Central Government Health Scheme (CGHS) - Scheme & Eligibility

Written by Dr. Sameer Sippy | Medically Reviewed by The Medindia Medical Review Team  on Mar 03, 2016
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Scheme and Eligibility

The CGHS beneficiaries can avail numerous benefits under the Central Government Health Scheme which is comprehensive in nature. This scheme is operational only in India, hence is valid for only Indian Government Employees.

This scheme is applicable to the following categories of people residing in CGHS covered cities:

  • All Central Govt. Servants paid from Civil Estimates (other than those individuals employed in Railway Services, individuals employed under Delhi Administration except members of Delhi Police Force).
  • Pensioners drawing pension from Civil Estimates and their family members (Pensioner residing in non- CGHS areas also may obtain CGHS Card from nearest CGHS covered City)
  • Honorable Members of Parliament
  • Honorable Judges of Supreme Court of India
  • Ex-Members of Parliament
  • Employees & Pensioners of Autonomous Bodies covered under CGHS (Delhi)
  • Ex-Governors and Ex-Vice Presidents
  • Former Prime Ministers
  • Former Judges of Honorable Supreme Court and Honorable High Courts of India
  • Freedom Fighters


S. No.DependantsAge Limit
(i)SonTill he starts earning or attains the age of 25 years, whichever is earlier
(ii)DaughterTill she starts earning or gets married, irrespective of age limit, which ever is earlier
(iii)Son suffering from any Permanent disability Of any kind (physical/Mental)Irrespective of age limit
(iv)Separated from their husband/widowed daughter and dependant divorced/Abandoned or dependant Unmarried /Divorced/Abandoned or Separated from their Husband/widowed sistersIrrespective of age limit
(v)Minor BrotherUpto the age of becoming a major

CGHS provides service through following categories of systems:

  • Allopathic
  • Indian System of Medicines e.g. AYUSH (Ayurveda, Unani, Yoga, Siddha and Homeopathy) Systems of Medicine.


  1. National Portal of India - (india.gov.in/citizen/health/cghs.php)
  2. CGHS - Kolkata - (cghskolkata.nic.in)
  3. CGHS - Mumbai - (http://cghsmumbai.gov.in/)

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Respected sir,
one of out official's wife got treated in Max super speciality Hospital , Patparganj during 4.3.2018 to 6.3.2018 towards treatment of 'RT Loower UretericStricture RT secondary PUJO RT Renal Calculus . Where in their billing Hospital has charged for 'Ureteric Catherterisation 50 % is of Rs. 4927/- while as per CGHS Code No. 746 [2014 ] rate is mentioned as Rs. 794/-. The clarification and correct rate is of the procedure may please be given.
Ajay Sharma
Finance HQ
National Productivity Council
Lodhi Road N Delhi

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Complain from the TEACHERS of Kendriya Vidyalaya Sangathan KOLKATA REGION.
As a capacity of THE GENERAL SECRETARY, AIKVTA, Kolkata Region, I am complaining against The Additional Director CGHS, Kolkata. Earlier 25 years CGHS facility was continued but now it was stopped from few months and teachers are debarred to avail the CGHS facility. This facility is continued in other metropolitan towns like Mumbai, Delhi, Chennai and other places where this facility is available. We are deducting CGHS contribution every month from salary but By order of The Additional Director CGHS, Kolkata, Wellness Hospitals refused to give treatment. So, I beg for issuing order for treatment of K.V. teachers in CGHS of Kolkata Wellness Center.

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Hi All, I am an IT professional and the new proposed scheme looks like the best. CGHS has many draw backs like should be in city to get cards, not all states have good hospitals. Big headache with reimbursement. Modi is doing good job tweet him to support new insurance scheme instead of CGHS which might speed up the process and all employees and retired employees will get insurance cards which never expires in there life time and cashless benifits

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