The central Government Employees those who are on the verge of Retirement are having many doubts about joining CGHS after retirement. Many queries have been raised by our viewers about registering with CGHS and availing the CGHS facility after retirement. Hence the details of joining CGHS and entitlement for availing treatments and its benefits, list of empanelled Hospitals are compiled and given under for viewer’s reference.
Medical Benefits for Retirees
All Central Government pensioners/family pensioners who were eligible for taking treatment under the Central Government Health Scheme (CGHS) while in service are eligible for availing CGHS facilities after retirement, irrespective of whether they were or were not availing CGHS facilities while in service. Further, it is not necessary that these pensioners / family pensioners should be living in the areas covered under the CGHS.
Presently the CGHS facilities are available in the following cities:
Allahabad, Ahmedabad, Bangalore, Bhopal, Chandigarh, Chennai, New Delhi, Faridabad, Ghaziabad, Gurgaon, Guwahati, Hyderabad, Jaipur, Jabalpur, Kanpur, Kolkata, Lucknow, Meerut, Mumbai, Nagpur, Noida, Patna, Pune, Shillong, Thiruvananthapuram.
The Central Govt. Health Scheme provides comprehensive health care to the CGHS Beneficiaries in India. The medical facilities are provided through Wellness Centres (previously referred to as CGHS Dispensaries) /polyclinics under Allopathic, Ayurveda, Yoga, Unani, Sidha and Homeopathic systems of medicines.
a. 273 allopathic dispensaries, 19 polyclinics, 85 Ayush dispensary/ units
b. 3 Yoga Centres
c. 73 Laboratories
d. 17 Dental Units
The pensioners / family pensioners have to get their names registered with any of the CGHS dispensaries after submitting an application in the prescribed proforma for the issue of a CGHS identity card.
Procedure to Register with CGHS
Annual and One Time Life Time fee for joining CGHS
Pensioners who want to avail CGHS facilities can make contribution either on yearly basis or one time ( ten yrs ) contribution for whole life validity.
Payment can be made by Demand Draft in favour of “P.A.O., CGHS New Delhi’ in Delhi-and in the name of ‘AD, CGHS of the city’. Contribution in respect of Pensioners are calculated on the basis of grade pay they are entitled had they been in service, but for superannuation.
Monthly Contribution for availing CGHS Facility
| S.No | Grade Pay Drawn | Contribution(Rupees per Month) |
| 1 | Up to Rs.1650/- Per Month | |
| 2 | Rs.1800/-; Rs.1900/-; Rs.2000;- Rs2400/-; and Rs.2800/- per Month | 125 |
| 3 | Rs.4200/- per month | 225 |
| 4 | Rs..4600/-; Rs.4800/-;Rs.5400/-; and Rs.6600/- | 325 |
| 5 | Rs.7600/- and above | 500 |
One Time Payment for Life Time validity
Pensioners have an option to get their CGHS pensioner Card either by making CGHS Contribution on an annual basis (12 months Contribution) or by making contribution for 10 years (120 Months Contribution) for getting a Pensioner Card with Life Time Validity. Those who are willing to get CGHS card with Life Time validity should Pay the amount of 120 Months Contribution prescribed for respective Grade pay at the time of applying for CGHS Card.
| S.No | Ward entitlement | Pay drawn in Pay Band |
| 1 | General Ward | Upto Rs. 13950/- |
| 2 | Semi-Private ward | Rs.13960/–Rs.19530/- |
| 3 | Private Ward | Rs.19540/- and above |
Medical Allowance For Retirees Residing In Areas Not Covered Under CGHS.
a. Pensioner residing in non- CGHS covered areas have the option to become CGHS beneficiary and avail CGHS facilities from the nearest CGHS covered city.
b. b.Pensioners residing in non-CGHS areas have also the option to avail Fixed Medical Allowance of Rs.500/- per month and opt not to avail CGHS facility.
c. Pensioners residing in non-CGHS areas have also the option to avail Fixed Medical Allowance of Rs.300/- per month for OPD treatment and obtain CGHS card from nearest CGHS covered city for inpatient facilities under CGHS. No OPD medicines shall be issued in such cases.
d. CGHS pensioner beneficiaries (and their dependant and eligible family members) who are holding a valid CGHS Card and residing in a non-CGHS area shall be eligible to
i. obtain inpatient medical treatment and also follow up treatment from Govt. Hospitals / CS(MA) /ECHS approved hospitals on proper referral from CGHS dispensary and submit the medical reimbursement claim to the Addl. Director/ Joint Director of CGHS of city where the CGHS card is registered.
ii. In case of medical emergency , treatment may be obtained from any hospital and medical claim shall be submitted to AD/JD , CGHS of the concerned city.
iii. Reimbursement shall be limited to the CGHS rates of the city where the card is registered and as per the ceiling rates and ward entitlements or as per actuals, whichever may be less.
Madam, I was working as Assistant Accounts Officer in a ministry of GoI drawing BP of Rs.9,250+4,625 (DP) in the pay scale of Rs.7,450-11,500 (5thCPC) when I was permanently absorbed in a GoI autonoumous body on 12.08.2004 and accordingly my pension was sanctioned. I superannuated on 31.05.2014 and applied for CGHS card by paying a lump sum amount of Rs.39,000 corresponding to Grade Pay of Rs.4,800. My room entitlement was mentioned as Semi-Private which I believe should have been Private on the basis on notional pay of Rs.21,800 (6thCPC) corresponding to Rs.9,250 which I would have drawn but for my retirement on superannuation.
Kindly look into and respond. Regards.
Kindly check
Thanks for your prompt respose madam.
As advised I checked the norms. A pay of Rs. 19540 and above entitles an official of Private Room. Since my notional pay comes to Rs.21810 on my retirement, I am entitled to Private Room. Kindly suggest further course of action.
Regards.
After 7th CPC new CGHS Room Entitlement as per the basic payment/ pension amount changed. Check here
Does implementation of a pay commission affect the status of a retiree who has retired before such CPC and in whose case the subscription and entitlements have already been decided? Kindly correct me if I am wrong.
I am seeking your advice on my room entitlement which has already been decided though incorrectly as I believe.
Regards.
For more info Please contact Addl Directors Office CGHS in your area.. Or you may file a RTI..
Thanks once again for prompt reply.
I was permanently absorbed in a central autonomous body on 12.08.2004 and my pension sactioned then. I retired on superannuation on 31.05.2014. I applied for and got CGHS card made then. Is 7th CPC relevant in my case?
Regards.
7th CPC is applicable to Pensioners also..
I am permanently staying in Bangalore after retirement. My mother has gone to Chennai. Whether
she can take the treatment in any of the approved private hospital ? OR she has to approach CGHS (nearest one) and take their permission for treatment in private hospita. She is holding her permanent ID car of CGHS.
I M..R.Venkateswarulu a diabetic and hypertension from 2000 and regularly taking medicines by purchasing from out side. After retirement in 2014, I have applied for cghs card at Chennai and receiving medicines regularly once in Three months. After wellness clinic was opened at VISAKHAPATNAM I started going., but to my surprise for Janumet 50/500 they want prescription from Government hospital. Is it necessary. Kindly let me. I am purchasing for last Two months.
Thanking you.
M.R.VENKATESWARLU.
my husband retired from Railway in 1985.I am drawing family pension after his death and i am 83 years old.am i entiled for availing CGHS facility.
Motia Dewan
Yes you can..
We want to avail CGHS facility after retirement at Ambattur, Chennai 53 which is not covered at present by CGHS wellness centre, Chennai Anna Nagar and Avadi (Ambattur is in between Avadi and Anna Nagar). Do we have the option to Choose Anna nagar CGHS wellness centre?.
I have retired from MOD (civilian) in April 2011. Staying out of CGHS area. Now I want to register myself
with CGHS . Please let me know weather my registration fee will be according to old G P or revised 7th PC
My Father is retired from Gun Carriege Factory Jabalpur. And he is retired November 2004. Now he want to register himself with CGHS. Please let him know amount of whole life and yearly registration fees Of CGHS.
I am cghs benefishries and to retired in 31 Jan 2019 from Delhi ncr. My allotted dispensary in in ghaziabad. I want to take treatment at bangalore cghs pvt hospitals. Please advice
P. G. Chandran
Ponnani, Malappuram.
I retired in 30/6/2007 from CRPF as in Inspector rank.
At then the CGHS facilities were not available nearby resjding area. But now I want to avail CGHS facilities, available in my residing area. Let me know what are the formalities shall i do and what amount should be deposited.
Hi ,
My Father deceased in 2017 during that time he was serving IN CISF now my mother is getting pension from his behalf , my Question is this can my mother get CGHS facilities and for that is there any procedure to apply online or please tell me the procedure for applying in the CGHS.
Where the cghs card is apply in Chandigarh any address or contact number or building where we for that plz tell us
I am a family pensioner. My wife died while she was in service. She was having cghs card then. 10 years has passed after her death. Now I am 63, can I apply for Cghs card now. Pls guide me how to apply.
My father retired from government services around 14 years back. He did not applied for CGHS services during that time. My question is that can he apply for CGHS services now. if yes, what is the process for applying for it.
Sir/Madam
I have retired from postal department as a postal assistant on 30.06.2020 with Basic pay of Rs 64100/ From Warangal Telangana
I was granted provisional pension as a case is pending against me in CBI court.
1. Whether I am eligible for getting CGHS CARD
2. Eligible for life time or 12 months or any short period
3. If what are the fee details
how can I obtain CGHS Card as I resides in non CGHS covered area of New Delhi and I have surrendered my CGHS Card during service and surrender certificate have not obtained.
Could not make cghs card after retirement due to covit and restriction of movements. I have under gone medical condition and have expenditure on Medical treatment. How can I claim reimbursement?
Regards
Respected sir/madam,
With most respect I would like to inform you that my father retired in 2016 from Military Engineering Service (MES).
Now, I understand that my father should have CGHS medical facility.
Hence, I request you to help in getting CGHS medical facility procedures.
My home address is
Daud Nagar Chakgadho,
Hajipur town
Vaishali – 844503
Bihar
I retired from Andaman health services in the year 2015 . My grade pay at the retirement was rs 10000. As Andaman is non covered area by cghs I couldn’t make cghs card . Kindly advise how can I make cghs