CGHS: Central Government Health Scheme, Eligibility, Registration

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Wht are the Facilities under CGHS and their cost?

The Central Government Health Scheme comes with the following advantage for beneficiaries:

1) Reimbursement of expenses for treatment availed under emergency either in private or government hospitals

2) OPD treatment (includes an issue of medicines)

3) Treatment at Empanelled and Government hospitals

4) Specialist consultations at Polyclinic/Govt. Hospitals

5) Cashless facility for treatment in diagnostic centers and empanelled hospitals for pensioners and other eligible beneficiaries

6) Reimbursement of expenses incurred in purchasing hearing aids, appliances, artificial limbs, etc.

7) Medical consultation and purchase of medicines in Homeopathy, Unani, Ayurveda, and Siddha systems of medicine (AYUSH)

8) Maternity and child healthcare services and family welfare

Now, let’s get into the monetary aspect of this scheme.

The cost of availing of the Central Government Health Scheme varies depending on one’s employment status. Here is how it is classified:

For serving employees - A central government employee residing in a CGHS covered region must possess a CGHS card. The department of this employee makes monthly deductions from his/her salary depending upon the pay grade. This amount is contributed to the CGHS facilities.

For pensioners - If pensioners wish to avail the facilities of CGHS, they shall make a contribution based on the pay grade they were entitled to at the time of service. Moreover, this contribution can be made as a yearly or one-time/lifetime contribution.

The table below summarises the CGHS rate list:

CGHS treatment procedure	Rate for NABH	Rate for non-NABH
OPD consultation	135	135
Dressings of wounds	52	45
Inpatient consultancy	270	270
Suturing of wounds with local anesthesia	124	108
Aspiration pleural effusion- Therapeutic	200	174
Aspiration pleural effusion- Therapeutic	138	120
Joints aspiration	329	285
Stitch removal	41	36
Biopsy skin	239	207
Abdominal aspiration-Therapeutic	476	414
Abdominal aspiration- Diagnostic	380	330
Sternal puncture	199	173
Venesection	143	124
Dilation of Urethra	518	450
Phimosis under LA	1357	1180
Intercostal drainage	144	125
Varicose veins’ injection	363	315
Haemorrhoids’ injection	428	373
Incision and Drainage	435	378
Peritoneal dialysis	1517	1319
Intercostal drainage	144	125

All about the Central Government Health Scheme CGHS

What is the Central Government Health Scheme?

What is the Eligibility Criteria for CGHS?

Wht are the Facilities under CGHS and their cost?

What is a CGHS card?

How to register for a CGHS card?

Documents required for CGHS card

Frequently Asked Questions

✓ Is the CGHS card valid all over India?

✓ Is CGHS contribution taxable?

✓ Is there any age limit for daughters/sons as dependent on CGHS cards?

Other Govt Schemes

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