Ex-servicemen Contributory Health Scheme (ECHS) is similar to the Central Government Health Scheme (CGHS), meant for meeting the medical requirements of the uniformed retired Defence personnel from the Army, Navy, and Air Force. The scheme covers almost 67 Lakhs of the retired as of now. The management of the scheme is controlled by Central Organisation at the apex, Regional Centres, and Polyclinics as the service providers. The medical cover is provided by services medical facilities, empanelled civil facilities, and Polyclinics. The strength of the beneficiary gets incremented by approximately 60,000 every year. The study is to research the actual requirements of staff at Polyclinics towards the conduct of an efficient and economically viable management system. ECHS is a copy-paste of the CGHS with some modifications. The policymakers of the ECHS, while formulating the scheme had a thought process of providing a second career for the retired Defence fraternity while formulating the manning of this scheme. When you look at the scheme the activities of Polyclinics are a duplication of the activities undertaken at the services hospitals (Military). After spending almost 20 years of the new scheme for defence veterans, it is time to introspect and to see whether the earmarked allocation of the yearly budget is being spent for the core purpose or not. The prioritisation is to be decided to see whether the scheme spends a larger portion of the budget on paying the salaries or to be spent on core medical expenditure. The Central Organization and Regional Centres’ are managed by the serving Defence population and Polyclinics are managed by contractual employees. The other components of the scheme are Station Cells, Senior Executive Medical Officer, Bill Processing Agency (BPA) and the Principle Controller of Defence Accounts (PCDA). The government sanction towards allocation of vacancies for different types of Polyclinics, categorized based on the registered members in the demarcated geographical area of responsibility, was done on an adhoc basis. In the last 20 years, the task and role of the scheme have grown so much that there is a critical need for revision of the scale, especially in the non-medical categories. Such additional expenditure from the limited yearly budget of the ECHS will harm the expenditure for medical treatment.