Revision In CGHS Rates For Central Government Employees

Union Ministry of Health and Family Welfare has decided to revise the Central Government Health Scheme Package rates for all CGHS beneficiaries. The centre has also simplified the referral process under CGHS for the benefit of its employees. 

The decision is taken after considering the demands of the stakeholders and the increase in costs of various components of healthcare.

The CGHS package rates of consultation fees, ICU charges and room rent, as per details given under:

Revised CGHS rates:

Item

Existing

Revised

Consultation Fee –

          OPD Consultation

          IPD Consultation 

 

 

Rs 150

Rs.300

 

Rs 350

Rs 350

ICU charges –

includes Rs 750 for non-NABH hospitals and Rs 862* for NABH hospitals includes – monitoring, RMO charges, and nursing care and in addition Room rent is as per ward entitlement of beneficiary –general ward / semi-private ward / private ward is permitted.

*15% more for NABH accredited

 

Rs 862 for NABH + Room rent as per ward entitlement

 

Rs 5,400/- (Rs 862 + Rs 4,500/- for Private ward = 5,362- rounded to Rs 5,400) including accommodation for all ward entitlements.

Room Rent –

   General ward

   Semi-Private ward

   Private ward 

 

Rs 1000/-

Rs 2,000/-

Rs.3,000/-

 

Rs 1,500/-

Rs. 3,000/-

Rs.4,500/-


The referral process under CGHS has also been simplified. Earlier the CGHS beneficiary had to visit the CGHS Wellness Center himself and take a referral to the hospital. But now, if the CGHS beneficiary is unable to go, he can send someone on his behalf with his documents to the wellness centre. The medical officer can refer the beneficiary to go to the hospital after checking the documents. Apart from this, CGHS beneficiaries can also take referrals through video calls.

For the last six decades, Central Government Health Scheme has been providing comprehensive medical care to the Central Government employees and pensioners enrolled under the scheme. In fact, CGHS caters to the healthcare needs of eligible beneficiaries covering all four pillars of the democratic set-up in India namely Legislature, Judiciary, Executive and Press. CGHS is the model Health care facility provider for Central Government employees & Pensioners and is unique of its kind due to the large volume of the beneficiary base, and open ended generous approach of providing health care.

Presently approximately 42 lakh beneficiaries are covered by CGHS in 79 cities all over India and the endeavour is to include more cities to improve the accessibility of the services.

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