22.11.2022 - Clarification regarding Revised CGHS Contribution and Ward Entitlement- 7th CPC (28 October 2022)
Clarification Is this OM applicable to Autonomous Bodies/ Statutory Bodies are provided pensioners of autonomous only OPD facilities, under CGHS, on cost to cost basis. Is this OM applicable to The OM dated 28. life time contribution while There is no change in the subscription rate as already others contribute on a fixed vide OM dated 09.
File No: S.11011/11/2016-CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
(EHS Section)
Nirman Bhawan, New Delhi
Dated the 22nd November, 2022
OFFICE MEMORANDUM
Subject: 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- reg.
In continuation of this Ministry's OM of even number dated 28.10.2022(copy enclosed) on the subject cited above, the undersigned is directed to issue clarifications, with regard to several clarification requests received in this Ministry. The clarifications on such issues raised may be seen as under:
| Sl. No. | Issues raised | Clarification |
|---|---|---|
| i. | Is this OM applicable to pensioners of autonomous bodies under CGHS too? | Autonomous Bodies/ Statutory Bodies are provided only OPD facilities, under CGHS, on cost to cost basis. IPD treatment costs are borne by the concerned ABs/SBs through their own resources. Therefore, it is for the concerned ABs/SBs to whom CGHS facilities have been extended, to take a decision in the matter. |
| ii. | Is this OM applicable to pensioners who have retired prior to October 2022? Out of these retirees, some have given life time contribution while others contribute on a yearly basis. | The OM dated 28.10.2022 has been issued with the approval of D/o Expenditure, M/o Finance, to rectify certain anomalies in the ward entitlement of beneficiaries post 7th CPC, as fixed vide OM dated 09.01.2017. There is no change in the subscription rate as already fixed vide OM dated 09.01.2017. There is no linkage between CGHS subscription and ward entitlement. Therefore, all CGHS beneficiaries (Serving & Pensioners) who are eligible for upgradation of their ward entitlement, according to the revised basic pay slabs, as mentioned in OM dated 28.10.2022, may apply for fresh CGHS card. However, Medical claim cases for treatment taken by beneficiaries prior to 28.10.2022, will not be re-opened for the purpose of reimbursement with regard to revised ward entitlement(s). |
| iii. | Many pensioners who have retired on 31/10/2022 had applied for pensioners' card with contribution before 28/10/2022. What would be the status of their ward entitlement? |
2.This issues with approval of Competent Authority.
(Hemlata Singh)
Under Secretary to the Government of India
Tel No. [number withheld]
Encl. As above.
To
1. All the Ministries/ Departments, Government of India.
2. Director (CGHS), Nirman Bhawan, New Delhi.
3. Addl.DDG(HQ), CGHS, MOHFW, Nirman Bhawan, New Delhi.
4. AD(HQ), CGHS, RK Puram, 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), 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 (HR), Ministry of Health & Family Welfare
15. PPS to DGHS/AS&DG(CGHS)/AS&FA/AS&MD), NHM/AS(H), MOHFW, New Delhi
16. MG-II Section, Dte.GHS, MOHFW, Nirman Bhawan, New Delhi.
17. Hospital Empanelment Cell, CGHS, MOHFW, Nirman Bhawan, New Delhi.
18. CGHS-1/11/III/IV, Dte.CGHS, MOHFW, Nirman Bhawan, New Delhi.
19. Estt.l/Estt.II/Estt.Ill/Estt.IV Section, MoHFW, Nirman Bhawan, New Delhi.
File No. S.11011/11/2016-CGHS(P)
F.No. S.11011/11/2016-CGHS(P)/EHS Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
(EHS Section)
*****
Dated the 28th October , 2022
Nirman Bhawan, New Delhi
OFFICE MEMORANDUM
Subject: 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 O.M. of even number dated 9th January, 2017, the undersigned is directed to say that entitlement of wards in private hospitals empanelled under CGHS as contained in Para 3(B) of the O.M. ibid stands revised as under with effect from the date of issue of this O.M. :-
| Sl. No. | Corresponding Basic Pay drawn by Officer in 7th CPC per month | Ward Entitlement |
|---|---|---|
| 1 | Upto Rs. 36,500 | General |
| 2 | Rs. 36,501 to Rs. 50,500 | Semi-Private |
| 3 | Above Rs. 50,500 | Private |
2.This issues with the concurrence of the Department of Expenditure vide their I.D. Note No. 18(1)/EV/2016 dated 11th May, 2022 read with I.D. Note dated 6th October, 2022.
3.Hindi Version follows.
(Guite Elsy Thang Biak Lun)
Under Secretary to Govt. of India
To
1. All the Ministries/Departments, Government of India.
2. Director, CGHS, Nirman Bhawan, New Delhi
3. Addl.DDG(HQ), CGHS, MOHFW, Nirman Bhawan, New Delhi
4. AD(HQ), CGHS, R.K. Puram, 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), 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 (HR), Ministry of Health & Family Welfare
15. PPS to DGHS/AS&DG(CGHS)/AS&FA/AS&MD, NHM/AS(H), MOHFW, New Delhi
16. MG-II Section, Dte.GHS, Nirman Bhawan, New Delhi
17. Hospital Empanelment Cell, CGHS, MOHFW, Nirman Bhawan, New Delhi
18. CGHS-I/II/III/IV, Dte.CGHS, MOHFW, Nirman Bhawan, New Delhi
19. Estt.I/Estt/II/Estt.III/Estt. IV Section, MoHFW, Nirman Bhawan, New Delhi
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