Central Government Health Scheme (CGHS Mumbai)

Procedure for obtaining hearing aid from the Office of the Additional Director

Documents required to be submitted by pensioner beneficiary at parent Wellness Centre:

  • Request letter from Card holder.
  • Original letter of Recommendation of ENT specialist indicating left/right/both ear and the type of hearing aid.
  • Audiogram report duly authenticated by ENT Specialist.
  • Undertaking from Card holder that he has not been reimbursed the cost of hearing aid in the preceding five years for the said dependent.
  • Copy of CGHS card.

Hearing Aid

In case of serving employees, the permission shall be obtained from their parent department.

Terms & Conditions

Repair and maintenance of the hearing aid is the responsibility of the purchaser. The permission is given for a hearing aid carrying warranty of at least three years. 
The permission to other city card holders can be given. However, reimbursement shall be preferably from their parent Wellness Centre/ CGHS city. 
Replacement may be allowed after five years. 

Reimbursement procedure

Documents required are:

  • Covering letter from Card holder.
  • Copy of CGHS card.
  • Duly filled claim form and bank mandate form and other relevant documents.
  • Recommendation of ENT specialist indicating left/right/both ear and the type of hearing aid.
  • Audiogram report duly authenticated by ENT specialist.
  • Undertaking from Card holder that he has not been reimbursed the cost of hearing aid in the preceding five years for the said dependent.
  • Bill/Receipt (original) indicating the details of the hearing-aid seller ie. name, qualification, and RCI/MCI registration number.
  • Payment proof.
  • The original permission letters.
  • Empty box/boxes or the cartons with the label showing the details of the hearing aid.
  • Copy of Warranty card for three years.
  • After purchasing hearing aid, beneficiaries must follow up with CGHS Specialist after one month & every three months thereafter till one year.

The reimbursement is restricted to prevailing ceiling rates fixed by CGHS or the actual whichever lower

  • Type of hearing aid : Body worn/Pocket type

    Ceiling rate : Rs 3,000

  • Type of hearing aid : Analogue BTE

    Ceiling rate : Rs 7,000

  • Type of hearing aid : Digital BTE

    Ceiling rate : Rs 15,000

  • Type of hearing aid : ITC/CIC

    Ceiling rate : Rs 20,000

Revision of rate and guidelines for reimbursement of expenses on purchase of Hearing AIDS under CSMA Rules, 1944 and CGHS Regarding.pdf(170.38KB) 

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