Central Government Health Scheme (CGHS): Book Appointment, CGHS Card Renewal

Central Government Health Scheme Apply Online | Print CGHS Application Form | Central Government Health Scheme Card Renewal | CGHS Card Online Download

Schemes have been started from time to time by the Central Government to provide various types of services and facilities to its employees and pensioners. In this direction, the Central Government Health Scheme (CGHS) has been started by the Government of India. Under this scheme, various medical related services will be provided to the central government employees as well as their pensioners. Today, through this article, we will tell you about all the necessary information related to the Central Government Health Scheme, such as:- Purpose, Benefits, Features, Eligibility Criteria, Required Documents, Application Process etc. [Also Read -electoralsearch.in | ECI Search Name in Voter List, Electoral Roll PDF]

Central Government Health Scheme-  (CGHS)

The Central Government Health Scheme (CGHS) launched by the Government of India is basically a medical scheme. Under this scheme, various types of medical facilities will be provided to the central government employees, pensioners and their dependents. Facilities like OPD treatment, specialist consultation, check-up etc. have been included in the various medical services provided through this scheme. It is mandatory for the employees and pensioners to contribute a certain amount to get the benefits under this scheme of the Central Government. Beneficiaries can easily get their treatment done under this scheme in any government or empaneled hospitals. [Also Read -PM Kisan Status: pmkisan.gov.in List (11वीं किस्त), Beneficiary Status & e-KYC]

Central Government Health Scheme

प्रधानमंत्री नरेन्द्र मोदी योजना

Overview of Central Government Health Scheme

Scheme NameCentral Government Health Scheme
Launched ByGovernment of India
Year2024
BeneficiariesEmployees And Pensioners Of Central Government
Application ProcedureOnline
ObjectiveTo Provide Healthcare Facilities
BenefitsHealthcare Facilities
CategoryCentral Government Schemes
Official Websitehttps://cghs.gov.in

Objectives of Central Government Health Scheme

The main objective of the Central Government Health Scheme (CGHS) is to provide health facilities to the Central Government employees and pensioners along with their dependents. Various types of medical facilities and services, such as OPD treatment, specialist consultation, investigation etc. have been included under this health scheme by the Government of India. Under this scheme of the central government, the beneficiaries are required to contribute a certain amount to get these medical benefits. Through this scheme, beneficiaries can get allopathic medicine as well as homeopathic, ayurvedic and unani medicines.[Read More]

Validity of Central Government Health Scheme Card

  • If the employee is eligible, then this card will be valid till the date of retirement of the employee
  • The pensioner will continue to regularize his annual payment, consequently the validity will continue.
  • In case the service employee is shifted to a non-CGHS covered area, the service card will be valid for 6 months after the transfer for the family members.
  • This health scheme card is valid for medical check-up and hospitalization in all the cities covered under the scheme.
  • These will not require a transit permit for treatment, such as life-saving or restricted supply drugs, high-value drugs, and for treatment in another city.
  • It is also necessary for the beneficiary to submit a temporary attachment to the wellness center.

Adding or deleting Name in Central Government Health Scheme card

  • If the main card holder dies, this card becomes invalid. Application for a new card is necessary for the spouse after receiving the pension.
  • While applying for the card, it is necessary to have a death certificate and an old card.
  • The serving employee wants to add his name to his card after the birth or marriage of his child, for this he has to submit the form.
  • Someone in the family dies. It is the responsibility of the main card holder to inform the authorities about the deletion of the name from the card.

Referral Process

  • Beneficiaries in the cities covered under the scheme can avail OPD consultation without requiring any referral from a specialist in any government hospital.
  • Card holders below 75 years of age can take OPD consultation from an empaneled hospital specialist after being referred by the Medical Officer or CMO in-charge of the wellness center.
  • Referral to Central Government Health Scheme (CGHS) is valid up to 3 OPD consultations for a month.
  • The beneficiary will be required to report to the concerned health center, after consultation. The medical officer in charge of the CMO will support the investigation and release the medicine.
  • Those employees who are above 75 years of age will be eligible to get direct OPD consultation without any referral.

Benefits and Features of Central Government Health Scheme (CGHS)

  • The Central Government Health Scheme has been started by the Government of India, which is basically a health scheme.
  • Under this scheme, medical services and facilities are provided to the central government employees and pensioners along with their dependents.
  • Medical facilities available under this scheme of the Central Government include OPD treatment, specialist consultation, investigation etc.
  • The Central Government has been running this scheme smoothly for the last six decades, through which comprehensive medical care is offered.
  • To get the benefits under this scheme, it is mandatory for the employees and pensioners to contribute a certain amount.
  • At present, about 38.5 lakh beneficiaries are being benefited under this scheme in a total of 74 cities of India.
  • The remaining beneficiaries will be covered by including some other cities under this scheme.
  • The central government has included government hospitals as well as some private hospitals under this scheme, where beneficiaries can get medical facilities.
  • Through this scheme, the beneficiary employees and pensioners can easily get the benefit of indoor treatment in government and empaneled hospitals.
  • Under this scheme of the central government, beneficiaries can get allopathic medicines as well as homeopathic, ayurvedic and unani medicines.
  • Through this scheme, the empaneled hospitals will provide cashless treatment to the beneficiaries in case of emergency.
  • Further, the empaneled hospital cannot deny admission to the beneficiaries in case of emergency.
  • If the beneficiary takes admission in a private hospital in case of emergency, it will be mandatory for that hospital to issue a certificate which gives the details of the patient’s condition at the time of admission justifying the emergency.

Eligibility Criteria

  • All the Central Government employees who are paid from the central civil estimates including the dependent family members residing in Central Government Health Scheme covered areas (excluding railways and Delhi administration).
  • Civilian employees of defense paid from defense service estimates.
  • Railway board employees
  • Delhi police personnel and their families who reside in Delhi only.
  • Widows of Central Government pensioners in respect of family pension.
  • Central Government pensioners retiring with contributory provident fund benefits and their families.
  • Pensioners of the Central Government and their families (except pensioners belonging to railway and armed forces).

Required Documents

For Serving Employees

  • Proof of residence
  • Stay of dependents
  • Proof of age of son
  • In case of differently abled dependent son above 25 years, disability certificate from the competent authority

For Pensioners

  • Proof of residence
  • Proof of stay of dependents
  • Proof of age of son
  • In case of differently abled dependent son above 25 years, disability Certificate from the competent authority
  • Surrender certificate of CGHS Card
  • Attested copies of PPO/Last pay certificate
  • Demand draft

Procedure to Apply for Plastic Card under Central Government Health Scheme

The person who wants to apply under the Central Government Health Scheme will have to follow the steps given below-

  • First of all you have to go to the official website of Central Government Health Scheme (CGHS). Now the home page of the website will open in front of you
Apply CGHS
  • On the homepage of the website, you have to click on the option of Apply Plastic Cards. After this a new page will be displayed on your screen.
CGHS Plastic Card
  • On this new page, you have to enter your mobile number and captcha code details. Now you have to click on the option of Generate OTP.
  • After this, you have to enter the OTP received on your mobile in the given OTP box. Now you have to click on the submit option.
  • Now the application form will open in front of you, in which you will have to enter the details of all the necessary information asked.
  • After that you have to upload all the required documents. Now you have to click on the submit option, after which you can apply for a plastic card.

Do CGHS Login

  • First of all you have to go to the official website of the Central Government Health Scheme. After this the homepage of the website will open in front of you.
  • On the homepage of the website, you have to click on the option of CGHS Login. After this a new page will open on your screen.
  • Now on this page you will see the login form, in which you have to enter your user id password and captcha code.
  • After entering the information, you have to click on the login button, by following this process you can login to CGHS

Do Beneficiary Login

  • First of all you have to go to the official website of the Central Government Health Scheme. After this the homepage of the website will open in front of you.
  • On the homepage of the website, you have to click on the beneficiaries option. After this, you have to click on the beneficiary login, after which a new page will open.
  • Now on this page you will see the login form, in which you have to enter your user id password and captcha code.
  • After entering the information, you have to click on the login button, by following this process you can login the beneficiary

Procedure to Get Details about Banned Drugs and Drugs

  • First of all you have to go to the official website of the Central Government Health Scheme. After this the homepage of the website will open in front of you.
  • On the homepage of the website, you have to click on the Prohibited drugs/drugs (Online), or Prohibited drugs/drugs (offline) option from the section “view options”.
  • After that a new page will open in front of you, on this page you can get the required details

Download CGHS Renewal or New Application Form

  • First of all you have to go to the official website of the Central Government Health Scheme. After this the homepage of the website will open in front of you.
  • On the homepage of the website, you have to click on the Serving / Pensioner, New / Renewal option from the download section. After that a new page will open in front of you.
  • Now all the application forms will be displayed from this new page, you can download as per your requirement.

To Book Appointment under Central Government Health Scheme (CGHS)

  • First of all you have to go to the official website of the Central Government Health Scheme. Now the home page of the website will open in front of you.
  • On the homepage of the website, you have to click on the option of Book Appointment. After this a new page will be displayed on your screen.
Book Appointment
  • On this new page you have to enter your Beneficiary ID and Captcha code details. Now you have to click on the option of Generate OTP.
  • After this, you have to enter the OTP received on your mobile in the given OTP box. Now you have to click on the submit option.
  • Now you have to click on the option of any one dispensary of your choice from the options of different dispensaries. After that you have to select the date and time of appointment.
  • After that you have to click on the submit option, after which you will get confirmation of the appointment through SMS.

Some FAQs for Central Government Health Insurance Scheme

What is meant by the term dependent under CGHS?

The term dependent under CGHS means a person whose income from all sources including pension and DCRG benefit equivalent to pension, including DA, is less than Rs.9,000 per month.

Is there any age limit for dependent children under CGHS?

  • The age limit for dependent children under CGHS has been fixed, under which the eligibility for male children is 25 years, and if the child is disabled, he is still eligible for benefits after the age of 25.
  • Women are eligible for children until they enter a job or are married.

Are family members who are not living with a Central Government employee eligible for CGHS?

Yes, of course, family members who are completely dependent on the employee, visiting a city that comes under the CGHS list are eligible for CGHS facilities.

Are step children allowed to avail CGHS?

Yes, of course, step children are dependent on the CGHS card holder, and they are eligible to get CGHS benefits if they fulfill the eligibility criteria.

Are in-laws dependent on a Central Government employee eligible for CGHS benefits?

This facility is available to women employees of the Government, and she can enlist her in-laws or her parents to receive the benefit provided other conditions of residence and dependency are met.

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