CGHS cashless treatment at AIIMS institutes

F No Z.16025/12/2023/CGHS-III
Govt. of India
Min. of Health & Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS

CGHS Bhawan, RK Puram -13, New Delhi.
Dated the 31st May, 2023

OFFICE MEMORANDUM

Subject: Treatment of CGHS pensioner beneficiaries and others at All India Institute of Medical Sciences, Bhopal, Bhubaneswar, Raipur, Patna, Rishikesh and Jodhpur

With reference to the above subject, the undersigned is directed to state that All India Institute of Medical Sciences, Bhopal, Bhubaneswar, Raipur, Patna, Rishikesh and Jodhpur shall provide treatment on the cashless basis to CGHS pensioner beneficiaries and other entitled class of beneficiaries as per the detail given below:

a) CGHS Pensioners and other beneficiaries entitled for cashless treatment like ex-MPs, ex-Governors, former Judges of Supreme Court of India , former Judges of High Courts, Freedom Fighters, etc., holding a Valid CGHS Card are eligible for cashless treatment at AIIMS.

b) AIIMS shall create a Special desk for CGHS beneficiaries.

c) Entitled CGHS beneficiaries shall present their CGHS Card for verification at CGHS Desk. They shall submit a self attested copy of CGHS Card. In case of treatment of a dependant family member copies of the CGHS card of self and family member shall be submitted.

d) CGHS Desk at AIIMS refers the beneficiaries to OPD / Investigations / Indoor treatment as the case may be.

e) Bills in physical form along with copy of CGHS card shall be submitted by AIIMS in the last week of month to the office of Addl. Director, CGHS of concerned City.

f) AIIMS shall send bill to CGHS as per AIIMS rates, except in case of Room rent for Indoor treatment. Bills for room rent shall be sent to CGHS as per CGHS rates for CGHS empanelled Hospitals. The beneficiaries are eligible for indoor treatment as per their ward entitlement in CGHS empanelled HCOs, as indicated on their CGHS Card.

g) AIIMS shall create a separate Bank Account for CGHS beneficiaries to reimburse the bills by CGHS.

h) Additional Director, CGHS of concerned City shall process the bills expeditiously and payment shall be credited into the Bank Account created by AIIMS for CGHS.

i) No preferential treatment shall be provided to CGHS beneficiaries.

j) AIIMS shall provide implants available at the Institute and the beneficiaries shall not have option to choose Specific Implants of their choice.

k) Medicines prescribed by AIIMS’s doctors for OPD treatment or at the time of discharge from AIIMS will be collected by the beneficiaries through CGHS.

l) CGHS pensioners and others eligible for cashless treatment can avail treatment without any mandatory referral from CGHS.

m) Additional Directors, CGHS of Bhopal, Bhubaneswar, Nagpur, Patna , Dehradun and Jaipur shall contact All India Institute of Medical Sciences, Bhopal, Bhubaneswar, Raipur, Patna, Rishikesh and Jodhpur respectively for the seamless implementation of this initiative.

(Dr. Manoj Jain)
Director, CGHS