File No: S.11011/11/2016-CGHS(P)
Ministry of Health & Family Welfare
Department of Health & Family Welfare
(EHS section)
Dated the 22nd November, 2022
OFFICE MEMORANDUM
Subject : Revision of rate 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.
Read More >> Revised rate of CGHS Subscription in PDF
Read More >> Revised rate of CGHS Subscription as per 7th pay commission in PDF
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:
i. Is this OM applicable pensioners of autonomous to bodies under CGHS too ?
Autonomous Bodies/ Statutory Bodies are provided only OPD facilities, under CGHS, on 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 these retirees some have given life time contribution while others contribute on a yearly basis.
iii. Many pensioners who have retired on 31/10/2022 had applied for pensioners card with contribution before 28/10/2022. what would be the status of their ward entitlement?
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 date 09.01.2017
There is no change in the subscription rate as already fixed vide OM date 09.01.2017. there is no linkage between CGHS subscription and ward entitlement. Therefore, all CCHS beneficiaries (serving and pensioners) who are eligible for upgradation of their ward entitlement , according to the revised basic pay slabs, as mentioned in OM date 28.10.2022, may apply for fresh CCHS card. however, medical claim cases for treatment taken by beneficiaries prior to 28.10.2022. will not be re-open for the purpose of reimbursement with regard to revised ward entitlement(s)
