New Office Memoranda regarding CGHS Cards

SERVING EMPLOYEES CLICK HERE
PENSIONERS CLICK HERE

DEFINITION OF FAMILY

In accordance with the initial instructions, the term of Family for the
purposes of the Scheme shall consist of the Government servant's wife or
husband, as the case may be children and stepchildren and parents who are
mainly dependent on and residing with the Government servant concerned.
Subsequently in pursuance of the recommendations of the Sixth Central Pay
Commission, it has been decided that for availing the medical facilities
under the scheme, parents, sisters,. widowed sisters, widowed daughters,
minor brothers and children will be deemed dependent on the Government
employee if they are residing- with him and their income from all sources
including pension and pension equivalent of DCRG benefit is less than Rs.
3500 +DA per month.

ENTITLEMENT OF THE SCHEME:

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) having their head quarters in cities
where the Scheme is functioning and members of their families, are entitled
for the CGHS medical facilities.

TRANSFER

In case the. Central Govt. Employees is transferred to uncovered city
leaving behind his family, the Government Employee is not entitled for the
medical benefits either for himself or for his family under the Scheme but
will be governed under CS(MA) Rule. In the event of the posting of the
Central Govt.Employee to North Eastern Region Andaman and Nicobar Is-lands &
Lakshadweep and his family members continue to stay in an area covered by
the Scheme temporary family permit for availing CGHS benefits will be issued
to the family members by depositing advance usual contribution. But in such
cases the Central Govt. Employee himself will be governed under CS(MA) Rule.

TEMPORARV
VISIT IN COVERED CITY

Central Govt. employees and dependent family members who are beneficiaries
of the CGHS. and who may be visiting other cities where the scheme is
operating and stay in the areas covered by the Scheme
are entitled for free medical attendance / treatment under the said scheme.
(Necessary authority/ temporary cards for medical treatment in any of those
cities, should be issued by the respective departments in case of serving
employees.) Medical facilities should be restricted to period not exceeding
six months after which fresh authorities may be issued, if necessary.
Similar facilities are also available to pensioners and the dependent family
members if holding. CGHS Cards and permission shall be granted by CGHS of
the city visiting.

PRODUCTION OF CGHS CARD

The production of CGHS Card is obligatory at every visit to enable correct
identification of the patient and to prevent misuse of
card.The misuse of card is a cognizable offence. However, in view of
humanitarian service, essential and immediate treatment should not be denied
to the patient but the beneficiary should be advised to bring the CGHS Card
at the time of subsequent Visits and if considered necessary, a note may be
made in OPD ticket of the patient. The production of CGHS Index Card in the
dispensary will enroll the card holder as a member of the said dispensary.
The renewal of Pensioners' card shall be done in the dispensary. The
Indian Postal Order should be sent to Pensioner Cell, Nirma,n Bhavan/DDO
Office outside Delhi, regularly on Or before 6th day of the following month.
Before accepting the I.P.Os the Chief Medical Office!r Incharge must see the
date of issue of I.P.O/ DDS which should be within one month of issue from
the Post Office. The Chief Medical Officer incharge will obtain a
certificate from each pensioner for any rise of pay/pension due to
incremente rise after every two years for calculation of rate of
pension or the fact may he verified from his pension payment order before
revalidation of card.The Chief Medical Officer Incharge may therefore re-fix
the rate of contribution accordingly. In case of Pensioner the transfer of
card from one dispensary to another shall be) done by the Chief Medical
Incharge of the dispensary.

REGISTRATION OF CGHS CARD IN
DISPENSARY

Card Holder must deposit the Index Card in the dispensary and obtain receipt
from the receiving clerk. The receiving clerk, will initial the token card
in confirmation. Until he deposits the Index Card. he is not entitled for
treatment in the said dispensary. On transfer to another dispensary the Card
Holder must collect the index card from the dispensarv and deposit the same
along with necessary forms (in duplicate) to the new dispensary which has
been allotted to him. It is only after the deposition of Index Card in the
dispensary that the members mentioned in the token card are entitled to
obtain CGHS

facilities.

SURRENDER OF CGHS CARD

The CGHS Identity Card held by the beneficiary other than Pensioner, General
Public,

Ex- MPs etc. must be surrendered to the issuing authority in the following
events:-

(a) Retirement /Resignation

(b) Death of Government Servant.

to another office where he/ she is again entitled far CGHS benefits must
apply

and obtain a new Identity Card.

Pensioners, EX-M.Ps Member of General Public etc. are also required to
surrender their Identity Cards to the issuing authority on its expiry in
case they no longer desire to avail CGHS facilities.

MISUSE OF CGHS CARD

If the Medical Officer detects a case of misuse of CGHS Token Card by
unauthorized

person, he will bring to the notice of Chief Medical Officer Incharge and /
or the matter reported to the Zonal HQ/ ete. for further necessary action.

LOSS OF IDENTITY CARD

As a lost card is likely to be misused the card holder must inform
immediately to the

Police and inform the following with a, copy of F.I.R.

(i) Issuing authority.

(ii) M.O. Incharge of the concerned dispensary.

(iii) Headquarters of CGHS in the cities other than Delhi. A duplicate card
can be issued after realising penalty of Rs. 5!- for 1st instance. 2nd...
instance Rs. 7/-, 3rd and subsequent instance Rs. 10/- .

In case of individual Plastic Cards in Delhi – the
procedure is same but , the penalty is Rs.50/-

DEPENDENCE CERTIFICATE

Every Card Holder must certify that the parents /Dependents whose names have
been included in the token card, normally reside with him. Such a
certificate must be furnished at the time of issue of Token Card and renewed
every January. Otherwise the parents shall be treated as non entitled
persons. The certificate must also state that the income from all sources
does not exceed Rs. 3500 + DA p.m.

SOURCE - CGHS