F. No. S.11012/1/2024-EHS(Comp No. 8283407)
1/3687003/2024
Government of India
Ministry of Health & Family Welfare
EHS Section
Nirman Bhawan, New Delhi
Dated 27-06-2024
OFFICE MEMORANDUM
Subject: Guidelines for Issue of CGHS Card to serving employees and pensioners-reg.
In continuation of this Ministry's OM No. S.11012/3/2011-CGHS(P) dated 29.12.2011, the undersigned is directed to issue the following guidelines, in view of technological changes and change in payment methods of CGHS Contribution, for issuing of CGHS cards to serving employees and pensioners, as follows:
A. Serving Employees
a. Serving employees shall mandatory apply for a new CGHS card online (www.cghs.nic.in) to generate a temporary reference number. After online submission of the application form, they should take a printout of the same and submit the hard copy duly signed and photographs affixed thereon, to the department currently employed, for processing and onward submission to the concerned Office of Additional Director, CGHS for issuing the cards. One copy is to be forwarded to the Additional Director of the concerned City and the other copy is to be retained by the Employer Department of the Central Government (hereinafter referred to as 'sponsoring authority) for CGHS benefits.
b. The requisition shall be sponsored by the Head of Department/Head of Office of the employee.
c. A Specimen copy of the application form for the New CGHS Card is enclosed at Annexure-1.
d. CGHS shall scrutinize the application based on the documents provided:
i. Pay Slip indicating the pay scale and CGHS deduction
ii. Aadhaar Card/PAN card or any other valid document as per RBI guidelines, as ID Proof for Self and Dependent Family Members.
iii. Disability Certificate of Dependant (if applicable) as per OM No.4-24/96- C&P/CGHS(P)/EHS dated 07th May 2018. (Enclosed at Annexure-2)
iv. Photographs of self and Dependant Family Members.
The Standard Operating Procedure is enclosed at Annexure-3.
B. Pensioners
a. CGHS card(s) will be issued to eligible pensioners and family pensioners, drawing pension from Central Civil Estimate and his/her dependent family members, when the pensioner is not availing the Fixed Medical Allowance (FMA).
b. The pensioners also has the option for availing Fixed Medical Allowance with a CGHS card (IPD Card) by paying the full subscription, however, the CGHS 'IPD only' card shall be valid only for 'cashless' indoor treatment at CGHS Empanelled Private Hospitals/designated Government Hospitals. The beneficiary of 'IPD only' CGHS card shall also be eligible for reimbursement of expenses incurred for indoor treatment at any Government/Private Hospital only in case of a Medical Emergency.
c. The pensioners can submit his/her duly filled application form for the new Pensioner CGHS card, in the new Card Application Form (Annexure 3) to the Additional Director of CGHS city concerned.
d. The applications shall be accompanied with payment of CGHS Contribution......
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