(FAQs on CGHS are intended to provide general information and guidance needed for the CGHS beneficiaries to avail CGHS facilities The contents must be read in conjunction with OMs/Office orders as issued from time to time. The contents are not intended to be applicable to specific /exceptional cases and no such claims may be made under it. Whenever any difference in interpretation of meaning and/or content of the facts stated here vis-à-vis the original OM/office order arises, the latter will be treated as final and binding).
1. Who are entitled for CGHS facilities?
1. All Central Govt. employees and their dependent family members residing in CGHS covered areas. 2. Central Govt Pensioners and their eligible family members getting pension from Central Civil Estimates 3. Sitting and Ex-Members of Parliament Ex-Governors & Lieutenant Governors, Freedom Fighters 4. Ex-Vice Presidents 5. Sitting and Ex-Judges of Supreme Court & High Courts 6. Employees and pensioners of certain autonomous organizations in Delhi 7. Journalists (in Delhi) accredited with PIB (for OPD & at RML Hospital) 8. Delhi Police Personnel in Delhi only 9. Railway Board employees
2. In how many cities CGHS is presently operational?
CGHS facilities are available in 27 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. Gandhinagar 12. Guwahati 13. Hyderabad 14. Jabalpur, 15. Jaipur 16. Jammu 17. Kanpur 18. Lucknow 19. Meerut 20. Mumbai 21. Nagpur 22. Patna 23. Pune 24. Ranchi 25. Shillong 26. Shimla 27. Thiruvananthapuram
3. For the purpose of making CGHS cards, who are 'dependent', and what is the meaning of the word “ family"?
The term ‘family’ means and includes:- “Husband or wife as the case may be and other dependent family members. 'Dependent' Family Members include: parents (female employee can have either her parents or her parents-in -law as dependents), sisters, widowed sisters, widowed daughters, minor brothers and minor sister, children and step-children wholly dependent upon the Government Servant and are normally residing with the Government Servant (son upto the age of 25 or till his marriage whichever is earlier and daughter till she gets married). Also now 'dependent' includes , dependent divorced / separated daughters ( including their dependent minor children) and step-mother. The term 'dependent' means that income from all sources including pensions and pension equivalent of DCRG benefit is less than Rs.3500/-plus amount of DA on Basic pension of Rs3500/- per month. This clause is to be fulfilled for all 'dependent' family members. However, there is no such clause as dependency in respect of spouse.
4. Is there any age limit for sons / daughters as dependent in CGHS Card ?
Son is eligible till he starts earning or attains the age of 25 years or gets married whichever is earlier. However, in case the son is suffering from any permanent disability of any kind (physical or mental) he is eligible for CGHS benefits even after 25yrs. Daughter is eligible till she starts earning, or gets married, whichever is earlier (irrespective of age)
5. Who is competent to delete name of sons who have crossed age of 25 years?
CMO i/c of Wellness Centre is competent to delete the name of son aged 25 yrs and above. Computer system does not allow sons aged 25 and above to avail medical facilities.
6. What is the role of a beneficiary in providing information regarding any change in data regarding his card?
It is the responsibility of the beneficiary to provide information to CGHS authorities regarding any changes required in the beneficiary database especially related to death, marriage, earning status (see dependency criteria) of any card holder in the family.
7. Who is defined as a 'Person with disability'?
A 'person with disability' as defined in 'The Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995' as, a person suffering from not less than forty percent (40%) of any disability (as given below), certified by a medical authority. "Medical authority" means any hospital or institution specified for the purposes of this Act by notification by the appropriate Government. A disability certificate from Medical Board of a Government Hospital is required in CGHS. Disability means blindness, low vision, leprosy-cured, hearing impairment, locomotor disability, mental retardation, mental illness. For the exact definition of each disability please refer to 'The Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995' chapter 1, section 2a. to 2z.
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