GUIDELINES FOR CGHS BENEFICIARIES:
CGHS beneficiaries require to take treatment in CGHS dispensary.
CGHS Doctor’s reference and office permission required for taking treatment / test in recognized hospital / Diagnostic Centers.
Emergency treatment can be taken from hospital in case of no government / recognized hospital located nearby.
Medicines purchased from open market, in case of OPD treatment taken from recognized private hospital is not reimbursable, and the same is to be obtained from CGHS dispensary.
If test / investigations are carried out privately by CGHS beneficiary on the advice of a government specialist, a non-availability certificate from the government hospital concerned should be attached
GENERAL PURPOSE TREATMENT AND DIAGNOSTIC PROCEDURE:
The entitlement for indoor treatment would be as under:
| i) | Basic Pay upto Rs.7500/- | General Ward |
| ii) | Basic Pay Rs.7501/- to 10500/- | Semi-pvt Ward |
| iii) | Basic Pay Rs. 10501/- and above | Private Ward |
The maximum room rent for different categories would be:
| i) | General Ward | Rs.500/- per day |
| ii) | Semi private Ward | Rs.1000/- per day |
| iii) | Private Ward | Rs. 1500/- per day |
| iv) | Day Care | Rs. 500/- per day |
Package deal rates include admission charges, accommodation charges, ICU / ICCU charges, monitoring charges, Operation charges, anaesthetic charges, Op. theatre charges, cost of drugs and disposable surgical sundries, Physiotherapy charges during the period of hospital stay.
If one or more treatment procedure form part of a major treatment procedure, the package charges would be made against the major procedures and only half of actual charges quoted for minor procedure would be added to the package charges of the first major procedure.
TREATMENT AT PLACES NOT COVERED BY THE CGHS:
If the Central govt servant or a member of his family covered under CGHS falls ill at a place not covered under CGHS, the treatment shall be admissible under CS(MA) Rules. The reimbursement in such cases shall be restricted to the amount which would have been incurred had the treatment been taken in a Govt / State government hospital in that city.
CGHS FACILITIES IN CASE GOVT. EMPLOYEES WHO ARE TRANSFERRED TO NON-CGHS AREAS AND THEIR FAMILIES CONTINUE TO STAY BACK AT THE OLD DUTY STATION:
Families of Government servant can avail CGHS facilities at old duty station for a maximum period of six months from the date of transfer of the government servant to non-CGHS area on advance payment of CGHS contributions to his old office.
Endorsement on CGHS card indicating the date up to which the CGHS card is valid to ensure that the CGHS card is not utilized beyond the specified date.
On expiry the CGHS card should be surrendered to the issued office
MEDICAL ADVANCE:
PURPOSE FOR WHICH ADVANCES AVAILABLE:
a) For indoor treatment in hospital.
b) For OPD treatment in case of TB / Cancer.
AMOUNT OF ADVANCE:
1) In case of (a) and (b) above Rs.10000/- or the amount recommended by the treating doctor whichever is less.
2) For major illness of By-pass surgery, Kidney transplant, Cancer etc., 90% of the package deal or amount demanded by the hospital whichever is less.
The duration of treatment and estimated cost of treatment has to be certified by the hospital concerned.
OTHER CONDITIONS:
1) The advance may be paid in one or more instalments for same disease, subject
to the prescribed limit.
THE CLAIMS FOR ADVANCE SHOULD HAVE THE FOLLOWING DOCUMENTS:
1) Reference letter from CGHS / AMA and permission letter from head of the office for taking treatment.
2) Estimate of medical expenditure with break-up details from the hospital authorities and date if admission probable period of inpatient treatment.
3) Sanction of Competent authority for grant of medical advance.
4) In Case of emergency, Emergency Certificate from the hospital.
5) Copy of CGHS card / list of dependent family members duly countersigned by head of the office.
GUIDELINES FOR AMA BENEFITIARIES:
1) AMA beneficiaries are required to take OPD treatment from AMA located near his residence.
2) AMA is not authorized for giving indoor treatment at his own clinic / nursing home in any case. If inpatient treatment considered necessary, patient to be referred to Govt / Pvt. Recognized / referral hospital for further treatment.
3) Emergency treatment can be taken from private hospital in case no government / recognized hospital located nearby.
4) AMA beneficiaries can take OPD / Indoor treatment from Government Hospital without permission from AMA.
5) When amount of medical expenses exceeds Rs.1000/- in a financial year, a certificate from controlling officer in terms of GOI, MOH & FW OM No: S-14025/15/94-MS Dt: 12/08/1994 has to be furnished.
6) Treatment from AMA is restricted to 10 days. If the treatment is expected to be prolonged beyond 10 days from the date of treatment a patient has to be referred to OPD of Govt / Recognised hospital by AMA.
7) AMA beneficiaries may take treatment from any hospital recognized under CGHS / State government subject to condition that they will be reimbursed the medical expenses at the rates fixed by the government under the CGHS Rules / CS(MA) Rules or actual expenditure incurred whichever is less.
CONDITION FOR TREATMENT IN HOSPITALS OUTSIDE DISTRICT / STATE:
1) Non-availability certificate in respect of treatment / services from Govt / recognized hospitals.
2) Recommendation from AMA and countersigned by CMO of the district, if the treatment to be undertaken outside the district or by Chief Admin. Medical Officer of the state, if it is to be undertaken outside the state.
RME CLAIMS ARE TO BE SUBMITTED WITH FOLLWING DOCUMENTS:
1) Med – 97 in respect of CS(MA) beneficiaries and Med – 2004 in respect of CGHS beneficiaries and Essential Certificate A / B
2) Reference letter from CGHS / AMA and permission letter from head of the office for taking treatment.
3) All original bills verified by the treating physician with stamp containing his name, designation, registration number, qualification and hospital to which attached.
4) Photocopy of CGHS card / Dependency certificate in respect of CS(MA) beneficiary.
5) Discharge summary of the hospital in case of inpatient treatment.
6) Legal heir certificate in case of death of the govt. servant.
7) A detailed list of all medicines, lab tests, investigations, number of doctors visit, name of the procedure done at hospital etc., should be submitted for reimbursement with dates.
8, Break-up details for all the items billed by hospital and CGHS code for procedure done and for various lab-tests done should be furnished.
9) Reimbursement claim should be invariably preferred within one month in case of Medical advance availed cases and in other cases, three months from the date of completion of treatment. Time barred cases should require the sanction of Competent authority.
IN CASE OF EMERGENCY TREATMENT OBTAINED:
In addition to the above documents, following documents should also be submitted:
a) Emergency Certificate from the treating doctor.
b) Self explanatory letter from the beneficiary explaining the emergency circumstances.
c) Statement of case in triplicate from the Controlling officer duly justifying the treatment in emergency.
d) Letter addressed to the sanctioning authority for Ex-post facto sanction in duplicate forwarding the claim
OPD REGISTRATION SLIPS & PRESCRIPTIONS:
a) In printed OPD slips, the registration number and date with hospital seal should invariably affixed.
b) Prescriptions should be in regular printed letter-head of the doctor or hospital and not in small pieces of paper and bear the date, name and age of the patient with signature of the doctor with required seal affixed in all cases without fail.
RME CLAIMS IN RESPECT OF SERVICE PERSONNEL:
PBOR AND OFFICERS : ONLY INPATIENT BILLS COUNTERSIGNED BY MILITARY HOSPITAL , BELGAUM AND PANAJI ARE DEALT IN THIS OFFICE.
OUTPATIENT BILLS:
OUTPATIENT TREATMENT CASES ARE DEALT WITH BY CONCERNED PAOs IN RESPECT OF PBORs,
IN RESPECT OF OFFICERS : CDA(O) / CDA(AF) / CDA(NAVY)
ENTITLEMENT OF MEDICAL TREATMENT IN CIVIL / PRIVATE HOSPITALS:
Service personnel & their families are entitled treatment in a civil / private hospital vide Paras 293 and 295 of RMSAF.
CONDITIONS:
a) The AMA should consider it essential to admit the patient into local / private hospital.
b) No service hospital exists at that station or necessary specialist facility for treatment is not available at the service hospital.
c) The case is not in fit state for transfer to the nearest service hospital.
The facilities of treatment of families as out-patient from a local civil / private hospital / dispensary is allowed in stations if there is no service hospital irrespective of whether the head of the family is posted in that station or not and reimbursement of expenditure thereof will be allowed.
THE FOLLOWING DOCUMENTS SHOULD ACCOMPANY THE BILLS:
1) Admission in Government civil hospitals:
Non-available certificate from AMA that requisite specialist facility required for treatment of the patient is not available.
2) Admission to Private Hospital or Nursing Home:
Certificate from AMA that accommodation is not available in local govt. hospital or the patient is not in a fit state to be transferred to the nearest service hospital /civil govt. hospital.
Sanction from Are / Div. Commander that it was necessary to admit the patient in the private hospital. The sanction is the one under whose jurisdiction the OC Service hospital submitting the claim.
All the medical reimbursement claims are to be countersigned by the Commandant, Military Hospital situated in the station where treatment was taken or by the nearest Military hospital.
A certificate to the effect that the medicines prescribed are for reimbursement is to be endorsed by the Military Hospital
All cash vouchers and prescriptions are to be enclosed in original.
The hospital bill will be countersigned by the OC of Service hospital who will also make a contingent bill in respect of service personnel / his family member which the individual is required to bear if treated in the service hospital.
The inpatient bills in respect of PBOR and Officers to be submitted to the regional CDAs / CDA(AF) / CDA(NAVY), under whose audit jurisdiction, the service hospital countersigning the bill falls.
Sumat Prasad Jain says
Sir I have served an autonomous body I.e. ICAR institute and national physical laboratory under CSIR for about 23 years, which is covered under CGHS but I have retired from state agricultural university which is not covered under CGHS. I want to register myself as CGHS beneficiary. Can a suitable reply help me in this regard.
Kunwar Singh says
A Central Government Employee has been transferred from Lucknow to New Delhi. However, his family is still residing at Lucknow. Both stations are covered with CGHS facility. Can the familiy of the employee retain the CGHS Card and avail treatment, if any, at CGHS, Lucknow. And, whether the employee could avail CGHS facility at New Delhi seperatey….
Hussain says
Families of Government servant can avail CGHS facilities at old duty station for a maximum period of six months from the date of transfer of the government servant to non-CGHS area on advance payment of CGHS contributions to his old office.
Amit Kumar Pal says
Sir , I am a central government employee , my wife is taking treatment at cghs empanelled private hospital , she require a laser vascular veins surgery but the vascular surgery is not covered under cghs rates all over India …….please clarify whether I will be reimbursed the full amount charged by the hospital and what permission will I need to take the above said treatment .
vikas sharma says
dear sir,
i am a center govt. employee and my posting is at the place where we don’t have CGHS facility. so we have not registered in CGHS. so we have received a list of authorized medical attendants from our department.
sir, please provide me related rules for the treatment from the authorized medical attendants in my condition.
thanks in advance for your help.
Soma Dutta says
My husband is a central government employee. Can Ayurvedic treatment in a recognised hospital be reimbursed and covered under this scheme?
RAVI says
Hi …
My mother has recently gone through Bilateral total knee replacement .
I stay in remote location in Gurgoan ,Therefore Physiotherapist visit here every day and charges are exorbitant .Is her daily consultation can be reimbursed from CGHS ,Please guide me through ..
Thanks
RAVI
ALOK GUPTA says
Alok Gupta
I am working as defence civlian in Military Hospital. I made my wife delivery there. Is it reimbursable or not . If reimbursable provide under which para i can claim my medical of Rs 12670
Adrash says
I am CGHS Beneficiary but my family living in non CGHS covered area. Can I avail CGHS facility for my family?
Rammohan Chattopadhyay says
I am a central govt. pensioners, at present resided in non covered cghs area,may I avail cghs facilities in a pvt. hospital/nursing home.I did not avail this facilities when I was in service.pl, reply at earliest convenience..
lokesh mohan mithal says
My angiography was done in BLK hospital on the direction of safdarjung hospital and 90% blockage found in some arteries .Due to chest pain I visited Max Hospital in emergency. They kept in ICU for one day and released on next day with the medicines direction. Now I have submitted the bill for reimbursement with bills and discharge summary clarifying that admitted through emergency , but the dealing hand is insisting for emergency certificate. Is it necessary in case of heart diseases.
Chitranjan says
I am cghs card holder of delhi and want to treatment at wellness center in patna ,can I do it.
S. Mahajan says
I am serving in CRPF and posted in non CGHS area, but my family living in cghs covered area . Can I avail CGHS facility for my family
laxman says
I m central govt. employee. I want to what kind of certificate/ document are required for reimbursement of medical claim. if my father surgery of hernia in private clinic & also certificate/ documents required for exemption of income tax.
MANOJ BANERJEE says
For reimbursement claim by serving Central Govt employees it is mentioned that reimbursement will be done at CGHS Rates or AIIMS rates (if CGHS rates are not available) or as per actual amount incurred as expenditure (if CGHS/AIIMS rates are unavailble). My question is if during emergency inpatient treatment at private hospital empanelled with CGHS in Kolkata referred by CGHS on emergency basis, a test of Rs 5040/- is done in house which is not covered by CGHS rates eg Factor V Mutation Detection Test (Haematology) but for which AIIMS rate of Rs. 1000/- is available, whereas AIIMS is not there in Kolkata, which rate is admissible?
AMIT BAJPAI says
I want to know about a condition in that a govt. servant is transferred to a non CGHS city but his family residing in his home town and that is a CGHS city. Whether his family get benefits of CGHS at his home town or not.
Govt. servant is ready to pay advance of his subscription.
om kumar says
why all india central govt pensioner are not entile for medical treatment. in old age so many diseses to pensioner but he is not aford money to treat for it due to shortage of miney. so may pl provide all pensioner to make cash less treatment scheme to all.
B.bagchi says
Cghs beneficiary taken treatment from non recognized private hospital, which rate i.e nabh or non nabh is applicable for the process
Guttikonda. Vijay says
I am CGHS beneficiary from Hyderabad.I am now working in in Ordnance factory area where no CGHS facility is available. But my family members are utilizing the CGHS facility in Hyderabad.Up to July 2016,my subscription Rs 325 was paying by my office from my salary.But here in Ordnance Factory area, i.e in new office there is no such provision of deducting subscrption.I want to send my subscription to CGHS. Please explain to which address I have to send my monthly subscription.
MAMTA KUMARI says
My baby born 11.12.2016. He is not included CGHS members. Can I treatment by CGHS. Now I am in maternity leave. How to includ.
RABINDRA ROY says
Is diagnosis prescribed by Government Hospital doctor requires the permission of CGHS doctor for tests empanelled under CGHS diagnostic laboratory ?What is the remedy if a Government Hospital doctor deny to treate the patient after seeing the name of CGHS doctor in the diagnostic report which was actually prescribed by the Government Hospital Doctor.
S.K. SACHDEVA says
Medical reimbursement to non-CGHS beneficiary is taxable or not please clarify.
Employee spent the amount for treatment and take reimbursement from own Department only which is not an Income of employee. How it is justified to pay Income Tax on reimbursement under Section 80DDB.
Rajib Ghosh says
I am retired on Nov.30 2016 and i am already applied for a medical allowance per month after retirement. How can i stop medical allowance and apply for CGHS facility in Kolkata?
K N Verma says
Dear Sir,
May kindly clarify whether a CGHS card holder (defence civilian pensioner) staying in non CGHS city can avail the facilities of near by ECHS polyclinic for treatment or referral to echs listed private hospitals for treatment of self and dependents.
K N Verma says
Dear Sir,
May kindly clarify whether a CGHS card holder (defence civilian pensioner) staying in non CGHS city can avail the facilities of near by ECHS polyclinic for treatment or referral to echs listed private hospitals for treatment for self and dependents.
Shivendra K Duklan says
Dear Sir,
My wife was taking treatment from a BAMS doctor who is an AMA. However, the AMA has prescribed allopathic medicines for her. Can an AMA in one system of medicine prescribe medicines from another system of medicine.
Relevant O.M, if any, may please be provided.
VENKATESWARLU says
Sir my father was referref from my CGHS dispensary to medical specialist and medical specialist referred to Institute of Nephro Urology for opinion which was a government hospital. It was far away from my residence and I went early morning by private taxi to get in queue. For giving the opinion government doctor told to do a blood test and CT Scan. I done the both on same day due to it was very far away. But CDA is asking for reference letter of the medical specialist for CT Scan. Please inform how can I get the reference letter for CT Scan.
K VENKAT SWAMY says
Is the third child of a serving employee eligible for CGHS facility, if all the other conditions are fulfilled ? Kindly give any specific OM No. to substantiate it.
Atul Behari Mathur says
Sir,
I am serving in Geological Survey of India at Delhi. I have been advised by the Doctor to undergo dialyses thrice a week ( Tuesday, Thursday & Saturday) which presently I am undergoing at CGHS approved Apollo dialyses center…Saturday being holiday there is no problem But for Tuesday & Thursday I have to leave office at 1.30 PM. . Is there any provision in CGHS / DOPT for taking half day Medical leave for these days . If not what is the alternative provision so that the absence is justified for these two days.
Thanks
KB BALACHANDRAN says
Sir, Iam a retired OS from DGOF organisation and would like to know whether is there any medical facility exists to them in regards Dental checkup as well as fixing of implant and dentures. In the event of if not exists, whether can we go to Military Hospitals for this purpose on officially.
J RAJA SEKHER says
Sir, I am serving in BSF and presently posted in CSMT BSF Tekanpur and my Premanant residential fall in Vellore – Distt, State- Tamil Nadu how can I avail the facility of CGHS and prepare CGHS card. What is the process to prepare CGHS Card please.
Vijay Kumar says
sir. i am serving in BSF and presently posted in BSF Academy Tekanpur and my permanant residential fall in (NCR) Distt Gautam Budh Nagar, state-Uttar Pradesh .how can I avail the facility of CGHS. and prepare CGHS card what is the process to prepare CGHS card..
Laxman Prasad says
I got an angioplasty in Government hospital and they had charged Rs.55,243/- towards the angioplasty. The CGHS has reimbursed the amount after deducting Rs.2,625/-. Whether the bills of the Government hospitals are reimbursable in totality or they are also subject to ceiling?. What is the ceiling for stents?
ANJALI says
I WANT TO KNOW BABY HOSPITLIZATION EXPENSESARE INCLUDE IN MOTHER DELIVERY FEE
rahul says
I am working with the Central govt office and posted at Delhi. My family stay at Jaipur. Govt of Rajsthan has allowed Doctors working in the Govt hospitals to provide the medical advice to the general public by charging a fixed fee. Can I claim the reimbursement for the medical fees and medicine purchased on the advice of the above doctors for the treatment availed for my family members. The Office is stressing that the treatment be either taken from AMA or Govt Hospital.
Pallavi says
Sir/ Madam, I am taking treatment for my pregnancy from a panelled hospital, refered by cghs in delhi. But in later months, I would take the maternity leave and take the further treatment in panel hospital in Allahabad. Please suggest me how I can take that permission. From where I need to take the permission. Please do reply. Thanking you, Pallavi, JSO, MOSPI
raghavan says
for treatment obtained in emergency conditions, the head of the department is empowered to sanction payments (called ex-post facto) sanction. Hence you may approach the HOD with all the details and an emergency certificate issued by the hospital.
m n v prasad says
Respected Sir,
i am working as postal assistant in Mogalturu (AP). My mother suffered from type-ii respiratory failure, in unconscious state, pulse went badly down on 13.5.16. i took her immediately to a non-cghs listed private hospital in bhimavaram 18 km away from my home. i costed 2.67 lac.
am i eligible for reimbusrement. please guide me in this regard
m n v prasad says
Respected Sir,
i am working as postal assistant in mogalturu so(AP). ON 13.5.2016, my mother suffered from type-ii respiratory failure, pulse went abnormally down, unconscious state. i immediately took her to the nearby city hospital non-empanelled/not in cghs list private hospital. i costed me 2.67 lac. am i eligible for reimbursement. please guide me in this regaurd.
thanking you sir.
mukta aswani dadlani says
A female gets married in 2003 & on the same day she gets to know that she has cleared SSC exam & gets an offer letter of joining EMPLOYEES Provident Fund Organisation in Delhi. On the very next day she doesn’t join & applies for transfer to EPFO , Kolkata ( because husband lives in kolkata). She is working in Kolkata since December 2003 .She gets Fixed Medical Allowance & nothing is deducted under CGHS. Her dependent old age parents live in Delhi. Parents are in urgent need of medical attention. Can she get medical facility in the form of CGHS cards for her dependent parents in Delhi ?
I earnestly request you to reply as soon as possible. I shall be highly obliged.
Mukta
A.Prabhakar Rao, Retired Asst.Director of Postal Services, says
I worked and retired in a place and residing at Vizianagaram (AP) where there is no CGH facility. However I obtained CGH card 2013 from the nearest CGH Discpensary at Hyderabad ( 1000 km) for OPD and indoor treatment, and my FMA was stopped from then onwards. My CGH card expired in Oct.2013 itself and I am neither obtaining any medicines from the CGH Dispensary Hyderabad nor drawing the FMA. I am incurring expenditure for purchase of medicines for me and my wife in local market from my own pocket every month. I waited all these years with a hope that CGH facility will be introduced at Visakhapatnam ( which is 50 Kms from my town. However this was not done till now and there is no such hope in near future. What is the procedure for changing my CGH card for availing indoor treatment and to draw the FMA towards my expenditure for purchase of medicines ? Kindly guide me.
azad says
my AMA doctor refer my wife for delivery to near by private hospital (not under CGHS panel ) in case of emergency. Total hospital bill is 55 thousand. when i send these bill for reimbursement to my office . they tell me you get only 18 thousand as per CGHS rate list.
i want to know that my office is true or not .
Ankush Yadav says
SIR,
I am posted in chennai and my family is in haryana. do they also get the cghs facility. as in haryana there is cghs dispencery in gurgaon.
manoj bahuguna says
My self manoj bahuguna my father retired central govt employee he just made a cghs card and want treatement from any cghs panal hospital at dehradoon so my quairry is can he re imburse bill of his treatement from his office or not please tell me
Deepak says
Sir my wife is working in delhi police central government job and i am serving in mumbai custom central government but i want to apply my cghs card from the my wife ground. so please guide can i made my card from my wife side if i am not availing any cghs facility from my department and should i inform my department…
DIPAK MUKHERJEE says
Subject: Request to make Easier Uniform Health Facility at least for
Retired Scientists of different Autonomous CSIR’s institutes
Respected Sir,
It is my kind request to both the Health Minister & also the Prime Minister of India that at least the Retired Scientists (Senior Citizen) of different institutes of Autonomous CSIR, may kindly be provided with a faster, easier & smooth Uniform Health Facilities like that of the existing Central Government’s Health facility for the Retired staffs of different Ministries.
I think PM & Ministers they have tremendous power and can make any good system very rapidly which is evidenced by the excellent work of PM for making the Jan Dhan Yojana.
Similarly we the retired scientists of different research institutes of CSIR (the biggest scientific research organization) organization are facing as great difficulties in getting medical facilities both for treatment and diagnosis.
Only because of the existing complicated rubbish system the pensioner even after paying huge amount of money at a time in advance during the time of retirement are facing a great difficulties for any type of medical treatment.
In case of a pensioner of autonomous research organization, he has to deposit every year a cheque to the CGHS Dispensary after begging it from his old office.
Now my question is this :
Why the pensioner has to follow this method when he has already paid entire amount for Life time Facilities to his office during the time of retirement.
Similarly for any diagnostic purpose also (i) he has to go to the office to get the approval from the Director for getting his testing to be done from the empanelled diagnostic centre then (ii) he will have to spend the money first then claim from the office again where the staffs are corrupt and demand for the bribe. (iii) Similarly for emergency hospitalization also the retired person/ patient has to inform the office along with emergency document to get permission from the Director and also to get part payment money. Here also the pensioner has to spend the money from his own pocket first and after that he will be allowed to claim from his office.
Whereas in case of Ministry’s Office any staff will never have to face such type of harassment based system. In their case they have to fill up only one emergency form in the empanelled hospital and no further tension has to be taken by the individual staff like that of autonomous organization.
Sir, I do not know why a new system is not made and implemented so that at least the Retired Senior Citizens like Scientist of autonomous organization “CSIR” should get similar health facility like the senior citizen of all Ministries when they have already paid the lump sum money in advance for Life Time Health Facilities during the time of retirement like that of the staff of Ministries.
I like to request that at least the Retired Scientist (senior citizen) should be treated equally like that of other senior citizen of Ministries.
PM Narendra Modi earlier committed in his speech that he will provide facilities to the scientists, hence I like to request both health Minister and Prime Minister Sh Modiji to change this Old Existing Bad System and provide a rapid Easier Uniform Health Facility for Retired Scientist (senior citizen) of CSIR instiutes .
Sir, we are most ordinary citizen of India and therefore can only suggest and request you to do good things for our society and also can nominate you again and again for further Good Works for the people of our country in future.
At present I am a social worker and I hope that you will definitely look into this matter seriously and sympathetically and definitely will do the needful for the retired scientists (the senior citizen) as early as possible.
Thanking you
Yours faithfully
DIPAK MUKHERJEE
sateeshkumarpaluru says
Hello sir,
I am cisf employe in central government. I am applying for the CGHC CARD.what is the card issued.
Please telme about this prosess.
Records
Sateesh Kumar paluru
vinod kumar jain says
I am an auditor in defence accounts department i have taken treatment of my father in Anand hospital jaipur which is a CGHS empenelled hospital however my duty station is jodhpur. i written a letter for seeking permission before treatment being other than duty station but my department not granted permission saying that treatment can be taken only govt. hospital other than duty station please guide me.
vilas khare says
which disposal items are not reimbursable during OPD / Indoor treatment ( i.e. Gloves, Pads, Mask etc. )
Munish Sharma says
Our office is an attached office. There are various branches under the HoD called HoB located at various locations throughout india. Whether the treatment at a private recognized hospital referred by the CGHS dispensary may be allowed by HoB of the concerned location or branch or it is to be approved by the HoD. Urgent clarification is required.
Vinod kumar says
Me c r p f me c t / g d hu kya mera c g h s card ban sakta h Kay?
SAPTA PRASAD UPADHYAYA says
My uncle was a pensioner/ retiree from DELHI VIDYUT BOARD AND availing medical facilities under CGHS. . He died in a Pannel Hospital. He was unmarried.Only his elder brother and sons of his brothers including myself were looking after him, his medical bills amounting to Rs.75,000/ was paid by me through credit card.Since he had no family. He had left behind a WILL DEED for agriculture land in his native village in favour of mine and my brother( Son of his real brother).I want to know that who can claim the reimbursement of medical bill paid on his behalf and how(procedure).Is succession certificate required?
karan says
Sir I m kvs employee.mere father ko heart attack hua or Maine emergency m nearby heart ke private hospital m treatment karwaya Jo recognised nhi h or na hi under cghs h mere father Ki death ho gyi kya m medical claim kar sakta hu jabki mere office wale kahte h Ki hospital under cghs ya recognised hona chahiye
V SREENIVASULU says
I am working in vijayawada which is not covered under cghs facility(serving central govt.employee). But my son is studying in delhi whether he can get treatment in cghs approved hospital in delhi
chandan kr. says
If i am working with Central Govt. PSU & getting fixed medical allowance in monthly salary (Not getting any kind of medical reimbursement .
my wife is working in state govt. ,is she eligible for CGHS or not
Vaibhav Sharma says
My mother retired from Delhi Govt in year 2003 at the time of retirement in 2003 Basic Pay was Rs.7100/-. Plesae tell about room entitlement whether it is General/semi/pvt. room of hospital
Shashi Kumar says
Sir I am a CGHS card holder and posted in chennai but my family lived in Gurgaon (haryana) My mother is suffering by paralyzes so i don’t bring with us . So I want to know that can we take treatment in Gurgaon CGHS Dispensary . Please tell me.
Anish says
Dear sir
I am employee of Bihar state govt,I lossed my father 26 step 2015. Due to brain hambrage . all the treatment had been taken from CNS hospital patliputra Patna. Bihar which is not affiliated from cghs
Sir I would be very thankful to you if confem that my father made clam would be consider or not
Manjeet Rana says
I am a Himachal Pradesh Govt. employee and suffering from sizer disorder and my treatment is going in non empaneled hospital . Can i apply for medical claim and
What is procedure for apply medical claim.
Manjeet Rana
Ph. No. 08988171099
Manjeet Rana says
I am a Himachal Pradesh Govt. employee and suffering from sizer disorder and my treatment is going in non empaneled hospital . What is procedure for apply medical claim.
Michelle Fernandes says
Hi, my name is Michelle . My dad worked as a Chargeman I in naval dockyard Mumbai . He had retired in March 2006 . He expired on 22nd august 2015 . I would like to know the detailed procedure of transfering my dad’s pension in my mothers name . Pls help ASAP
JAYA KUMARAN K says
I am a retired Central Government servant and hold life time valid CGHS Card issued by CGHS, Trivandrum. CGHS recognised hospitals are located in the city of Trivandrum whereas I live in Palakkad District. It is a herculean task to go to Trivandrum for medical aid and follow up check up, if any. It would be in the interest of all if at least one hospital in each district in Kerala is recognised by the CGHS Trivandrum. Till such time, the beneficiaries may be permitted to avail medical treatment in ECHS recognised hospitals. If allowed, it would definitely be a boon for all as we are neither able to go all the way to Trivandrum for treatment nor getting the fixed medical monthly allowance of Rs. 500.00.
JAYA KUMARAN K says
I am a retired Central Government official and hold life time CGHS Card issued by CGHS, Trivandrum.
shyama says
who is competent to sanction medicine without CGHS prescription
ATUL KUMAR GARG says
Respected Sir,
1. I would like to invite your kind attention towards upgrading of pay band from Rs 4200 to Rs 6600 in PB 3 to General Manager, Departmental canteen working in ministry of Defence under the Administrative Instructions of DOP&T the same is requested on the basis of one rank one pay because the General Manager of Deptt. of space Banglore is getting band pay Rs 6600 in pay band 3 wef 3rd CPC. It is requested to save the goodwill of the apex post of canteen i.e. General Manager, hence he is controlling and managing the 22 to 57 staff of canteen , performing a job of Reporting Officer during the completion of ACRs of staff and their responsibility as Incharge of Canteen. The apex post of the General Manager in the hierachy of the Non Statutory canteen employees cadre will be filled now by promotion on the basis of 10 years experience and from the feeder grades of D. G. M., Manager Grade II, and Manager cum Accountant etc.) after the commerce graduation as per the ammended model rules od DOP&T. Due to merger of pay scales by 6thCPC General Manager carrying the same grade pay as per their juniors- Manager Grade II , DGM and Accountant cum Manager of feeder grade i.e. Rs 4200 which is the cause of functional disturbance. Befor 6thCPC GM was in the scale of 5500-9000 and Manager Grade II etc were in 5000-8000 pay scales. This can be seen from the hierachical chart of canteen cadre post at para 3 after the Vth CPC, when the feeder grades of D.G.M etc were upgraded to Rs 5000-8000 from Rs 4000-6000, then also consequently SIU D.O.P&T upgraded the pay scale of General Manager from Rs 5000-8000 to Rs 5500-9000, A similar situation has now taken place whereby the apex post of General Manager has been brought at par with the feeder grades i.e Manager gd II, D.G.M etc. This anomaly warrants reconsideration on lines of post Vth CPC upgradation order of D.O.P&T OM No. 13/10/2001-Dir(c) dated 22 Dec. 2004.
2. Designation of Manager gd II should be replaced as Manager only because there is no post of Manager gd I in Departmental Canteen cadre of Ministry of Defence , Therefore the designation of Manager gd II in the absence of Manager gd I does not arise.
3. Please take on priority and include in the agenda of next meeting of conceren Committee and Cadre Review committee of Non Statutory Departmental Canteen Employees as deemed fit.
4. It is humbly requested to the Honourable Authority of 7th CPC, Authority ,the Honourable Authority of DOP&T and our Executive Members of National Council JCM to solve the issues as mentioned above and also forwarded and applied in 10 copies to the 7thCPC for all AFHQ canteen cadre in a positive manner please
Your favourable action in this matter will be highly obliged .
A K GARG
General Secretary
AFHQ Canteen Employees Association (Recognized by Defence Ministry)
Ministry of Defence, New Delhi.
Mobile No. 9868127027.
Vinesh says
I have to undergo for a Lab Test from any CGHS approved Lab, rate of which is not given by CGHS or the authorized lab will charge independently. In this case what should i do ? Whether reimbursement will be made by my office or should i take the permission for HOD ?
K P PUSHPANGADAN says
Sir
With in how many days the investigation should be done after getting the reference from CGHS dispensary for an investigation? Kindly clarify the rule position
sumit says
Sir,
I am working in center govt. I want to know that can a govt. doctor (HOD) referred a patient to a NON panel private hospital in emergency conditions.
regards
Sanjay P Ulpe says
what is the procedure of settling on duty accident medical re-imbursement claim for an non-industrial dockyard employee working with Naval Dockyard
sanjay says
sir. i am serving in crpf and presently posted in dantewada chhattisgarh and my permanant residential fall in distt jhajjar, state-haryana .how i can avail the fascility of c.g.h.s. and prepare c.g.s.h. card what is the process to prepare c.g.s.h card..
sanjay says
sir. i am serving in crpf and presently posted in dantewada chhattisgarh and my permanant residential fall in distt jhajjar, state-haryana.how i can avail the fascility of c.g.h.s. and prepare c.g.s.h. card what is the process to prepare c.g.s.h card..
SURESH CHAND says
I want to know can I get the treatment of married daughter living with me her husband is also studying not start earning his age 30. and my daughter age is 24 years.
spkar says
simple, if he wants to settle at Gurgaon or any other place where he is presently resides,submit online application available in cghs site and alongwith the print of the same, submit copies of the Pension Payment Order containing photos of yr mother & father and two PP photos of both duly attested by a Gazetted Officer (if PPO does not contain photos of both) and a nationalised Bank draft in favour of Additional Director, CGHS for 12 months x Rs.300(if the CGHS card is required on yearly basis or 10 yearsxRs.300×12 (for life time basis) ask the nearest CGHS additional/Joint Director of nearest CGHS centre to gurgaon. search cghs website and ask from the cghs helpline to get relevant details/form etc. or visit http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File91.pdf
spkar says
simple, if he wants to settle at Gurgaon or any other place where he is presently resides,submit online application available in cghs site and alongwith the print of the same, submit copies of the Pension Payment Order containing photos of yr mother & father and two PP photos of both duly attested by a Gazetted Officer (if PPO does not contain photos of both) and a nationalised Bank draft in favour of Additional Director, CGHS for 12 months x Rs.300(if the CGHS card is required on yearly basis or 10 yearsxRs.300×12 (for life time basis) ask the nearest CGHS additional/Joint Director of nearest CGHS centre to gurgaon. search cghs website and ask from the cghs helpline to get relevant details/form etc.
Parvin says
Dear My father is retired from CRPF in the year of 2006. How he can apply for the CGHS facility and what is the process to obtain the CGHS card. He is residing in Gurgaon (Haryana). So please share the complete process, place to obtain the form (if any), documents required, available link or tools to get the the CGHS card online, where to submit the form etc. Your detailed response will be highly appreciated.
A. B. JADHAV says
Asstt. Chief Accounts Officer, has while on picnic to Kerala, he was got accident major injury with his polio leg. he admitted in kerala private hospital. then from kerala he rush to Panvel [ Maharashtra ] through ambulance and admitted in private hospital immediately. [ area not covered under CGHS]. Requested to inform whether I can claim /reimburse the amount spend to hospitalization.
ashok kumar says
I am crpf constable.Father’s treatment welfare
NEERAJ PAWAR says
I m working in Bangalore and my wife lives in Delhi. My wife got some tests done at CGHS approved diagnostic lab in Delhi. My office people are giving me rates of the tests at Bangalore. I had declared earlier that my wife lives in Delhi. What should I do now. Kindly quote some rule in this respect.
k s biswas says
Dear sir
My father was a central govt. Employee. He was retired from income tax dept in 1995 from jabalpur. There we were getting the facility of CGHS.
After shifted to Indore we were not got any fasility from CGHS as reason was explained that there was no CGHS hospitals at that time.
My father expired on 2005. Now my mother is there with me at Indore.
Sir, I want to know that whether can my mother can get the facility of CGHS at Indore, if CGHS approved hospitals are available at Indore.
Please help me in this matter at earliest as possible. It will be a great help for my mother.
Waiting for your prompt and clear guidance and oblige.
Thanks
KS BISWAS
PRANEEN says
I AM A CENTRAL GOVT EMPLOY PRESENTLY WORKING IN M.P. AND SUFFERING FORM HEART DEASES ,I WANT TAKE TREATMENT FROM FORTIS HOSPITAL ( RAJASTHAN ) PLEASE WHAT PROCEDURE SHOULD BE ADOPTED FOR BILL REIMBURSMENT
S Ramasamy says
Sir
I am serving person in MES Defence civ and beneficiaries of CGHS I want a clarification to OP that as per the doctor a lab test was taken in Bharath scan I submitted the all bills in originals along with certificate A. To my surprise that auditor returned the same in want of lab Test report copy . Kindly clarify that lab report should be enclosed for the claim.
Can I go to all the branches of Bharath scan r only Head office.
vinod kumar says
respected sir
dt10/10/14 at 4.30pm per wife ko face per paralise ke sekyat hoti hai near pvt hoshpital nerology ko dekhaya tha jo MRI BRANE KE ADVISED DE THE DT 11.10.14 KO WIFE APNI CGHS DISHPANCERY ME DEKHAYA TO DR. NEROLOGY REFER KEYA SAME DATE KO APPLICATION KE SATH REFERAL SLIP ATTECHED KAR PRIOR PERMISSION DEPARTMENT KO BHEJ DI SAME DATE ME WIFE KA MRI BRANE KARA DEYA DEPARTMENT SE PERMISSION 13.10.14 KO MELI OR KAFE TEST HUA JO MRI BRANE ME BLOOD CLOOD 2BY3MM THA AB MENE MEDICAL CLAIM KEYA TO DEALING CLEARK NE OBJACTION LAGAYA HIA KE BAKI RS TO MELJAYGE RS 2350/ MRI BRANE KE NHA MELAGE QUE KE MRI BRANE 11.10.14 KO HUA HAI PERMISSION 13.10.14 KO MELA
JAB KI CGHS DISHPANCERY KE REFER KE BAD KARAYA HAI KEYA DEALLING CLEARK KYA SAHI PL HELP ME
Biman Chakraborty says
Sir,
My wife is getting dialysis from CGHS empaneled Hospital at Jabalpur since Aug 2014 twice weekly every month. Can I take my wife outside Jabalpur on holiday trip and can I get referred from CGHS.
vini says
sir ,
my father has taken cancer treatment in non cghs hospital, he first taken test & consult in Tata Memorial Hospital & but the date of operation of cancer was late due to que & non availablity of operation date. Thus doctor advice/refered to operate in private hospital immergency. My father has CGHS card.Can he claim for his treatment & post operative treatment.
please guide sir
Alok Gupta says
Sir,
I am working in Military Hospital, Saugor (MP) as defence civilian messenger. I made my wife delivery in Military Hospital Saugor. I put the documents for the medical claim. But CDA Jabalpur rejected my bill and wrote that no bill will be claimed for individual who working in the same Military Hospital, Saugor. Please help me out on this matter. Civilian are Entitle to claim medical claim or not
C K.Bhatia says
Festival advance at present Rs.3750/- whether it has been increased to Rs.4500 whether DOPT Order issued for raise in Festival advance like Children Education Allowance.
Francis Rajasekar says
This is regarding excess charging by empanelled hospitals as per the new rates which are yet to come into force, particularly that of Kailash Hospital for a stent insertion which had taken place two months ago. I had to pay a huge amount of Rs.2,48,000/- and my reimbursement is being made only for Rs. 1,32,000/-. Cost of the stents which had been one time had started with Rs. 95,000 had got reduced day by day to 72,000/-, then to 65,000/- and now has finally landed at Rs.37500 per stent. Painfully I am to comment that the cost of the government sponsored family planning device which had started at Rs. 1/- in the earlier days has been now only raised to Rs.15/- but a life saving item like that of the Stent has got reduced day by day. Even the orders of the Ministry of Health regarding the surgeon’s fees is confusing which at one place indicates “does not bar” payment and clearly indicates as one added in the package, the hospital has charged about 95000/- as surgeon’s fees separately. High time this is looked into by the CGHS directorate, and the new package rates as of 2014 are brought into force so that the rates which have been pre-charged by the hospital are returned to me at the earliest.
Mohd Mirza beg says
Sir. I am pensioner my cghs card was valid upta jan.2014 I applied new card in dec.2013 but didn, t get till date
bayya somaiah says
hi happy good pl cghs hiatus hernia repair adbominal code no.25.16.1 rs.8950/- my deaf loss total rs.45,000/- by b.somaiah sms 9849386830 pl go cghs disabled
P N Sekhri says
I am pensioner having CGHS card – applied for life time CGHS Card but issued with validity of 5 yrs upto January, 2014. Shall I have to apply for or will get automatically renewed CGHS card at my correspondence address. Kindly advice the procedure.
regds
Yogendra Abhyankar says
I am retired central govt.employee retired from Indore.My son is residing in Delhi and I am in Delhi for maximum period.I want to know whs at at procedure IU should follow to get the benefit of cghs at delhi.
preeti dahiya says
Hi
this is preeti actually i just want to know that is my father in law and mother in law come under the benefits of DGEHS, can they also get treated under the listed hospitals of DGEHS,as they are dependent on me .I am working as a staff nurse in harishchandra hospital ..kindly help me
mahendra gajbe says
kindly intimate whether the unlisted items charged by the recognized private hospital would be reimbursed, if yes kindly intimate the circular no.
H.B.DESAI says
I have taken vrs on 1st july 2012. At that time my basic pay r 32990 [g p 7600] in p b 3. I would like to continue c g h s facility for my family. I wish to diposit life time subscripation for my family.
but my wife is working in central government office as LDC. will she get the beneift on my cghd card ? p l give your valuable respones
hb desai
jagannath betal says
can i get reimbursed for medical treatment if i lost my OPD slips?
jagannath betal says
i m facing some problems taking reimbursement of my medical claims sir , can i get my solution here?
jagannath
8085683062
narendra kumar shukla says
I have retired person from C.P.W.D comes under C.G.H.S and my is studying in PUNE .she is ill.please tell us , how to get treatment there
thanking you
arun says
sir,
i am a delhi govt. employee (teacher) holding DGEHS card , i have a query, actually my wife was under treatment and suddenly i got transfer orders and i joined to my new school on 1st of december in another zone but of same department, when i tell my school principal for reimbursment of my medical bills , he denies saying that u joined here in december so i cannot reimburse ur previous bills …. so i want to know is he correct , if yes than where i have to apply for my old school bills and what is the procedure
Malcolm says
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Dinesh Kumar Modi says
sir,
After retirement on31-08-2012,I have been settled in Indore .For availing the benefit of CGHS in Indore what should I do .
ds rajendran says
Sir,
I am working as Scientist in ISRO sriharikota ,taken treatment at Arya Vaidya sala ,kottakal,under CSMA rules
for my back pain
my grade pay Rs 6600/= how much i am eligible for room rent as in patient treatment
my office telling that Rs 30/= per day is only eligible as per the CSMA rules so let me know the current
room rent eligible for me
please let me know and give the reply at the earliest
thanking you
with regards
dsrajendran
Shyam says
dear sir,
One of my subordiantes working in a central govt office as PA, met with an accident. he has been treated in a private hospital for the fractures, which is not empaneled. is he eligible for reimbursement of treatment? he is AMA beneficiary. What will be the procedure for settlement of claim
THANKING YOU in advance for a prompt reply
REVI. N says
Kindly intimate me the chief office address with telephone numbers of cghs in Kerala State
nandakumar says
sir,
i m a central govt employee. my wife’s delivery date draws near. i hail from imphal which does not have any cghs listed hospitals and i consult a doctor of a private hospital. can i claim for medical reimburstment.
murali says
i live in bangalore my father basic pay is 10,418 but he works in rms the office has given permission letter eligible for general ward and he is suffering from cancer ….. wat should i do….
sanjitkumar bhattacharya says
sir,
i live in Calcutta , a retired personal from the min. of defence. i am a cardiac patient .we have only one referral hospital – it is SSKM. For too many patients, a considerable time is lost and imposes a fatigue on the patients. It would be an welcome if one more govt. hospital could be approved in Calcutta.
Thank you
Geetha says
The treating doctor issued a mergency certificate for taking emergent treatment from a recognized hospital with out prior permission of the Competent Authority. However the competent authority asked to get Emergency certificate signed by the medical superitendent of the hospital. Is it necessary
Geetha says
Who is authorized to issue Emergency certificate in case of emergency treatment taken in private recognized hospital by a CGHS beneficiary -the treating doctor or Medical Supentendent.pleaseclarify
krishna says
sir may i know where is CGHS office in thrissur
O.P.Bansal says
Whether Retired personnel are entitled to draw advances from Jt Directors CGHS located in the city in case of serious diseases if referred to Metropolitan city.
Ranjit Nag says
I am doing central govt service at Bhopal. Very soon I will retire from service and will move to my native place Shillong, Meghalaya for permt settlement. Since there is no CGHS Dispensary is located at Shillong , it is not feasible to get treatment . Kindly advice me how me and my family can receive medical treatment after pension.
Mang says
I have a 10 days old baby, when can I enrolled my baby as my dependent in CGHS? Before enrolment, can I get the CGHS benefit for her treatment? If yes, what’s the procedure?
mahesh awasthi says
What about the central govt. pensioner those are living in the non-CGHS city after their retirement. After my retirement as Asst.Dir. from CPWD I have shifted my residence from Mumbai to Indore, but in Indore CGHS facility is not available. CGHS facility is available at Bhopal which is nearly 200 K.M. away from Indore. How to get medical facility if require, for self and family.
S C SHARMA says
Sir,
I have recently joined Central govt service. I am already a beneficiary with my father.
Is it necessary to become further member of CGHS.
Regards
S C SHARMA
rcbhatia says
whether medical treatment can be taken in emergency from private hospital which is not empaneled?
premanandan says
It is a pity that there are no adequate number of empanelled hospitals in Kerala state. The CGHS authorities have to consider empanelling some good hospitals in Cochin and calicut to supplement the position.
Mrs Manda Chauhan says
What are the rule(s) for taking treatment in Delhi hospitals for autonomous body under Central govt? List hospital if available.
SHYAMAL SARKAR says
i am a employee of sashastra seema bal(civilian) my wife is suffering from cancer and i taken treatment from private hospital in emergency i submitted my M.R with emergency certificate but the same M.R has been returned from my office with some remarks
amit bhatnagar says
i have to undergo a major tumour surgery of adrenal gland at rml hospital. pl clarify if i am eligible for private or semiprivate ward at the hospital. my basic pay is rs 15560 + grade pay rs 4600.
santosh says
sir
my father suffered from heart disease,i was given emergency treatment in private hospital else, because no availability of facilities/instruments in govt hospital or no recognized cghs hospital nearer to that place.
so for claim or settlement of medical bill what shall i do ?…
please guide me……….
J R RATURI says
Dear sir, I am retired from Ministerial office supdt(civilian) from CRPF office wef30-10-2010. I shifted my household from delhi to my native village Pauri garhwal where no CGHS dispensary/facility is available and could not move to Dehradun due to domestic problem and remained in my village (declared address in my service book) and taken medical treatment in private clinic with my wife as and when required. I did not approach for medical allowance for the period remained in village and likely to shift Dehradun in april,2010. I opted to avail CGHS facility at Dehradun at the time of retirement and not drawing any medical allowance, Kindly clarify whether I can draw medical allow. for the period wef 1-7-2010 to 31-3-2012 as I have not availed CGHS facility at Dehradun and remained in in my village pauri garhwal,
sreedhara anthoor says
the present rates of reimbursement of charges on different procedures and lab tests are very old It should be renewed with the current rates Further new hospitals like Malabar Cancer Centre Kodiyeri Thalassery should be included in the list of impaneled hospitals for cancer treatment
s,narayanan says
in cghs dispensariies the present format of prescription on the basis of which medicines are obtained do not mention as to when medicines are to be consumed i.e before or after breakfast / meals/dlnner,this is considered essential as some medicines like antibiotics are not to be consumed on empty stomach
BABU A.J. says
dear sir,
One of my subordiantes working in a central govt office as peon, met with an accident. he has been treated in a private hospital for the fractures, which is not empaneled. is he eligible for reimbursement of treatment? if so up to what amount?
THANKING YOU in advance for a prompt reply
tarlok singh sahota says
maximum empanalled hospitals are in metro cities where as the central govt employees (retired/serving) are also residing in micro cities.maximum etird employees are getting the CGHS cards irrespective of their residences may be in in rural arreas and they are not in position to approach CGHS dispensaris for the treatment they require.almost all the govt. hospitals lacks in modern facilities. Hence it is requested that the govt. should either relax the rules or empennel some pvt.hospitals at distt. level all over india so that the deserving and old people could also get some good health care.