• Skip to main content
  • Skip to primary sidebar
  • Home
  • Aicpin
  • Recent Post
  • Pay Matrix
    • Defence Personnel
      • MNS Officers
  • Recent Govt Orders
    • Dopt orders
    • Finmin orders
  • DA From July 2021
  • Holiday list 2020
Govtempdiary

Govtempdiary

Govtempdiary is leading Central government employees news provider

You are here: Home / CGHS / Medical Facilities for inpatient treatment and post-operative follow-up treatment to CGHS Beneficiaries in Non-CGHS areas

Online Registration for Admission to Class I in Kendriya Vidyalayas kvsonlineadmission.kvs.gov.in

This image has an empty alt attribute; its file name is b_new.gif 7th CPC Calculator July 2021
This image has an empty alt attribute; its file name is b_new.gif Grant of Paid holiday to employees on the day of poll 2021
This image has an empty alt attribute; its file name is b_new.gif AICPIN for the month of february 2021
This image has an empty alt attribute; its file name is b_new.gif LTC cash voucher scheme Calculator
This image has an empty alt attribute; its file name is b_new.gif Expected DA from July 2021 Calculator
This image has an empty alt attribute; its file name is b_new.gif KV school admission 2021-22

Quick links
Hot newsDopt orders
Recent govt ordersRecent post

Medical Facilities for inpatient treatment and post-operative follow-up treatment to CGHS Beneficiaries in Non-CGHS areas

November 21, 2018 rajasinghmurugesan

Medical Facilities for inpatient treatment and post-operative follow-up treatment to CGHS Beneficiaries in Non-CGHS areas

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi 110 108

No: S.11011/7/99-CGHS (P)

Dated, the 27th April, 2011

O F F I C E     M E M O R A N D U M

Subject: Medical Facilities for inpatient treatment and post-operative follow-up treatment to CGHS Beneficiaries in Non-CGHS areas.

The undersigned is directed to invite attention to the Office Memorandum of even number dated 30th September, 1999, issued by the Ministry of Health & Family Welfare on the above subject and to state that keeping in view the difficulties being faced by the pensioner CGHS beneficiaries residing in non-CGHS covered areas, it has now been decided to liberalise the CGHS Rules with regard to pensioner CGHS beneficiaries and serving employees, as below, to
enable them to avail medical facilities for in-patient treatment and post-operative follow-up treatment:

a) (i) CGHS pensioner beneficiaries (and their dependant and eligible family members), who are holding a valid CGHS Card and are residing in a non-CGHS areas shall be eligible to obtain treatment from Government hospitals (Central Government / State Government / Local self Government / hospitals recognised under Central Services (Medical Attendance) Rules, 1944 / hospitals and clinics empanelled under Ex-Servicemen Contributory Health Scheme (ECHS) and submit the medical reimbursement claim to the Additional Director / Joint Director of CGHS of the CMO in charge of CGHS Wellness Centre, where the CGHS is registered.

(ii)    In case of non-emergency treatment from hospitals approved under Central Services (Medical Attendance) Rules, 1944 and Ex-Servicemen Contributory Health Scheme (ECHS), it is necessary to obtain prior approval from CMO in charge of concerned Wellness Centre where the CGHS card is registered.

(iii)    In case of medical emergency, treatment may be obtained from any hospital and medical claim shall be submitted to Additional Director / Joint Director, CGHS of the
concerned city through CMO in charge of the Wellness Centre, where the CGHS card is registered.

(iv)    Reimbursement shall be limited to the CGHS rates of the city where the card is
registered and as per the ceiling rates and ward entitlements or as per actuals, whichever is lower.

(v)    CGHS pensioner beneficiaries / serving Central Government employees (and their dependant and eligible family members) and holding a valid CGHS Card and on a visit to non CGHS covered area may obtain treatment under emergency from Government hospitals (Central Government / State Government / Local self Government / hospitals recognised under Central Services (Medical Attendance) Rules, 1944 / hospitals and clinics empanelled under Ex-servicemen Contributory Health Scheme (ECHS) and the medical claim shall be submitted to Additional Director / Joint Director, CGHS of the concerned city through CMO in charge of the Wellness Centre, where the CGHS card is registered, in case of pensioners , etc., and to the concerned Ministry / Department / office in case of serving employees.

(vi) Reimbursement shall be limited to the CGHS rates of the city nearest to the place, where treatment is obtained and as per the ceiling rates and ward entitlements or as per actuals, whichever may be less.

b) (i) CGHS pensioner beneficiaries (and their dependant and eligible family members) , who are holding a valid CGHS Card and residing in a non-CGHS areas shall be eligible to obtain post operative follow-up treatment from Government hospitals (Central Government / State Government / Local self Government / hospitals approved under Central Services (Medical Attendance) Rules, 1944 / hospitals and clinics empanelled under Ex-servicemen Contributory Health Scheme (ECHS) in follow up cases of Renal Transplant surgery, Knee and Hip Joint Replacement, Cancer treatment , Neuro-surgery and cardiac surgery. However, prior permission is to be obtained from the CMO in charge of the concerned Wellness Centre, where the CGHS card is registered.

(ii) Permission shall be issued for 3 to 6 months at a time and may be extended based on medical requirement. Reimbursement for consultation, procedures and investigations shall be limited to CGHS rates of the city, where the card is registered and as per the ceiling rates and ward entitlements or as per actuals, whichever may be lower. OPD medicines shall be obtained from the concerned Wellness centre for a maximum period of 3 months at a time.

c)    Wherever treatment is obtained from a hospitals approved under Central Services (Medical Attendance) Rules, 1944 / ECHS approved hospital, the beneficiaries (as in (a), (b) & (c) above) shall submit a certificate from the hospital that they have not charged more than the approved applicable hospitals approved under Central Services (Medical Attendance) Rules, 1944 / ECHS rates.

d)    This Office Memorandum supersedes the earlier OM of even number dated 30th September 1999.

e)    This arrangement is provisional and would be in place till such time the proposed Health Insurance Scheme for Central Government employees & pensioners is brought into effect.

f) These orders will come into effect from the date of issue.

[R.Ravi]
Director

http://mohfw.nic.in/writereaddata/cghsdata/mainlinkfile/File383.pdf

Related posts:

  1. Clarification regarding treatment of CGHS beneficiaries at government hospitals Dated 9th Oct 2020
  2. Inclusion of serving Railway employees & RELHS beneficiaries under AYUSHMAN Yojna for medical treatment – NFIR
  3. Guidelines regarding treatment of CGHS beneficiaries in empanelled HCOs in Delhi-NCR (especially Covid-19 +ve patient )
  4. Fixation of rate for rt PCR Test – Central Services (Medical Attendance) beneficiaries
  5. CGHS facilities in Darbhanga: CGHS wellness centre at Darbhanga
  6. Refusing admission for CGHS beneficiaries of Covid-19 patient
  7. Medical Facility to pensioners residing in non-CGHS areas -DOT
  8. Guidelines regarding credit facilities to serving employees of MoH&FW, CGHS & DGHS
  9. CGHS – Treatment at private healthcare organizations
  10. Corrigendum to OM dt 10th July 2020 – For treatment under CGHS
  11. Advisory to HCOs empanelled under CGHS in view of prevalent Corona Virus Pandemic
  12. Improvement of Health Delivery System & Emergency Treatment in Railways
  13. Provision of 24×7 assistance to CGHS beneficiaries In Delhi
  14. Reimbursement of RME claims in r/o. COVID-19 treatment
  15. CGHS – Empanelment of New Delhi Centre for Sight Limited under CGHS Kolkata
  16. CGHS – Medicover Hospitals Nellore: Empanelment under CGHS Hyderabad 
  17. CGHS: Empanelment of AYUSH Hospitals/Centre
  18. Facility for downloading of Index Card and Validity of CGHS Card- Regarding
  19. Requested to allow CG employees & their families for treatment under Central Government Health Scheme

Filed Under: CGHS November 21, 2018 3 Comments

Grant Notional Increment to applicant retired on 30th June, CAT denies DoPT’s interpretation that judgement in personam because pay fixation is governed by uniform policy of the Government

April 13, 2021 By selva Leave a Comment

Grant Notional Increment to applicant retired on 30th June, CAT denies DoPT’s interpretation that judgement in personam because pay fixation is governed by uniform policy of the Government Reserved CENTRAL ADMINISTRATIVE TRIBUNAL, ALLAHABAD BENCH, ALLAHABAD (This the 26th Day of February, 2021) Hon’ble Mrs. Justice Vijay Lakshmi, Member (Judicial) Original Application No.330/001 46/2020 1. Pravesh […]

CGHS : Extension of empanelment of AYUSH Hospitals/Centers under CGHS and CS (MA) Rules till 15th January, 2022

April 12, 2021 By selva Leave a Comment

CGHS : Extension of empanelment of AYUSH Hospitals/Centers under CGHS and CS (MA) Rules till 15th January, 2022 File No.25-2/2018/CGHS/JDAYUSH Government of India Ministry of Health & Family Welfare Directorate General of Central Government Health Scheme *** Nirman Bhawan, New Delhi OFFICE MEMORANDUM Subject:- Extension of empanelment of AYUSH Hospitals/Centers under CGHS and CS (MA) […]

Pension Scheme on Railways and Retirement Benefits on absorption in Public Sector Undertakings/Autonomous Bodies.

April 11, 2021 By selva Leave a Comment

Railways : Pension Scheme on Railways and Retirement Benefits on absorption in Public Sector Undertakings/Autonomous Bodies. GOVERNMENT OF INDIA (BHARAT SARKAR)MINISTRY 0 RAILWAYS (RAIL MANTRALAYA)(RAILWAY BOARD)M.C. No. 53(2021) RBE No. rg 2021 No. D-43/14/2019-F(E)III New Delhi, dated:ft+ .03.2021. The General Managers,All Indian Railways, Production Units, Metro Railway, Calcutta and others. Sub: Pension Scheme on Railways […]

Regarding revision of pension of employees who were compulsory retired and those dismissed/removed but given compassionate allowance

April 11, 2021 By selva Leave a Comment

Regarding revision of pension of employees who were compulsory retired and those dismissed/removed but given compassionate allowance Office of the Pr. Chief Commissioner of Income Tax,Andhra Pradesh & Telangana, Hyderabad,10th Floor, Income Tax Towers,AC Guards, Hyderabad — 500 004.Tel No. 040 — 23425474, Fax 040-23241427 F.No.Pr.CCIT/Misc/Estt/2020-21 Date: 08/04/2021 ToAll the AO/DDOs ofPr.CCIT, AP & Telengana […]

Declaration of Holiday on 14th April, 2021 – Birthday of Dr. B.R. Ambedkar

April 1, 2021 By selva Leave a Comment

Declaration of Holiday on 14th April, 2021 – Birthday of Dr. B.R. Ambedkar F. No. 12/4/2020-JCA Government of India Ministry of Personnel, Public Grievances & Pensions (Department of Personnel & Training) Establishment (JCA) Section North Block, New Delhi Dated the March, 2021 OFFICE MEMORANDUM Subject: Declaration of Holiday on 14th April, 2021 – Birthday of […]

Finmin Order : Clarification regarding full and final settlement of bills/claims pertaining to LTC Special Cash Package Scheme

April 1, 2021 By selva Leave a Comment

Finmin Order : Clarification regarding full and final settlement of bills/claims pertaining to LTC Special Cash Package Scheme No. 12(2)/2020-E.Il(A) Government of India Ministry of Finance Department of Expenditure North Block, New Delhi Dated 31st March, 2021 OFFICE MEMORANDUM Subject: Clarification regarding full and final settlement of bills/claims pertaining to LTC Special Cash Package Scheme. […]

Revision of interest rates for Small Savings Schemes – Regarding

April 1, 2021 By selva Leave a Comment

Revision of interest rates for Small Savings Schemes – Regarding F.No.1/4/2019-NS Government of IndiaMinistry of FinanceDepartment of Economic Affairs(Budget Division) North Block, New Delhi Dated: 31.03.2021 OFFICE MEMORANDUM Subject: Revision of interest rates for Small Savings Schemes – reg. In exercise of the powers conferred by Rule 9(1) of the Government Savings Promotion General Rules, […]

DoP&PW Notification No. G.S.R.227(E) dated 30.03.2021 – Regulating the methods of implementation of National Pension System

April 1, 2021 By selva Leave a Comment

DoP&PW Notification No. G.S.R.227(E) dated 30.03.2021 – Regulating the methods of implementation of National Pension System MINISTRY OF PERSONNEL, PUBLIC GRIEVANCES AND PENSIONS(Department of Pension and Pensioners’ Welfare) NOTIFICATION New Delhi, the 30th March, 2021 G.S.R. 227(E). – In exercise of the powers conferred by the proviso to article 309 and clause (5) of article […]

NPS to OPS Coverage under CCS Pension Rules : Selection for appointment were finalized before 01.01.2004 but joined Government service on or after 01.01.2004

April 1, 2021 By selva Leave a Comment

NPS to OPS Coverage under CCS Pension Rules : Selection for appointment were finalized before 01.01.2004 but joined Government service on or after 01.01.2004 No. 57/04/2019-P&PW(B) Government of IndiaDepartment of Pension and PW Lok Nayak Bhawan,Khan Market, New Delhi,the 31st March, 2021 OFFICE MEMORANDUM Subject: Coverage under Central Civil Services (Pension) Rules, 1972 of those […]

More Posts from this Category

Grant of Paid holiday to employees on the day of poll 2021

General Elections to legislative Assemblies of Assam, Kerala, Tamil Nadu, West Bengal, Puducherry, 2021 and Bye- election in 6-Malappuram PC of Kerala and 39-Kanniyakumari PC of Tamil Nadu – Grant of Paid holiday to employees on the day of poll- regarding F. No. 12/3/2016-JCA-2Government of IndiaMinistry of Personnel, Public Grievances and Pensions(Department of Personnel & […]

List of Holidays during the year 2021 for central government offices in Tripura

Regarding list of public and restricted holidays during the year 2021 for central government offices located in Tripura

Recent comments

  • Mohit on 7th Pay Commission Salary Calculator – June vs July 2021
  • Suraj on Posting/transfer of defence civilian employees on compassionate grounds or on mutual basis
  • RAJ KUMAR on Posting/transfer of defence civilian employees on compassionate grounds or on mutual basis
  • Anonymous on DOP : Opportunity for revision of option to come over to revised pay structure, Clarification sought on DoE OM dated 12.12.2018 — regarding
  • Dinesh Munjal on Guidelines for Central government Staff check over Increment(1st July) Drawn every years
  • Dinesh Munjal on Guidelines for Central government Staff check over Increment(1st July) Drawn every years
  • Dinesh Munjal on Guidelines for Central government Staff check over Increment(1st July) Drawn every years
  • D..K.Jha on 7th Pay Commission Pay Matrix table
  • D..K.Jha on 7th Pay Commission Pay Matrix table
  • Mv Gupta on LTC Leave Enhancement Calculator For Block Year 2018-2021

Reader Interactions

Comments

  1. Mannu Lal says

    January 22, 2014 at 9:27 pm

    Sir,
    I got superannuated in July2013-(had grade pay 7600).Self and Wife hold CGHS Card.We reside in Thane(Maharashtra).Thane has no empaneled CGHS hospital.We suffer from BP and Sugar decease respectively.On visit to nearest CGHS WC Mulund(falls under Mumbai) i.e.20 km from my residence ,medicines not available or some times fall short.This in fact makes so uncomfortable that BP and SUGAR rises in us.Not only this,Doctor(s) found so struggling in computer searching alternate medicines that they least bother to check our status of health condition-they have no time rather than managing the day’s show some how -frankly, authorities may have snap checks.
    I am an Ex serviceman(released in 1986 after 15 years 0f active service) and entitled for ECHS but not opted so far.I feel,Service doctors at least check patients and armed with required medicines.
    Looking above, kindly visualize our conditions.
    Now. please suggest that- can I have both health schemes( after paying for ECHS Card)
    If not ,can I get refund of Rs. 60000/-paid for CGHS Card of my Grade Pay.
    Don’t authorities realise putting so many conditions on CGHS/ECHS beneficiaries? It looks that pensioners are more likely to earn from their health condition specially in their old age?

    Reply
  2. CHAYA DEVI says

    January 16, 2013 at 6:24 pm

    Pl inform me the CGHS cost for undergoing vaginal Hysterectomy. Also inform if it includes bed charges, Room, Medicines also at the earliest. I spent Rs 34,000/- and my Dept is paying me only 12,150/-. The hospital is a recognised CGHS Hospital at MYSORE
    Regards
    Chaya

    Reply
  3. rajiv rattan bhardwaj says

    May 6, 2011 at 6:30 am

    Respected Sir,
    I am working in bank and required revision of THR left due to failure of earlier implant fixed in Sep 1996. Presently I am under the treatment at AIIMS.As per specification/quotation of implant suggested by the doctor costs Rs 302700.00.
    Sir, please inform me the latest cost of implant under the CGHS/AIIMS scheme because is paying Rs 92000/- toward cost of implant and surgery exclusive of medicines ,boardin charges etc.
    Sir,18.06.2011 is the proposed date of admission.
    sir, You are requested to please do the need full at the earliest.

    Reply

Leave a Reply Cancel reply

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Primary Sidebar

Search

calcuators

  • Expected DA from July 2021- Calculator
  • HRA calculator 2021 (DA>25%)
  • Tax benefit calculator 2020
  • Expected DA For Bank Employees From November 2020
  • 7th pay commission calculator [updated]
  • Promotion/MACP Option form Calculator
  • 7th Pay Commission Pension Calculator
  • Bonus Calculator 2020
  • LTC Leave Enhancement Calculator For Block Year 2018-2021
  • LTC cash voucher scheme Ready reckoner

Pay Matrix table

  • Defence Personnel
  • MNS Officers
  • Tamil nadu
  • Rajasthan
  • Odisha
  • Gujarat
  • Haryana
  • Jharkhand
  • Madhya Pradesh
  • Nagaland
  • Tripura
  • Uttrakhand
  • Assam
  • Bihar

CSD Price list

  • CSD Car Price List 2021
  • Maruti Suzuki CSD Car Price List 2021

KVS Schools list

  • List of Kendriya Vidyalaya Schools
Copyright© 2010–2021

Central Government Employees News - Govtempdiary