Central Government Health Scheme (CGHS)
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For the last six decades Central Government Health Scheme (CGHS) is providing comprehensive medical care to the Central Government employees and pensioners enrolled under the scheme. In fact CGHS caters to the healthcare needs of eligible beneficiaries covering all four pillars of democratic set up in India namely Legislature, Judiciary, Executive and Press. CGHS is the model Health care facility provider for Central Government 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 systems of Medicine
- Indian system of medicine
- Siddha and
Eligibility for joining Central Government Health Scheme (CGHS)
- All Central Govt. employees drawing their salary from Central Civil Estimates and their dependant family members residing in CGHS covered areas
- 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 Court
- Retired Judge 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
For More Details, Please Visit https://cghs.gov.in/
Facilities available under Central Government Health Scheme (CGHS)
- OPD Treatment including issue of medicines.
- Specialist Consultation at Polyclinic/Govt. Hospitals.
- Indoor Treatment at Government and Empanelled Hospitals.
- Investigations at Government and Empanelled Diagnostic centers.
- Cashless facility available for treatment in empanelled hospitals and diagnostic centers for Pensioners and other 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 Services.
- Medical consultation and dispensing of medicines in Ayurveda, Homeopathy, Unani and Siddha system of medicines (AYUSH)
Plastic identity card:
- The Committee has been informed that plastic identity cards are being issued as part of computerization process to all the CGHS beneficiaries so that they can avail the medical facilities in any city should they happen to be in that city either on official work or on leave. With the introduction of plastic cards, beneficiaries can get medicines from any wellness Centre across the country without the need of carrying temporary attachment from their respective offices.
Empanelment of Hospitals for Central Government Health Scheme (CGHS)
- As CGHS is spread over 25 cities only, the remote areas are lacking these facilities due to lack of hospitals under empanelment and non availability of any CGHS wellness Centre in their area. This leaves the beneficiaries with no choice except going to the State Government hospitals where they have to undergo numerous hardships like long waiting hours to see the doctor and get treated.
• The Committee was also informed that for empanelment of hospitals, laboratories and imaging Centres under CGHS, they have to be accreditated by NABH, NABL, and AERB respectively to ensure good quality health care services including medical and diagnostics services to CGHS beneficiaries.
Non-NABH / non-NABL, Health Care Organisation (HCO) provisionally empanelled under CGHS shall be inspected by QCI for compliance with the eligibility criteria and other condition specified in the E-tender documents 2014 and in MOA singed with CGHS.
QCI will send the recommendation to CGHS preferred within 60days and not later than 180 days from the receipt of application at NABH / QCI office.
1) The application from the applicant hospital centre along with the relevant application fee will be received directly by QCI office.
2) QCI will make recommendation in two categories in the following manner:
- Recommended for continuation of CGHS empanelment / not recommended.
- QCI will display on its website www.nabh.co the recommendations. Pertaining to all application hospital / centre which are provisionally empanelled with CGHS.
3) The validity period of inspection would be two year from date of inspection, if recommended.
4) Non-NABH / Non-NABH, HCO , which fails to get inspected / recommended by QCI for continuation of empanelment shall be liable to be their performance bank guarantees would be forfeited.