CGHS New Rates: The Union Health Ministry has announced changes to the Central Government Health Scheme (CGHS) rates. These new changes will come into effect on October 13, 2025. For the first time since 2014, the central government has revised rates for approximately 2,000 medical procedures.
CGHS New Rates: The central government has announced a significant gift for millions of employees and pensioners across the country. Following the increase in dearness allowance, several major reforms have been made to the Central Government Health Scheme (CGHS). The Union Health Ministry has announced changes to the rates of the Central Government Health Scheme. These new rates will come into effect on October 13th. The ministry issued a notification announcing this. For the first time since 2014, the central government has revised the rates for approximately 2,000 medical procedures.
This is the biggest reform in the last 15 years. The old rates were a source of
inconvenience not only for employees but also for hospitals. These new rates are expected to bring relief to both employees and hospitals. Treatment costs will now be determined based on the hospital’s accreditation, type, city category, and ward. Treatment at super-specialty hospitals will be 15% more expensive than at NABH/NABL-accredited hospitals.
What’s in the CGHS package?
The Central Government Health Scheme (CGHS) is a medical facility run by the central government for its employees and pensioners. It provides subsidized medical fees for various expenses, including outpatient testing, consultations, surgeries, and hospital stay coverage, among other benefits.
Why is it necessary to change the CGHS scheme rates?
A major complaint from central government employees and pensioners was that hospitals affiliated with the CGHS scheme often refused to provide cashless treatment. Patients were forced to pay large sums of money upfront and then wait for months for a refund. It is now hoped that these problems will be resolved.
Learn what the new reforms include.
The central government has set new rates for nearly 2,000 medical procedures. These rates are based on the city’s category (Tier-I, Tier-II, Tier-III) and the hospital’s quality (such as NABH accreditation).
1. Package rates in Tier-II cities will be 19% lower than the base rate.
2. Package rates in Tier-III cities will be 20% lower than the base rate.
3. NABH-accredited hospitals will provide services at the base rate.
4. Non-NABH hospitals will receive a 15% lower rate.
5. Super-specialty hospitals with more than 200 beds will receive a 15% higher rate.
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