What are the Medical facilities available for reimbursement ?
Operation for sterilization.
Treatment of sterility
Venereal diseases and Delirium Tremens
Avitaminosis and Hypovitaminosis.
Correction of eye.
Treatment for immunizing and prophylactic purposes.
Diseases causing General debility and secondary anemia.
Confinement including at residence if attended by Child Welfare and
Maternity Centres staff; Pre-natal and Post-natal Treatment.
Testing of eyesight for glasses for employees only.
Blood and blood transfusion charges.
cost of hepatitis Vaccine B, C & D.
Cardio Vascular Surgery
Other organ transplant
Joint replacement and surgery
Certain types of medical and ontological disorder, such as leukemia and
Micro vascular surgery and neuro surgery.
Treatment with Laser which obviates the need of open surgery.
Treatment with laser which obviates the need of open surgery.
Extra corporeal stone disintegration by ultrasonic shock waves.
What are the recognized Hospitals for Medical Treatment ?
All State Government Hospitals including District Hospitals and
All Hospitals recognized by primary health centres and dispensaries
recognized by state government for treatment of their employees and or
members of their family.
All maternity and child welfare centres with facilities for indoor
treatment and recognized by state government.
Cantonment hospitals in cantonment areas where there are no government
All railway hospitals
All Government hospitals recognized by state government / CGHS rules /
Hospitals funded by Central / State government.
Pay clinics in Bihar, Punjab , Haryana, UP ,MP, Rajasthan and Chandigarh.
How to Get medical Reimbursement when treated in a Private Hospital ?
An employee has to go to nearest CGHS or Government hospital for treatment.
But in some emergency cases they may be forced to go to nearby Private
hospital which may not be a recognized hospital.
In such cases the employee has to obtain anemergency
certificatefrom the doctor of this private hospital. In this
emergency certificate, the reason for choosing the private hospital should
be specified and it should be duly signed by the doctor.
How much amount can be reimbursed for medical treatment for employees ?
There is no limit for the reimbursable amount. Full amount for the medicines
will be reimbursed and for other expenses including lab tests, scanning,
operation, doctors fee etc specific rates approved according to CS(MA) rules
will be given.
Who are eligible for medical reimbursement ?
Central Government employees.
Dependant family members of employees.
Who are the Dependant Family Members eligible for Medical Reimbursement ?
Husband / Wife
Parents / Stepmother
For female employee, either her parents or parents-in-law.
Children including adopted children.
For unmarried son, Till he starts earning or attains the age of 25.
For Daughter, Till she starts earning or gets married.
No age limit for son suffering from permanent disability.
Widowed daughters and dependent divorced / separated daughter.
Sisters including unmarried / divorced / abandoned or separated from
husband / widowed sister irrespective of age limit.