CGHS Room Entitlement for Beneficiaries
Treatment Package Treatment package for all wards, includes following charges
- Admission charges,
- Accommodation charges,
- ICU / ICCU charges,
- Monitoring charges,
- Operation charges,
- Anesthetic charges,
- Theatre charges,
- Cost of drugs and disposable surgical expenses,
- Physiotherapy charges in hospital,
If one or more lower level treatment procedure become part of a major treatment procedure, then the package expenses would be charged against the major procedures. The half amount of actual charges billed for the minor treatment procedure would be included in the package amount of the first major treatment procedure.
CGHS Room Entitlement for Semi Private Ward
CGHS Room Entitlement can be decided as per the basic payment/ pension amount. Those are mentioned as follows.
Basic Pay/ Pension per month ——————- Entitlement
Up to INR. 13,950/ ——————————– General Ward
INR 13,960/ to 19,530/ ————————— Semiprivate Ward
INR 19,540/ and above ————————– Private Ward
Importance of Semi Private ward
In Semi Private wards, around one or two patients can be accommodated where as in General wards, more than 2 patients can be accommodated according to the size of the hall. Computerized nurse calling system and toilets are well cleaned in Semi private wards. In general wards, there are common toilets (may or may not be cleaned a always) and common telephone to communicate nurse for any emergency cases.
Case studies
Query: My wife was a holder of CGHS card and she was ill and died in hospital. Please let me know the procedure to get MRC?
Answer: You need to apply to CMO I/C of WC with following documents:
- Fill up MRC forms duly as per Checklist
- Death summary copy
- Vouchers in original
- Hospital bills with breakup
- Valid CGHS Card copy
- Certificate of death
- In order to mention you as the Legal Heir in claim document , make an affidavit on Stamp paper and get NOC from other legal heirs
- Photocopies of all hospital documents
You can find the instruction sheet along with the CGHS Medical Claim Form about making a draft of the affidavit.
How many cities of India are covered under CGHS facilities?
25 cities in India are covered under CGHS facilities
Bengaluru, Bhopal, Ahmedabad, Allahabad, Bhubaneshwar, Chandigarh, Kolkata, Delhi & NCR, Dehradun, Chennai, Mumbai, Guwahati, Shillong, Hyderabad, Ranchi, Jabalpur, Jaipur, Pune, Jammu, Kanpur, Lucknow, Meerut, Nagpur, Patna, Thirruvananthapuram.
Query: Now my basic pay is INR 12,450/- and after 1 month, my basic pay will be increased to INR 13,960/ and I have already received the increment letter. So can I get CGHS Room entitlement for Semi Private Ward today?…..J.M. Waheed.
Answer: No, you will not be entitled to Semi Private Ward and only General ward can be entitled to you now, because your current month salary is below INR 13960/-. At present, the CGHS Eligibility for Semi Private Ward can be decided if the basic payment is between INR 13,960/ to 19,530.
After 7th CPC new CGHS Room Entitlement as per the basic payment/ pension amount.
| Sl . No. | Corresponding Basic Pay drawn by the officer in 7th CPC per month | Ward entitlement |
| 1 | Up to Rs. 63,100/- | General |
| 2 | Rs. 63,101/- to Rs. 80,900/- | Private |
| 3 | Rs. 80,901/- and above | Deluxe/Private |