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LATEST CENTRAL GOVERNMENT EMPLYOEES NEWS
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Coverage under CCS (Pension) Rules CG employees appointment before and after 01-01-2004

Treatment of CGHS Beneficiaries at Government Hospital (Central or State)

October 10, 2020

Treatment of CGHS Beneficiaries at Government Hospital (Central or State)

CGHS beneficiaries have the option to avail Consultation from Specialists/ Investigations / treatment procedures from any Government Hospital (Central /State)

Z15025/18/2020/DIR/CGHS
Government of India
Min. of Health & Family Welfare
Department of Health
Directorate General of CGHS

545-A Nirman Bhawan, New Delhi.
Dated the 9th October, 2020

OFFICE MEMORANDUM

Subject: Clarification regarding treatment of CGHS beneficiaries at government hospitals – regarding

With reference to the above subject the undersigned is directed to state that this Ministry is in receipt of several representations seeking clarifications about treatment at government hospitals. In this regard attention is drawn to Office memorandum No. S-11012/1/91-CGHS(P) (Vol.1) dt 18.03.1992 vide which guidelines regarding settlement of Claims were issued and to convey the approval of competent authority for issue of the following clarifications regarding treatment at government hospitals:

i. CGHS beneficiaries have the option to avail Consultation from Specialists/ Investigations / treatment procedures from any Government Hospital (Central /State)

READ ALSO: CGHS Reimbursement of Cost of OPD Medicines till 31st December 2020

ii. The definition of “Government hospital” would include any hospital of Central Government /State Government/Government Departments such as Railways. Atomic Energy Commission, etc., as also hospitals of Public Sector Undertakings (such as those of the Steel Authority of India Limited/Coal India Limited, hospitals under Municipalities etc.

iii. Normally many services at government hospitals are free. However, in case any government hospital charges for certain treatments, the same can be availed by way of reimbursement from the authorities concerned as per CGHS approved rates.

iv. CGHS beneficiaries shall be eligible for reimbursement as per the ward entitlement he/ she is entitled as per the criteria prescribed in case of AIIMS. In other government hospitals, where only General ward and Nursing home facility are available, CGHS beneficiaries, who are eligible eligible for semi-private ward and higher are eligible for treatment in Nursing Home wards.

V. Reimbursement for Implants shall be limited to CGHS prescribed ceiling rates. The other treatment charges are applicable item wise as per eligible ward entitlement

vi. In case of treatment at ILBS , New Delhi , NIMS Hyderabad the reimbursement shall be as per CGHS rates.

READ ALSO: CGHS Rate List 2020

vii. Medical claims are to be submitted through concerned CGHS Wellness Centre in case of Pensioners, ex-MPs , etc., and to the concerned Ministry /department /Office in case of serving employees and to the Rajya Sabha Secretariat / Lok Sabha Secretariat in case of Members of Parliament and to the concerned Autonomous body in case of CGHS beneficiaries of Autonomous Bodies for reimbursement

sd/-
(Sanjay Jain)
Director, CGHS

Click to view: Clarification regarding treatment of CGHS beneficiaries at government hospitals – CGHS order dated 9th October 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 Gorakhpur Hospital List 2020
  • CGHS Guntur Hospital List 2020
  • CGHS Guwahati Hospital List 2020
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  • CGHS Indore Hospital List 2020
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  • 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
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  • CGHS Mumbai Hospital List 2020
  • CGHS Patna Hospital List 2020
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ALSO READ: ECHS Empanelled Hospitals and Nursing Homes 2020

Related News:

  1. Alowing benefit of Continuous Empanelment Scheme to NABH/NABL accredited Health Care Organisation/Diagnostic Centres
  2. Provision of 24×7 assistance to CGHS beneficiaries In Delhi in respect of Tele-Homecare of COVID 19 positive cases
  3. Reimbursement of Medical Claims to Pensioners Residing in Non-CGHS Areas
  4. CGHS Reimbursement of Cost of OPD Medicines Special Sanction in View of COVID-19 till 31 December 2020
  5. New List of CGHS Hospitals comes into effect from October 2014
  6. Central Government Health Scheme has empanelled 750 Health Care Organizations all over the country
  7. Empanelment of private hospitals (including dental clinics and eye centres) and diagnostic centres under CGHS Delhi & NCR
  8. Procedure of Printing of CGHS Cards by CGHS Beneficiaries – CGHS Orders on 31.03.2016
  9. CGHS Rates Easy Search – Package Rates for Treatments Procedures and Investigations
  10. CGHS Rates for treatment at private HCO Empanelled under CGHS in view of COVID-19: Corrigendum OM

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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