Guidelines on CGHS benefits to Central Government employees (service or retired) covered under NPS

Medical Benefits for Retirees

Medical Benefits for Retirees are available under the Central Government Health Scheme (CGHS) guidelines. These benefits cover both current and retired Central Government employees who are part of the New Pension Scheme. By providing comprehensive healthcare benefits to retirees, the CGHS ensures that they are able to lead comfortable and healthy lives post-retirement. These benefits can include hospitalization, diagnostic tests, and consultations with specialists, among other things.

S.11011/10/2012-CGHS(P)/EHS
Government of India
Ministry of Health and Family Welfare
EHS Section

Nirman Bhawan, New Delhi
Dated the 28 March, 2017

Office Memorandum

Sub: Guidelines on “CGHS benefits to Central Govt. employees (serving/retired) covered under New Pension Scheme”-reg

The undersigned is directed to say that the matter regarding extension of CGHS facilities to Central Govt. employees (serving/retired) covered under New Pension Scheme (NPS) was under examination in this Ministry.

2. The matter has been examined in this Ministry in consultation with Department of Expenditure and Department of Pension & Pensioner’s Welfare and the guidelines for NPS subscribers to be eligible for CG HS facilities are as follows:

(a) Minimum years of qualifying service for eligibility of CGHS membership after retirement- 10 years.

(b) No minimum qualifying years Of service for availing CGHS facilities in case of death/disability.

(c) In case of absorption into AB/SB’s, NPS subscribers can avail CGHS after their retirement only if the SB/AB where they were absorbed is covered for their retired employees, subject to condition (a) above.

(d) In case of deputation to AB/SB’s, no CGHS coverage till such period of deputation continues unless the entity to where the employee has been transferred is covered by CGHS.

(e) Status-quo to be maintained for‘serving NPS subscribers subject to conditions at (c) and (d) above.

(f) Other conditions such as definition of family, CGHS contributions, conditions of dependency etc will be applicable as per existing rules.

3. This issues with the approval of the Competent Authority.

sd/-
(Sunil Kumar Gupta)
Under Secretary to the Government of India

Authority: www.cghs.gov.in

Guidelines on CGHS Benefits to Central Government Employees covered under NPS