Guidelines for Issue of CGHS Card to serving employees and retired employees: MoH&FW O.M 28.06.2024

Guidelines for Issue of CGHS Card to serving employees and retired employees: MoH&FW O.M 28.06.2024

F. No. S.11012/1/2024-EHS (Comp. No. 8283407)
I/3687475/2024
Government of India
Ministry of Health & Family Welfare
(EHS Section)

Nirman Bhawan, New Delhi
Dated 28-06-2024

OFFICE MEMORANDUM

Subject: Guidelines for Issue of CGHS Card to serving employees and retired employees-reg.

In continuation of this Ministry’s OM No. S.11012/3/2011-CGHS(P) dated 29.12.2011, the undersigned is directed to issue the following guidelines, in view of technological changes and change in payment method of CGHS Contribution, for issuing of CGHS cards to serving employees and pensioners :

A. Serving Employees

a. Serving employees shall mandatory apply for a new CGHS card online (www.cghs.nic.in) to generate a temporary reference number. After online submission of the application form, they should take a printout of the same and submit the hard copy duly signed and photographs affixed thereon to the department currently employed in, for processing and onward submission to the concerned Office of Additional Director, CGHS for issuing the cards. One copy is to be forwarded to the Additional Director of the concerned City and the other copy is to be retained by the Employer Department of the Central Government (hereinafter referred to as Sponsoring Authority) for CGHS benefits.

b. The requisition shall be sponsored by the Head of Department/Head of Office of the employee.

c. A Specimen copy of the application form for the New CGHS Card is enclosed at Annexure-1.

d. CGHS shall scrutinize the application based on the documents provided:

i. Pay Slip indicating the pay scale and CGHS deduction.

ii. Aadhaar Card/PAN card or any other valid document as per RBI guidelines, as ID and address Proof for Self and Dependent Family Members.

iii. Disability Certificate of Dependent (If applicable) as per OM No.4- 24/96- C&P/CGHS(P)/EHS dated 07.05.2018 (Annexure-2) or MoHFW OM No. S.11011/13/2012-CGHS(P) dated 25.07.2013 (Annexure-3).

iv. Individual Photographs of self and dependent family members.

B. Retired Employees

a. CGHS card(s) will be issued to eligible retired employees and family pensioners, drawing pension from Central Civil Estimate and his/her dependent family members, when the pensioner is not availing the Fixed Medical Allowance (FMA). b. The retired employees also have the option for availing Fixed Medical Allowance (FMA)

b. The retired employees also have the option for availing Fixed Medical Allowance with a CGHS card (IPD Card) by paying the full subscription. However, the CGHS ‘IPD only’ card shall be valid only for ‘cashless’ indoor treatment at CGHS empanelled Private Hospitals/designated Government Hospitals. The beneficiary of ‘IPD only’ CGHS card shall also be eligible for reimbursement of expenses incurred for indoor treatment at any Government/Private Hospital.

c. The retired employees can submit his/her duly filled application form for the new Pensioner CGHS card, in the new Card Application Form (Annexure-1) to the Additional Director of CGHS city concerned.

d. The application shall be accompanied with payment of CGHS Contribution of 12 months for annual CGHS card and 120 months for lifetime CGHS card, as applicable, on Bharat Kosh, along with the Challan generated from Bharat Kosh as proof of payment. The existing rates shall be as per the details provided below:

e. CGHS shall scrutinize the application based on the documents provided:

i. Self-attested PPO/ Provisional PPO or Last pay certificate
ii. Aadhaar card ID/PAN card or any other valid document as per RBI guidelines as ID and address proof for Self and dependent family members
iii. Disability Certificate of Dependent (If applicable).
iv. Individual Photographs of self and dependent Family Members.
v. Copy of Bharat Kosh Challan for CGHS subscription paid.
vi. Proof of availing/non-availing FMA (if applicable).

The Standard Operating Procedure applicable to both the serving and retired is enclosed as Annexure-4.

f. Retiring employees have the option to apply for a pensioner card along with pension papers 6 months before the date of Retirement (Online as a pensioner new card). The office shall observe the same procedure as for a serving employee for getting his/her CGHS card(s) prepared.

b. Consequent to verification of CGHS Card, the electronic form of CGHS card shall be accessible to the beneficiary using the option of ‘Beneficiary Login’ on CGHS Website, myCGHS app & Digilocker app for Android/iOS-based mobile devices. The electronic CGHS card shall be at par with CGHS plastic Card for availing benefits. The authenticity of CGHS card can be verified using the option of ‘Verify beneficiary’ available on CGHS Website (www.cghs.nic.in).

D. For the issue of a new CGHS plastic card upon mutilation, renewal or loss of the CGHS Card, application Form AA or BB (Annexure 5 & 6) along with the Bharatkosh Payment challan for Rs. 100/- shall be submitted for issuing a new card to the concerned Additional Director. To encourage the CGHS beneficiaries to use digital CGHS cards, it has also been decided that No fee shall be levied, in case the beneficiary opts for renewal/reissue of card without a fresh printed plastic card.

E. The Instructions issued for the CGHS beneficiaries viz. Member of Parliament, Ex-Member of Parliament, eligible Autonomous Institutions, Air India and PIB accredited Journalists shall remain as per extant rules.

F. The CGHS Beneficiary shall inform CGHS immediately, if there is any change in dependency criteria of his family members included in the CGHS Card. If he fails to intimate and if CGHS comes to know of the change, then the CGHS facility is liable to be withdrawn and the CGHS shall be free to write to the appropriate authority for recommending action under Service Rules or Pension Rules.

These guidelines issue with the approval of the competent authority and shall be effective after one month from the date of issue. The integration of CGHS with Bhavishya portal for pensioners and e-HRMS for serving employee is under consideration and the process change resulting from such integration shall be notified in due course of time.

Encl: As above.

Signed by
(Hemlata Singh)
Under Secretary to the Government of India

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