PERSONS ELIGIBLE UNDER CGH SCHEME

Eligibility Criterion

 

'Residence' alone (and not the Headquarters) is to be considered as criterion for determining the eligibility of a Central Government servant for availing medical facilities under Central Government Health Scheme. Thus, Central Government employees and their family members etc. residing in any of the 27 notified cities (list given in previous chapter) shall be covered under the Scheme. The scheme has recently been extended to the cities of Chandigarh, Bhopal and Shillong.

Persons Eligible under the C.G.H. Scheme

Following persons are eligible to avail medical facilities under the
Central Government Health Scheme:

1. All Central Government employees paid from civil estimates (except
   Railways and Delhi Administration) including their families.
   
    
2. Pensioners of Central Government (except pensioners belonging to
   Railways and Armed Forces) and their families.
   
    
3. Pensioners retiring with Contributory Provident Fund benefits and
   their families.
   
    
4. Widows of Central Government Pensioners, getting family pension.
   
    
5. Delhi Police Personnel and their families.
   
    
6. Civilian employees of Defence paid from Defence Service Estimates
   (except at Mumbai when the scheme is in operation).
   
    
7. Child drawing pension on death of a Central Government employee
   including minor brothers and sisters of such child.
   
    
8. Ex-Governors and their families.
   
    
9. Ex-Vice President and their families.
   
    
10. Central Government employees on leave preparatory to retirement.
    
     
11. Central Government servants who are deputed to semi-Government and
    autonomous bodies receiving substantial grant from or financed by the
    Central Government and their family members.
    
     
12. Military Officers while on deputation to civil departments and
    getting their emoluments from Civil Estimates.
    
     
13. Families of 'CGHS covered government servants' who are on temporary
    transfer outside Delhi/CGHS centers for a short period up to six months
    provided they deposit six months contribution in advance.
    
     
14. Pensioners visiting CGHS covered cities and staying at a place
    falling in CGHS covered cities.
    
     
15. Employees of CGHS not residing in the CGHS covered cities.
    
     
16. Ministers/Deputy Ministers of the Central Government/State
    Government and their families.
    
     
17. Parliamentary Secretaries of the Central Government and their
    families.
    
     
18. Members of Parliament and their families.
    
     
19. Ex-Members of Parliament including those who are not in receipt of
    any pension.
    
     
20. Retired judges of the Supreme Court and High Court residing in CGHS
    covered areas besides Delhi/New Delhi.
    
     
21. Work charged and Industrial Staff working in establishments run by
    various Ministers/Departments of Central Government, immediately from
    the date of their joining the service.
    
     
22. Employees of Kendriya Vidyalaya Sangathan stationed at Calcutta,
    Madras and Bombay.
    
     
23. Employees of Ordnance Factory Board Headquarters, Calcutta and
    Ordnance Equipment Factories Headquarters, Kanpur.
    
     
24. Ad-hoc employees of CGHS organization outside Delhi.
    
     
25. All India Service Pensioners who retire while serving under the
    State at their option.
    
     
26. Freedom Fighters and members of their family receiving central
    pension under the Swatantra Sainik Samman Pension Scheme.
    
     
27. Family member of the deceased Ex-Members of Parliament.
    
     
28. Pensioners of the Ordnance Factories.
    
     
29. Members of staff side of the National Council of the Joint
    Consultative Machinery even though not serving as Central Government
    employees.
    
     
30. Persons employed in semi-government and autonomous bodies who are
    permitted to join the CGH Scheme.
    
     
31. Accredited Journalists who produce a certificate from the Press
    Council of India stating that he is the member of the Press Association,
    New Delhi.
    
     
32. Retired employees of Indian Council of Agricultural Research.
    
     
33. Employees of statutory canteens in CGHS covered cities if not
    covered under any other medical scheme.
    
     
34. Employees of Central Council of Indian Medicine.
    
     
35. Retired Divisional Accountants of the Indian Audit and Accounts
    Department.

Persons Not Eligible under CGH Scheme.

The following categories of persons are not entitled to avail CGHS facilities-

1. Family members who are not longer dependent upon the government
   servant though staying with him/her.
   
    
2. Independent brothers or sisters, even if minor.
   
    
3. Married (but not separated) daughter staying with her parents.
   
    
4. Government servants and their family members staying in an area not
   covered under CGHS.
   
    
5. Government servant transferred to State Government or an ineligible
   department or are deputed to a foreign service. However, their families
   may be issued temporary permits for availing CGHS facilities on
   pre-payment of prescribed charged.

Dependent family members

Meaning of Family

The term 'family means and includes:-

1. Husband/wife including more than one wife and a judicially separated
   wife,
   
    
2. Parents (excluding step parents,) subject to the following:
   
    
3. In case of adoption, adoptive parents and not real parents,
   
    
4. If adoptive father has more than one wife, only the first wife; and
   
    
5. In case of female employees, parents or parents-in-law, at her
   option, subject to the conditions of dependency and residence etc. being
   satisfied.

Note: Option to include either her parents or parents-in-law is
not available to a female family pensioner.

1. Children including step children, legally adopted children, children
   taken as wards by the Government servant under the Guardians and Ward
   Act, 1980, provided such a ward lives with him, treated as a family
   member and is given the status of a natural-born child through a special
   will executed by that Government Servant.
   
   
   
   Notes:- (i) Son is eligible till he starts earning
   (irrespective of age)
   (ii) Daughter is eligible till she starts earning or gets
   married, which ever is earlier (irrespective of age)
2. Sons suffering from permanent disability either physically or
   mentally, without any age-limit.
   
    
3. Windowed daughters (irrespective of age)
   
    
4. Unmarried/widowed sisters (irrespective of age).
   
    
5. Dependent Brothers (irrespective of age).
   
    
6. Divorced/Separated daughters.
   
    
7. Step-mother.