Circulars

 

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Eligibility

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Govt. Servant responsible for Deletion of the name of an ineligible Dependent.

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Instructions regarding issue of Medicines to the CGHS Beneficiaries for Chronic Illness, Reiterated.

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Reimbursement of Claims relating to Medicines prescribed outside the CGHS Formulary procedure from Chemists.

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Cost of Medicines purchases by CGHS Beneficiaries for OPD Treatment are not reimbursable.

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Conditions for supply of OPD Medicines for major diseases prescribed by the Specialists of Private Hospitals recognized under CGHS, through CGHS Dispensaries.

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Medical Facilities to CGHS Beneficiaries while on Tour, Leave or in Emergency.

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Ceiling for Reimbursement of the Cost of Coronary Stents, Rotablotar, Single Chamber Pacemaker and Dual Chamber Pacemaker to CGHS Beneficiaries.

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Modification to instructions regarding Reimbursement of the Cost of Coronary Stents, Rotablator, Single Chamber Pacemaker and Dual Chamber Pacemaker.

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Reimbursement of the Cost of Heart Pacemaker to CGHS beneficiaries.

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Provision of Cypher stent (Serolimus Eluding Coronary Stents) to the CGHS beneficiaries.

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Reimbursement of the Cost of Knee and Hip Implants.

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Revised Ceiling for Reimbursement of Expenses on Purchase/Replacement of Hearing Aid.

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Reimbursement of Complete Denture for CGHS Beneficiaries including Pensioners and their family members.

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Follow-up Treatment of CGHS Beneficiaries in Recognized Hospitals.

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Reimbursement of the cost of OPD medicines for treatment in post operative conditions like Cardiac Surgery, Organ transplantation, Knee/hip replacement, Neuro surgical/neurological cases and cancer.

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Fixation of Ceiling Limit for nebulizer to be reimbursed under CGHS and CS(MA) Rules.

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CGHS Facilities to the Family Members of Central Government Servant no residing with him/her.

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Issue of Temporary Family Permits on Transfer of Employees.

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Issue of Temporary Family Permit on Deputation/Foreign Assignment of Employees.

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Temporary Family Permit to the family members of the Government servant transferred to North-Eastern States.

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Temporary Family Permit to the family members of the Government servant transferred to Andaman & Nicobar Islands or Lakshadweep.

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Reimbursement when Pensioners take Treatment Immediately after Retirement before getting CGHS card.

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Condonation of Delay in getting CGHS cards prepared by Pensioners.

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Decentralization of Settlement of Medical Claims of CGHS beneficiaries.

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Reimbursement of Medical Claims in respect of Officials admitted in the Hospitals before Retirement and discharged after Superannuation.

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Procedure for Referral to Recognized hospitals Simplified.

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Delegation of Powers under CGHS relating to refereal system, Permission cases and Ex Post Facto Approval