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Who is entitled for cghs

2022.01.11 16:45




















Civilian employees of Defence paid from Defence Service Estimates. Child drawing pension on death of a Central Government employee including minor brothers and sisters of such child. Ex-Governors and Lt. Governors and their families. Central Government servants who are deputed to semi-government and autonomous bodies receiving substantial grant from, or financed by the Central Government.


Central Govt. Military Officers while on deputation to civil departments and getting their emoluments from Central Civil Estimates. Families of Governments servants transferred to a non-CGHS area, for a maximum period of six months on deposit of CGHS contribution for the period of 6 months in advance. Parliamentary Secretaries of the Central Government and their families. Members of Parliament and their families. Work Charged and Industrial Staff working in establishments run by various Ministries or Departments of Central Government, immediately from the date of their joining the service.


All India Service pensioners who retire while serving under the State at their option. Family members of the Deceased Ex-Members of Parliament. Persons employed in semi-government and autonomous bodies who are permitted to join the CGH Scheme. Retired Divisional Accountants of the Indian Audit and Accounts Department and those whose pay and pension are entirely borne by the State governments. PSU absorbees who had commuted percent of their pension and have been restored one third portion of their pension after 15 years.


Serving and retired Railway Audit Staff. All employees of the central government who receive wages from the Central Civil Estimates. Pensioners and family pensioners of the Central Government. Eligible dependent family members of pensioners and family pensioners of the Central Government. Post and Telegraph Department Employees. Types of Medical Systems Covered.


OPD Treatment including issue of medicines. Indoor Treatment at Government and Empanelled Hospitals. Investigations at Government and Empanelled Diagnostic centers. Cashless facility available for treatment in empanelled hospitals and diagnostic centers for Pensioners and other identified beneficiaries. Reimbursement of expenses for treatment availed in Govt.


Reimbursement of expenses incurred for purchase of hearing aids, artificial limbs, appliances etc. For Pensioners In case a pensioner wants to avail the facilities of CGHS they will also have to make a contribution according to the grade pay they were entitled at the time of their service. The contribution can be done as yearly contribution and one time contribution: Yearly Contribution: Every year a certain amount of money as per grade pay is to be contributed towards CGHS.


It will be considered as a life time contribution. Step 3 : An OTP will be sent on registered mobile number of the beneficiary or to the main card holder's mobile, if that is the only registered number. Enter OTP and click on "Proceed". Step 3 : Beneficiary details shall be displayed on the screen. Press the "Proceed" button if the details shown on the screen are accurate, otherwise click on "Not You".


In this case, the user will need to login again and proceed. Step 3 : A calendar is displayed and the user needs to select a date that has the availability of appointment for the selected doctor.


Choose the appointment date. Step 3 : On choosing the date, the top of the screen will show the slot timings and the appointments available. A beneficiary can choose the desired slot.


Step 3 : Click on "Proceed to Book Appointment". One can go back and make changes using the 'Change the Specialty' button. Step 3 : On selecting "Proceed to Book Appointment", details of beneficiary and the appointment are displayed for confirmation. Step 3 : Click on "Confirm to Book Appointment", and a confirmation status page will appear.


The confirmation slip can be printed, or another appointment can be booked. The system would also send an SMS to the registered mobile number.


Follow-up and In-patient Treatments are not addressed in case of the following: In case of a declared emergency, the treatment can be done at any hospital, but the reimbursement claim can only be submitted to the Additional General where the CGHS card is registered. In case of reimbursement of medical bills, the beneficiary can be treated at any hospital and the claim amount will be limited to the rates as per mentioned under CGHS.


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