CGHS medical facilities reimbursement to Central Government pensioners

CGHS

CGHS medical facilities reimbursement to Central Government pensioners

CGDA, Ulan Batar Road, Palam, Delhi Cantt.-110010
(Ph.011-25665714,25665560/ Fax-011-25674806/ Email: admin14.cgda@nic.in)

IMPORTANT CIRCULAR

No.AN/XIV/19015/ Govt. Orders/TA /DA/LTC/ Medical

To,
All PCsDA/ CsDA/ PCA (Fys.)
(Through website)

Dated: 29/11/2019

Subject: Reimbursement of medical claims to Pensioners under CS(MA) Rules 1944 - guidelines issued by Ministry of Health & Family

Ministry of Health and Family Welfare vide its OM No. S.14025/23/2013-MS.EHSS dated 29th September 2016 has clarified that CS (MA) Rules 1944 are not applicable to pensioners till date. The Ministry has issued the following guidelines for medical facilities to Central Government pensioners:-

Also check: CGHS - Central Government Health Scheme

a) Pensioners residing in CGHS covered areas:

1. They can get themselves registered in CGHS dispensary after making requisite contribution and can avail both OPD and IPD facilities.
2. Pensioners residing in CGHS areas cannot opt out of CGHS and avail any other medical facility (i.e. Fixed Medical Allowance). Such pensioners, if they do not choose to avail CGHS facility by depositing the required contributions, cannot be granted Fixed Medical allowance in lieu of CGHS.

b) Pensioners residing in non-CGHS areas:

1. They can avail Fixed Medical Allowance (FMA) © Rs. 500/- per month revised to Rs. 10001- from 01.07.2017.
2. They can also avail benefits of CGHS (OPD and IPD) by registering themselves in the nearest CGHS city after making the required subscription.
3. They also have the option to avail FMA, for OPD treatment and CGHS for IPD treatments after making the required subscriptions as per CGHS guidelines.

2. All retired/ retiring Officers/ Staff of the Defence Accounts Department may please be advised to adhere to the above provisions and subscribe to CGHS facility by depositing the required contributions for availing medical facilities after retirement.

This issues with the approval of Sr. Jt. CGDA (AN).

(Rajeev Ranjan Kumar) Dy. CGDA (AN)

Clarification regarding demarcation of CGHS covered areas under CGHS Wellness Centre

Clarification regarding demarcation of CGHS covered areas under CGHS Wellness Centre

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS
Nirman Bhawan, Maulana Azad Road
New Delhi 110 011

No. C 14012/02/2018/CGHS-III/DIR
Dated: 6th April, 2018

OFFICE MEMORANDUM

Subject:- Clarification regarding demarcation of CGHS covered areas under CGHS Wellness Centre

With reference to the above subject the undersigned is directed to state that in some of the CGHS Cities the areas covered under CGHS were not specified resulting in inconvenience to the beneficiaries. The matter has been reviewed and it is now decided that hereinafter the coverage of CGHS shall be limited to the areas within 5 km (approx.) radius of the CGHS Wellness Centres , in all CGHS covered Cities , where such demarcations were not specified. The Additional Director, CGHS concerned City shall notify such areas covered under CGHS Wellness Centres.

The serving Central government employees residing outside the CGHS covered areas shall be covered under CS(MA) Rules. However, in all CGHS covered cities the serving Central government employees residing within the Municipal limits of the city, shall be given a onetime choice to opt for CGHS (instead of CS(MA) Rules) from the nearest CGHS Wellness Centre.

S/d,
(Dr.D.C.Joshi)
Director, CGHS

Signed copy

Stoppage of Fixed Medical Allowance to Central Government Employees under CS(MA) Rules who are working in remote areas

Stoppage of Fixed Medical Allowance to Central Government Employees under CS(MA) Rules who are working in remote areas

Ministry of Health and Family Welfare has issued an OM on Stoppage of Fixed Medical Allowance (FMA) being paid to the Central Government employees working in the interior/remote areas and their governance under CS(MA) Rules, 1944.

No.S.14025/09/2013-MS
Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
***********

Nirman Bhawan, NewDelhi
Dated 3rd June, 2015.

OFFICE MEMORANDUM

Subject: Stoppage of Fixed Medical Allowance (FMA) being paid to the Central Government employees working in the interior/remote areas and their governance under CS(MA) Rules, 1944.

Reference is invited to OMNo.S-1402011/88-MS dated 17.07.1990 in which fixed medical allowance to the tune of Rs.25/-per month was granted to employee working in the interior/remote areas where no Authorized Medical Attendant was available within a radius of 5 kms, which was subsequently revised to the tune of Rs.l00/- per month vide OMF.No.14025/33/98-MS dated 18.01.1999.

2. On receiving a proposal from Ministry of Defence on the issue of medical reimbursement to employees who are in receipt of Fixed Medical Allowance, the matter was examined in the Ministry in consultation with Department of Expenditure and Department of Personnel & Training.

3. It has now been decided to stop the above mentioned Fixed Medical Allowance.  Henceforth, the Central Government employees residing in interior/remote areas will be governed by the extant rules as laid down under CS(MA) Rules, 1944.

4. This O.M. will be effective from the date of issue. After issuance of this OM,the above mentioned OMs i.e.,O.M. No.S-1402011/88-MS dated 17.07.1990 and O.M F.No.14025/33/98-MS dated 18.01.1999. stand withdrawn.

5.This issues with the concurrence of the Department of Personnel &Training and Department of Expenditure.

(Bindu Tewari)
Director

Download Ministry of Health and Family Welfare OM No.S.14025/09/2013-MS 03.06.2015