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Unmarried permanently disabled and financially dependent sons to use CGHS facility
CGHS
No. 4-24/96-C&P/ CGHS (P)/ EHS
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare EHS Section
Nirman Bhawan, New Delhi
Dated: the 1st January 2020
OFFICE MEMORANDUM
Subject: Eligibility of Permanently Disabled Son of a CGHS Beneficiary to avail CGHS
facility.
In terms of the Office Memorandum of even number dated 07.05.2018, unmarried permanently disabled and
financially dependent sons of CGHS beneficiary suffering 40% or more of one or more disabilities as specified
in the O.M. will continue to avail CGHS facility even after attaining the age of 25 years. However, the son above the age of
25 years, in cases where disability has occurred after attaining the age of 25 years, is at present not
considered as dependent for availing medical facilities under CGHS as per extant policy.
2. The matter has been engaging the attention of this Ministry for quite some past. It has now been decided
that such son(s) above 25 years, in cases where the disability has occurred after attaining the age of 25
years can be considered as dependent for availing medical facilities under CGHS, subject to fulfillment of
all other conditions as mentioned in the O.M. dated 07.05.2018.
3. This issues with the approval of Competent Authority.
CGHS - Permission for Investigations/Treatment
Procedures
CGHS
No
Permission is required for getting listed Investigations/ Treatment
Procedures done at the CGHS empanelled Diagnostic Centres/Hospitals, if
prescribed by CGHS Medical Officer/ CMO Incharge or Government Hospital
specialist.
Listed Investigations/Treatment Procedures prescribed
by a specialist of empanelled hospital need to be endorsed by the
referring CGHS Medical Officer/ CMO Incharge, however permission is not
required in this case also.
For unlisted Investigations/Treatment
Procedures permission is required from the AD of the City/Zone in case
of pensioners and Head of Department/Office in case of serving
employees. However for pensioners of Autonomous bodies the permission is
to be given by the concerned department only.
Procedure for getting the investigations done by an empanelled
Diagnostic centre/Hospital
The following documents are required to be submitted:
1. Self attested copy of prescription of CGHS Doctor / Government
specialist
2. Copy of CGHS Card of the patient and main card
holder.
3. Original Prescription and Original Cards are to be produced
at the centre for verification.
Investigation can be done within 14 days of the advice only. Procedure for getting for any treatment procedure done at an
empanelled hospital
The following documents are required:
1. Self attested copy of prescription of CGHS Doctor / Government
specialist
2. Copy of CGHS Card of the patient and main card
holder.
3. Original Prescription and Original Cards are to be produced
at the centre for verification.
Treatment procedures can be done within 3 months of the advice
only.
