Guidelines regarding treatment of CGHS beneficiaries in empanelled HCOs in Delhi-NCR
Govt of India
Office of the Additional Director
CGHS Bhawan, Sec-13
New Delhi – 110066
Dated : 22.12.2020
It is observed that empanelled hospitals are refusing the CGHS beneficiaries especially Covid-19 +ve patient for admission with the excuse that no bed is available in the entitled category of ward. As per terms and conditions of empanelment under CGHS, all pvt. Hospitals and diagnostic centres empanelled under CGHS shall provide treatment/investigations to all CGHS beneficiaries especially Covid-19 +ve patient on the basis of CGHS card in emergency and on the basis of advice from CGHS Medical Officer/Govt. specialist in case of listed treatment procedure/investigations and with valid permission letter in case of unlisted treatment procedures/investigations as the case may be. In case of emergency when beds are not available in the hospital then hospital should provide necessary treatment to stabilize the patient and transport the patient safely to nearest empanelled hospital for further management.
Reimbursement of expenses on purchase of Hearing Aids under CS(MA) Rules, 1944 and CGHS
Treatment of CGHS beneficiaries at Government Hospitals – Clarification
Reimbursement of medical claims to pensioners residing in non-CGHS areas – DoT
In view of the above you are directed to follow the above guidelines strictly. If any complaint on the above issue, are received against you, strict action will be taken as per MOA.
(Dr. Arvind Kumar)
Additional Director, CGHS (HQ)