Eligibility Criteria at CGHS

The person residence city will decide the CGHS beneficiary status. The person may work anywhere but the beneficiary and his family should reside in any of the 27 cities listed in the CGHS covered cities to avail facilities from Central Government Health Scheme.

People who are Eligible for facilities under CGHS

Here is the list of people who can get benefits from Central Government Health Scheme.

1. All Central Government Employees and their families(except Railways and Delhi Administration)
2. All Pensioners from Central Government and their families (except pensioners from Railways and Armed Forces)
3. Widows of Pensioners from Central Government who are getting family pension.
4. Delhi Police Personnel including their families
5. Civil Employees of Defense paid from defense (except at Mumbai)
6. Child Drawing pension on death of Central Government employee including minor brother and sister of child.
7. Ex Governors and their families
8. Ex Vice President and their families
9. Central Government servants who are deputed to semi-Government and autonomous bodies including their family members.
10. Military Officers on deputation to civil departments and getting their emoluments from Civil Estimates
11. Families of Central Government employees who are temporarily (6 months) transferred out of CGHS covered cities. The employee must have deposited contribution towards CGHS in advance.
12. Employees of Central Government not residing in CGHS covered cities. (They can avail facilities at nearest CGHS covered cities)
13. Ministers of Central and State Government and their families.
14. Parliament Secretary of central government and their family.
15. All Parliament members and their families.
16. Ex members of parliament and their families.
17. Judges of Supreme Court and high court.
18. Retired Judges of Supreme Court and high court.
19. Employees of Kendriya Vidyalaya Sangathan who are in cities Mumbai, Kolkata and Chennai
20. Families of Deceased members of parliament
21. Pensioners of the Ordnance Factories
22. Retired employees of Indian Council of Agricultural Research
23. Retired Divisional Accountants of the Indian Audit and Accounts Department
24. Employees of Central Council of Indian Medicine
25. Persons employed in semi-government and autonomous bodies who are permitted to join the Central Government Health Scheme
26. Freedom Fighters and their family members who are receiving central pension under the Swatantra Sainik Samman Pension Scheme.
27. All India Service Pensioners who retire while serving under the State

People who are not Eligible for facilities under CGHS

1. Those family members who are still staying with beneficiary but no longer dependent on him.
2. Independent Brother and Sister even if they are minor
3. Married Daughter staying with parents but has not separated.
4. Central Government Employees who live in cities not covered under CGHS

Who are Dependents and Family Members?

1. Husband/Wife (If more than one wife) and judicially separated wife
2. Parents (Step parents not included)
3. In case of Adoption Real Parents not included
4. If Adaptive father has more than one wife only first wife is included
5. In case of female employee parents and parents in law (certain terms and conditions for residency and dependency to be proven)
6. Children (Including step children, legally adapted children)
7. Son is eligible till he starts earnings or attains age of 25 years.
8. Daughter is eligible till she starts earning or get married (no age factor)
9. Son who is suffering from permanent disability (mental or physical) till any age
10. Widow Daughter
11. Unmarried widow sister
12. Dependent brothers
13. Step mother
14. Divorced and legally separated daughter..