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Health Insurance 5059 views January 9, 2020
The Central Government Health Scheme (CGHS) is a medical insurance scheme offered by the government of India to all the current as well as previous employees. It is a very affordable and wholesome form of health insurance that the employees and their dependent family members benefit from. The insurance coverage is comprehensive and available at multiple locations across the country. Take a look at this article to know more about the CGHS and how you can also benefit from it.
Table of Contents
Let us begin by checking out the beneficial features of this health insurance scheme:
1. In-hospital care – All expenses related to the hospitalization of an insured person are covered under the CGHS.
2. Domiciliary care – If the employee or his dependents need domiciliary care (home treatment), a claim can be made against the CGHS.
3. Pharmacy Expenses – The pharmacy expenses incurred during an illness are also covered under the CGHS. You can get the pharmacy bills reimbursed after you pay the money yourself.
4. Diagnostic Tests – If you need to undergo any diagnostic tests such as blood tests, x-rays, etc, you can make a CGHS claim.
5. OPD Expenses – The expenses incurred when visiting consultant doctors in the OPD department will also be covered under the CGHS.
These are the covers available under the Central Government Health Scheme (CGHS). If you are enrolled in the CGHS, you too shall be entitled to enjoy these beneficial features and covers.
The enrollment in the CGHS can happen in two cases. One, for the existing employees and another one for the retired employees. Here’s a detailed lowdown:
For both the categories, the dependent family members of the insured are also covered. The dependents receive all the benefits and covers of the CGHS as well.
The government has tied-ups with various hospitals and health care centres around the country where an insured can get the scheme. You must note an important point here – the CGHS scheme is strictly available only at the partner health care centres and not every hospital in India. It is also restricted to some cities and towns and may not be available at every single location in the country. The towns and cities where you do find the CGHS centres include:
Agartala | Delhi & NCR | Jammu | Puducherry |
Ahmedabad | Gandhinagar | Kanpur | Raipur |
Aizwal | Gangtok | Kolkata | Ranchi |
Allahabad | Goa | Kohima | Shillong |
Bengaluru | Guwahati | Lucknow | Shimla |
Bhopal | Hyderabad | Meerut | Thiruvananthapuram |
Bhubaneshwar | Imphal | Mumbai | Vishakhapatnam |
Chandigarh | Indore | Nagpur | |
Chennai | Jabalpur | Patna | |
Dehradun | Jaipur | Pune |
It is a good idea to check with the hospital before you get admitted. If you find out after the treatment is done that the hospital is not a CGHS listed hospital, there is no way in which you can use the scheme coverage there.
If you are a present or past employee of the following, you can make use of the CGHS:
The list is quite extensive and most of the government employees benefit from this scheme.
Summary
Now that you know more about the Central Government Health Scheme (CGHS), take full advantage of it as an employee of the Indian Government. From hospitalization expenses to OPD visits, you can get many covers and stay healthy when enrolled in this wonderful government health insurance scheme.