Guidelines for settlement of Medical claims of pensioners and others

Guidelines for settlement of Medical claims of CG pensioners

The guidelines set forth by the government provide a clear framework for the settlement of medical claims for not only pensioners but also for anyone seeking reimbursement for medical expenses. These guidelines outline the necessary documentation required for the claim, the time frame for claim submission, and the specific procedures for processing and disbursing the claim. By following these guidelines, individuals can receive the necessary financial support for their medical needs, ensuring that they can prioritize their health without undue financial burden.

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
EHS Section

No.Z.15025/51/2018/DIR/CGHS/EHS

Nirman Bhawan, New Delhi
Dated the 6th June, 2018

OFFICE MEMORANDUM

Subject : Guidelines for settlement of Medical claims of pensioners and others-

With reference to the above subject the undersigned is to draw attention to the reused timelines and constitution of High Powered Committee in compliance of the directions of Hon’ble Supreme Court of India in their Judgement in the WP(Civil) NO 694 Of 2015 between Shiva Kant Jha Vs 001 delivered on 13th April 2018 and to state that it has been decided to issue guidelines to the Additional Directors of CGHS for implementing these decisions. The new guidelines are enclosed for perusal and compliance.

(Dr.D.C Joshi)
Director.CGHS

Click to view Guidelines to Process

These guidelines are beneficial to anyone seeking reimbursement for medical expenses, not just CG pensioners.

The guidelines cover the necessary documentation required for the claim, the time frame for submitting the claim, and the procedures for processing and disbursing the claim.

The required documents vary depending on the type of claim being submitted. Generally, you will need to provide a valid form of identification, medical bills and receipts, proof of payment, and a copy of the CG pensioners’ medical insurance policy.

The time frame for processing and disbursing the claim can vary depending on the complexity of the claim. Generally, claims are processed and disbursed within 4-6 weeks after submission.