CGHS FACILITY FOR BSNL PENSIONERS
| Order/Letter Number | Subject | Content |
|---|---|---|
| DG CGHS O.M. vide F.No.Z15025/27/2023/DIR/CGHS dated 12th September 2023 | GUIDELINES REGARDING PURCHASE OF MEDICINES BY POST-ORGAN TRANSPLANT SURGERY PATIENTS UNDER CGHS | CGHS has issued guidelines regarding purchase of medicines by Post-organ Transplant Surgery Patients under CGHS. According to the O.M., CGHS beneficiaries, who are recovering from Organ Transplant surgery shall be permitted to purchase OPD medicines, based on the advice of the treating Specialist for up to a period of six months if they are not in a position to visit CGHS wellness centre or sent an authorised representative and the reimbursement of such medicines would be considered subject to certain conditions. |
| DoT OM No.4-12(12)/2018-PAT-Part (1) dated 21st July 2023 | REVISED MAPPING FOR DETERMINING CGHS SUBSCRIPTION AND WARD ENTITLEMENT | DoT has modified Annexure-B to its OM dated 01.07.2019, revising the mapping of IDA and CDA pay scales for deciding the rate of monthly CGHS contribution and entitlement of wards in private hospitals empanelled under CGHS in respect of retired BSNL/MTNL employees who receive pension from Central Civil Estimates and avail CGHS facilities. The O.M and mapping is not applicabe for pro-rata pensioners who retired from DoT under CDA pay scale. |
| DG CGHS O.M. vide F.No.H.11020/2/2023-EHS dated 26.07.2023 | OPTION TO INCLUDE EITHER PARENTS OR PARENTS-IN-LAW FOR AVAILING THE BENEFITS UNDER CGHS TO MALE EMPLOYEES | Hitherto the option to include either parents or parents-in-law for availing the benefits under CGHS was available only to Female Government employees. CGHS has now extended this facility to male employees, subject to the conditions of dependence and residence etc being satisfied. |
| DG CGHS OM F.No.S-11011/90/20160CGHS/(HEC)/AYUSH/PT-II/255-282 dated 5th July 2023 | REVISION OF ROOM RENT FOR CGHS EMPANELLED AYUSH HEALTH CARE ORGANISATIONS AND EMPANELMENT OF IPD AYUSH HOSPITALS | DG CGHS has revised room rent of private AYUSH hospitals empanelled under CGHS and empanel Unani and Siddha systems also in addition to the Hospitals under Ayurveda, Yoga and Naturopathy. |
| DG CGHS OM F.No.Z15025/8/2023/DIR/CGHS dated 19th June 2023 | REVISION OF CGHS RATES FOR 36 RADIOLOGICAL / IMAGING INVESTIGATIONS | DG CGHS has revised CGHS rates for 36 Radiological / Imaging investigations w.e.f. 19.06.2023. |
| DG CGHS OM No.Z 15025/1/2023/DIR/CGHS dated 1st May 2023 | CGHS DIRECTORATE REITERATES ITS EARLIER ORDERS ON VALIDITY OF CGHS CARD IN ANY WELLNESS CENTRE IN INDIA | DG CGHS has reiterated the contents of its earlier order dated 17th December 2012 that CGHS card is valid in any Wellness Centre in India, medicines shall be issued for upto 3 months in case of chronic illnesses and referral for treatment from private empanelled hospitals shall be issued from any CGHS Wellness Centre. |
| MoH&FW F.No.S.11030/19/2023-EHS dated 17th March 2023 | MODIFIED GUIDELINES ON SETTING UP OF LOCAL ADVISORY COMMITTEES FOR ALL CGHS DISPENSARIES | MoH&FW has issued revised guidelines for setting up of Grievance/Advisory Committees for all Health and Wellness Centres across the country and Zonal Advisory Committee (ZAC) at the level of Additional Director of the concerned Zone to facilitate seemless delivery of health care services and prompt redressal of grievances within CGHS System. |
| DG CGHS Office Order No.Z.15025/7/2022/DIR/CGHS dated 15th December 2022 | CGHS DIRECTORATE ISSUES INSTRUCTIONS TO ALL CGHS WELLNESS CENTRES AND UNITS TO FOLLOW CGHS GUIDELINES ISSUED FROM TIME TO TIME | DG CGHS has asked the CMOs in charge and other Medical Officers and staff of all CGHS Wellness Centres and the staff working in the administrative offices of CGHS to keep themselves with the guidelines/orders issued under CGHS and implement the same in discharging their duties. In this regard, CGHS Directorate has reiterated that special attention be paid to some issues like punctuality in attendance,validity of CGHS card in any CGHS Wellness Centre in the country, issue of medicines for three months in case of chronic illnesses etc. |
| DoH&FW OM No.S.11011/11/2016-CGHS(P) dated 22nd November 2022 | REVISED ENTITLEMENT OF WARDS IN PRIVATE HOSPITALS EMPANELLED UNDER CGHS | DoH&FW has clarified that that there is no change in the subscription rate as already fixed vide OM dated 09.01.2017 and that there is no linkage between CGHS subscription and ward entitlement. |
| DG CGHS OM F No.Z/1/2022-DIR(CGHS)-CGHS DEPARTMENT dated 10th November 2022 | CLARIFICATIONS REGARDING BILLING BY CGHS EMPANELLED HOSPITALS | DG CGHS has clarified that the empanelled hospitals shall not prepare two separate bills for the same period of treatment i.e., one separate bill to claim payment from CGHS/Department and another to be paid by the beneficiary. |
| DoH&FW OM No.S.11011/11/2016-CGHS(P) dated 22nd November 2022 | CLARIFICATIONS ON REVISED ENTITLEMENT OF WARDS IN PRIVATE HOSPITALS EMPANELLED UNDER CGHS | DoH&FW has clarified that there is no change in the subscription rate as already fixed vide OM dated 09.01.2017 and that there is no linkage between CGHS subscription and ward entitlement. |
| DoH&FW OM No.S.11011/11/2016-CGHS(P)/EHS dated 28th October 2022 | REVISED ENTITLEMENT OF WARDS IN PRIVATE HOSPITALS EMPANELLED UNDER CGHS | DoH&FW has issued an O.M. revising the entitlement of wards in private hospitals emapanelled under CGHS from the date of issue of the O.M., i.e 28.10.2022. |
| DoP&PW O.M.No.4/05/2019-P&PW(D)dated 23rd March 2022 | PROCEDURE FOR IMPLEMENTATION OF CHANGE OF OPTION BY A PENSIONER/FAMILY PENSIONER FROM FMA TO CGHS (OPD) AND VICE-VERSA | DoP&PW has issued a O.M. detailing the procedure for implementation of option by a pensioner/family pensioner from FMA to CGHS (OPC) and vice-versa, (i) when a pensioner residing in non-CGHS area shifts his residence to a CGHS covered area, (ii)if a pensioner residing in non-CGHS area and availing FMA in lieu of OPD facility, intends to avail CGHS facility for both OPD and IPD and (iii) if a pensioner availing CGHS for both IPD and OPD, intends to avail FMA while residing in non-CGHS area or on shifting residence from a CGHS area to a non-CGHS area. |
| DoH&FW O.M.No.44/49/2018/MCTC/CGHS dated 17th February 2022 | CGHS launches new Mobile App for Android mobile devices | CGHS has launched a new mobile application for android devices by the name 'myCGHS'. Once installed in the mobile phone, the App provides access to booking/cancelling appointment, Medical history, Card details, Reimbursement claim status and details and location of Empanelled Centre, Wellness Centres and CGHS offices. |
| DoH&FW O.M.No.44/35/2015/MCTC/CGHS/DIR/CGHS dated 27th January 2022 | Storage of CGHS Card on DigiLocket platform for its access and use for CGHS Services | DoH&FW has issued an O.M. providing an option to store CGHS Card in DigiLocket, a secure cloud based platform. |
| DoH&FW F.No.44/60/MCTC/CGHS2021/DIR/CGHS dated 18th January 2022 | CGHS card is valid for referral to emapanelled HCOs of pensioner beneficiaries through Referral Module, irrespective of City/WC where the card is registered | DoH&FW has clarified that CGHS card is valid at any Wellness Centre in India for availing CGHS facilities irrespective of the WC/City, where it is registered. |
| DoH&FW OM No.Z 15025/35/2019/DIR/CGHS/CGHS(P) dated 1st October 2021 | Clarification regarding investigations at empanelled Diagnostic Centres in respect of CGHS beneficiaries aged 75 years and above | Referring to its earlier OM dated 29th May 2019, DoH&FW has clarified that in case of unlisted investigations, approval of competent authority is necessary before undergoing such investigations from empanelled Diagnostic Laboratories and Imaging Centres. |
| DG, CGHS No.1-030/2020/CGHS/AD(HQ)/027 dated 31st May 2021 | Clarification regarding payment of CGHS subscription through Bharatkosh | CGHS issued clarifications regarding issue of CGHS card on the basis of provisional receipt received from NTRP |
| DoH&FW OM No.S.11011/3/2021-EHS dated 10th February 2021 | Facility for downloading of Index Card and Validity of CGHS card | DoH&FW has introduced the facility to download and print the Index Card to the CGHS beneficiaries. Unit cost of therapies/interventions in OPD/IPS offered to NABH accredited empanelled hospitals in CGHS has also been prescribed. |
| DoH&FW O.M. No.S11011/37/2019-EHS dated 1st December 2020 | REVISION OF RATE & GUIDELINES FOR REIMBURSEMENT OF EXPENSES ON PURCHASE OF HEARING AIDS UNDER CS (MA) RULES, 1944 AND CGHS | DoH&FW, on the basis of the recommendations of an Expert Committee has revised the rates and guidelines for hearing aids reimbursement under CS (MA) Rules 1944 and CGHS. |
| DGoCGHS OM No.25-02/2018/CGHS/JD AYUSH dated 20th November 2020 | Empanelment of Private Day Care Therapy Centres for Ayurveda, Yoga & Naturopathy under CGHS | The OM lists the options available to pensioners residing in non-CGHS areas to avail medical facilities |
| DGoCGHS OM No.Z15025/18/2020/DIR/CGHS dated 9th October 2020 | Reimbursement of medical claims to pensioners residing in non-CGHS areas | Directorate General of CGHS has issued clarifications regarding treatment at government hospitals |
| DoT OM No.4-35(01)/2019-PAT dated 28th July 2020 | Clarification regarding treatment of CGHS beneficiaries at Government Hospitals | Directorate General of CGHS has issued clarifications regarding treatment at government hospitals |
| DGoCGHS OM No.6-52/CGHS/GR.CELL/2020/DIR/CGHS dated 10th July 2020 | CGHS rates of treatment at private healthcare organisations empanelled under CGHS - in view of the COVID-19 pandemic | Directorate General of CGHS has issued guidelines and rates for treatment/investigations at private healthcare organisations empanelled under CGHS in respect of treatment for COVID-19 |
| DoH&FW File No.1-60/2017-CGHS/C&P/EHS dated 1st June 2020 | Revision of Time limit for submission of final claims for reimbursement of medical expenses under CGHS | Department of Health & Family Welfare has issued Orders, vide its No. 1-60/2017-CGHS/C&P/EHS dated 1st June, 2020, revising the time limit for submission of final claims for reimbursement of medical expenses from existing three months to six months. |
| DoH&FW OM No.S.11011/29/2019-EHS dated 13th September 2019 | Emergency treatment in CGHS empanelled hospitals | DoH&FW reiterates that in emergency the empanelled hospitals will not refuse admission or demand an advance payment from the CGHS beneficiary or his family members and will provide credit facilites to the patient |
| DoT OM No.4-12(12)/2018-PAT-Part(1) dated 1st July 2019 | CGHS facilities to the retired BSNL/MTNL employees who are in receipt of pension from Central Civil Estimates - Revised mapping for determining CGHS subscrption and ward entitlement | Revision in mapping of pay scales from IDA to CDA corresponding to revision of CGHS monthly subscription and entitlement of wards in empanelled private hospitals |
| DoH&FW No.Z 15025/35/2019/DIR/CGHS/CGHS(P) dated 29th May 2019 | CONSULTATION FROM SPECIALISTS AT CGHS EMPANELLED HOSPITALS IN RESPECT OF CGHS BENEFICIARIES AGED 75 YEARS AND ABOVE | CGHS beneficiaries aged 75 ears and above shall be permitted to seek direct OPD consultation from Specialists of private hospitals empanelled under CGHS without referral from CGHS Wellness Centre. |
| DoT F.No.4-12(01)2019-PAT dated 7.3.2019 | REIMBURSEMENT OF MEDICAL CLAIMS TO PENSIONERS UNDER CS (MA) RULES -1944 AS DIRECTED BY VARIOUS CAT/COURTS | CGHS facilities are applicable only to the retired BSNL/MTNL employees who are in receipt of pension from Central Civil Estimates. |
| MoH&FW No.S.11011/11/2016-CGHS (P)/EHS dated 9th January 2017 | Revision of rates of CGHS subscription | Consequent to revision of pay and allowances of CGEmployees and revision of pension / family pension on account of implementation of recommendations of Seventh Central Pay Commission, Ministry of Health & Family Welfare revises the rates of subscription under CGHS |
| DoT F.No.4-12(11)2012-PAT(Pt) dated 18.10.2016 | EXTENSION OF CGHS FACILITIES TO THE RETIRED BSNL/MTNL EMPLOYEES WHO ARE IN RECEIPT OF PENSION FROM CENTRAL CIVIL ESTIMATES - CRITERIA FOR DETERMINING GRADE PAY AND WARD ENTITLEMENT | PPO should explicitly mention corresponding Grade pay for the purpose of deciding monthly contribution and corresponding range of pay drawn in Pay band in CDA for determining the entitlement of wards in Private Hospitals empanelled under CGHS. |
| DoT F.No.4-12 (11)/2012-PAT (Part) dated 31.8.2016 | EXTENSION OF CGHS FACILITIES TO THE RETIRED BSNL/MTNL EMPLOYEES WHO ARE IN RECEIPT OF PENSION FROM CENTRAL CIVIL ESTIMATES - CRITERIA FOR DETERMINING GRADE PAY AND WARD ENTITLEMENT | Mapping of corresponding Pay & Scales from IDA to CDA enclosed for deciding contribution and entitlement |
| BSNL letter No.BSNL/Admn.I/14-15/09 (pt) dated July 29 2016 | EXTENSION OF CGHS FACILITY TO RETIRED BSNL EMPLOYEES | BSNL Management Committee has approved reimbursement of one time payment of CGHS subscription paid by the BSNL employees. |
| BSNL letter No.BSNL/Admn.I/14-15/09 (pt) dated April 2 2014 | EXTENSION OF CGHS FACILITY TO RETIRED BSNL EMPLOYEES | BSNL has circulated the DoT letter dated 20.2.2014. |
| DoT F.No.4-12(11)2012-PAT(Pt) dated 20.2.2014 | EXTENSION OF CGHS FACILITIES TO RETIRED BSNL EMPLOYEES | DoT allows extension of CGHS facilities to retired BSNL employees who are in receipt of pension from Central Civil Estimates |
| DoH&FW No.S.11011/12/2013-CGHS (P) dated 25th September 2013 | Nomination facility under CGHS for claiming medical reimbursement in the event of death of the principal CGHS card holder | Simplification of procedure providing anoption to the principal CGHS cardholder beneficiary to nominate a person to claim reimbursement of medical expenses in the event of his/her unfortunate death |
| DoH&FW No.S.11011/2/2008-CGHS (p) dated 20th May 2009 | Revision of rates of subscription | Consequent to revision of pay and allowances of CGEmployees and revision of pension / family pension on account of implementation of recommendations of Sixth Central Pay Commission, Department of Health & Family Welfare revises the rates of subscription under CGHS |