Who are eligible for CGHS facilities?

Who are eligible for CGHS facilities

 

Persons Eligible under the C.G.H. Scheme

 

1.     All Central Government employees paid from the Central Civil Estimates (except Railways and Delhi Administration), including their families.

2.     Pensioners of Central Government (except pensioners belonging to Railways and the Armed Forces) and their families.

3.     Central Government Pensioners retiring with Contributory Provident Fund benefits and their families.

4.     Widows of Central Government pensioners, in receipt of family pension.

5.     Delhi Police personnel and their families, in Delhi only.

6.     Railway Board employees.

7.     Civilian employees of Defense paid from Defense Service Estimates. (except at Mumbai where the scheme is in operation).

8.     Child drawing pension on death of a Central Government employee including minor brothers and sisters of such child.

9.     Ex-Governors and Lt. Governors and their families.

10.  Ex-Vice Presidents and their families.

11.  Central Government servants who are deputed to semi-government and autonomous bodies receiving substantial grant from, or financed by the Central Government.

12.  Central Govt. employees on deputation to statutory/autonomous during the period of deputation.

13.  Military Officers while on deputation to civil departments and getting their emoluments from Central Civil Estimates.

14.  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.

15.  Families of IAS Officers on North-Eastern Cadre, who continue to stay back in Delhi even after repatriation of the IAS Officer to the North-Eastern Cadre, provided that they continue to occupy Government accommodation in Delhi/New Delhi, on deposit of CGHS contribution in advance (one to three years). The same also applies to families of IAS Officers of J&K Cadre.

16.  Parliamentary    Secretaries    of    the  Central    Government    and    their families.

17.  Members of Parliament and their families.

18.  Ex-Members of Parliament.

19.  Sitting Judges of Supreme Court and High Court of Delhi and former Judges of Supreme Court and High Courts.

20.  Work Charged and Industrial Staff working in establishments run by various Ministries/Departments of Central Government, immediately from the date of their joining the service.

21.  Employees of Kendriya Vidyalays Sangathan stationed at Delhi & NCR, Kolkata, Chennai, Hyderabad, Mumbai and Bengaluru.

22.  Employees of Ordnance Factory Board Headquarters, Kolkata and Ordnance Equipment Factories Headquarters, Kanpur.

23.  All India Service pensioners who retire while serving under the State at their option.

24.  Freedom Fighters and members of their family receiving Central Pension under the Swatantrata Sainik Samman Pension Scheme.

25.  Family members of the Deceased Ex-Members of Parliament.

26.  Pensioners of Ordnance factories.

27.  Members of Staff Side of the National Council of the Joint Consultative Machinery, even though not serving as Central Government employees.

28.  Persons employed in semi-government and autonomous bodies who are permitted to join the CGH Scheme.

29.  An Accredited Journalist who produces a certificate from the Press Council of India stating that he is a member of the Press Association, New Delhi (for OPD and at RML Hospital).

30.  Retired Divisional Accountants of the Indian Audit and Accounts Department and those whose pay and pension are entirely borne by the State governments.

31.  PSU absorbees who had commuted 100% of their pension and have been restored 1/3rd portion of their pension after 15 years.

32.  Absorbees of Statutory Bodies/Autonomous Bodies of Central Govt. (including those who proceeded on deputation initially or were on deemed deputation and then absorbed), who are in receipt of Central Civil Pension.

33.  Serving and retired Railway Audit Staff.

34.  Serving    and    retired    Divisional    Accounts    Officers    and Divisional Accountants posted in the Office of Accountant Generals in States.

35.  CISF personnel (and their families) and CAPF (Central Armed Police Forces) personnel posted in CGHS cities.

36.  Employees of Supreme Court Legal Services Committee.

37.  Employees of India Pharmacopoeia Commission, and their families.

38.  Family and dependent members of a Central Govt. employee (a CGHS beneficiary) who stay back in CGHS covered area after posting of the employee to N.E. region (including Sikkim), Andaman & Nicobar Lakshadweep or Ladakh region and CAPF personnel posted in Left Wing Extremist areas, on payment of annual CGHS contribution in advance.

39.  Defence Industrial Employees of Naval Dockyard Central Ordnance Depot and AFMSD, in Mumbai.

 

Eligibility Criterion

Residence ‟ alone   (and   not   the   Headquarters)   is   the   criterion   for determining eligibility of a Central Government servant for availing medical facilities under the Central Government Health Scheme. Thus, Central Government employees and their family members etc. residing in any of the notified cities (list given in previous chapter) are covered under the Scheme.

 

What are the facilities available under CGHS?

 

1.     OPD Treatment at WCs including issue of medicines.

2.     Specialist Consultation at Polyclinic/Govt. Hospitals and at CGHS empanelled hospitals after referral by CGHS.

3.     OPD/Indoor Treatment at Government and Empanelled Hospitals.

4.     Investigations at Government and Empanelled Diagnostic centers.

5.     Cashless facility available for treatment in empanelled hospitals and diagnostic centersfor Pensioners and other identified beneficiaries.

6.     Reimbursement of expenses for treatment availed in Govt. /Private Hospitals under emergency and specific treatment advised by Govt. Specialist or Specialist of Pvt. HCOs duly endorsed by CMO/MO of WCs.

7.     Reimbursement of expenses incurred for purchase of hearing aids, artificial limbs, appliances etc., after obtaining permission.

8.     Family Welfare, Maternity and Child Health Services.

9.     Medical    consultation  and    dispensing    of    medicines    in    Ayurveda, Homeopathy, Unani and Siddha system of medicines (AYUSH)

 

 

In how many cities CGHS is presently operational?

 

Following Cities have CGHS facilities at present

1.     AGARTALA

2.     AGRA

3.     AHMEDABAD

4.     AIZWAL

5.     AJMER

6.     ALIGARH

7.     ALLAHABAD (PRAYAGARA)

8.     AMABALA

9.     AMRITSAR

10.  BAGHPAT

11.  BANGALURU

12.  BAREILLY

13.  BERHAMPUR

14.  BHOPAL

15.  BHUBANESWAR

16.  CHANDIGARH

17.  CHENNAI

18.  CHHAPRA

19.  CUTTACK

20.  DARBHANGA

21.  DHANBAD

22.  DEHRADUN

23.  DELHI & NCR DELHI, FARIDABAD, GHAZIABAD, GREATER NOIDA, GURGAON ,INDIARAPURAM, SAHIBABAD

24.  DIBRUGARH

25.  GANDHINAGAR

26.  GANGTOK

27.  GAYA

28.  GORAKHPUR

29.  GUWAHATI

30.  GUNTUR

31.  GWALIOR

32.  HYDERABAD

33.  IMPHAL

34.  INDORE

35.  JABALPUR

36.  JAIPUR

37.  JALANDHAR

38.  JALPAIGURI

39.  JAMMU

40.  JODHPUR

41.  KANPUR

42.  KOHIMA

43.  KOLKATA

44.  KOTA

45.  LUCKNOW

46.  MEERUT

47.  MORADABAD

48.  MUMBAI

49.  MUZZAFARUPUR

50.  NAGPUR

51.  NELLORE

52.  PANAJI

53.  PATNA

54.  PUDUCHERRY

55.  PUNE

56.  RAIPUR

57.  RANCHI

58.  RAJAHMUNDRY

59.  SAHARANPUR

60.  SHILLONG

61.  SHIMLA

62.  SILCHAR

63.  SONEPAT

64.  SRIAGAR

65.  VARANASI

66.  VIJAYAWADA

67.  TIRUCHIRAPALLI

68.  TIRUNELVELI

69.  TIRUPATI

70.  THIRUVANANTHAPURAM

71.  VISAKHAPATNAM

*Soon to be started

1.     KOCHI

2.     KANNUR

3.     KOZIKODA