C.G.H.S.
(i) CGHS contributions will be
recovered every month from pay bill (ii) If the husband and wife are Government
employees, the contribution will
normally be paid by one who gets higher pay.
(iii) In case of leave exceeding 4
months, one may opt not to contribute and
in such cases, the CGHS facilities will not be admissible.
(iv) Pensioners/Family pensioners
have to contribute the amount they were
subscribing at the time of retirement/death of Government servant. (v)
Pensioners/Family Pensioners should pay their contribution for one year in advance either from January to
December or July to June. (vi) Pensioners can avail life time facility by
paying 10 years contribution in one lump
sum at the time of retirement.
(vii) Medical Allowance is not
payable if the pensioners are residing in areas
where CGHS facility exists.
(Vii)
P&TPensioners who were not CGHS beneficiaries while in service, but residing in CGHS area where there is no
P&T dispensary are entitled to Fixed
Medical Allowance.
(ii)
Conditions for availing the Scheme:
(i) The employee should reside in the area of operation of the Scheme.
(ii) Pensioners residing anywhere may get registered in any dispensary.
(iii) A family photograph of size 6.5 cm x 5 cm should be affixed to the CGHS token card and got attested by the Department. In case CGHS beneficiaries falling sick outside CGHS area, treatment is allowed under CS (MA) Rules in Government Hospitals/Referral Hospitals/Recognised Hospitals
(iv) If both husband and wife are
employees and contribute for CGHS, parents of both can be included for the
benefits.
(v) Family of
the employee can avail the facility if the employee is transferred to another CGHS area or goes to
serve abroad and leaves the family at
the old CGHS station.
(vi) Family of
the employee who continues to stay back at the old station in a CGHS covered area can avail CGHS facilities
even after the transfer of the employee
to a non-CGHS area, for a maximum period of six months on payment of CGHS contribution in advance
for that period.
(vii)
Irrespective of age, the dependent permanently disabled/mentally retorted children residing with Government
servant are eligible to avail CGHS.
(viii) From 19.01.2012, minor
children of widowed/separated daughters can
avail up to the age of 18 hours.
(ix) Dependent condition: Less
than Rs. 9000/- PM plus the amount of D.A. (x) May avail medical facilities for
in-patient treatment and Post-operative
following treatment, while residing in or on visit to a non CGHS
area subject to conditions.
(xi) Can
undertake medical treatment from any hospital recognised under CGHS subject to the condition that the
reimbursement shall be allowed as per
CGHS/CS (MA) Rules or the actual expenses incurred whichever is less.
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