Guidelines for special provisions to CGHS beneficiaries aged 80 years and above

CGHS Beneficiaries Aged 80 and above to get easy access to Doctors

The Central Government Health Scheme (CGHS) has established guidelines that cater to the special needs of its beneficiaries who are aged 80 years and above. These guidelines offer provisions that address the unique health concerns and requirements of this age group, including regular health check-ups, access to specialized medical care, and priority in hospital admissions. Additionally, CGHS beneficiaries aged 80 years and above can avail themselves of various health and wellness services, such as yoga and physiotherapy, to help maintain their physical and mental well-being. These guidelines aim to ensure that elderly CGHS beneficiaries receive the best possible care and support as they age gracefully.

Government of India
Ministry of Health and Family Welfare
Department of Health Family Welfare
Directorate General of CGHS

Nirman Bhawan, New Delhi 110 011

Dated the 11th July, 2017

OFFICE MEMORANDUM

Subject: – Guidelines for special provisions to CGHS beneficiaries aged 80 years and above

With reference to the above mentioned subject the undersigned is directed to convey the approval of competent authority for special provisions under CGHS to the beneficiaries aged 80
years and below.

a) +Consultation of Doctor at CGHS Wellness Centre without standing in Queue

b) CGHS Doctors shall enquire by phone, at least once in a month to enquire about their well-being / make a home visit if residing within 5 K.M.s of CGHS WC

c) Settlement of medical claims on priority out of turn

d) Follow up treatment from same specialist in non-empanelled hospital from where he/she was earlier taking treatment- as a special case in view of advanced age and to difficulty to change physician subject to the reimbursement limited to CGHS rates and collection of medicines as per CGHS guidelines.

sd/-
(dr.D.C.Joshi)
Director, CGHS

Beneficiaries aged 80 years and below are eligible for special provisions under CGHS.

The special provisions include consultation of a doctor at CGHS Wellness Centre without standing in queue, CGHS doctors enquiring by phone at least once a month to enquire about their well being, settlement of medical claims on priority out of turn and follow up treatment from same specialist in non-empanelled hospital from where they were earlier taking treatment.

Yes, these special provisions are only available to beneficiaries aged 80 years and below.