New CGHS Card Guidelines for Serving and Retired Employees

These updates reflect technological advancements and changes in CGHS contribution methods. This Office Memorandum (OM) was issued on June 28, 2024 and the revised guidelines contained therein shall come into effect from July 28, 2024.

Revised Guidelines For Referral Process in CGHS

The revised guidelines state that referral from a CGHS Wellness Centre Medical Officer (MO) is valid for three months. During this period, beneficiaries can consult up to three specialists on the referring doctor’s recommendation. A maximum of six consultations are allowed within the three-month validity. CGHS beneficiaries aged 70 and above can now avail consultations, investigations, and treatment procedures previously limited to those 75 and above. Moreover, teleconsultation through e-Sanjeevani remains an option.

Faster CGHS Claim Processing Timelines and Grievance Channels Introduced

The Central Government Health Scheme (CGHS) has announced revised timelines and procedures to streamline hospital bill processing for CGHS pensioners. Stricter timelines aim to expedite claim processing by hospitals and CGHS authorities. Delays in claim submission by hospitals can now be reviewed for potential approval depending on the duration of the delay.

Clarification on Approval Process for TAVI/TAVR and IVL Procedures under CGHS

The OM reiterates that the approval from the Director, CGHS, in consultation with the Special Technical Committee (STC) is needed for Transcatheter Aortic Valve Implantation/Replacement (TAVI/TAVR) and Coronary Intra Vascular Lithotripsy (IVL) or Shock Wave Lithotripsy procedures under CGHS. This clarification aims to streamline the process of obtaining approval for TAVI/TAVR and IVL procedures, ensuring that the highest standards of patient care are maintained under the CGHS.

Webinar for CGHS Beneficiaries on Digital Initiatives & Services

The Central Government Health Scheme (CGHS) department under the Ministry of Health and Family Welfare (MoHFW) will orgnaise a webinar on Digital Initiatives & Services in CGHS. This webinar is scheduled to take place on December 19, 2023 at 4pm. The webinar will be held on the topic of ‘Options available to CGHS Beneficiary for downloading CGHS card’.

Webinar on Depression- A Warning Sign

The Central Government Health Scheme (CGHS) department under the Ministry of Health and Family Welfare (MoHFW) will orgnaise a webinar on depression. This webinar is scheduled to take place on December 12, 2023 at 4pm. The webinar will be held on the topic of ‘Depression- A Warning Sign’.

Webinar on Use of Inhalers in Asthma

This webinar is scheduled to take place on November 28, 2023 at 4pm. The seminar will be conducted by Dr. Madu Mahan. This will be the 71st webinar in an ongoing series being conducted by the CGHS.