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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 are the revised rules?
As per the revised rules, cardholders will not require referral in case of emergency. In this case, cardholders will be able to directly avail cashless treatment and access services at all major government hospitals including All India Institute of Medical Sciences (AIIMS) or Tata Memorial. Also, a single referral from the Central Government Health Scheme (CGHS) Wellness Centre 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 need additional approval within the three-month referral period for routine checkups and minor procedures. Referrals will be necessary for special tests costing more than Rs 3,000. Similarly, procedures requiring hospitalisation will also require prior approval.
The age limit for accessing these services has been reduced from 75 years to 70 years, thereby 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.