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| Central Govt.Health Scheme |
Central Government Health Scheme
-The Central Government Health Scheme
(CGHS) was started under the Indian Ministry of
Health and family Welfare in 1954 with the objective of providing comprehensive medical
care facilities to Central Government employees, pensioners and dependents enrolled -
under the Scheme residing in CGHS covered cities.
Health and family Welfare in 1954 with the objective of providing comprehensive medical
care facilities to Central Government employees, pensioners and dependents enrolled -
under the Scheme residing in CGHS covered cities.
-CGHS also caters to the health
care needs to eligible beneficiaries covering all four pillars of democratic
setup in India namely legislature, Judiciary, executive & press.
ELIGIBLE BENEFICIARIES
-
All central Govt.employees drawing their salary from
Central Civil estimates and their dependent family members residing in CGHS covered
area.
-
Central Govt. Pensioners/ family pensioners receiving
pension from Central civil estimates and their eligible dependent family
members.
-
Sitting and ex-members of parliament.
-
Ex.Governors&Lt.Governors.
-
Freedom fighters.
-
Ex Vice presidents.
-
Sitting and retired Judges of Supreme Courts
-
Retired Judges of High Courts.
-
Journalists accredited with PIB (in Delhi).
-
Employees and pensioners of certain autonomous
statutory bodies which have been extended CGHS facilities in Delhi.
-
Delhi Police personnel in Delhi only.
-
Railway Board employees.
-
Post and Telegraph Department employees.
CGHS is the
model Health care facility provide for Central Govt. employees & pensioners
and is unique of its kind due to the large volume of beneficiary base and open
ended generous approach of providing health care.
CGHS provides health care through following System of Medicine.
-
Allopathic.
-
Homeopathic.
-
Indian System of medicine.
--Ayurveda.
--Unani.
--Siddha and
--Yoga.
CGHS COVERED CITIES
CGHS
,presently provides Comprehensive Health Care to more than 30 lakh
beneficiaries in following cities.
1. Agartala. 2. Ahmedabad. 3. Aizwal. 4.
Allahabad. 5. Bengaluru. 6. Bhopal. 7.
Bhubaneshwar. 8. Chandigarh. 9. Chennai. 10. Dehradun.
11. Delhi & NCR. 12.
Gandhi Nagar. 13. Gangtok. 14. Goa. 15. Guwahati. 16. Hydearabad. 17. Imphal. 18. Indore. 19.
Jabalpur. 20. Jaipur. 21. Jammu. 22. Kanpur. 23. Kolkata. 24.
Kohima. 25. Lucknow.
26. Meerut. 27. Mumbai. 28. Nagpur.
29. Patna. 30. Pune.
31. Puduchery. 32. Raipur. 33. Ranchi. 34. Shillong.
35. Shimla. 36. Thiruvanantha Puram. 37. Visakhapatnam.
-
OPD Treatment including issue of medicines.
-
Specialist consultation at polyclinic/Govt.Hospitals.
-
Indoor Treatment at Government and empanelled
Hospitals.
-
Investigation at Govt and empanelled Diagnostic
Centres for Pensioners identified beneficiaries.
-
Reimbursement of expenses for treatment availed in
Govt/Private Hospitals under emergency.
-
Reimbursement of expenses incurred for purchase of
hearing aids, artificial limbs, appliances etc. as specified.
-
Family welfare, maternity and child Health service.
-
Medical consultation an dispensing of medicines in
Ayurveda, Homeopathy, Unani and Siddha System of medicines (AYUSH).
WELLNESS CENTRES TIMINGS AN
REGISTRATION
-
CGHS wellness Centres are open from 7:30 AM to 2 PM on
all working days from Monday to Saturay (Except Emergency Services where ever
applicable) with effect from 01/04/2015.
-
The Wellness Centres remain closed on all Central
Govt. Holidays. However in case of 3 consecutive holidays occurring together,
wellness centres will not be closed for more than 2 consecutive days.
Limited emergency services are
available in following 04 wellness Centres only in Delhi.
-
South Avenue.
-
North Avenue.
-
Zakir Hussain Road and
-
Kingsway Camp.
Timings of wellness centres with
emergency Services are as follows.
WC Timings 07:30 AM to 01:30 PM
Limited Emergency Services 01:30 PM to 07:30 AM there are also 06 First Aid
Posts (FAP) following locations in Delhi.
-
Nirman Bhawan.
-
Central Secretariat.
-
Vitthal Bhai Patel House.
-
Shastri Bhawan.
-
Narmada House Opposite RML Hospital.
-
Supreme Court and
-
Moti Bagh.
The Timings of these FAPs is from
09:00 AM to 05:00 PM.
Registration: - The registration
Starts on opening of the Centre and is stopped 15 minutes before scheduled
closing time of the Centre.
However, no serious patient is
returned back unattended.
ONLINE APPOINTMENT (REGISTRATION)
Online appointment with medical
officer of wellness centre or with specialist who visits a particular wellness
centre can be booked by visiting CGHS portal cghs.nic.in through link book
appointment.
CGHS CONTRIBUTION AND WARDS
ENTITLEMENT
Revised
monthly Subscription for CGHS facility w.e.f 1st January 2017 as
follows.
On 9th
Jan/2017 the Health ministry published the rates of monthly Subscription for
availing CGHS facility. The Central Govt pensioners have an option to get their
CGHS pensioners card by either making CGHS contribution on annual basis (12
months) or by making contribution 10 years for life time validity.
Note:- but
in case of join in RELHS shall be last month’s basic pay drawing or the
subscription rate indicated whichever is lower.
Corresponding levels in Pay Matrix as per 7th
CPC
|
Contribution Per
Month
|
Level 1-5
|
Rs.250
|
Level 6
|
Rs.450
|
Level 7-11
|
Rs.650
|
Level 12 and above
|
Rs.1000
|
Contribution
to be made by the Pensioners/Family Pensioners would be the amount that they
were subscribing at the time of their retirement or at the time of death of
govt servant entitlements of wards in private hospitals empanelled under CGHS
(Based on basic pay in pay band) is as follows.
S/No.
|
Ward entitlement
|
Corresponding basic pay drawn by the officer in 7th
CPC per month.
|
01
|
General Ward
|
Up to Rs.47,600/-
|
02
|
Semi Private Ward
|
Rs.47,601/- to Rs.63,100/-
|
03
|
Private Ward
|
Rs.63, 101/- to and above.
|
EXPANSION
OF CGHS TO MORE AREAS
-
CGHS is presently operational in 25 cities.
-
The government is opening at least one CGHS wellness
centre in 12 more cities.
-
The VIth CPC
had recommended that all postal dispensaries should be me merged with existing
CGHS centres.
-
At present CGHS is providing facilities about 36lakh
beneficiaries (Card holders and their depends) this includes 26 lakh serving
employees and their dependents
-
CGHS has a network of 273 allopathic an 85 AYUSH
wellness Centres, 73 labs, 19 poly Clinics, 19 dental Clinics, 04 hospitals and
2 geriatric Clinics (Delhi Only).
-
CGHS has also empanelled 750 private hospitals &
diagnostic centres.
PROVISION
OF MEDICAL FACILITIES FOR PENSIONERS LIVING OUTSIDE CGHS AREAS
-
Pensioners residing in non CGHS areas have three
options.
1.
They may draw FMS: - these case pensioners will have
to make their own arrangements for both IPD (Indoor) and OPD (Outdoor)
treatment.
2.
Pensioners may draw FMA for OPD and avail CGHS
benefits for IPD from the nearest CGHS City after making the required
Subscription to CGHS card.
3.
Pensioners may avail CGHS facility both for OPD an IPD
from the nearest CGHS city after making the required subscription to CGHS.
In case of
emergency, pensioners, under the second and the third options, can take
treatment in
a private hospital in the domicile city. However, such pensioners will have to make payment
upfront for their treatment and there after seek reimbursement from CGHS. This re-
imbursement.
a private hospital in the domicile city. However, such pensioners will have to make payment
upfront for their treatment and there after seek reimbursement from CGHS. This re-
imbursement.
·
Simplification of procedure for treatment in
Government and private Hospitals empanelled under CGHS without any requirement
of a referral(Permission) letter from Railway Doctor as is now done for CGHS.
RAILWAY SENIOR CITIZENS WELFARE SOCIETY DEMANDING OVER"Health Care Facilities for Railway Pensioners under RELHS Scheme at Par with CGHS-RELHS Optees should be treated at par with CGHS Beneficiaries."
RAILWAY SENIOR CITIZENS WELFARE SOCIETY DEMANDING OVER"Health Care Facilities for Railway Pensioners under RELHS Scheme at Par with CGHS-RELHS Optees should be treated at par with CGHS Beneficiaries."
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