Guidelines for CGHS beneficiaries to get Cashless treatment facilities in AIIMS and JIPMER Hospitals
The Minister of State for Health and Family Welfare, Dr. Bharati Pravin Pawar, provided detailed information regarding the cashless treatment options available to CGHS beneficiaries at AIIMS and PGIMER Hospitals during a parliamentary session held on December 5th, 2023.
According to the Minister, the Government has made the decision to enable cashless treatment for CGHS beneficiaries in these hospitals. To implement this decision, Memorandums of Agreement (MoAs) have been signed between CGHS and several institutions including AIIMS in New Delhi, PGIMER in Chandigarh, JIPMER in Puducherry, as well as AIIMS branches located in Bhopal, Bhubaneswar, Jodhpur, Patna, Raipur, Rishikesh, Bilaspur, Rajkot, Kalyani, Bhatinda, Bibinagar, Guwahati, Deoghar, and Mangalagiri.
These MoAs aim to facilitate cashless treatment and investigation services for pensioner beneficiaries and other eligible categories of CGHS beneficiaries at these renowned institutions.
The guidelines related to treatment of CGHS Pensioner beneficiaries and other entitled class of beneficiaries are as under:
- CGHS Pensioners and other beneficiaries entitled for cashless treatment like ex-MPs, ex- Governors, former Judges of Supreme Court of India , former Judges of High Courts, Freedom Fighters, etc., holding a Valid CGHS Card are eligible for cashless treatment at AIIMS.
- The validity of the CGHS card and the ward entitlement are printed on CGHS Card.
- AIIMS shall create a Special desk for CGHS beneficiaries.
- Entitled CGHS beneficiaries shall present their CGHS Card for verification at CGHS Desk.
- CGHS shall facilitate verification of card details on line from CGHS Data base in consultation with NIC.
- Entitled CGHS beneficiaries shall submit a self attested copy of CGHS Card of self. In case of treatment of a dependant family member copy of the CGHS card of self and family member shall be submitted.
- CGHS Desk at AIIMS refers the beneficiaries to OPD / Investigations / Indoor treatment as the case may be.
- Bills in physical form along with copy of CGHS card shall be submitted by AIIMS in the last week of month to the office of Addl. Director, CGHS of concerned City.
- AIIMS shall send bill to CGHS as per AIIMS rates, except in case of Room rent for Indoor treatment. Bills for room rent shall be sent to CGHS as per prescribed rates for empanelled Hospitals. The beneficiaries are eligible for indoor treatment as per their ward entitlement, as indicated on their CGHS Card.
- AIIMS shall create a separate Bank Account for CGHS beneficiaries to reimburse the bills by CGHS.
- Additional Director, CGHS of concerned City shall process the bills expeditiously and payment shall be credited into the Bank Account created by AIIMS for CGHS.
- CGHS pensioners and others eligible for cashless treatment can avail treatment without any mandatory referral from CGHS.
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