If you are a central government employee, then the Narendra Modi government has given you relief. Actually, the Union Ministry of Health and Family Welfare has made some changes in the guidelines related to CGHS (Central Government Health Scheme). This will have a direct impact on CGHS beneficiaries. Let us understand what kind of rules the government has changed.

Till now, it was mandatory for CGHS GHS beneficiaries to upload geo-tagged photos every day when they were admitted to the hospital (IPD). Both hospitals and patients were facing problems due to this rule. In view of these problems, the government has given exemption for not uploading photos in old cases.

What is the new rule?

No geo-tagged photos are required in IPD referral cases now. The referral must be valid and uploaded on the National Health Authority (NHA) portal. IPD stands for In-Patient Department. Through this department, patients are admitted to the hospital for 24 hours or more. In this, patients are admitted after operation or treatment and later remain under hospital observation.

In non-referral IPD cases

In non-referral IPD cases 2 geo-tagged photos are required at the time of admission and at the time of discharge. If hospitalization is more than 7 days, an additional photo is required every 7th day. The photo should be taken in the ICU/ward only. Showing CGHS card is not necessary.

In OPD cases: Photograph is not required in OPD services with referral. Without referral, if the patient is above 70 years of age and bedridden, then the photograph is mandatory. The photograph should be taken from a mobile or tablet. Its size should be less than 1 MB and it has to be uploaded on the CGHS portal within 24 hours.

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As per the new directive of the Health Ministry, it has been decided to completely replace the online mode for obtaining permission for such machines under CGHS. Under the new process, CGHS beneficiaries will now have to submit their applications digitally to the wellness center. These applications should include all the necessary documents.

Submit your application in this way

According to Annexure-1, beneficiaries have to scan their entire application package and email it to the office of the concerned Additional Director of their zone or city. If high-speed scanners are not available in the wellness center, the documents will be sent through post within a day or two. Along with this, additional directors have been instructed to purchase high-speed scanners for all wellness centers to facilitate the online process.

A digital record of the application will also be kept

All applications will be processed through an electronic file system to keep a digital record of permissions and track approvals. The subject matter of the e-file will include the name and ID of the beneficiary and details of all respiratory devices to be issued. Information such as e-file number, beneficiary ID and permission details will be stored in an Excel sheet for better tracking.

If your application is approved, you will be informed about it on email. If you want, you can also collect its soft copy. This is another step taken by the health sector towards digitalization.

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Also, they cannot charge above the rate card given by the government. The Union Ministry of Health and Family Welfare has issued new guidelines to resolve complaints of overcharging and refusal to provide service to the beneficiaries of Central Government Health Scheme (CGHS). The purpose of these instructions is to provide correct, affordable and transparent health service to CGHS beneficiaries.

Government changed the rules for CGHS beneficiaries

1. Compulsory treatment

CGHS-empanelled hospitals cannot deny treatment to any eligible beneficiary. The Health Ministry clarified that all services will be provided without any discrimination.

2. Transparency in cost and service

Hospitals will be required to provide information related to treatment at prominent places. This will include the rates mentioned by CGHS. Status of beds available in wards and ICU. It will be necessary to provide information about the ward category fixed for the beneficiaries. Hospitals will not be able to provide the following categories. Doing so will be prohibited for hospitals. It will be necessary to provide information about the empanelment city of the hospital, credit eligibility and contact of the nodal officer.

3. Mandatory reporting

Hospitals must report emergency cases, non-referral cases and direct visits and admissions of beneficiaries above 70 years of age within 24 hours to the concerned Additional Director of CGHS via email. Unreported cases will not be accepted.

4. Accountability in serious cases

In case of death or coma of the patient, it will be mandatory for the hospital to provide the signature and contact details of the attendants of the beneficiary on the final bill.

5. Prescription rules

Prescriptions must use only generic names and be written in capital letters. Hospitals cannot force you to buy a particular brand.

6. Permission will have to be taken first for expensive treatment

Hospitals will have to take permission in advance for expensive treatments. So that unnecessary or excessive charges can be avoided.

7. Penalty will be imposed for not following the rules

Hospitals that do not follow the guidelines may face penalties, including removal from the CGHS network. These new guidelines will help protect the rights of CGHS beneficiaries and provide them with affordable and transparent treatment services.

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Who can take advantage of CGHS?

According to the official website of CGHS, there are several rules to determine the eligibility of a Central Government employee to avail medical facilities under the Central Government Health Scheme. Central government employees and their family members etc. living in any notified city can take advantage of this scheme.

In which cities you can avail CGHS service?

CGHS service is available in 80 cities. CGHS beneficiaries living in these cities can avail the benefits of this scheme. The complete list is given below.

1) Agra

2) Agartala

3) Ahmedabad

4) Aizawl

5) Ajmer

6) Aligarh

7) Allahabad (Prayagraj)

8) Ambala

9) Amritsar

10) Baghpat

11) Bengaluru

12) Bareilly,

13) Berhampur

14) Bhopal

15) Bhubaneswar

16) Chandrapur

17)Chandigarh

18) Chhatrapati Sambhaji Nagar

19) Chennai

20) Chhapra

21) Coimbatore

22) Cuttack

23)Darbhanga

24) Dhanbad

25) Dehradun

26) Delhi & NCR: Delhi, Faridabad, Ghaziabad, Greater Noida, Noida, Gurgaon, Indirapuram, Sahibabad,

27) Dibrugarh

28) Gandhinagar

29) Gangtok

30) went

31) Gorakhpur

32) Guwahati

33) Guntur

34)Gwalior

35) Hyderabad

36) Imphal

37) Indore

38) Jabalpur

39) Jaipur

40) Jalandhar

41)Jammu

42) Jodhpur

43) Kannur

44)Kanpur

45) Kohima

46) Kolkata

47) Kochi

48) Kota

49) Kozhikode

50) Lucknow

51) Meerut

52) Moradabad

53) Mumbai

54) Muzaffarpur

55) Mysuru

56)Nagpur

57) Nashik

58) Nellore

59) Panaji

60) Patna

61) Panchkula

62) Puducherry

63) Pune

64)Raipur

65)Ranchi

66) Rajahmundry

67) Saharanpur

68) Shillong

69) Shimla

70) Silchar

71) Siliguri

72)Sonepat

73)Srinagar

74) Thiruvananthapuram

75) Tiruchirappalli (Trichy)

76) Tirunelveli

77) Vadodara

78) Varanasi (Banaras)

79) Vijayawada

80) Visakhapatnam

CGHS cardholders can get free treatment in any AIIMS

1) CGHS pensioners and other beneficiaries entitled for cashless treatment like former MPs, former Governors, former Judges of the Supreme Court of India, former Judges of High Courts, freedom fighters etc., who have a valid CGHS card, can avail cashless treatment at AIIMS. Are eligible.

2) Validity of CGHS card and ward eligibility is given on the CGHS card.

3) AIIMS will create a special desk for CGHS beneficiaries. The eligible CGHS beneficiary can produce his/her CGHS card for verification at the CGHS desk.

4) Eligible CGHS beneficiaries can self-verify their CGHS card. In case of treatment of a dependent family member, a copy of the CGHS card of self and the family member will have to be submitted. CGHS will verify the card information from CGHS data base in consultation with NIC.

5) Physical bill along with copy of CGHS card has to be submitted in the office of Additional Director, CGHS of the concerned city in the last week of AIIMS month.

6) AIIMS will create a separate bank account for CGHS beneficiaries for payment of CGHS bills. Payment of the bills will have to be deposited in the bank account created by AIIMS for CGHS.

7) Apart from CGHS pensioners, other people eligible for cashless treatment can avail the benefit of cashless treatment.

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Also, the cost of one day for ICU has been kept at Rs 5,400. The government has released new CGHS rates and packages. The government has also made the rules of referral easier than before.

Charges for CGHS beneficiaries

1. CGHS cardholders will need Rs 350 for OPD consultation.

2. The rate for CGHS beneficiaries for IPD consultation has been fixed at Rs 350.

ICU Charge Fee for CGHS Beneficiaries

Rates for ICU have been fixed at Rs 5,400. This cost for private ward is Rs 862 + Rs 4,500 = Rs 5,362 – total Rs 5,400. ICU charges include Rs 750 for non-NABH hospitals and Rs 862 for NABH hospitals. This includes monitoring, RMO charge fee, nursing care and room rent. The room rent will be as per the eligibility of the ward of the CGHS beneficiary – General Ward, Semi Private Ward or Private Ward.

Room Rent for CGHS Beneficiaries

oom rent for general ward for CGHS cardholders has been revised to Rs 1,500. Room rent for semi-private ward will be Rs 3,000. The room rent for private ward has been kept at Rs 4500.

Referral process made easier for CGHS cardholders

The Union Ministry of Health and Family Welfare (MoHFW) has also simplified the referral process for CGHS Wellness Centre. Earlier the CGHS beneficiary had to personally visit the CGHS Wellness Center and take a referral to the hospital. But now if the CGHS beneficiary is unable to go, he can send someone on his behalf to the wellness center with his documents. The medical officer may ask the beneficiary to go to the hospital after examining the documents. Now CGHS beneficiary can do this work through video call.

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Cashless treatment in OPD, investigation and indoor treatment will be available in these 6 AIIMS after AIIMS managements signed MoU with Central Government Health Services on Saturday. This MoU was signed in the presence of Union Health Secretary Rajesh Bhushan, AIIMS New Delhi, PGIMER Chandigarh and JIPMER Puducherry will also provide cashless treatment to CGHS beneficiaries.

Treatment will be easier for CGHS beneficiaries

Bhushan said that 6 AIIMS are fully functional and have been offering specialized and super-specialty services for more than 10 years. This will be especially beneficial for the retired pensioners of CGHS, who face difficulties in completing subsequent procedures regarding the cost of treatment. CGHS beneficiaries will now get the benefit of state-of-the-art treatment facilities available at these AIIMS without any hassle.

Soon facility will be available in these hospitals also

, Union Health Secretary said, ‘In the near future AIIMS (New Delhi), Post Graduate Institute of Medical Education and Research, Chandigarh and Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry will be included in this agreement. Will go.

What is CGHS

Central Government Health Scheme or CGHS (Central Government Health Scheme) is a health scheme run by the Central Government. This scheme provides healthcare facilities for central government employees, pensioners and their families. CGHS was established in the year 1954.

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