Central Government Health Scheme (CGHS) is a lifeline for lakhs of state employees, pensioners and their families. CGHS, introduced in 1954, provides a wide range of health services through a network of ’empaneled’ hospitals, clinics and welfare centres.
What is CGHS?
CGHS is a scheme that provides medical care through various welfare centres, empaneled hospitals and diagnostic centers across India. In this the beneficiaries have to pay a small amount of Rs.250 to Rs.1000 every month according to their monthly income. CGHS runs dispensaries across the country where beneficiaries can access medicines prescribed by doctors working with the scheme.
What is CGHS?
CGHS is a scheme that provides medical care through various welfare centres, empaneled hospitals and diagnostic centers across India. In this the beneficiaries have to pay a small amount of Rs.250 to Rs.1000 every month according to their monthly income. CGHS runs dispensaries across the country where beneficiaries can access medicines prescribed by doctors working with the scheme.
Who is eligible for CGHS facilities?
Central Government employees and dependent family members residing in CGHS covered areas are eligible for this. These include former and sitting members of the Parliament of India, former Vice Presidents of India, Indian freedom fighters, former Governors and Lieutenant Governors of India, former and serving judges of the Supreme Court and High Courts of India, qualified journalists of the Press Information Bureau. (Delhi only), Delhi Police personnel, Railway Board employees, employees and pensioners can avail the benefits.
CGHS card in private hospitals
Private hospitals empaneled under CGHS can provide healthcare to cardholders. Such hospitals have signed an agreement with the government to provide medical services at CGHS rates, which are lower than what is charged to general patients. This panel ensures that CGHS beneficiaries can access specialized treatments not available in government hospitals.
What is the claim process of CGHS?
The claim process involves submitting medical bills and documents to the CGHS offices to seek reimbursement of medical expenses. Reimbursement of medical expenses must be requested within three months. Maximum benefit per family cannot exceed Rs 5 lakh per annum.
How to Apply for New CGHS Card?
Download New Pensioner CGHS Card Application Form from CGHS website or get it from CGHS office in your city.
Complete procedure of application
- Pay the required CGHS contribution online using the Bharat Kosh portal.
- Visit Bharat Kosh to make payment.
- After making the payment, generate an invoice as proof of payment.
- Submit the filled application form along with the payment challan and any necessary documents (eg, pension proof, address proof, etc.) to the Additional Director of CGHS in your city.
- You can also apply online for electronic CGHS card.
What documents should Central Government Pensioners attach to apply for CGHS Card?
- Age proof of son (if son is dependent).
- Self-attested copy of Disability Certificate issued by Medical Board of Government Hospital (in case of dependent son aged 25 years and above).
- Copy of Last Salary Certificate of Self-attested PPO/Temporary PPO or Bharatkosh Challan for payment of CGHS subscription.
- Copy of ID proof of dependent family members (Passport, PAN Card, Mask Aadhaar, Voter ID Card, etc.).
- Address proof.
- Documents proving dependency of family members
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