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Central Government Health Scheme

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Central Government Health Scheme

Organisation under the Ministry of Health and Family Welfare
Organisation Overview
Abbreviation CGHS
Formed July 1, 1954 (70 years ago) (1954-07-01)
Country  India
Parent agency Ministry of Health and Family Welfare
Website https://cghs.gov.in/
Organisation Executive
Additional Secretary & Director General, CGHS Roli Singh (IAS)
Joint Secretary, CGHS Dr. Manashvi Kumar (IAS)
Director, CGHS Dr. Satheesh Y H (CHS)

Central Government Health Scheme (CGHS) is a scheme for providing healthcare to the serving as well as the retired Central Government Employees and their family members. CGHS is functioning under the Ministry of Health and Family Welfare (MoHFW) and the officers of the Central Health Service (CHS) provide healthcare to the beneficiaries and handles the administration of the wellness centres located throughout India.[1][2]

The Central Government Employees not residing in CGHS covered cities are entitled to medical care under Central Services (Medical Attendance) Rules.[3]

History

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Central Government Health Scheme (CGHS) was established on 1st July 1954.[4] It was initially introduced in Delhi as the Contributory Health Service Scheme under the administrative control of the Directorate General of Health Services (Dte.GHS).[5][6] Initially there were 16 Dispensaries catering to 53,000 Government Employees and a total of 2,23,000 beneficiaries.[6] Prior to CGHS, employees had to claim reimbursement of medical expenditure under Central Services (Medical Attendance) Rules. CGHS was introduced with a purpose of providing a more comprehensive healthcare to the Central Government Employees and to make the system more efficient and hassle-free. The scheme was later extended to several other categories of officials, such as members of parliament, supreme court judges, etc.

Over the years, CGHS wellness centres were expanded to cover more and more cities throughout India.[7]

Organogram

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Directorate of CGHS
AS&DG, CGHS
JS, CGHS
Director, CGHSDirector, EHS
Additional Director
(HQ)
Additional DDG
(HQ)
Additional Directors
(4 zones of Delhi)
Additional Director MSDAdditional Director (Admin)
Additional Director (R&H)
Additional Directors
(outside Delhi)
Chief Medical Officers
(Wellness Centres)
Chief Medical Officers
(Wellness Centres)

Beneficiaries

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Central Government Employees, serving as well as retired, and their family members are eligible for CGHS benefits. The serving employees should be residing in a CGHS covered city to be eligible to subscribe to CGHS scheme. For pensioners, this is not necessary. At the time of retirement, the pensioner can choose to avail either CGHS benefits or the Fixed Medical Allowance (FMA).[8][9]

CGHS also have several other categories of beneficiaries, which were added over the years, such as Members of Parliament, Judges of Supreme Court and High Courts, employees of certain autonomous organisations covered under the scheme, Railway Board employees, etc.[10][11]

Subscription

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A subscription amount is deducted from the Pay of the Central Government Employee every month for coverage under CGHS scheme. For Pensioners, either monthly payment or a one-time lifetime payment of subscription can be chosen at the time of retirement.[12]

Monthly Contribution for availing CGHS facility
Sl. No. Corresponding Levels in the Pay Matrix as per 7th CPC Contribution (₹/ Month)
1 Level 1 - 5 250
2 Level 6 450
3 Level 7 - 11 650
4 Level 12 and above 1000

CGHS Covered Cities

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Currently CGHS wellness centres are functioning in 80 cities all over India.[13]

List of CGHS covered cities
Sl. No. State / Union Territory[14] Additional Director Office CGHS City
1 Gujarat Ahmedabad Ahmedabad
2 Vadodara
3 Gandhinagar
4 Karnataka Bangalore Bengaluru
5 Mysuru
6 Madhya Pradesh Bhopal Bhopal
7 Indore
8 Jabalpur Jabalpur
9 Odisha Bhubaneswar Bhubaneswar
10 Berhampur
11 Cuttack
12 Chandigarh (UT) Chandigarh Chandigarh
13 Jammu & Kashmir (UT) Jammu
14 Srinagar
15 Himachal Pradesh Shimla
16 Haryana Ambala
17 Panchkula
18 Sonipat
19 Punjab Amritsar
20 Jalandhar
21 Tamil Nadu Chennai Chennai
22 Coimbatore
23 Tiruchirapalli
24 Tirunelveli
25 Puducherry (UT) Puducherry
26 Uttarakhand Dehradun Dehradun
27 Delhi-NCR Delhi-NCR Delhi-NCR (Delhi, Faridabad, Ghaziabad, Greater Noida, Noida, Gurgaon, Indirapuram, Sahibabad)
28 Assam Guwahati Guwahati
29 Dibrugarh
30 Silchar
31 Sikkim Gangtok
32 Mizoram Aizwal
33 Nagaland Kohima
34 Meghalaya Shillong Shillong
35 Tripura Agartala
36 Manipur Imphal
37 Telangana Hyderabad Hyderabad
38 Andhra Pradesh Guntur
39 Nellore
40 Rajahmundry
41 Vijayawada
42 Visakhapatnam
43 Rajasthan Jaipur Jaipur
44 Jodhpur
45 Ajmer
46 Kota
47 West Bengal Kolkata Kolkata (including Ishapore)
48 Siliguri (including Jalpaiguri)
49 Uttar Pradesh Allahabad (Prayagraj) Prayagraj
50 Varanasi
51 Kanpur Kanpur
52 Gwalior
53 Lucknow Lucknow
54 Agra
55 Bareily
56 Gorakhpur
57 Meerut Meerut
58 Saharanpur
59 Moradabad
60 Aligarh
61 Baghpat
62 Goa Mumbai Panaji
63 Maharashtra Mumbai
64 Nashik
65 Pune Pune
66 Chhatrapati Sambhaji Nagar (Aurangabad)
67 Nagpur Nagpur
68 Chandrapur
69 Chhattisgarh Raipur
70 Bihar Patna Patna
71 Darbhanga
72 Gaya
73 Chhapra
74 Muzaffarpur
75 Jharkhand Ranchi Ranchi
76 Dhanbad
77 Kerala Thiruvananthapuram Trivandrum
78 Kozhikode
79 Kochi
80 Kannur

Functioning of the Wellness Centres

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The Wellness Centres are headed by Chief Medical Officer (CMO) in-charge and functions on Monday to Saturday 7:30AM to 2PM. The staff pattern is as per Staff Inspection Unit (SIU) norms based on workload, and a Medical Officer is expected to attend to 75 patients in 6 hours.[15][16]

Services and Benefits

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Through the wellness centres located at several cities across India, the beneficiaries can avail medical consultations and are provided medicines free of cost. Those beneficiaries requiring expert evaluation are referred to hospitals known as Healthcare Organizations (HCOs) empaneled under CGHS. In addition to Modern Medicine, the beneficiaries can also avail healthcare under Indian Systems of Medicine, such as Ayurveda, Unani, Sidha, Yoga and also Homeopathy.[17][18][19]

Serving employees of the Ministry of Health and Family Welfare, Pensioners, Members of Parliament, etc., are eligible for cashless treatment at the empaneled hospitals.[10]

References

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  1. ^ https://ladakh.gov.in/a-healthcare-milestone-cghs-wellness-centre-to-benefit-ladakhs-central-government-employees/
  2. ^ https://timesofindia.indiatimes.com/india/cghs-per-capita-spend-6x-of-general-populations/articleshow/94441353.cms
  3. ^ https://eparlib.nic.in/handle/123456789/58118?view_type=search
  4. ^ cnbctv18: Why CGHS is in need of an urgent transfusion as a health scheme.
  5. ^ Twenty-Second Report(1981-82) on Central Government Health Scheme pertaining to Ministry of Health and Family Welfare
  6. ^ a b Report of the Contributory Health Service Scheme Assessment Committee, 1962
  7. ^ https://www.ndtv.com/india-news/threefold-rise-in-central-government-health-scheme-cghs-wellness-centres-report-3323776
  8. ^ https://pensionersportal.gov.in/medical%20benefits4retirees-sc.aspx
  9. ^ https://timesofindia.indiatimes.com/india/now-male-central-govt-employees-too-can-include-parents-or-parents-in-law-as-cghs-beneficiaries/articleshow/102152625.cms
  10. ^ a b https://chti.rajbhasha.gov.in/pdf/faq2.pdf
  11. ^ https://www.newindianexpress.com/states/kerala/2019/Sep/30/central-government-health-scheme-wellness-centre-to-open-in-kochi-soon-2041080.html
  12. ^ https://mohfw.gov.in/sites/default/files/Revision%20of%20rates%20of%20subscription%20under%20Central%20Government.pdf
  13. ^ https://health.economictimes.indiatimes.com/news/policy/cghs-centres-to-be-expanded-from-80-cities-to-100-in-coming-days-union-health-minister/106022090
  14. ^ PIB: CGHS Wellness Centres
  15. ^ https://rsdebate.nic.in/bitstream/123456789/699863/1/IQ_249_09072019_U1863_p302_p303.pdf
  16. ^ 22nd Estimates Committee Report on CGHS, 1982
  17. ^ https://economictimes.indiatimes.com/industry/healthcare/biotech/healthcare/government-to-empanel-70-new-hospitals-labs-in-central-government-health-scheme/articleshow/19541157.cms?from=mdr
  18. ^ https://www.hindustantimes.com/pune-news/central-government-health-scheme-pune-beneficiaries-cry-for-better-facilities/story-bCpM1Zxuc7wsogSPQl8cfO.html
  19. ^ https://timesofindia.indiatimes.com/city/goa/pvt-hosps-not-keen-on-empanelling-under-central-govt-health-scheme/articleshow/81382908.cms