Frequently Asked Questions on CGHS Cards Procedures

| September 30, 2012 | Reply

ISSUE OF CGHS CARDS PROCEDURES

S.N.

QUESTION

ANSWER

1

I am a pensioner, How do I avail

CGHS facilities

One    get a CGHS card made from the

office of AD JD of the City

2

How do I get the forms for CGHS

card

Forms can be downloaded from CGHS

Website or can be taken from office of

AD JD of city between 1000 am to

1230 pm

3

What are the documents required

for getting Pensioners CGHS Card

Application in prescribed format

Proof of Residence

Proof of Stay of dependents

Proof of age of son

Disability certificate, if any in case of

sons aged 25 above , who would

otherwise cease to be a beneficiary.

Photos of eligible family members

Surrender  Certificate  of   CGHS  Card

while in service ( only in those cases

where CGHS Card was issued while in

service)

Attested  copies of PPO Last Pay

Certificate

Draft for required amount towards

CGHS contribution – in the name of

`P.A.O., CGHS New Delhi’ in Delhi-and

in the name of ‘AD, CGHS of the city’.

In case PPO is not ready for any reason

there is option to get a provisional card

on the basis of Last Pay Certificate.

4

Are CGHS facilities free of cost There is a contribution to be paid to

become a member of CGHS

5

What are the rates of contribution

for CGHS ?

How to pay the contribution ?

For serving employees residing in

CGHS covered area obtaining CGHS

card is compulsory

Deduction from salary is made by the

department, every month, depending

upon their pay

Pensioners who want to avail CGHS

facilities   can   make   contribution

either on yearly basis or one time (

ten yrs ) contribution for whole life

validity.

 

 

 

  The rate of contribution is given in

separate table – New CGHS

Contribution

Payment can be made by Demand

Draft in favour of” P.A.O. CGHS Delhi”

if in Delhi or” Additional Director of

the CGHS City”

6

What are the timings to submit

the   Application forms  for   CGHS

Cards

1000 am to 1230 pm

7

What are the criteria for

Entitlement of Treatment endorsed

on CGHS Card like General ward /

Semi-Pvt ward or Pvt. Ward in

CGHS Empanelled Hospitals

Endorsement  of         entitlement  for

general/semi-    private/private   ward

facility is done according to their basic

pay/pension plus dearness pay/pension

as     per    OM        11011/2/2008/CGHS(P)

dated 20th May 2009.

General   Ward   upto    Rs.13950/-   in

revised scales(6 CPC)

Semi -Private Rs.13960 to Rs.19530/-

Private ward Rs.19540 and above

8

I have lost my CGHS Pensioner

Token card. What should I do to

get a Duplicate Card

Application is to be submitted to AD/JD

along with with a copy of FIR, and two

photographs and a IPO for Rs. 5/-

In case of Plastic Card IPO for   Rs.50

shall be submitted.

Indian Postal Order payable to” P.A.O.

CGHS Delhi” if in Delhi or” Additional

Director of the CGHS City”

9

am a serving employee residing in

a    place close to a      city covered

under CGHS. Can I get CGHS card

issued   from  the   nearest  CGHS

city?

No

10

I am a pensioner and I stay in an

area not covered under CGHS. I

get Rs.100 as medical allowance

with   pension.  Can   I   get   CGHS

facilities? What is the procedure?

Do   I   have   to   get   the   medical

allowance discontinued ?

You  can  obtain  CGHS facilities from

nearest CGHS covered city.

If you avail Rs.100/- for OPD medicines

- CGHS card shall be issued only for

indoor treatment.

If you opt to forego medical allowance

of Rs. 100 a certificate from concerned

authorities  (like  Bank)  that   medical

allowance has been discontinued shall

be submitted   before you   can  obtain

CGHS    cards    from    nearest    CG HS

covered city for both OPD medicines &

indoor treatment.

11

If I am a CGHS city card holder

and   my family members go to

other CGHS covered city what is

the procedure of treatment for my

family members

Temporary authority is issued by the

respective Department for the family

members for their treatment in another

CGHS covered city.

12

I am    a   pensioner and  reside in No

 

 

 

Pitampura in North Delhi in Delhi.

Can     I     get     my    CGHS   Card

registered    at    Vivek    Vihar   in

eastern part of NCR

Card is to be registered in the CGHS‑

WC nearest to your residence

13

I am a pensioner and had my card

registered at RK Puram Sector 8

dispensary in   1999.   Now I have

shifted to Dwarka. Can I be forced

to shift my dispensary

CGHS   card is registered at the CGHS‑

WC    nearest  to   the       residence   of

pensioner beneficiary.

However   ,     if    a    card    is    already

registered  at   a   particular dispensary

there   is   no  compulsion to   shift  to

another dispensary in case of change of

residence.

14

My husband/wife is also employed

under Central Government and is

eligible for a separate CGHS Card.

Is it necessary that separate cards

are to be obtained?

No

Spouse drawing higher pay shall make

the card and other spouse is eligible to

avail CGHS benefits as member

15

I   retired from  service/took VRS.

However, I have not yet received

my PPO. How can I get a CGHS

Card made as I need medicines

regularly   for   treatment  of    my

hypertension?

In case PPO is not ready for any reason

there   is   provision to  get   provisional

card for six months only , on the basis

of Last Pay Certificate.

16

I have retired from    Delhi. Now I

want to settle at city where no

CGHS facility is available . How to

cover my family for medical care?

Pensioners eligible for CGHS facilities

can    get   the   CGHS  card   from  the

nearest CGHS covered city

17

I    retired  in   1998   from  Central

Govt. but, I never made a CGHS

card. Can I get a card now?

Yes,

18

Can    a    beneficiary  avail   CGHS

facility if he resides in an area not

covered by WC

For pensioners ,Yes

Serving   employees  shall  be   covered

under CS(MA) Rules

19

I am CGHS beneficiary at Kanpur.

Visiting Mumbai for 6 months

Can I get CGHS facilities at

Mum bai

Can same card of Kanpur continue

or a separate card to be made

From where to get permission for

the same

Yes

No,   pensioners shall approach AD of

visiting city with copy of his card for

obtaining  temporary  permit to   avail

CGHS facilities.

In   case   of serving    employees  such

temporary   permit  is   issued  by   his

parent department.

20

What is the procedure for getting

dispensary          changed           for

Serving/Pensioners card holders?

CM0 I/c shall do the needful.

In computerized dispensaries the Data

of     beneficiaries   is    transferred   to

another dispensary. The dispensary

where the card is transferred accepts

the Data transfer.

 

 

 

  In non-Computerized dispensary, CM0

i/c issues a transfer letter along with

Index.

Serving   employees  -    Apply through

the department, concerned

Pensioners – Apply directly to CM0 I/c

of WC

21

My husband retired in 2002. He

was paying CGHS subscription

every year. After his death can I

get Card on my name. Do have I

to pay extra

Shall I get Life Time Valid card

Yes, card can be made in the name of

spouse    on   submission  of    required

documents.

No extra payment to be made, in case

of life time cards.

However in other cases one has to pay

10 years subscription for life time card

For      example,    if    the    spouse   had

contributed for seven years before he

expired   ,    balance  payment  for  the

remaining three years is to be paid for

a life time card.

Documents required

i)     Application in prescribed format

ii)    Proof of Family Pension with its

break                   up   components                             from

Bank.

iii) Prescribed contribution, if the

card                  is    not   for   whole   life

validity.

Photos of eligible members.

22

My husband retired from Central

Government but, no CGHS card

was made as a pensioner. I am

drawing family pension. Can I get

pensioners’ CGHS Card now ?

Yes

23

My father hiusband was a CGHS

pensioner Card holder. He died last

month.  Can   I   still  avail   CGHS

facilities ?

Yes

CGHS pensioner card is issued in the

name of dependent getting the family

pension, by AD JD of the city

Documents required

iv)   Application in prescribed format

v)    Proof of Family Pension with its

break                   up   components                             from

Bank.

vi) Prescribed contribution, if the

card                  is    not   for   whole   life

validity.

vii) Photos of eligible members.

24

Who is competent to delete name

of sons who have crossed age of

25 years

CM0 I/c of Wellness centre

In    computerized  dispensaries  ,    the

system          automatically         blocks

registration.

25

Who   is   competent  to   transfer CM0 I/c of Wellness centre

 

 

 

pensioner card from one WC to

other

 

26

I am an IAS officer and my

husband an IPS officer. We are

both belong to AP Cadre and now

posted in Delhi on deputation. In

whose name card to be made ?

Will both pay CGHS subscription ?

One   spouse  with  higher  salary  can

make card and other spouse can have

CGHS   facilities   on   same   card    as

member

Only the spouse in whose name the

card    is    issued       shall   pay    CGHS

subscription

27

I am an IPS officer and my wife,

an IAS officer. Both of us belong to

AP Cadre and now posted in Delhi

on deputation. I am in Central

Govt. but my wife is with Delhi

Govt. Can I have our children

names in my CGHS Card while my

wife can have facilities from Delhi

Govt.

Yes

28

After retirement in 2007 I got a

Life time Pensioner CGHS card

made in Delhi. Now I am shifting

to Dehradoon. Can I use the same

card.

Do I pay again

No, CGHS Card is to be      surrendered

in   the   office   of   AD-HQ  Delhi,     a

surrender certificate and NOC are to be

obtained and a fresh card shall have to

be obtained from the       office of JD-

Dehradoon

No extra fee to be paid, if the card is

for life time

29

   

30

I have a CGHS Pensioner card. My

daughter has got married. Whom

should I report to get her name

deleted from card

CM0 I/c of the Wellness Centre

31

I got a Lifetime pensioner CGHS

Card made in 2007. Now in 2009 I

wish to surrender CGHS card.

Shall I get balance amount of

subscription refunded

No

32

I live in Gurgaon but my office is in

Saket. Can I avail facilities from

both the places because it is

convenient for me

No

Department   issues   CGHS   Card    at

dispensary    as     per    the    residential

address.


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Category: CGHS, Ministry for Health and Family Welfare

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