Summary table on Eligibility for Credit/Cashless treatment: CGHS rates applicable for treatment at healthcare organisations – Annexure VII
(CGHS O.M. F.No.5-16/CGHS(HQ)/HEC/2024(PartI) (Comp No. – 8365027) dated 03.10.2025
Annexure VII
Summary table on Eligibility for Credit/Cashless treatment
|
Category of CGHS Beneficiary |
Eligibility for Credit/ Cashless Treatment | Bill submission and Payment Process |
Payment authority |
|
Pensioners holding CGHS Card with green strip, Ex-Members of Parliament, Ex- Governors, Freedom Fighters |
Yes | Credit Bills to be submitted to Bill clearing Agency’s Software online. The payment shall be made by CGHS (Physical bills to be retained at least for 5 years and submitted to CGHS in case of any scrutiny /audit when asked by concerned authorities) | CGHS |
| Sitting Members of Parliament holding CGHS Card with Red Strip | Yes | HCO shall submit directly to the concerned Parliamentary Secretariat (Lok Sabha/ Rajya Sabha), New Delhi; the HCO shall retain a copy for a minimum of five years. | Lok Sabha/ Rajya Sabha Secretariat, New Delhi. |
| Serving CGHS/ DGHS/ Ministry of H&FW Employees and their dependants holding CGHS Card with Blue Strip | Yes | Physical bills in duplicate shall be submitted as follows: (a) Serving CGHS employees: to the Office of the Additional Director of the concerned CGHS city where treatment is undertaken. (b) DGHS/Ministry of H&FW Employees, directly to the concerned Department for payment to the HCO. |
HOD/HOO of Concerned Department |
|
Serving Employees and their dependents of all other Departments (other than CGHS/DGHS/ Ministry of H&FW) holding CGHS Card with Blue Strip |
Credit may be given in emergency cases after obtaining letter from HOO/HOD of Beneficiary department. The letter shall certify the entitlement of beneficiary or dependent of beneficiary along with details of submission of bill and payment process |
Credit bills of emergency cases:, Physical bill in duplicate to be submitted to the Office of the beneficiary as mentioned in the letter given by the HOO/HOD of concerned department. | HOD/ HOO of Concerned Department |
| Serving and Pensioners of Autonomous bodies holding CGHS Card with Yellow Strip | No | Treatment shall be provided on payment basis as per the CGHS Rates.
Beneficiaries shall seek reimbursement from their department |
HOD/HOO of Concerned Department |
| Pensioners of Air India (Orange Strip) | Yes. | But BCA as decided by concerned authorities. Currently the BCA is UTIITSL | AIAHL |
| Accredited Journalist holding CGHS Card with Yellow Strip | No | Treatment shall be provided on payment basis as per the CGHS Rates. |
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Read: CGHS rates applicable for treatment at healthcare organisations located at X, Y and Z cities
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