CGHS Contribution and Ward Entitlement- 7th CPC.pdf
No. S.11011/11/2016- CGHS (P)/EHS
Government of India
Ministry of Health and Family Welfare EHS Section
Nirman Bhawan, New Delhi Dated the 9th January, 2017
OFFICE MEMORANDUM
Sub: Revision of rates of subscription under Central Government Health Scheme due to revision of pay and allowances of Central Government employees and revision of pension/ family pension on account of implementation of recommendations of the Seventh Central Pay Commission.
The undersigned is directed to refer to this Ministry's OM No. S.11011/2/2008-CGHS (P) dated 20th May, 2009 vide which orders were issued revising the rates of monthly subscription for availing CGHS facility, as also the entitlement for free diet, entitlement of accommodation in private empanelled hospitals under CGHS, etc.
2.
Consequent upon revision of pay on the basis of the implementation of the recommendations of the 7th Central Pay Commission, it has been decided to revise the rates of subscriptions, to be made by employees/ pensioners, for availing benefits under the CGHS, with effect from 1st January, 2017. It has also been decided to revise the monetary ceiling limits for various entitlements of the beneficiaries for availing CGHS facilities.
3.
In supersession of all earlier instructions, the following revisions are being made, in so far as it relates to the facilities mentioned below:
Monthly Contributions for availing CGHS facility:
(A)
SI.
Corresponding levels in the Pay Matrix
No.
as per 7th CPC
Contribution (Rs. Per month)
1.
Level: 1 to 5
250
2.
Level: 6
450
3.
Level: 7 to 11
650
4.
Level: 12 & above
1000
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(B)
SI.
No.
1.
Entitlement of wards in private hospitals empanelled under CGHS:
Corresponding Basic Pay drawn by the
officer in 7th CPC per month
Up to Rs. 47,600/-
2.
Rs. 47,601/- to Rs. 63,100/-
3.
Rs. 63,101/- and above
Ward entitlement
General Semi-Private
Private
(C) Monetary Ceiling for Free Diet:
The monetary ceiling for free diet for CGHS beneficiaries is revised to pay/pension/family pension of Rs. 44,900/- per month.
(D)
Monetary ceiling for free diet for beneficiaries suffering from TB or mental disease):
The monetary ceiling for free diet in case of beneficiary suffering from TB or Mental disease is revised to pay / pension/family pension of Rs. 69,700/- per month.
(E)
Pay slab for determining the entitlement of Nursing Home facilities in Government/State Government/Municipal Hospitals:
The monetary ceiling for determining the entitlement of nursing home facilities in Central Government / State Government / Municipals Hospitals is revised to pay / pension / family pension Rs. 47,600/- per month and above.
(F) Monetary Ceiling for direct consultation with Specialists in Central
Government/State Government/Municipal Hospitals:
The monetary ceiling for determining the entitlement for direct consultation with Specialists in Central Government/State Government /
Municipal Hospitals will continue at the existing rates until revision of the same after consultation with Ministry of Finance.
(G)
Pay slab for determining the entitlement of accommodation in
AIIMS, New Delhi.
The revised entitlement, as per the pay drawn by the officials, is as
follows:
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1.
SI.
No.
Corresponding Basic Pay drawn by the officer in 7th CPC per month
Up to Rs. 63,100/-
Ward entitlement
2.
Rs. 63,101/- to Rs. 80,900/-
3.
Rs. 80,901/- and above
General
Private Deluxe/Private
4.
5.
(i)
(ii)
(iii)
(iv)
It is clarified that the reference to pay in this order relates to the pay drawn in the level of pay.
Pensioners have an option to get their CGHS pensioner card made by either making CGHS contribution on an annual basis (twelve months) or by making contribution for 10 (ten) years (120 (one hundred and twenty) months} for getting a pensioner CGHS card with life-time validity. It is clarified that:
Contribution to be made by pensioners/family pensioners would be the amount that they were subscribing at the time of their retirement or at the time of death of the Government servant;
Pensioner beneficiaries, who have already obtained CGHS card with life time validity by paying a lump sum amount equivalent to 10 years' contribution, will not be required to pay any additional amount as a result of the revision in the rates of contribution for availing CGHS facility;
Entitlement of pensioners / family pensioners, who have already deposited their contribution for life time CGHS facility, will not be changed.
Pensioners/family pensioners who are contributing to the CGHS on an annual basis and wish to continue to avail CGHS benefits will have to contribute at the revised rates up to the time of contribution needed to cover a period of a total of ten years from the time pensioner CGHS card was issued for the first time to them. The revised rate of contribution for the remaining period would be with reference to the level of pay that he / she would have drawn in the post held by him / her (at the time of his/her retirement / death) had he/she continued to be in service now but for his / her retirement/ death; and
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(v)
6.
Any pensioner / family pensioner who is entitled to avail CGHS facility has not so far got his/her pensioner CGHS card made, the rate of contribution in such cases will be with reference to the level of pay that he/she would have drawn in the post held by him/her (at the time of his/her retirement / death) had he / she continued to be in service now but for his/her retirement / death.
This issues with the concurrence of the Department of Expenditure vide their I.D. Note No. 18(1)/EV/2016, dated 24/11/2016.
7.
Hindi version will follow.
Sp
9/12/17 (Sunil Kumar Gupta)
Under Secretary to the Government of India Tel. 23061986
To
1.
2.
All Ministries/Departments, Government of India Director, CGHS, Nirman Bhawan, New Delhi
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Addl.DDG(HQ), CGHS, MOHFW, Nirman Bhawan, New Delhi AD(HQ), CGHS, R.K.Puram, Sector-12, New Delhi
All Addl. Directors/Joint Directors of CGHS cities outside Delhi Additional Director (SZ)/(CZ)/(EZ)/(NZ)/(MSD), MCTC CGHS, New Delhi
JD(HQ), JD (Grievance)/JD (R&H), CGHS, Delhi
DDG(M)/CMO(SRA), Dte.GHS, MOHFW, Nirman Bhawan, New Delhi Rajya Sabha/Lok Sabha Secretariat, New Delhi
Registrar, Supreme Court of India, New Delhi
U.P.S.C. Dholpur House, New Delhi
Office of the Comptroller & Auditor General of India, Bahadur Shah Zafar Marg, New Delhi
Director, Department of Pension & Pensioners Welfare, Lok Nayak Bhawan, Khan Market, New Delhi
PPS to Secretary (H&FW)/Secretary
(AYUSH)/Secretary
(HR)/Secretary (AIDS Control), Ministry of Health & Family Welfare
PPS to DGHS/AS&DG (CGHS)/AS&FA/AS&MD, NRHM/AS(H), MOHFW, New Delhi
MS Section, MoHFW, Nirman Bhawan, New Delhi MG-II Section, Dte. GHS, Nirman Bhawan, New Delhi
Hospital Empanelment Cell, CGHS, MOHFW, Nirman Bhawan, New Delhi
CGHS-I/II/III/IV, Dte. Gen of CGHS, MOHFW, Nirman Bhawan, New
Delhi
Estt./Estt.ll/Estt.III/Estt.IV Section, MOHFW, Nirman Bhawan, New
20.
Delhi
-4/-
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
Admn.l/Admn.Il Section, Dte.GHS, MOHFW, Nirman Bhawan, New
Delhi
Integrated Finance Division, MoHFW, Nirman Bhawan, New Delhi All Officers/Sections/Desks in the Ministry
Deputy Secretary (Civil Service News), Department of Personnel & Training, 5th Floor, Sardar Patel Bhawan, New Delhi
Secretary, Staff Side, 13-C, Ferozeshah Road, New Delhi
All Staff Side Members of National Council (JCM)
ED(H)/Planning, Railway Board, Ministry of Railways, Rail Bhawan, Rafi Marg, New Delhi-110001
Central Organisation, ECHS, Department of Ex-Servicemen Welfare, Ministry of Defence, New Delhi
Chairman, Employees State Insurance Corporation, Ministry of Labour & Employment, Panchdeep Bhawan, C.I.G. Marg, New Delhi- 110002
UTI-ITSL, 153/1, First Floor, Old Madras Road, Ulsoor, Bengaluru- 560008.
Swamy Publishers (P) Ltd., P.B. No.2468, R.K. Puram, Chennai- 600028
Swamy Publishers (P) Ltd., 4855, 24, Ansari Road, Daryaganj, New Delhi
Sr. Technical Director, NIC, MOHFW, Nirman Bhawan, New Delhi with the request to upload this OM on the Ministry's website under the link of CS (MA) Rules - OMs and Circulars
Hindi Section, MOHFW, Nirman Bhawan, New Delhi for providing Hindi version of this OM.
Nodal Officer, MCTC, CGHS Wellness Centre building, Kalibari, DIZ Area, Udyan marg, New Delhi (for uploading on the CGHS website) Guard file
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No. S.11011/11/2016- CGHS (P)/EHS
Government of India
Ministry of Health and Family Welfare EHS Section
*****
Nirman Bhawan, New Delhi
Dated the 13 January, 2017
OFFICE MEMORANDUM
Sub: Revision of rates of subscription under Central Government Health Scheme due to revision of pay and allowances of Central Government employees and revision of pension/ family pension on account of implementation of recommendations of the Seventh Central Pay Commission.
In partial modification to this Ministry's OM of even No. dated 9th January, 2017 on the subject mentioned above, the undersigned is directed to say that the revised rates will be effective from 1st February 2017 instead of 1st January, 2017.
2.
Other contents of the above said OM will remain unchanged.
13)1/17
(Sunil Kumar Gupta)
Under Secretary to the Government of India
To
1. All Ministries/Departments, Government of India
4
Tel. 23061986
2. Director, CGHS, Nirman Bhawan, New Delhi
3. Addl.DDG(HQ), CGHS, MOHFW, Nirman Bhawan, New Delhi
4. AD(HQ), CGHS, R.K.Puram, Sector-12, New Delhi
5. All Addl. Directors/Joint Directors of CGHS cities outside Delhi
6. Additional Director (SZ)/(CZ)/(EZ)/(NZ)/(MSD), MCTC CGHS, New Delhi
7. JD(HQ), JD (Grievance)/JD (R&H), CGHS, Delhi
8. DDG(M)/CMO(SRA), Dte.GHS, MOHFW, Nirman Bhawan, New Delhi
9. Rajya Sabha/Lok Sabha Secretariat, New Delhi
10. Registrar, Supreme Court of India, New Delhi
11. U.P.S.C. Dholpur House, New Delhi
12. Office of the Comptroller & Auditor General of India, Bahadur Shah Zafar
Marg, New Delhi
13. Director, Department of Pension & Pensioners Welfare, Lok Nayak Bhawan,
Khan Market, New Delhi
14. PPS to Secretary (H&FW)/Secretary (AYUSH)/Secretary (HR)/Secretary (AIDS
Control), Ministry of Health & Family Welfare
15. PPS to DGHS/AS&DG (CGHS)/AS&FA/AS&MD, NRHM/AS(H), MOHFW, New
Delhi
16. MS Section, MoHFW, Nirman Bhawan, New Delhi 17. MG-II Section, Dte.GHS, Nirman Bhawan, New Delhi
Contd..2/-
18. Hospital Empanelment Cell, CGHS, MOHFW, Nirman Bhawan, New Delhi 19. CGHS-I/II/III/IV, Dte. Gen of CGHS, MOHFW, Nirman Bhawan, New Delhi 20. Estt.1/Estt.II/Estt.II/Estt.IV Section, MOHFW, Nirman Bhawan, New Delhi 21.Admn.l/Admn.Il Section, Dte.GHS, MOHFW, Nirman Bhawan, New Delhi 22. Integrated Finance Division, MOHFW, Nirman Bhawan, New Delhi 23. All Officers/Sections/Desks in the Ministry
24. Deputy Secretary (Civil Service News), Department of Personnel & Training, 5th
Floor, Sardar Patel Bhawan, New Delhi
25. Secretary, Staff Side, 13-C, Ferozeshah Road, New Delhi
26. All Staff Side Members of National Council (JCM)
27.ED(H)/Planning, Railway Board, Ministry of Railways, Rail Bhawan, Rafi Marg,
New Delhi-110001
28. Central Organisation, ECHS, Department of Ex-Servicemen Welfare, Ministry
of Defence, New Delhi
29. Chairman, Employees State Insurance Corporation, Ministry of Labour &
Employment, Panchdeep Bhawan, C.I.G. Marg, New Delhi-110002
30. UTI-ITSL, 153/1, First Floor, Old Madras Road, Ulsoor, Bengaluru-560008. 31. Swamy Publishers (P) Ltd., P.B. No.2468, R.K. Puram, Chennai-600028 32. Swamy Publishers (P) Ltd., 4855, 24, Ansari Road, Daryaganj, New Delhi 33. Sr. Technical Director, NIC, MOHFW, Nirman Bhawan, New Delhi with the request to upload this OM on the Ministry's website under the link of CS (MA) Rules - OMS and Circulars
34. Hindi Section, MoHFW, Nirman Bhawan, New Delhi for providing Hindi version
of this OM.
35. Nodal Officer, MCTC, CGHS Wellness Centre building, Kalibari, DIZ Area, Udyan
marg, New Delhi (for uploading on the CGHS website)
36. Guard file