CG Pensioners-CGHS Empanelled Hospitals Providing Cashless Services
CGHS is a unique free medical health scheme for central government employees, pensioners and their family members.
Central Government Health Scheme (CGHS) Empanelled Hospitals are Providing Cashless Services to Central Government Pensioners
The empanelled private medical hospitals are to provide cashless medical treatment services to central government pensioners. Cashless treatment service is available to serving employees in cases of emergency, otherwise they claim reimbursement from their respective offices
Problems faced by CGHS beneficiaries in private hospitals
“Some complaints regarding difficulties in availing treatment at CGHS empanelled hospitals were received. These included non–availability of beds and refusal of credit facility.
Suitable action is taken against hospitals as per terms and conditions of Memorandum of Agreement in case of violation of terms and conditions of empanelment.
There are no specific complaints about sub-standard treatment. As per terms and conditions of empanelment, the empanelled hospitals are to provide cashless services to central government pensioners.
Cashless service is available to serving employees in cases of emergency, otherwise they claim reimbursement from their respective offices.
The bills of pensioners are settled by Ministry of Health & Family Welfare under the Pensions and Other Retirement Benefits (PORB) Budget Head. At times, payments to hospitals get delayed on account of fund availability under the said Budget Head.
In such situations, immediate steps are taken to allot more funds so as to ensure expeditious clearance of hospital bills. At the central level, rigorous monitoring is done for clearance of hospital bills”.
The above information was given as a write reply by the Minister of Health and Family Welfare Shri Shamsher Singh Dullo in Parliament on 10th December 2019.