Frequently asked questions with answers about Central Government Health Scheme (CGHS)
Who are entitled for CGHS facilities
- All Central Govt. employees and their dependant family members residing in CGHS covered areas.
- Central Govt Pensioners and their eligible family members getting pension from Central Civil Estimates
- Sitting and Ex-Members of Parliament
- Ex-Governors & Lt. Governors
- Freedom Fighters
- Ex-Vice Presidents
- Sitting and Ex-Judges of Supreme Court & High Courts
- Employees and pensioners of certain autonomous organizations in Delhi
- Journalists (in Delhi )Accredited with PIB ( for OPD & at RML Hospital)
- Delhi Police Personnel in Delhi only
- Railway Board employees
In how many cities CGHS is presently operative?
For CGHS cards , as dependant , what is the meaning of the word “family “
What is the procedure to register with the CGHS?
How long does it take to get the CGHS Cards?
Whom Should I approach in case the CGHS Card is not issued to me in the prescribed time?
What should I do if I lose my CGHS Cards ?
What should I do if the details on the Card viz. name, date of birth, entitlement, etc. are wrong?
Is there a colour scheme for plastic cards? What are the details?
Whom should I contact if the doctors are not present in the Wellness Centre / Dispensary?
Can the CMO or the pharmacist give a different brand than the one prescribed by the specialist?
What is the procedure for getting life saving drugs ?
What do I do if I am unwell at odd hours, say late in night?
What should I do in case of emergency?
What is the time within which my medical claim is to be reimbursed?
What can I do if my claim is unnecessarily delayed?
What should I do if the empanelled hospital refuses to entertain or give a step-motherly treatment?
How long does it take to get the medicines ?
What are the facilities available to me if I am a pensioner in a non-CGHS area ?
What is the system for the services of specialists in Dispensaries ?
Are the prescription of specialists of empanelled hospitals binding on the dispensary ?
What are the papers to be submitted for any investigation by an empanelled diagnostic centre?
Which are the categories eligible for cashless treatment ?
Is there any interactive mechanism at dispensary level?
Are CGHS facilities free of cost?
|Upto Rs.1650 /-||Rs. 50/-|
|Rs.1800/-, Rs1900/- Rs.2000/- , Rs.2400/- Rs.2800/-||Rs.125/-|
|Rs.4600/-,Rs.4800/- Rs.5400/- Rs.6600/-||Rs.325/-|
|Rs. 7600/- and above||Rs. 500/-|
What are the criteria for Entitlement of Treatment endorsed on CGHS Card like General ward / Semi-Pvt ward or Pvt. Ward in CGHS Empanelled Hospitals?
- Upto Rs. 13,950/- per month - Entitlement : General Ward
- Rs. 13,960/- to 9,530/- per month - Entitlement : Semi-private Ward
- Rs. 19,540/- and above - per month - Entitlement : Private Ward
I am a serving employee residing in a place close to a city covered under CGHS. Can I get CGHS card issued from the nearest CGHS city?
I retired in 1998 from Central Govt. but, I never made a CGHS card. Can I get a card now?
My husband/wife is also employed under Central Government and is eligible for a separate CGHS Card. Is it necessary that separate cards are to be obtained?
I have retired from Delhi. Now I want to settle at city where no CGHS facility is available . How to cover my family for medical care?
My husband/wife retired in 2002. He/She was paying CGHS subscription every year. After his death can I get Card on my name. Do have I to pay extra. Shall I get Life Time Valid card
How to transfer CGHS card from one WC to other in the same city?
I am CGHS beneficiary at Kanpur. Visiting Mumbai for 6 months. Can I get CGHS facilities at Mumbai. Can same card of Kanpur continue or a separate card to be made. From where to get permission for the same?
Who is competent to delete name of sons who have crossed age of 25 years?
After retirement in 2007 I got a Life time Pensioner CGHS card made in Delhi. Now I am shifting to Dehradoon. Can I use the same card. Do I pay again?
I live in Gurgaon but my office is in Saket. Can I avail facilities from both the places because it is convenient for me.
Is there any age limit for sons / daughters as dependant in CGHS Card ?
Are step-children allowed CGHS facilities?
Can dependent in-laws be included under family members for CGHS facilities?
My father is a cancer patient and after operation is bed ridden. Doctors have advised Protein powder. Can I get from CGHS?
I am a CGHS Pensioner.My wife was admitted in pvt hospital in emergency state. How to get reimbursement of money spent on her treatment?
My original papers having bills, Receipts of hospital treatment are lost. Can I claim on duplicate papers?
My husband/wife was a CGHS card holder. He/She was sick and died while in hospital. How do I get MRC?
I retired in Dec 2011. Due to certain reasons I had to go to my native place in Uttranchal and could not make pensioner’s CGHS card. In May 2012 I came to Delhi and had Heart attack. In emergency I was treated in pvt hospital .I got CGHS Card made after discharge but I have been refused reimbursement of the expenditure incurred.
I went to Hyderabad to visit my son and had fracture of leg bone. I received treatment from a pvt hospital. Shall I get full reimbursement?
Is treatment for IVF reimbursable?
Are ambulance charges reimbursable?
I have a Mediclaim Insurance Policy. Due to emergency received treatment in a pvt hospital. Some amount was paid by Insurance Co. can I get balance from CGHS
I submitted MRC for Rs. 1 Lac 20 thousand but I was reimbursed only Rs. 45,800/-. Why total amount was not reimbursed?
In emergency who are all entitled to get treatment at Pvt Empanelled Hospital
I want to get my Cataract Surgery done at Pvt empanelled hospital? How can I get it done
CMO Incharge does not refer me to Pvt. Hospitals on my request?
I am an accredited journalist with CGHS Card Can I seek treatment in Pvt. empanelled Hospitals in emergency and get credit facility?
I am a serving employee of an autonomous body ,holding CGHS card. who will give me permission for treatment on the recommendation of Govt. specialist?
Is Penfill Injection provided under CGHS