CGHS Rules Revised: If you are a central government employee then this news may be useful for you. Actually, the guidelines for Central Government Health Scheme (CGHS) cardholders have been changed.
CGHS Rules Revised: If you are a central government employee, then this news may be useful for you. Actually, the guidelines for Central Government Health Scheme (CGHS) cardholders have been changed. Information about the revised guidelines has been given in an office memorandum (OM) of the Union Health Ministry.
What is the revised rule
According to the revised rules, cardholders will not need referral in case of emergency. In this situation, cardholders will be able to get cashless treatment directly and access services in all major government hospitals including All India Institute of Medical Sciences (AIIMS) or Tata Memorial. Apart from this, a single referral from the Central Government Health Scheme (CGHS) Wellness Center will be valid for 3 months, allowing beneficiaries to consult three specialists. A maximum of six consultations are allowed during this period.
When is a referral needed
CGHS cardholders do not require additional approval within the three-month referral period for routine checkups and minor procedures. A referral will be necessary for special tests costing more than Rs 3,000. Similarly, procedures requiring hospitalization will also require prior approval.
The age limit for accessing these services has been reduced from 75 to 70 years, expanding eligibility to more beneficiaries. These amendments are expected to increase access to health services for CGHS beneficiaries.
What is CGHS
Let us tell you that CGHS is a health insurance scheme. Under this, the central government provides health services to its employees and their families. Under this scheme, beneficiaries get coverage of medical expenses. Central employees can avail cashless treatment in any listed hospital or dispensary in the country through CGHS card.
