Central Government Health Scheme:
CGHS welcomes you as a beneficiary and is privileged to get the opportunity to provide health care to you and your dependant family members within the framework of CGHS rules.
For the last six decades Central Government Health Scheme is providing comprehensive medical care to the Central Government employees and pensioners enrolled under the scheme. In fact CGHS caters to the healthcare needs of eligible beneficiaries covering all four pillars of democratic set up in India namely Legislature, Judiciary, Executive and Press. CGHS is the model Health care facility provider for Central Government employees & Pensioners and is unique of its kind due to the large volume of beneficiary base, and open ended generous approach of providing health care.
Eligibility for joining CGHS
- All Central Govt. employees drawing their salary from Central Civil Estimates and their dependant family members residing in CGHS covered areas.
- Central Govt. Pensioners/family pensioners receiving pension from central civil estimates and their eligible dependent family members.
- Sitting and Ex-members of Parliament.
- Ex-Governors & Lt. Governors.
- Freedom Fighters.
- Ex-Vice Presidents.
- Sitting and Retired Judges of Supreme Court.
- Retired Judge of High Courts.
- Journalists accredited with PIB (in Delhi).
- Employees and pensioners of certain autonomous/statutory bodies which have been extended CGHS facilities in Delhi.
- Delhi Police Personnel in Delhi only.
- Railway Board employees.
Facilities available under CGHS
- OPD Treatment including issue of medicines.
- Specialist Consultation at Polyclinic/Govt. Hospitals.
- Indoor Treatment at Government and Empanelled Hospitals.
- Investigations at Government and Empanelled Diagnostic centers.
- Cashless facility available for treatment in empanelled hospitals and diagnostic centers for Pensioners and other identified beneficiaries.
- Reimbursement of expenses for treatment availed in Govt. /Private Hospitals under emergency.
- Reimbursement of expenses incurred for purchase of hearing aids, artificial limbs, appliances etc. as specified.
- Family Welfare, Maternity and Child Health Services.
- Medical consultation and dispensing of medicines in Ayurveda, Homeopathy, Unani and Siddha system of medicines (AYUSH)
CGHS Covered Cities
- AHMADABAD
- ALLAHABAD
- BENGALURU
- BHOPAL
- BHUBANESHWAR
- CHANDIGARH
- CHENNAI
- DEHRADUN
- DELHI & NCR
- GUWAHATI
- HYDERABAD
- INDORE
- JABALPUR
- JAIPUR
- JAMMU
- KANPUR
- KOLKATA
- LUCKNOW
- MEERUT
- MUMBAI
- NAGPUR
- PATNA
- PUNE
- RANCHI
- SHIMLA
- SHILLONG
- THIRUVANATHAPURAM
Wellness Centre Timings
Working hours of the Wellness Centre /polyclinic:
Wellness Centers are open from 7:30 AM to 2 PM on all working days (except emergency services wherever applicable) with effect from 1/4/2015.
The Wellness Centers remain closed on all Central Govt. holidays. However in case of 3 consecutive holidays occurring together, Wellness Centers will not be closed for more than 2 consecutive days.
Registration Timings:
The registration is stopped 15 minutes before scheduled closing time of dispensary. However, no serious patient is returned back unattended in the dispensary.
Ward Entitlement and CGHS Contribution
A. Entitlement of wards in private hospitals empanelled under CGHS (Based on basic pay in pay band):
|
SNo.
|
Ward Entitlement
|
Pay Drawn in Pay Band
|
|
1
|
General
Ward
|
Upto
Rs. 13, 950/-
|
|
2
|
Semi
Private Ward
|
Rs.
13,960 to 19,530
|
|
3
|
Private
Ward
|
Rs.
19,540/- and above
|
B. Pay Slab for determining the entitlement of accommodation in AIIMS, New Delhi:
|
SNo.
|
Pay (in the pay Band) /Pension
/Family Pension drawn per month
|
Ward Entitlement
|
|
1
|
General
Ward
|
Upto
Rs. 19,540/-
|
|
2
|
Private
Ward
|
Rs.
19,540/- and above
|
Revised Monthly Subscription for CGHS facility w.e.f 1st June 2009.
|
Grade pay drawn by
Officer per month
|
Contribution per
month
|
|
Upto
Rs.1650
|
Rs.50
|
|
Rs.1800,
Rs.1900, Rs.2000, Rs.2400 and
Rs.2800
|
Rs.125
|
|
Rs.4200
|
Rs.225
|
|
Rs.4600,
Rs.4800, Rs.5400 and Rs
6600
Rs.7600 and above
|
Rs.325
|
|
Rs.7600
and above
|
Rs.500
|
Treatment of CGHS beneficiaries in Non-CGHS areas
Inpatient treatment/follow up treatment of CGHS beneficiaries in Non-CGHS areas
CGHS pensioner (and dependents) beneficiaries residing in non-CGHS areas-
In emergency the beneficiary may get treated in any hospital and submit the medical claim to the Addl. Director of the city where his CGHS card is registered
- In non-emergency case Pensioner CGHS beneficiary is eligible to obtain treatment from Government (Central/State/Local self-Government) hospitals and with the prior approval of CMO I/C of CGHS WC (where his CGHS card is registered) in the hospitals approved under CSMA/Empanelled under ECHS.
- In case of follow up cases of renal transplant ,hip/knee replacement, cancer and neuro/cardiac surgery CGHS beneficiary is eligible to obtain follow up treatment in the hospitals mentioned above with prior permission of CMO I/C
- Reimbursement will be limited to CGHS rates of the city where the CGHS card is registered.In emergency the beneficiary may get treated in any hospital and submit the medical claim to the Addl. Director of the city where his CGHS card is registered
source:http://cghs.gov.in
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