Reimbursement when Pensioners take treatment immediately after Retirement before getting CGHS Cards

Reimbursement when Pensioners take treatment immediately after Retirement before getting CGHS Cards

“within the grace period of three months from the date of retirement will be allowed and expenditure reimbursable” and also clarified that “expenditure on treatment taken after the grace period of three months from date of retirement will not be reimbursable…”

F. No. D.12011/64/98-CGHS Desk-I/CGHS(P)

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the September 15, 2011

OFFICE MEMORANDUM

Subject: Reimbursement when Pensioners take treatment immediately after Retirement before getting CGHS Cards.

With reference to the above mentioned subject the undersigned is directed to draw attention to the Office Memorandum No. S-11015/2/93-CGHS(P) dated the 5th November 1993 and Office Memorandum of even No. dated the 1st July 1999 and to state that in response to several clarifications sought in this regard , Ministry of Health & Family Welfare has now decided to clarify the matter as follows:-

(i) The treatment taken and expenditure incurred thereon within the grace period of three months from the date of retirement will be allowed and expenditure reimbursable subject to the condition that the beneficiary has either obtained or applied for CGHS pensioner card with all documents and requisite CGHS subscription within one month of expiry of the grace period of three months.

(ii) It is further clarified that the expenditure on treatment taken after the grace period of three months from date of retirement will not be reimbursable unless the beneficiary has obtained a valid CGHS card or has applied for CGHS pensioner card with all documents and requisite CGHS subscription prior to taking such treatment.

sd/-
(Jai Prakash)
Under Secretary to Government of India

Source: CGHS Portal