CGHS Ward Entitlement and Room Rent for Pensioners as per 7th pay commission
Central Government Health Scheme (CGHS) Ward Entitlement, Room rent for CGHS beneficiaries and Monthly Subscription after implementation of 7th Pay Commission (CPC)
CGHS Room Rent 2020
The room rent (accommodation charges) for different categories of wards as given below and is applicable only for treatment procedures for which there is no CGHS prescribed package rate.
- General ward: Rs. 1000 per day
- Semi-private ward: Rs. 2000 per day
- Private ward: Rs. 3000 per day
- Daycare (6 to 8 Hrs.): Rs. 500 (same for all categories)
Room rent will include charges for occupation of bed, die for the patient, charges for water and electricity supply, linen charges, nursing charges and routine up keeping.
During the treatment in ICCU or ICU, no separate room rent will be admissible.
CGHS Ward Entitlement 2020
Ward Entitlement and CGHS Contribution Entitlement of wards in private hospitals empanelled under CGHS (Based on basic pay in pay band):
(1) = S.No., (2) = Ward Entitlement, (3) = Corresponding Basic pay drawn by the officer in 7th CPC per month
|1||General Ward||Upto Rs. 47,600/-|
|2||Semi Private Ward||Rs. 47,601 to 63100/-|
|3||Private Ward||Rs. 63101 and above|
Revised Monthly Subscription for CGHS after 7th pay commission
(1) = Corresponding levels in Pay Matrix as per 7th CPC, (2) = Contribution per month
|Pay Matrix Level 1 – 5||Rs. 250|
|Pay Matrix Level 6||Rs. 450|
|Pay Matrix Level 7 – 11||Rs. 650|
|Pay Matrix Level 12 and above||Rs. 1,000|
Contribution to be made by the Pensioners/Family Pensioners would be the amount that they were subscribing at the time of their retirement or at the time of the death of government servant.
Monetary Ceiling for Free Diet
The monetary ceiling for free diet for CGHS beneficiaries is revised to pay/ pension – family pension of Rs. 44,900 per month.
Monetary ceiling for free diet for beneficiaries suffering from TB or Mental disease
The monetary ceiling for free diet in case of beneficiary suffering from TB or Mental diseases revised to pay-pension-family pension of Rs 69,700 per month.
Pay slab for determining the entitlement of Nursing Home facilities in Government – State Government – Municipal Hospitals
The monetary ceiling for determining the entitlement The monetary ceiling of nursing home facilities in Central Government – State Government – Municipal Hospitals is revised to pay – pension – family pension Rs. 47,600 per month and above.
Monetary Ceiling for direct consultation with Specialists in Central Government / State Government / Municipal Hospital
The monetary ceiling for determining the entitlement for direct consultation with Specialists in Central Government – State Government /Municipal Hospitals will continue at the existing rates until revision of the Same after consultation with Ministry of Finance.
Pay slab for determining the entitlement of accommodation in AIIMS, New Delhi.
The revised entitlement, as per the pay drawn by the officials, is as follows:
(1) = S. No., (2) = Corresponding Basic Pay drawn by the Officer in 7th CPC per month, (3) = Ward entitlement
|1.||Up to Rs. 63,100||General|
|2.||Rs. 63,101 to Rs. 80,900||Private|
|3.||Rs. 80,901 and above||Deluxe / Private|
CGHS Pacakge Rate as per CS(MA) Rules
Package Rate includes all the expenses for in-patient treatment, daycare, diagnostic procedures. As per the CS(MA) Rules beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge, including (but not limited to):
- Registration charges
- Admission charges
- Accommodation charges
- Diet charges
- Operation charges
- Injection charges
- Dressing charges
- Doctor consultant charges
- ICU/ICCU charges
- Monitoring charges
- Transfusion charges
- Anesthesia charges
- Operation theatre charges
- Procedural charges
- Surgeon fee
- Surgical disposables cost
- Medicines cost
- Physiotherapy charges
- Nursing charges
The cost of implants is reimbursable in addition to package rates as per CGHS ceiling rates for implants.
Treatment charges for newborn babies are separately reimbursable in addition to delivery charges for mother.