Central Government Health Scheme (CGHS) – FAQ’s

FREQUENTY ASKED QUESTIONS WITH ANSWERS ABOUT CGHS

1. Who are entitled for CGHS facilities

1. All Central Govt. employees and their dependant family members residing in CGHS covered areas.
2. Central Govt Pensioners and their eligible family members getting pension from Central Civil Estimates
3. Sitting and Ex-Members of Parliament
4. Ex-Governors & Lt. Governors
5. Freedom Fighters
6. Ex-Vice Presidents
7. Sitting and Ex-Judges of Supreme Court & High Courts
8. Employees and pensioners of certain autonomous organizations in Delhi
9. Journalists (in Delhi )Accredited with PIB ( for OPD & at RML Hospital)
10. Delhi Police Personnel in Delhi only
11. Railway Board employees

2. In how many cities CGHS is presently operative?

CGHS facilities are available in 25 cities in India

1. Ahmedabad
2 Allahabad
3 Bengaluru
4 Bhopal
5 Bhubaneswar
6. Kolkata
7. Chandigarh
8. Chennai
9. Dehradun
10.Delhi & NCR
11.Guwahati
12. Hyderabad
13. Jabalpur,
14. Jaipur
15 Jammu
16. Kanpur
17. Lucknow
18. Meerut
19. Mumbai
20. Nagpur
21 Patna
22.Pune
23. Ranchi
24. Shillong
25. Thiruvananthapuram

3. For CGHS cards , as dependant , what is the meaning of the word “ family”

The term ‘family’ means and includes:-

1. Husband or wife as the case may be and other dependant family members.

2. Dependant Family Members:

parents, sisters, widowed sisters, widowed daughters, minor brothers and minor sister, children and step-children wholly dependent upon the Government Servant and are normally residing with the Government Servant.

Also now included , dependent divorced / separated daughters ( including their dependant minor children) and step-mother.

3. The term dependency means that income from all sources including pensions and pension equivalent of DCRG benefit is less than Rs.3500/- plus amount of DA on Basic pension of Rs3500/-per month. However, there is no such clause as dependency in respect of spouse.

4. What is the procedure to register with the CGHS?

Pensioners:

1. One can get a CGHS card made from the office of AD / JD of the City.
2. Forms can be downloaded from CGHS Website or can be taken from office of AD / JD of city.
3. Documents required

i. Application in prescribed format
ii. Proof of Residenceroof of Stay of dependents
iii. Proof of age of son
iv. Disability certificate, if any in case of sons aged 25 & above, who would otherwise cease to be a beneficiary.
v. Photos of eligible family members
vi. Surrender Certificate of CGHS Card while in service ( only in those cases where CGHS Card was issued while in service)
vii. Attested copies of PPO & Last Pay Certificate
viii. Draft for required amount towards CGHS contribution – in the name of ‘P.A.O., CGHS New Delhi’ in Delhi-and in the name of ‘AD, CGHS of the city’.
ix. In case PPO is not ready for any reason there is option to get a provisional card on the basis of Last Pay Certificate.
x. The data is entered through computers and entered in data base and a print out is issued same day for immediate use. Plastic cards are subsequently sent to the residence of the card holder by post.

Serving employees:

Serving employees submit the forms in prescribed format enclosing photos of eligible family members and submit to the Ministry / Department/Office , where he / she is employed. The application form shall be forwarded by the Ministry / Office /Department to the office of Addl. Director CGHS of city for preparation of card.
Print out is issued for immediate use.

5. Are CGHS facilities free of cost?

For serving employees residing in CGHS covered area obtaining CGHS Deduction from salary is made by the department, every month, depending upon their pay

Pensioners who want to avail CGHS facilities can make contribution either on yearly basis or one time ( ten yrs ) contribution for whole life validity.

Payment can be made by Demand Draft in favour of “ P.A.O. CGHS ”.Contribution in respect of Pensioners are calculated on the basis of grade pay they are entitled had they been in service , but for superannuation.

6. What is the system for the services of specialists in Dispensaries?

Prior registration is required appointment with the CGHS Wellness Centre, where specialist services are available. However, In case of emergency contact CMO i/c of dispensary of Wellness Centre for consulting specialist without prior appointment.

7. Is there any interactive mechanism at dispensary level?

At the Wellness Centre ‘Local Advisory Committees’ are formed. CMO i/c holds a meeting with Local Advisory Committee members to discuss local dispensary related issues.

8. How long does it take to get the CGHS Cards?

Normally computerized printout of index card is issued on the same day. Plastic cards are sent to the residence in ‘3’ weeks time.

9. Whom Should I approach in case the CGHS Card is not issued to me in the prescribed time?

Contact Joint Director (HQ), CGHS, CGHS building ,RK Puram Sector-12, New Delhi in case of Delhi and Addl. Director of City in case of other cities.

10. What should I do if I lose my CGHS Cards ?

Application is to be submitted to AD/JD along with two photographs and a IPO for Rs. 50/- for issue of duplicate card. Indian Postal Order payable to “ P.A.O. CGHS”.

11. What should I do if the details on the Card viz. name, date of birth, entitlement, etc. are wrong?

Kindly bring the anomalies to the notice of Joint Director, CGHS (HQ), and CGHS building, RK Puram Sector-12, New Delhi in Delhi and to the Addl. Director, Joint Director of concerned CGHS City in other cities.

12. Is there a colour scheme for plastic cards? What are the details?CGHS Plastic cards have the following colour at the top:

i. Serving Government employees Blue
ii. Pensioners, ex-MPs , Freedom Fighters, etc.,_ – Green
iii. Member of Parliament – Red
iv. Beneficiaries of Autonomous Bodies / Journalist Yellow