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CGHS

The Central Government Health Scheme (CGHS) provides comprehensive health care facilities for central government employees, pensioners, and their dependents. Gurugram has a wide network of CGHS-empanelled eye centres offering cashless services to pensioners and reimbursement rates for serving employees.

About

Scheme Details

The Central Government Health Scheme (CGHS) provides comprehensive health care facilities for central government employees, pensioners, and their dependents. Gurugram has a wide network of CGHS-empanelled eye centres offering cashless services to pensioners and reimbursement rates for serving employees.

Coverage

Scheme Benefits

Comprehensive medical care for OPD and IPD.

Cashless treatment for pensioners at empanelled private hospitals.

Reimbursement of expenses for serving employees.

Coverage for family members and dependents.

Access to specialized eye care procedures including Cataract and Glaucoma.

Medicine and diagnostic services through CGHS dispensaries.

Process

How to Avail Benefits

1

Visit a CGHS Wellness Centre for initial consultation.

2

Get a referral to an empanelled private hospital (required for non-emergencies).

3

Present CGHS Card and Referral Slip at the hospital.

4

For Pensioners: Hospital seeks permission online; treatment is cashless.

5

For Serving Employees: Pay at hospital and submit claim for reimbursement to department.

Documentation

Documents Needed

  • Valid CGHS Card (Plastic Card).
  • Referral valid for the specific procedure (if applicable).
  • Copy of Aadhaar Card/ID.
Questions

Frequently Asked Questions

What are the latest CGHS rates for Cataract surgery?▼
CGHS rates are fixed by the government and revised periodically. As of recent notifications, there are specific package rates for Phacoemulsification with IOC.
Is LASIK covered under CGHS?▼
LASIK is generally considered cosmetic and not covered, unless there is a specific medical indication (e.g., high refractive error > -6D) with prior approval.
Do pensioners need a referral?▼
Yes, pensioners generally need a referral from a CGHS dispensary for planned procedures at private empanelled hospitals to avail cashless benefits.
Can I go to a private hospital directly?▼
Yes, in case of a medical emergency, you can go to any hospital (empanelled or non-empanelled) and claim reimbursement/cashless treatment as per rules.
Are all hospitals in Gurugram CGHS empanelled?▼
No, only specific hospitals are empanelled. HealAssist lists all verified CGHS empanelled eye hospitals in Gurugram.
Next Steps

Find empanelled hospitals

Search for hospitals empanelled under this scheme in your city.