FAQs about CGHS Facilities to KVS

Frequently Asked Questions (FAQs)

1. Who is eligible for CGHS facilities?

CGHS facilities are available to serving and retired central government employees, their dependents, and other eligible groups like KVS employees.

2. How do I enroll in CGHS?

Beneficiaries must apply online or offline at the CGHS office. They need to submit personal details, pay a subscription fee, and obtain a CGHS card for availing services.

3. What is the subscription fee for CGHS?

Subscription fees vary based on the pay grade or pension of the employee. For pensioners, a one-time contribution can be made for lifetime coverage.

4. What services are covered under CGHS?

CGHS covers outpatient care, hospitalization, diagnostic tests, medicines, preventive care, specialist consultations, and emergency services.

5. Are CGHS facilities available in all cities?

CGHS is operational in select cities, primarily urban areas. It is gradually expanding to cover more regions.

6. Can retired employees avail cashless hospitalization?

Yes, retired employees and their dependents are eligible for cashless treatment at empaneled hospitals under CGHS.

7. How does the referral system work in CGHS?

For specialized treatments or hospitalization, beneficiaries need a referral from a CGHS doctor. The referral is mandatory for availing services at empaneled hospitals.

8. What is an empaneled hospital?

Empaneled hospitals are those recognized by CGHS to provide treatment at discounted or agreed-upon rates for beneficiaries.

9. Can CGHS services be availed in emergencies without prior approval?

Yes, in emergencies, beneficiaries can directly approach empaneled hospitals for treatment. Post-treatment, necessary approvals can be obtained.

10. What happens if CGHS facilities are unavailable in my city?

Employees and pensioners residing in non-CGHS-covered areas can opt for Fixed Medical Allowance (FMA) to cover medical expenses.

11. Can Kendriya Vidyalaya Sangathan employees avail CGHS?

Yes, both serving and retired KVS employees have recently been granted CGHS facilities. They can enroll and access services like other central government employees.

12. What documents are required for CGHS enrollment?

• Identity proof (e.g., Aadhaar Card).
• Address proof.
• Pay or pension slip.
• Dependents’ details and proof of relationship.

13. What if a CGHS card is lost or damaged?

Beneficiaries can apply for a duplicate card by submitting an application along with a nominal fee at the CGHS office.

14. Are dental treatments covered under CGHS?

Yes, limited dental services such as extractions and scaling are covered. For specialized dental treatments, the cost is reimbursable as per CGHS norms.

15. Can private sector employees avail CGHS?

No, CGHS is exclusively for central government employees, pensioners, and specific groups like KVS staff.

Conclusion

The CGHS is a lifeline for millions of central government employees and their families, providing them with accessible, affordable, and reliable healthcare services. The recent extension of CGHS facilities to Kendriya Vidyalaya Sangathan employees further emphasizes the government’s commitment to improving healthcare access for all public servants. With its wide-ranging benefits and focus on quality care, CGHS continues to set a benchmark for public healthcare systems.