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LATEST CENTRAL GOVERNMENT EMPLYOEES NEWS
Central Govt Holidays 2023 | Dopt Orders on Holidays 2023
34% DA Order for Central Govt Employees wef 01.01.2022 - Finmin Orders 2022
Revised Rates of HRA 27%, 18% and 9% from 01.01.2021 - Finmin Orders 2021
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LATEST CENTRAL GOVERNMENT PENSIONERS NEWS
Revised Rate 34% DR Order for Central Government Pensioners and Family Pensioners from 1.1.2022
Annual Increment Due on 1st July to the Employees Retiring on 30th June
Notional Increment on the Day of Superannuation
FR 56(j) of CCS (Pension) Rules age of 50 years or on Completion of 30 years of Service
Coverage under CCS (Pension) Rules CG employees appointment before and after 01-01-2004

Reimbursement CGHS Claims

October 30, 2017

Reimbursement CGHS Claims

Claim submission:-

In case of treatment in emergency in non-empanelled hospital/ treatment without permission in empanelled hospital, MRC will have to be submitted by the beneficiary for reimbursement of expenses incurred. The claim is to be submitted to the concerned department by serving employees and to the CMO I/C of the CGHS wellness center(where the CGHS card is registered) by the pensioner beneficiary within 90 of discharge from the hospital.

For More Information: CGHS revise the time limit for submission of final claims for reimbursement of medical expenses to 6 months
In case of delay in submission of claim beyond 90 days, the reasons justifying the delay must be stated by the beneficiary in a forwarding letter.

Also Read: CGHS-Reimbursement of cost of ‘Pulse Oximeter’ for the family of COVID-19 Positive CGHS Beneficiary under Home Care

The claim is to be submitted in duplicate in the prescribed form.
The following enclosures must be attached with the claim forms(duplicate):-

Copy of CGHS card of patient (along with copy of CGHS card of principal cardholder if patient is other than the principal cardholder)
Copy of permission letter, if any
Emergency certificate(in original), in case of emergency admission
Copy of discharge summery
Ambulance use certificate(original), if any
Original bills/vouchers/cash memo etc. for the amount claimed
Other information/documents to be provided wherever applicable-

Break up of investigations /tests (details of individual tests, number of tests with rates) from hospital
In case of lost papers, photo copies/ duplicate copies of bills attested by treating doctor along with affidavit in prescribed format to be submitted. In case of death of principal cardholder affidavit as per prescribed format to be enclosed. In case partial settlement of claim by any insurance agency, copies of bills duly endorsed by insurance agency, mentioning that original bills have been retained by them and amount of claim settled by the agency, to be submitted

Also Read: CGHS Guidelines for Credit Facilities to Serving Employees

The documents to be attached in case-

(I) if implant used- invoice number, sticker with serial number of implant.

(II)if coronary stent/s used-outer pouch of stent/s with sticker

(III)when pacemaker/ICD replaced-copy of warranty certificate of earlier pacemaker/ICD. The bank details in the mandate form needs to be enclosed.

The telephone number and email ID of the beneficiary should invariably be mentioned correctly.
Cancelled cheque/Photocopy of a cheque needs to be enclosed
Acknowledgement and following up of the claim submitted:

The claim is to be submitted at the CGHS wellness center where the beneficiary is registered. On verification as per check list if the claim is found to be complete with all documents then an acknowledgement will be generated with a claim number in the computer module of the wellness center.
The status of the claim can be viewed in the CGHS computer module using the claim number.
Particulars of the claims which are more than one month old are now displayed on the CGHS website.
MRC claimed from dual source (CGHS and Medical Insurance Company)

In case the beneficiary is also covered under Insurance and the claim has been settled by the Insurance Agency, the liability of CGHS will be reimbursement to the extent of balance of total claim after payment by insurance company subject to the maximum amount of CGHS rate.

Source : http://cghs.gov.in/

CHECK ALSO: CGHS Package Rates 2020

READ ALSO: CGHS Rate List 2020

Latest List of CGHS Empanelled Hospitals 2020

Central Govt Holiday List 2023 PDF | Holiday Calendar 2023 India
  • CGHS Agartala Hospital List 2020
  • CGHS Agra Hospital List 2020
  • CGHS Ahmedabad Hospital List 2020
  • CGHS Allahabad Hospital List 2020
  • CGHS Ambala Hospital List 2020
  • CGHS Amritsar hospital List 2020
  • CGHS Bangalore Hospital List 2020
  • CGHS Bareilly Hospital List 2020
  • CGHS Bhopal hospital List 2020
  • CGHS Bhubaneswar Hospital List 2020
  • CGHS Chandigarh Hospital List 2020
  • CGHS Chennai Hospital List 2020
  • CGHS Cuttack Hospital List 2020
  • CGHS Dehradun Hospital List 2020
  • CGHS Delhi Hospital List 2020
  • CGHS Delhi NCR Hospital List 2020
  • CGHS Dhanbad Hospital List 2020
  • CGHS Faridabad Hospital List 2020
  • CGHS Ghaziabad Hospital List 2020
  • CGHS Gorakhpur Hospital List 2020
  • CGHS Guntur Hospital List 2020
  • CGHS Gurgaon Hospital List 2020
  • CGHS Guwahati Hospital List 2020
  • CGHS Hyderabad Hospital List 2020
  • CGHS Indore Hospital List 2020
  • CGHS Jabalpur Hospital List 2020
  • CGHS Jaipur Hospital List 2020
  • CGHS Jalandhar Hospital List 2020
  • CGHS Jammu Hospital List 2020
  • CGHS Kanpur Hospital List 2020
  • CGHS Kolkata Hospital List 2020
  • CGHS Lucknow Hospital List 2020
  • CGHS Meerut Hospital List 2020
  • CGHS Mumbai Hospital List 2020
  • CGHS Nagpur Hospital List 2020
  • CGHS Noida Hospital List 2020
  • CGHS Patna Hospital List 2020
  • CGHS Pondicherry Hospital List 2020
  • CGHS Prayagraj Hospital List 2020
  • CGHS Pune Hospital List 2020
  • CGHS Ranchi Hospital List 2020
  • CGHS Shillong Hospital List 2020
  • CGHS Sonipat Hospital List 2020
  • CGHS Trivandrum Hospital List 2020
  • CGHS Vadodara Hospital List 2020
  • CGHS Varanasi Hospital List 2020
  • CGHS Vijayawada Hospital List 2020
  • CGHS Visakhapatnam Hospital List 2020

ALSO READ: ECHS Empanelled Hospitals and Nursing Homes 2020

Related News:

  1. Revision of Income limit for the purpose of providing Central Government Health Scheme (CGHS) coverage to family members of the CGHS covered employees
  2. Extension of CGHS facilities to the pensioners of post and Telegraph Department
  3. Opening of a Central Govt. Health Scheme, Wellness Centre (allopathic) at Imphal
  4. Important Notice from CGHS
  5. New CGHS Wellness Centres for CG Employees and Pensioners – Guwahati (Aizawl)
  6. CGHS Dental Hospitals and Diagnostic Centres in Chennai as on 8.2.2017
  7. Revised Subscription Rates of RELHS as per 7th CPC Pay Matrix
  8. Stents under CGHS
  9. Cashless Treatment Benefits for Serving Employees Under CGHS
  10. Procedure to get a CGHS Plastic Card

ALLOWANCE NEWS

Revision of Minimum Wages and Variable Dearness Allowance – Lok Sabha Q and A

IDA from July 2022 at 391% to CPSE Employees for 1997 Pay Scales

DA from July 2022 at 190.8% to CPSE Employees for 2007 Pay Scales

DA from July 2022 at Revised Rate 32.5% to CPSE Employees for 2017 Pay Scales

5th CPC Dearness Relief Order for CPF Beneficiaries from 01.01.2022

GDS Latest News

Review of the Scheme for Engagement of the Dependent of a Deceased GDS on Compassionate Grounds

June 7, 2022 By admin Leave a Comment

34 Percent DA Order to GDS Employees wef 1.1.2022

April 12, 2022 By admin Leave a Comment

Revised GDS Online Engagement Process wef 4th Week of January 2022

January 24, 2022 By admin Leave a Comment

Enhancement of Rs. 20,000/- to Rs. 50,000/- to GDS Employees Suffering from COVID-19

November 25, 2021 By admin Leave a Comment

Review of Security Amount to be Furnished by the Gramin Dak Sevaks (GDS)

November 22, 2021 By admin Leave a Comment

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