7th CPC Basic Pay Rates for Private Empanelled Hospital Ward Entitlement under CGHS
The revised entitlement of wards in private hospitals empanelled under CGHS as per 7th Pay Commission Basic Pay- Revision of Rates of Subscription under CGHS
F. No. S.11011/11/2016-CGHS(P)/EHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
(EHS Section)
Dated, the 28th of October 2022
Nirman Bhawan, New Delhi
OFFICE MEMORANDUM
Subject: Revision of rates of subscription under Central Government Health Scheme due to revision of pay and allowances of Central Government employees and revision of pension/ family pension on account of implementation of recommendations of the Seventh Central Pay Commission.
In partial modification to this Ministry’s O.M. of even number dated 9th January 2017, the undersigned is directed to say that entitlement of wards in private hospitals empanelled under CGHS as contained in Para 3(B) of the O.M. ibid stands revised as under with effect from the date of issue of this O.M.:
| Sl. No. | Corresponding Basic Pay is drawn by Officer in the 7th CPC per month | Ward Entitlement |
| 1 | Up to Rs. 36,500 | General |
| 2 | Rs. 36,501 to Rs. 50,500 | Semi-Private |
| 3 | Above Rs. 50,500 | Private |
2. This issues with the concurrence of the Department of Expenditure vide their I.D. Note No. 18(1)/EV/2016 dated 11th May 2022 read with I.D. Note dated 6th October 2022.
3. Hindi Version follows.
(Guite Elsy Gat Biak Lun)
Under Secretary to Govt. of India
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Entitlement of Wards in Private Hospitals Empanelled under CGHS
Ownership of wards in private hospitals affiliated under CGHS – Explanation of issues raised: Department of Health and Family Welfare O.M. Dated 22.11.2022
File No: S.11011/11/2016-CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
(EHS Section)
Nirman Bhawan, New Delhi
Dated the 22nd November 2022
OFFICE MEMORANDUM
Subject: Revision of rates of subscription under Central Government Health Scheme due to revision of pay and allowances of Central Government employees and revision of pension/ family pension on account of implementation of recommendations of the Seventh Central Pay Commission-reg.
In continuation of this Ministry’s OM of even number dated 28.10.2022 (copy enclosed) on the subject cited above, the undersigned is directed to issue clarifications, with regard to several clarification requests received in this Ministry. The clarifications on such issues raised may be seen as under:
| Sl.No. | Issues raised | Clarification |
| i. | Is this OM applicable to pensioners of autonomous bodies under CGHS too? | Autonomous Bodies/ Statutory Bodies are provided only OPD facilities, under CGHS, on the cost to cost basis. IPD treatment costs are borne by the concerned ABs/SBs through their own resources. Therefore, it is for the concerned ABs/SBs to whom CGHS facilities have been extended, to take a decision in the matter. |
| ii. | Is this OM applicable to pensioners who have retired prior to October 2022? Out of retirees, some have given lifetime contributions while others contribute on a yearly basis. | The OM dated 28.10.2022 has been issued with the approval of D/o Expenditure, M/o Finance, to rectify certain anomalies in the ward entitlement of beneficiaries post 7th CPC, as fixed vide OM dated 09.01.2017. There is no change in the subscription rate as already fixed vide OM dated 09.01.2017. There is no linkage between CGHS subscription and ward entitlement. Therefore, all CGHS beneficiaries (Serving & Pensioners) who are eligible for upgradation of the ward entitlement, according to the revised basic pay slabs, as mentioned in OM dated 28.10.2022, may apply for a fresh CGHS card. However, Medical claim cases for treatment taken by beneficiaries prior to 28.10.2022, will not be re-opened for the purpose of reimbursement with regard to revised ward entitlement(s). |
| iii. | Many pensioners who have retired on 31/10/2022 had applied for pensioners’ cards with contributions before 28/10/2022. What would be the status of their ward entitlement? |
2. This issue with the approval of Competent Authority.
(Hemlata Singh)
Under Secretary to the Government of India
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