PROCEDURE TO GET A CGHS
PLASTIC CARD
Eligible serving employees/pensioners have to apply in the
prescribed form (available on CGHS website www.cghs.nic.in and in the wellness
centers)
The form should be
completely filled up with individual photographs pasted as specified in the
form
Following documents
need to be attached
In case of serving employee:
·
Proof of residence.
·
Proof of stay of dependents.
·
Proof of age of son.
·
In case of differently abled dependent son
above 25 years, disability certificate from competent authority as specified.
In
case of pensioners:-
In addition to 1 to 4 above:
Surrender certificate of CGHS Card (only if CGHS Card was issued during Service
Period).
Attested copies of PPO/Provisional
PPO/Last Pay Certificate (in case PPO is not readily available immediately
after retirement.)
Demand Draft in the name of “PAO
CGHS New Delhi” (in case of Delhi) or Additional Director of the CGHS city
where the card is to be made.
The amount of Demand Draft will be
for contribution due for one year if the card is to be made for yearly renewal
basis and for 10 years if whole life card is required.
Dependency criteria-
In pursuance of the recommendations of the Sixth Central Pay Commission, it has
been decided that for availing the medical facilities under the scheme, parents
(or parents-in -law in case of female employee), unmarried son till 25 years of
age, dependent unmarried/widowed/divorced/separated daughters and sisters,
minor brothers will be deemed dependent on the Government employee if they are normally
residing- with him and their income from all sources including pension and
pension equivalent of DCRG benefit is less than Rs. 3500 +DA per month. This
criteria does not apply to spouse and disabled son irrespective of age (please
see definition of disability in instructions for filling CGHS card)
Channel of
submission:-In case of serving employees the application is to be submitted
through the department after due endorsement. In case of Pensioners the
application with enclosures are to be submitted to Addl. Director (HQ) in Delhi
and concerned Addl. Director of the city.
Provision
for making pensioner CGHS card while in Service:-
A serving employee can
apply for a pensioner CGHS Card along with his pension papers.
Application with
enclosures and bank draft is to be forwarded to the CGHS through the office of
the employee. The pensioner Card will be issued on the day of retirement
(provided it is applied for at least six weeks before retirement date) and will
get activated from next day.
Addition/Deletion
of names in CGHS Cards
On the death of the
main card holder, the card becomes invalid and fresh card has to be applied for
by the spouse after he/she starts drawing the family pension. Old CGHS card and
a Death Certificate need to be attached with the application.
A serving employee on
marriage or on the birth of his/ her child may get the names of spouse /child
added to the card after submitting the form for addition duly endorsed by his
department
After the death of
spouse and death/marriage/employment of a son/daughter/dependent it is the
responsibility of main card holder to inform CGHS for necessary deletion of the
card
Validity of the CGHS Card
The service card will
be valid till the date of retirement if otherwise the employee is eligible. In
case of yearly contribution pensioner cards, in order to continue validity,
contribution is to be made prior to completion of the continuing year.
In case of transfer of
serving employee to a non CGHS covered area the service card will be valid for
the family members up to six months after transfer provided CGHS contribution
for 6 months is made before hand. CGHS card is valid in all CGHS cities for
treatment/investigation/Hospitalization. There is no need for transit permit to
get treatment in another CGHS city except for receiving high value medicines
classified as “lifesaving”/restricted supply medicines for which temporary
attachment to a wellness center is required.
Transfer of CGHS Cards
In case of serving
CGHS beneficiary transferred from one department /ministry to another in the
same city, the same CGHS card will continue. The new department/ministry will
duly inform CGHS so that necessary changes can be made in the database of the
employee. In case of transfer of a serving CGHS beneficiary from one CGHS
covered city to another, the CGHS card is to be surrendered in the existing
city of posting and a new CGHS card is to be issued from the new city of
Posting.
CGHS
Card for Pensioners residing outside CGHS Cities
Pensioners residing
outside CGHS covered area can opt for a regular CGHS Card or an IPD (Indoor
treatment) CGHS Card with fixed medical Allowance (in lieu of OPD treatment)
from the nearby CGHS city. IPD card holders will not be eligible for OPD
treatment & issue of medicines from CGHS Wellness Centers.
Click to Download
Application Forms
Application Forms
available for download for Plastic Card
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