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.
- Hearing aid trial report
- 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.
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 : Digital BTE
Ceiling rate : Rs 8,000
Type of hearing aid : Digital ITC/CIC
Ceiling rate : Rs 9,000