable
31 Leggings Not Payable

32 Laundry Charges Not Payable

33 Mineral Water Not Payable
34 Oil Charges Not Payable
35 Sanitary Pad Not Payable
36 Slippers Not Payable
37 Telephone Charges Not Payable
38 Tissue Paper Not Payable
39 Tooth Paste Not Payable
40 Tooth Brush Not Payable
41 Guest Services Not Payable
42 Bed Pan Not Payable
43 Bed Under Pad Charges Not Payable
44 Camera Cover Not Payable
45 Cliniplast Not Payable
46 Crepe Bandage Not Payable
47 Curapore Not Payable
48 Diaper Of Any Type Not Payable
49 DVD, CD Charges Not Payable
50 Eyelet Collar Not Payable
51 Face Mask Not Payable
52 Flexi Mask Not Payable
53 Gause Soft Not Payable
54 Gauze Not Payable
55 Hand Holder Not Payable
56 Hansaplast/ Adhesive Bandages Not Payable
57 Infant Food Not Payable
58 Slings Reasonable costs for one sling in case of Upper Arm Fractures may be considered
B Items Specifically Excluded in Policies
59 Cost Of Spectacles/ Contact Lenses Not Payable
60 Hormone Replacement Therapy Not Payable
61 Obesity (including Morbid Obesity) Treatment if Excluded in Policy Not Payable
62 Psychiatric & Psychosomatic Disorders Not Payable
63 Corrective Surgery for Refractive Error Not Payable
64 Hearing Aid Payable as Per RGHS Rules
65 Hospitalisation for Evaluation/ Diagnostic Purpose Not Payable
66 Expenses for Investigation/ Treatment irrelevant to the Disease for which Not Payable
admitted or diagnosed
67 Stem Cell Implantation/ Surgery & Storage Not Payable except Bone Marrow Transplantation where covered by Scheme
C Items Which form Part of Hospital Services where Separate Consumables are not Payable but the Service is
68 Ward and Theatre Booking Charges Payable Under OT Charges, Not Payable Separately
69 Arthroscopy & Endoscopy Instruments Rental Charged By The Hospital Payable. Purchase of Instruments Not Payable.
70 Microscope Cover Payable Under OT Charges, Not Payable Separately
71 Surgical Blades,Harmonic Scalpel, Shaver Payable Under OT Charges, Not Payable Separately
72 Surgical Drill Payable Under OT Charges, Not Payable Separately
73 Eye Kit Payable Under OT Charges, Not Payable Separately
74 Eye Drape Payable Under OT Charges, Not Payable Separately
75 X-Ray Film Payable Under Radiology Charges, Not as Consumable
76 Sputum Cup Payable Under Investigation Charges, Not as Consumable
77 Boyles Apparatus Charges Part Of Ot Charges, Not Seperately
78 Blood Grouping and Cross Matching of Donors Samples Part Of Cost Of Blood, Not Payable
79 Antiseptic & Disinfectant Lotions Not Payable-Part of Dressing Charges
80 Band Aids, Bandages, Sterile Injections, Needles, Syringes Not Payable - Part of Dressing Charges
81 Cotton Not Payable-Part of Dressing Charges
82 Cotton Bandage Not Payable-Part of Dressing Charges
83 Micropore/ Surgical Tape Not Payable-payable by the Patient when Prescribed, otherwise included as Dressing
Charges
84 Blade Not Payable
85 Apron Not Payable -Part of Hospital Services/Disposable Linen to be Part of OT/ ICU Charges

86 Torniquet Not Payable (service is charged by Hospitals, Consumables cannot be separately charged)

87 Orthobundle, Gynaec Bundle Part of Dressing Charges

88 Urine Container Not Payable
D Elements of Room Charge
89 Luxury Tax Not Payable.

90 HVAC Part of Room Charge Not Payable Separately

91 House Keeping Charges Part of Room Charge Not Payable Separately
92 Service Charges where Nursing Charge also charged Part of Room Charge Not Payable Separately
93 Television & Air Conditioner Charges Payable Under Room Charges Not if separately levied
94 Surcharges Part of Room Charge Not Payable Separately
 95 Attendant Charges Not Payable - Part of Room Charges
96 IM/ IV Injection Charges Part of Nursing Charges, Not Payable
97 Clean Sheet Part of Laundry/housekeeping Not Payable Separately
98 Extra Diet of Patient(other than that which forms part of Bed Charge) Not Payable
99 Blanket/Warmer Blanket Not Payable- Part of Room Charges
E Administrative or Non-medical Charges
100 Admission Kit Not Payable
101 Birth Certificate Not Payable
102 Blood Reservation Charges and Ante Natal Booking Charges Not Payable
103 Certificate Charges Not Payable
104 Courier Charges Not Payable
105 Convenyance Charges Not Payable
106 Diabetic Chart Charges Not Payable
107 Documentation Charges / Administrative Expenses Not Payable
108 Discharge Procedure Charges Not Payable
109 Daily Chart Charges Not Payable
110 Entrance Pass / Visitors Pass Charges Not Payable
111 File Opening Charges Not Payable
112 Incidental Expenses / Misc. Charges (not Explained) Not Payable
113 Medical Certificate Not Payable
114 Maintainance Charges Not Payable
115 Medical Records Not Payable
116 Preparation Charges Not Payable
117 Photocopies Charges Not Payable
118 Patient Identification Band / Name Tag Not Payable
119 Washing Charges Not Payable
120 Medicine Box Not Payable
121 Mortuary Charges Not Payable
122 Medico Legal Case Charges (MLC Charges) Not Payable
F External Durable Devices
123 Walking Aids Charges Not Payable
124 Bipap Machine As Per RGHS Norms
125 Commode Not Payable
126 CPAP Machine As Per RGHS Norms
127 Infusion Pump - Cost Not Payable
128 Oxygen Cylinder (for Usage outside the Hospital) Not Payable
129 Pulseoxymeter Charges Device Not Payable
130 Spacer Not Payable
131 Spirometre Not Payable
132 SPO2 Probe Not Payable
133 Nebulizer Kit Not Payable
134 Steam Inhaler Not Payable
135 Armsling Not Payable
136 Thermometer Not Payable
137 Cervical Collar Not Payable
138 Splint Not Payable
139 Diabetic Foot Wear Not Payable
140 Knee Braces ( Long/ Short/ Hinged) Not Payable
141 Knee Immobilizer/Shoulder Immobilizer Not Payable
142 Lumbo Sacral Belt Essential and should be paid at least specifically for cases who have undergone Surgery of
Lumbar Spine
143 Nimbus Bed or Water or Air Bed Charges Not Payable

144 Ambulance Collar Not Payable

145 Ambulance Equipment Not Payable
146 Microsheild Not Payable
147 Abdominal Binder Essential and should be Paid at least in Post Surgery Patients of Major Abdominal Surgery
Including TAH, LSCS, Incisional Hernia Repair, Exploratory Laparotomy for Intestinal
Obstruction, Liver Transplant Etc.
G Items Payable If Supported By A Prescription
148 Betadine \ Hydrogen Peroxide\spirit\ Disinfectants Etc Not Payable

149 Private Nurses Charges- Special Nursing Charges Post Hospitalization Nursing Charges Not Payable
150 Nutrition Planning Charges - Dietician Charges- Diet Charges Patient Diet provided by Hospital is Payable
151 Sugar Free Tablets Payable -Sugar Free variants of admissable medicines are not Excluded
152 Cream Powder Lotion (Toileteries are Not Payable, only Prescribed Medical Payable when Prescribed
Pharmaceuticals Payable)
153 Digene Gel Payable when Prescribed
154 ECG Electrodes Upto 5 Electrodes are Required for every case visiting OT or ICU. For longer stay in ICU,
may Require a Change and at least one set every second day must be Payable.

155 Gloves Sterilized Gloves Payable / Unsterilized Gloves not payable

156 HIV Kit Payable - Pre-Operative Screening
157 Listerine/ Antiseptic Mouthwash Payable When Prescribed
158 Lozenges Payable When Prescribed
159 Mouth Paint Payable When Prescribed
160 Vaccination Charges (Dog Bite/Snake Bite) Govt. Reserved
161 Vaccination Charges Routine Vaccination Not Payable
H Part of Hospital's own Costs and not Payable
162 AHD Not Payable - Part of Hospital's Internal Cost
163 Alcohol Swabes Not Payable - Part of Hospital's Internal Cost
164 Scrub Solution/ Sterillium Not Payable - Part of Hospital's Internal Cost
I OTHERS
165 Vaccine Charges for Baby Not Payable
166 Aesthetic Treatment / Surgery Not Payable
167 TPA Charges Not Payable
168 Visco Belt Charges Not Payable
169 Any Kit with no details mentioned [Delivery Kit, Orthokit, Recovery Kit, Etc] Not Payable

170 Examination Gloves Not Payable

171 Kidney Tray Not Payable
172 Mask Not Payable
173 Ounce Glass Not Payable
174 Oxygen Mask Not Payable
175 Paper Gloves Not Payable
176 Referal Doctor's Fees Not Payable
177 Pan Can Not Payable
178 Sofnet Not Payable
179 Trolly Cover Not Payable
180 Urometer, Urine Jug Not Payable
181 Urine Bag Not Payable
182 Softovac Not Payable
183 Stockings Not Payable