CGHS Covered Cities

CGHS Covered Cities

CGHS, presently provides Comprehensive Health Care to more than 30 Lakh Beneficiaries in following Cities

 1. Agartala
2. Ahmedabad
3. Aizwal
4. Allahabad
5. Bengaluru
6. Bhopal
7. Bhubaneshwar
8. Chandigarh
9. Chennai
10. Dehradun
11. Delhi & NCR
12. Gandhinagar
13. Gangtok
14. Goa
15. Guwahati
16. Hyderabad
17. Imphal
18. Indore
19. Jabalpur,
20. Jaipur
21. Jammu
22. Kanpur
23. Kolkata
24. Kohima
25. Lucknow
26. Meerut
27. Mumbai
28. Nagpur
29. Patna
30. Pune
31. Puduchery
32. Raipur
33. Ranchi
34. Shillong
35. Shimla
36. Thiruvananthapuram
37. Vishakhapatnam

 More details visit https://cghs.gov.in

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CGHS Facilities

Press Information Bureau
Government of India

   CGHS Facilities

   CGHS is basically providing the dispensary services through its Wellness Centres manned by the General Duty Medical Officers. However, CGHS also provides the services of medical specialists through the Polyclinics and Central Government hospitals. In addition, the CGHS medical specialists also visit designated dispensaries on stipulated days in each week to provide medical consultation to the beneficiaries. Due to shortage of specialists in CGHS it is practically not feasible and financially viable to provide Specialist facilities in each CGHS Wellness Centre. Moreover, CGHS is also engaging contractual specialists against the vacant posts of specialists to provide the medical consultation services to its beneficiaries. CGHS has a dedicated wing of specialists at the Safdarjung Hospital, New Delhi for its beneficiaries. The CGHS beneficiaries are also allowed to consult specialists at Dr. RML Hospital and other Government hospitals in NCR in respective specialties. In addition, CGHS has empanelled a large number of private hospitals to provide inpatient medical care to its beneficiaries on the advice of Government specialists.

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Administrative Functioning of CGHS Unani

        Central Government Health Scheme provides the healthcare facilities to its beneficiaries predominantly in the Allopathic system of medicine as per their demand. AYUSH system of medicine is a very small component under CGHS. The Unani system is an even smaller component of AYUSH. There are 10 small units of Unani system consisting of one or two Unani doctors and pharmacists attached to main CGHS Wellness Centres in Delhi, Kolkata, Lucknow, Hyderabad and Bangalore.

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INDEMNITY BOND FOR SETTLEMENT OF DUPLICATE HOSPITAL BILLS

   We, hereby give an undertaking that the original bills of hospital / diagnostic lab / imaging centre, the ID Nos. of which are appended are said to have been destroyed in a fire accident that took place on 11.08.2013 at UTI-ITSL New Delhi office and that we are now submitting the print outs of scanned copies of the above referred original documents/bills for consideration of payment.

   We also hereby give an undertaking that no claim shall be made against original documents / bills, of which printouts of the scanned copies are submitted herewith and we agree to indemnify against any loss that may be caused to CGHS due to final settlement of these claims on the basis of printouts of scanned documents/bills and this indemnity bond. We further give an undertaking that if original bill(s) is /are found, no claim shall be made against the same and that in the event of any inadvertent payment received against original bills in future, we agree to indemnify against any loss that may have been caused to CGHS due to final settlement of these claims.

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REIMBURSEMENT OF MED CLAIM FOR EMERGENCY TREATMENT IN NON EMPANELLED HOSPITAL.

Central Organisation ECHS
Adjutant General’s Branch
Integrated Headquarters
Maude Line
Delhi Cantt - 110 010

B/49773/AG/ECHS/Rates policy

15th oct 2013

Reginal Centre ECHS
MUMBAI

REIMBURSEMENT OF MED CLAIM FOR EMERGENCY TREATMENT IN NON EMPANELLED HOSPITAL

   1. A Clarification was sought from the Chief Medical Officer (SAG), CGHS Mumbai on the rates at which the claims are settled of CGHS beneficiaries. The CGHS authorities have clarified vide their letter No 3(xiv)3/13 Genl/1958/13 dt 30 Aug 13 that reimbursement at 25% higher rate that the 2002 CGHS rates is applicable to those who have taken treatment in private non empanelled hospital through CGHS in Mumbai.

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Empanelment of private hospitals (including dental clinics and eve care centres) & Imaging Centre under CGHS Jabalpur.

GOVERNMENT OF INDIA
MINISTRY OF HEALTH & FAMILY WELFARE
OFFICE OF THE ADDITIONAL DIRECTOR
CENTRAL GOVT. HEALTH SCHEME
1544/A NAPIER TOWN
JABALPUR

No.6-8/13-Estt/CGHS/JBP/ 2101-13

Dated:-24.07.2013

OFFICE MEMORANDUM

Subject: Empanelment of private hospitals (including dental clinics and eve care centres) & Imaging Centre under CGHS Jabalpur.

   In reference to (I) the Ministry of Health & F.W. O.M. No. S.11011/23/2009-CGHS D.II/ Hospital Cell(Part IX) dated 14.02.2013 vide which the 'Continuous Empanelment Scheme' for private hospitals and diagnostic centres under CGHS was revived and (ii) Dte. General of CGHS Office Order No. S.11045/23/2013/CG HS D-ll(HEC)/CGHS(P)/(Pt.) dated 15.07.2013, vide which powers for empanelment & issuance of notifications have been delegated to all the ADs/JDs in respect of their respective CGHS cities, a list of additional private hospitals (including dental clinics and eye centres) and Imaging Centre has been finalized for a period of one year from the date of issue of this O.M. or till the next new empanelment, whichever is earlier. This list has been finalized after following the due process and terms & conditions as laid down in the O.M. dated 14.02.13 as well as signing of MOA and execution of Performance Bank Guarantee by them signifying acceptance of the terms and conditions of empanelment and rates notified under CGHS in 2010/2011 and subsequent orders.

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Suspension of empanelment of 'Saket City Hospital, New Delhi' from the list of Hospitals / Centres empanelled under CGHS - reg.

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi
CGHS Division

No. S-11030/4/2013-CGHS (P)
Dated the 13th September, 2013

OFFICE MEMORANDUM

Sub: Suspension of empanelment of 'Saket City Hospital, New Delhi' from the list of Hospitals / Centres empanelled under CGHS - reg.

   The undersigned is directed to state that CGHS has empanelled private hospitals in various CGHS covered cities to provide inpatient healthcare facilities to its beneficiaries. Empanelment of the private hospitals is done under a contractual agreement between the Government of India and the private hospital on mutually agreed terms and conditions.

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Notification of fresh empanelment of Private Hospitals & Diagnostic Centers under Contentious Empanelment Scheme of CGHS, Chandigarh.

GOVERNMENT OF INDIA
Ministry of Health & Family Welfare
(CENTRAL GOVT HEALTH SCHEME)

O/O ADDITIONAL DIRECTOR, CGHS, CKANDIGARI4
4th floor, Kendriya Sadan
SECTOR-9A, CHANDIGARH—160009 
No: AD/CGHS/CHD/RMRCB/20l3/4879 - 4908

Tele Nos: (0) 0172-2740716
AD Fax No.0172 —2740555
Dated: 30.08.2013

OFFICE MEMORANDUM

Subject : Notification of fresh empanelment of Private Hospitals & Diagnostic Centers under Contentious Empanelment Scheme of CGHS, Chandigarh.

   In response to Ministry of Health & Family Welfare, Govt. of India, Nirman Bhawan, New Delhi’s O.M No. S.11011/23/2009—CGHS D.II/Hospital Cell (Part IX) dated 14.02.2013 & letter No. S.11045/23/2013/CGHS D.II (HEC)/CGHS(P)/Pt) dated 15.07.2013 for continuous fresh empanelment of private hospitals & diagnostic centers for city of Chandigarh, a committee consisting of two senior most CMOs headed by undersigned and selected the private hospitals & diagnostic centers for Chandigarh. The qualified list of Hospitals & Diagnostic Centers is according to category and purpose attached as Annexure “I” with this O.M.

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Empanelment of private hospitals (including dental clinics and eye centres) and diagnostic centres under CGHS Delhi & NCR.

No: S. 1 1045/23/2013-CGHS D.II/HEC
Government of India
Directorate General of Central Government Health Scheme
Department of Health & Family Welfare

Bikaner House Hutments, Shahjahan Road
New Delhi 110 108 dated the 27th, August, 2013

OFFICE ORDER

Subject: Empanelment of private hospitals (including dental clinics and eye centres) and diagnostic centres under CGHS Delhi & NCR.

   In continuation of this Directorate’s Office Order of even no. dated 01.08.2013 on the above mentioned subject, the undersigned is directed to convey that in addition to the list of the hospitals (including dental clinics), diagnostic laboratories and Imaging Centres already empanelled, the hospitals (including dental clinics), diagnostic laboratories and Imaging Centres as per the list attached have also been empanelled under the continuous empanelment scheme under CGHS in Delhi & NCR.

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Funds for Unani under CGHS.

   Like other systems of medicine practiced under CGHS, Unani division has also a set and transparent system of procurement of medicines. Procurement of Unani medicines is done from three Sources:-

   1. IMPCL: for bulk purchase of 94 Unani Medicines. IMPCL is a Public Sector Undertaking (PSU) which supplies medicines at the rates fixed by the Office of Chief Advisor Cost, Department of Expenditure, and Ministry of Finance. There is no requirement of tendering to procure medicines from M/s IMPCL.
 
   2. From Private Manufacturers: through open tendering-both for Generic & branded items.
 
   3. Authorized Local Chemist (ALC):  medicines which are not available in the dispensary or store are procured through Authorized Local Chemist. Local Purchase system is a stop gap method for daily need. Authorized Local Chemist is appointed after following the due codal provisions.

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Service Provided by CGHS.

This Ministry has been receiving complaints/grievances in respect of the following major aspects.
 
   1.Administrative:- Misbehavior by medical and paramedical staff, Shortage of staff,  Punctuality etc.
 
   2. Technical:- Delay in settlement of medical reimbursement claims (MRCs),  Supply of substitute medicines instead of the prescribed by the Govt. specialists, Delay in supply of indented medicines, etc.
 
   3. Related to empanelled hospitals:
Denial of credit facility, Misbehavior of hospital doctors/staff, overcharging, etc.
 
   4. Related to Internet accessibility
Disruption in services due to breakdown in internet connectivity,  etc.
 
To redress the grievances/complaints, the following steps have been taken:

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Empanelment of private hospitals (including dental clinics and eye care centres) and diagnostic centres under CGHS, DELHI & NCR.

No: S.11045/23/2013-CGHS D.II/HEC/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 30th April, 2013

OFFICE MEMORANDUM

Subject: Empanelment of private hospitals (including dental clinics and eye care centres) and diagnostic centres under CGHS, DELHI & NCR

   The undersigned is directed to invite reference to this Ministry's Office Memorandum No: S.11011/23/2009-CGHS D.II/Hospital Cell (Part IX)dated 14.02.2013, vide which the `Continuous Empanelment Scheme' for private hospitals and diagnostic centres under CGHS was revived with a view to empanel more such facilities for the CGHS beneficiaries. Accordingly, after following the due process, a list of private hospitals (including dental clinics and eye centres), diagnostic centres and imaging centres has been finalised as per the terms and conditions laid down in the O.M. referred to above as well as signing of MOA and execution of Performance Bank Guarantee by them signifying acceptance of the terms and conditions of empanelment and rates notified under CGHS in 2010 and in OM No. Misc.1002/2006/CGHS(R&H)/ CGHS (P) dated 07.02.2013.

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CGHS FAQ : FREQUENTLY ASKED QUESTIONS WITH ANSWERS ABOUT CGHS.

FAQ on Central Government Health Scheme : More questions clarified as FAQ

   Ministry of Health and Family Welfare issued recently some clarifications as in the form of Questions and Answers, now further the Department has once again issued with more details of the scheme on its portal. Lot of questions and answers is given with detailed references, certainly it could be very useful for the both sides of employees and Department authorities.

1. Who are entitled for CGHS facilities
   a. All Central Govt. employees and their dependant family members residing in CGHS covered areas.
   b. Central Govt Pensioners and their eligible family members getting pension from Central Civil Estimates
   c. Sitting and Ex-Members of Parliament
   d. Ex-Governors & Lt. Governors
   e. Freedom Fighters
   f. Ex-Vice Presidents
   g. Sitting and Ex-Judges of Supreme Court & High Courts
   h. Employees and pensioners of certain autonomous organizations in Delhi
   i. Journalists (in Delhi )Accredited with PIB
   j. ( for OPD & at RML Hospital)
   k. Delhi Police Personnel in Delhi only
   l. Railway Board employees

2. In how many cities CGHS is presently operative?
CGHS facilities are available in 25 cities in India
   1. Ahmedabad 2 Allahabad 3 Bengaluru 4 Bhopal 5 Bhubaneshwar 6. Kolkata 7. Chandigarh 8 Chennai 9.Dehradun 10.Delhi & NCR 11.Guwahati 12. Hyderabad 13. Jabalpur, 14. Jaipur 15 Jammu 16. Kanpur 17. Lucknow 18. Meerut 19. Mumbai 20. Nagpur 21 Patna 22.Pune 23. Ranchi 24. Shillong 25. Thirruvananthapuram

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Regarding empanelment of Kalra Hospital, Kirtinagar, New Delhi under CGHS, Delhi.

No: S. 11031/03/2012-13 / CGHS (HEC)/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi - 110 108, dated the 9th April 2013

OFFICE MEMORANDUM

Subject: Regarding empanelment of Kalra Hospital, Kirtinagar, New Delhi under CGHS, Delhi

   With reference to the above mentioned matter the undersigned is directed to draw attention to the Office Memorandum of even number dated 18.12.2012 vide which Kalra Hospital, Kirtinagar, New Delhi was removed from the list of empanelled hospitals under CGHS, Delhi till further orders. In response to the representations received, an inspection of Kalra Hospital, Kirtinagar, New Delhi was carried out on 20.03.2013 by a team of officers led by Addi. Director, CGHS(HQ) to ascertain whether the deficiencies pointed out in the earlier inspection were rectified or not.

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Revival of ‘Continuous Empanelment Scheme’ for private hospitals and diagnostic centres under CGHS.

No: S. 11011/23/2009-CGHS D.II/ Hospital Cell (Part IX)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 14th February 2013.

OFFICE MEMORANDUM

Subject: Revival of ‘Continuous Empanelment Scheme’ for private hospitals and diagnostic centres under CGHS

   With a view to ensuring comprehensive health care to CGHS beneficiaries, CGHS has been, apart from the Government Hospitals, empanelling private hospitals and diagnostic centres by floating tenders periodically. The latest tender process in this context commenced in the second half of 2009. Even the already empanelled hospitals (including dental clinics and eye centres) / diagnostic centres under CGHS were required to submit the bids under this tender process. Through this process, package rates for different treatment procedures and investigations were notified in 2010. As a part of this process, certain hospitals and diagnostic centres which accepted these rates and also signed MOAs with CGHS were notified in CGHS covered cities. Subsequently, with a view to empanel more hospitals and diagnostic centers , continuous empanelment scheme was initiated in December 2010 and was in operation till July 2011 in some cities & till 26th December 2011 in some other cities.

   2. However, it has been noticed that the number of hospitals and diagnostic centres notified as empanelled under CGHS is not adequate to provide a satisfactory level of healthcare to CGHS beneficiaries in all areas of CGHS covered cities.

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Recognition of Curie Manavata Cancer Centre, Nashik (Maharashtra) for treatment of Central Goverment employees under CS(MA) Rules, 1944.

No. S. 14021/9/2011-MS
Goverment of India
Ministry of Health & Family Welfare

Nirman Bhavan, New Delhi
Dated 17th October, 2012

OFFICE MEMORANDUM

Subject:- Recognition of Curie Manavata Cancer Centre, Nashik (Maharashtra) for treatment of Central Goverment employees under CS(MA) Rules, 1944.

   The undersigned is directed to say that a number of representations have been received in the Ministry of Health & Family Welfare for recognition of Curie Manavata Cancer Centre, Nashik (Maharashtra) for treatment of Central Government Employees and their family members under CS(MA) Rules, 1944.

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Continuation of empanelment of private hospitals, diagnostic laboratories and imaging centres under CGHS and revalidation of CGHS package rates - regarding.

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare,
Nirman Bhawan, Maulana Azad Road,
New Delhi 110 001

No. S 11041/23/2009/-CGHS (Hosp. Cell)/ CGHS (P)/Pt-IX

Dated the 15th October, 2012.

OFFICE MEMORANDUM

Sub:- Continuation of empanelment of private hospitals, diagnostic laboratories and imaging centres under CGHS and revalidation of CGHS package rates - regarding.

   The undersigned is directed to refer to the various office memoranda issued by this office from time to time vide which private hospitals, diagnostic laboratories and imaging centres were empanelled under CGHS in Delhi & NCR and other CGHS covered cities from 7th October 2010 onwards which would be completing empanelment period of 2’ years before 31st March 2013 and to state that it has been decided to extend the validity of empanelment of such empanelled hospitals, diagnostic laboratories and imaging centers on the same terms and conditions under which they were empanelled, till 31st March 2013 or till next empanelment, whichever is earlier.

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Empanelment of private hospitals and diagnostic centres under CGHS RANCHI and continuation of old diagnostic centres on the panel of CGHS Dehradun, Ranchi, Guwahati, Mumbai and Thiruvanathpuram at old rates.

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108

No: S.11011/23/2009-CGHS D.II/Hospital Cell/ Part IX

Dated the 1st October, 2012.

OFFICE MEMORANDUM

Subject: Empanelment of private hospitals and diagnostic centres under CGHS RANCHI and
continuation of old diagnostic centres on the panel of CGHS Dehradun, Ranchi, Guwahati, Mumbai and Thiruvanathpuram at old rates.

   The undersigned is directed to invite reference to this Ministry’s Office Memoranda of even number dated the 8th December 2010, l9th January 2011 and 14.11.2011 vide which Continuous
empanelment scheme for private hospitals and diagnostic centres was initiated under CGHS. RANCHI for providing medical treatment to CGHS beneficiaries. The CGHS rates applicable for the city have already been notified and are available on CGHS website. Three rates have been notified, one for super-specialty hospitals, the second for hospitals accredited with NABH and the third for hospitals not accredited with NABH.

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Clarification regarding admissible / non-admissible items under CGHS.

Latest CGHS Orders

F.No. 2-1/2012/CGHS/VC/CGHS (P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 1st October, 2012.

OFFICE MEMORANDUM

Subject: Clarification regarding admissible / non-admissible items under CGHS.

   The undersigned is directed to refer to the directions given by Hon’ble High Court of Delhi in the case of Sh. Kanhiya Singh Vs UOI and others [W.P.(C) 9044/2011], regarding admissibility and non-admissibility of certain items under CGHS, the following clarifications are issued:-

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Latest list of Empanelled Hospitals under CGHS – Effective from 7th August, 2012.

Central Government Health Scheme

   The Central Government Health Scheme in India is comprehensive health care to the CGHS Beneficiaries. The Central Govt. Health Scheme is applicable to the following categories of people residing in CGHS covered cities:

   All Central Govt. Servants paid from Civil Estimates (other than those employed in Railway Services and those employed under Delhi Administration except members of Delhi Police Force).

   Pensioners drawing pension from Civil Estimates and their family members – (Pensioner residing in non- CGHS areas also may obtain CGHS Card from nearest CGHS covered City)

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