• Central Government Employees:,
• Pensioners:
• Members of Parliament
• Ex-Governors and Lieutenant Governors
• Ex-Vice Presidents, Ex-Speakers, and Ex-Judges:
• Freedom Fighters

1. Outpatient Treatment (OPD):

   • Consultations with specialists and general physicians at CGHS dispensaries and wellness centers.
   • Diagnostic tests such as blood tests, X-rays, ECG, etc., as prescribed by CGHS doctors.
   • Prescription medicines and medical supplies from CGHS dispensaries.
     
     

2. Inpatient Treatment (IPD):

   • Coverage for hospitalization expenses in empaneled private hospitals or CGHS empaneled government hospitals.
   • Room charges, nursing care, ICU/ICCU charges, operation theatre charges, anesthesia, surgical procedures, and other related medical services.
   • Pre and post-hospitalization expenses as per CGHS rules.
     
     
     

3. Specialist Consultations:

   • Access to specialist doctors across various disciplines such as cardiology, orthopedics, ophthalmology, dermatology, etc., as per medical requirements.
     
     
     

4. Diagnostic Services:

   • Coverage for a wide range of diagnostic tests including laboratory investigations, imaging services (X-rays, ultrasound, CT scans, MRI scans), and other diagnostic procedures.
     
     
     

5. Medications and Medical Supplies:

   • Supply of prescribed medicines, both generic and branded, through CGHS dispensaries.
   • Availability of medical supplies such as surgical dressings, hearing aids, prosthetic devices, etc., as per CGHS guidelines.
     
     
     

6. Emergency Medical Services:

   • Coverage for emergency medical treatment including ambulance services, emergency room care, and critical care services.
     
     
     

7. Wellness Programs:

   • Health promotion and wellness activities organized by CGHS, including health camps, awareness programs, and preventive healthcare initiatives.
     
     
     

8. Cashless Treatment:

   • Cashless treatment facility available at empaneled hospitals, where beneficiaries do not need to pay upfront for covered medical services (subject to CGHS guidelines and limits).
     
     
     

9. Referral Services:

   • Referral services for specialized treatment or procedures not available at CGHS dispensaries, enabling beneficiaries to access higher-level healthcare facilities.
     
     
     

10. Teleconsultation Services:

    • CGHS also offers teleconsultation services, allowing beneficiaries to consult doctors remotely for non-emergency medical issues.

You can CGHS book appointment online or on call :  9555326299

After providing treatment/diagnosis, the HCOs submit the medical claims to the Bill Clearing Agency (BCA), which scrutinizes the bills and forwards to the CGHS for final approval. Thereafter, CGHS scrutinizes 10 per cent of bills upto ₹ 10,000, 25 per cent of bills upto ₹ 25,000 and 100 per cent bills above ₹ 25,000.