CGHS Empanelled

Central Government Health Scheme – CGHS

Central Government employees and retirees who sign up for the Central Government Health Scheme have had access to high-quality medical treatment over the past half-century and more. In 1954, the program was first made available to the public.

This initiative is one of a kind because of the vast number of people who stand to benefit from it. In fact, the CGHS serves the healthcare requirements of qualified individuals in the Indian Parliament, the Indian Supreme Court, the Indian Executive Branch, and the Indian Media.

The Central Government Health Service (CGHS) is the premier healthcare provider for all current and retired Central Government employees and pensioners. Aiming to make its services more widely available, CGHS already provides coverage to over 40 million people in more than 70 cities across India.

Who gets the benefit of the Central Government Health Scheme (CGHS)?

Employees and retirees of the Central Government who sign up for the Central Government Health Scheme (CHGS) are eligible for medical coverage. It encompasses medical care according to several philosophies, including allopathy, homeopathy, Ayurveda, etc.

Medical care under the CGHS is supplied regardless of where an organization’s headquarters are located, with the employee’s domicile being the determining factor. This means that all Central government employees and their families who live in one of the listed cities will receive treatment.

Facilities Available in the Central Government Health Scheme

  •  In-Patient-Department Care, including Medication Dispensing.
  •  Treatment by Highly Trained Specialists in Publicly Funded Polyclinics and Hospitals.
  • Indoor Medical Care at One of the Many Government or Approved Hospitals.
  • Research at Official and Approved Medical Facilities.
  • Pensioners and other verified beneficiaries can receive care at any of the participating hospitals or diagnostic clinics without having to pay out of pocket.
  • Costs incurred for emergency care received in either a public or private hospital will be covered by the policy.
  • Payback for medically necessary items like hearing aids, prosthetics, appliances, etc.
  • Assistance for Families, Including Pregnancy and Delivery Care
  • Treatment and medication recommendations from doctors trained in the Ayurvedic, Homeopathic, Unani, and Siddha medical traditions.

How to get benefits from CGHS Schemes

Whether you are a current government worker or a retired government worker, you will have different requirements to meet to enroll in the Central Government health Scheme. Take a look at this high-level outline of the steps involved.

Currently Employed Individuals

You should check out the CGHS website.

  • Obtain a copy of the application, complete it, and submit it with any relevant materials (photos included).
  •  Obtain the signature of your department head or office manager on the application form.
  • Send your submission to the Additional Director’s office in Delhi or any of the other cities serviced by the CGHS.
  • Note that the application form is also available at any official CGHS wellness center in India’s central government.

Current Staff Members Must Submit the Following Documents

  • Submit an application in the standard format
  • Pictures of the benefactor’s loved ones
  • Family records are essential.

For Pensioners

  • The properly formatted application form
  • Validation of the pensioner’s current residence
  • Pensioners must provide proof of their dependents’ addresses.
  • The dependents’ age verification documents
  • Images of the retiree’s loved ones (Family)
  • Certificate of disability, if relevant
  • Certificate of Withdrawal if Current CGHS Card Is Held by Retiree
  • Certified copy of the most recent wage statement
  • Provisional ID Card in the Absence of a Preferred Provider Organization
  • A verification (Draft) of the amount needed for the CGHS contribution

Frequently Asked Questions (FAQs)

The Central Government Health Scheme (CGHS) card is issued to the central government employees and pensioners and their family members. The eligible family members include spouse, dependent children up to the age of 25 years, dependent parents, and unmarried daughters.

  • Coronary Angiography and Coronary Angioplasty.
  • CPAP, BiPAP and Oxygen Concentrator.
  • Hearing Aids.
  • Issue of medicines and reimbursement.
  • Admissible and non admissible items in CGHS.
  • Medical Claim forms.
  • Cancer Surgery.
  • Neuroimplants.

The sailent features of this initiative are as under: Cashless treatment will be available in outpatient departments (OPD), investigations, and indoor treatment for CGHS pensioners and other eligible categories of beneficiaries.

The claim is to be submitted at the CGHS wellness Centre 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 Centre.
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