Central Government Health Scheme – Procedure for issuing CGHS Cards

Central Government Health Scheme (CGHS) is a welfare scheme to take care of health of Central Government Employees and Pensioners residing at  selected cities in India. Central Government Employees and Pensioners residing in 24 cities are benefited by this scheme.
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As one of the procedures,  a card is issued to persons entitled for CGHS treatment which is known as CGHS card.  Production of the CGHS Card is obligatory at every visit to enable correct  identification of the patient and to prevent misuse of card.
The following is the frequently asked questions on issue of CGHS cards.

S.N.	QUESTION	ANSWER
1	I am a pensioner, How do I avail CGHS facilities	One    get a CGHS card made from the office of AD / JD of the City
2	How do I get the forms for CGHS card	Forms can be downloaded from CGHS Website or can be taken from office of AD / JD of city between 1000 am to 1230 pm
3	What are the documents required for getting Pensioners CGHSCard	Application in prescribed format Proof of Residence Proof of Stay of dependents Proof of age of son Disability certificate, if any in case of sons aged 25 & above , who would otherwise cease to be a beneficiary. Photos of eligible family members Surrender  Certificate  of   CGHS  Card while in service ( only in those cases where CGHS Card was issued while in service) Attested  copies of PPO & Last Pay Certificate Draft for required amount towards CGHS contribution – in the name of `P.A.O., CGHS New Delhi’ in Delhi-and in the name of ‘AD, CGHS of the city’. In case PPO is not ready for any reason there is option to get a provisional card on the basis of Last Pay Certificate.
4	Are CGHS facilities free of cost	There is a contribution to be paid to become a member of CGHS
5	What are the rates of contribution for CGHS ? How to pay the contribution ?	For serving employees residing in CGHS covered area obtaining CGHS card is compulsory Deduction from salary is made by the department, every month, depending upon their pay Pensioners who want to avail CGHS facilities   can   make   contribution either on yearly basis or one time ( ten yrs ) contribution for whole life validity.
		The rate of contribution is given in separate table – New CGHS Contribution Payment can be made by Demand Draft in favour of” P.A.O. CGHS Delhi” if in Delhi or” Additional Director of the CGHS City”
6	What are the timings to submit the   Application forms  for   CGHS Cards	1000 am to 1230 pm
7	What are the criteria for Entitlement of Treatment endorsed on CGHS Card like General ward / Semi-Pvt ward or Pvt. Ward in CGHS Empanelled Hospitals	Endorsement  of         entitlement  for general/semi-    private/private   ward facility is done according to their basic pay/pension plus dearness pay/pension as     per    OM        11011/2/2008/CGHS(P) dated 20th May 2009. General   Ward   upto    Rs.13950/-   in revised scales(6 CPC) Semi -Private Rs.13960 to Rs.19530/- Private ward Rs.19540 and above
8	I have lost my CGHS Pensioner Token card. What should I do to get a Duplicate Card	Application is to be submitted to AD/JD along with with a copy of FIR, and two photographs and a IPO for Rs. 5/- In case of Plastic Card IPO for   Rs.50 shall be submitted. Indian Postal Order payable to” P.A.O. CGHS Delhi” if in Delhi or” Additional Director of the CGHS City”
9	am a serving employee residing in a    place close to a      city covered under CGHS. Can I get CGHS card issued   from  the   nearest  CGHS city?	No
10	I am a pensioner and I stay in an area not covered under CGHS. I get Rs.100 as medical allowance with   pension.  Can   I   get   CGHS facilities? What is the procedure? Do   I   have   to   get   the   medical allowance discontinued ?	You  can  obtain  CGHS facilities from nearest CGHS covered city. If you avail Rs.100/- for OPD medicines - CGHS card shall be issued only for indoor treatment. If you opt to forego medical allowance of Rs. 100 a certificate from concerned authorities  (like  Bank)  that   medical allowance has been discontinued shall be submitted   before you   can  obtain CGHS    cards    from    nearest    CG HS covered city for both OPD medicines & indoor treatment.
11	If I am a CGHS city card holder and   my family members go to other CGHS covered city what is the procedure of treatment for my family members	Temporary authority is issued by the respective Department for the family members for their treatment in another CGHS covered city.
12	I am    a   pensioner and  reside in Pitampura in North Delhi in Delhi. Can     I     get     my    CGHS   Card registered    at    Vivek    Vihar   in eastern part of NCR	No. Card is to be registered in the CGHS WC nearest to your residence
13	I am a pensioner and had my card registered at RK Puram Sector 8 dispensary in   1999.   Now I have shifted to Dwarka. Can I be forced to shift my dispensary	CGHS   card is registered at the CGHS WC    nearest  to   the       residence   of pensioner beneficiary. However   ,     if    a    card    is    already registered  at   a   particular dispensary there   is   no  compulsion to   shift  to another dispensary in case of change of residence.
14	My husband/wife is also employed under Central Government and is eligible for a separate CGHS Card. Is it necessary that separate cards are to be obtained?	No Spouse drawing higher pay shall make the card and other spouse is eligible to avail CGHS benefits as member
15	I   retired from  service/took VRS. However, I have not yet received my PPO. How can I get a CGHS Card made as I need medicines regularly   for   treatment  of    my hypertension?	In case PPO is not ready for any reason there   is   provision to  get   provisional card for six months only , on the basis of Last Pay Certificate.
16	I have retired from    Delhi. Now I want to settle at city where no CGHS facility is available . How to cover my family for medical care?	Pensioners eligible for CGHS facilities can    get   the   CGHS  card   from  the nearest CGHS covered city
17	I    retired  in   1998   from  Central Govt. but, I never made a CGHS card. Can I get a card now?	Yes,
18	Can    a    beneficiary  avail   CGHS facility if he resides in an area not covered by WC	For pensioners ,Yes Serving   employees  shall  be   covered under CS(MA) Rules
19	I am CGHS beneficiary at Kanpur. Visiting Mumbai for 6 months Can I get CGHS facilities at Mum bai Can same card of Kanpur continue or a separate card to be made From where to get permission for the same	Yes No,   pensioners shall approach AD of visiting city with copy of his card for obtaining  temporary  permit to   avail CGHS facilities. In   case   of serving    employees  such temporary   permit  is   issued  by   his parent department.
20	What is the procedure for getting dispensary          changed           for Serving/Pensioners card holders?	CM0 I/c shall do the needful. In computerized dispensaries the Data of     beneficiaries   is    transferred   to another dispensary. The dispensary where the card is transferred accepts the Data transfer.
		In non-Computerized dispensary, CM0 i/c issues a transfer letter along with Index. Serving   employees  -    Apply through the department, concerned Pensioners – Apply directly to CM0 I/c of WC
21	My husband retired in 2002. He was paying CGHS subscription every year. After his death can I get Card on my name. Do have I to pay extra Shall I get Life Time Valid card	Yes, card can be made in the name of spouse    on   submission  of    required documents. No extra payment to be made, in case of life time cards. However in other cases one has to pay 10 years subscription for life time card For      example,    if    the    spouse   had contributed for seven years before he expired   ,    balance  payment  for  the remaining three years is to be paid for a life time card. Documents required i)     Application in prescribed format ii)    Proof of Family Pension with its break                   up   components                             from Bank. iii) Prescribed contribution, if the card                  is    not   for   whole   life validity. Photos of eligible members.
22	My husband retired from Central Government but, no CGHS card was made as a pensioner. I am drawing family pension. Can I get pensioners’ CGHS Card now ?	Yes
23	My father / hiusband was a CGHS pensioner Card holder. He died last month.  Can   I   still  avail   CGHS facilities ?	Yes CGHS pensioner card is issued in the name of dependent getting the family pension, by AD / JD of the city Documents required iv)   Application in prescribed format v)    Proof of Family Pension with its break                   up   components                             from Bank. vi) Prescribed contribution, if the card                  is    not   for   whole   life validity. vii) Photos of eligible members.
24	Who is competent to delete name of sons who have crossed age of 25 years	CM0 I/c of Wellness centre In    computerized  dispensaries  ,    the system          automatically         blocks registration.
25	Who   is   competent  to   transfer	CM0 I/c of Wellness centre
	pensioner card from one WC to other
26	I am an IAS officer and my husband an IPS officer. We are both belong to AP Cadre and now posted in Delhi on deputation. In whose name card to be made ? Will both pay CGHS subscription ?	One   spouse  with  higher  salary  can make card and other spouse can have CGHS   facilities   on   same   card    as member Only the spouse in whose name the card    is    issued       shall   pay    CGHS subscription
27	I am an IPS officer and my wife, an IAS officer. Both of us belong to AP Cadre and now posted in Delhi on deputation. I am in Central Govt. but my wife is with Delhi Govt. Can I have our children names in my CGHS Card while my wife can have facilities from Delhi Govt.	Yes
28	After retirement in 2007 I got a Life time Pensioner CGHS card made in Delhi. Now I am shifting to Dehradoon. Can I use the same card. Do I pay again	No, CGHS Card is to be      surrendered in   the   office   of   AD-HQ  Delhi,     a surrender certificate and NOC are to be obtained and a fresh card shall have to be obtained from the       office of JD- Dehradoon No extra fee to be paid, if the card is for life time
29	I have a CGHS Pensioner card. My daughter has got married. Whom should I report to get her name deleted from card	CM0 I/c of the Wellness Centre
30	I got a Lifetime pensioner CGHS Card made in 2007. Now in 2009 I wish to surrender CGHS card. Shall I get balance amount of subscription refunded	No
31	I live in Gurgaon but my office is in Saket. Can I avail facilities from both the places because it is convenient for me	No Department   issues   CGHS   Card    at dispensary    as     per    the   residential address.