CGHS Rate List in India 2023 - Download PDF Here

The Central Government health scheme rate list refers to the open-sourced generous rates available for several government employees. This scheme is unique and highly beneficial because of the prices at which world-class treatment is provided across all parts of the country. 

As the name suggests, the Central Government health scheme is available for Central Government employees, pensioners, and their families. What sets this health scheme apart from other private and standard health policies is its approach to applications, criteria, prices, policy, and much more.

The individuals who qualify for CGHS include:

1. All Government employees who work under the central Government
2. Family members of Government employees living or working in CGHS-covered areas
3. Members of Parliament, both sitting and former
4. Pensioners who receive a pension under the central civil estimates
5. Freedom fighters
6. Former Vice Presidents
7. All former Governors and Lieutenant Governors of Indian states
8. PIB – accredited journalists (for Delhi)
9. Sitting and former Judges of the Supreme Court and High Court
10. Police personnel working in Delhi
11. Railway board employees 

Cities Under Central Government Health Scheme

CGHS health scheme aims to offer treatment at affordable costs to government employees all across the country. Several cities are covered under the scheme, and beneficiaries can avail of treatment at CGHS-empanelled hospitals in these cities.

The Central Government Health Scheme (CGHS) rate list is a document that outlines the prices of various medical procedures, tests, and treatments covered under the scheme for government employees and their dependents. These rates are revised from time to time, considering the current market conditions and inflation.

The Ministry of Health and Family Welfare recently released a new rate list, which is very important for CGHS beneficiaries. Some of the benefits provided include:

1. It helps to determine and understand the different prices for specific health treatments, procedures, hospital stays and supplies. 
2. The revised rates for various medical procedures, tests, and treatments are now more reasonable and affordable. This will not only benefit CGHS beneficiaries but will also encourage empanelled hospitals to provide quality healthcare services at reasonable rates.
3. The CGHS rate list has introduced a new category of hospitals known as “Economy Hospitals.” These hospitals provide essential healthcare services at even more affordable rates.
4. A range of diagnostic tests and procedures not covered earlier are now included. This will enable beneficiaries to avail of these tests and treatments without any financial burden.

The Central Government Health Scheme provides medical coverage to all Central Government active employees, pensioners and their families. The CGHS rate list is an important document that lists the prices of various medical procedures, tests, and services covered under the scheme. Here are some benefits of downloading the new CGHS rate list PDF:

1. Access to the latest prices: The rate list is updated periodically to reflect the latest prices for medical procedures and services. By downloading the new CGHS rate list PDF, beneficiaries can easily access the latest rates from their computer or mobile device. This helps them to stay informed about the latest prices and plan their healthcare expenses accordingly.
2. Transparent pricing: The rate list provides a transparent and standardized pricing system for medical procedures and services covered under the scheme. This helps beneficiaries understand the costs involved and make informed decisions about their healthcare needs.
3. Cost-effective healthcare: By using the new CGHS rate list, beneficiaries can ensure that they receive cost-effective healthcare services without overpaying for medical procedures or services. This can help reduce the financial burden of healthcare expenses, especially for those with limited financial resources.
4. Improved quality of care: The new rate list encourages hospitals and healthcare providers to maintain high-quality standards of care to remain competitive in the market. This can lead to improved quality of care for beneficiaries and better health outcomes.
5. Reduced disputes and grievances: By having access to the new rate list, beneficiaries can ensure that they are charged the correct prices for medical procedures and services. This can help reduce disputes and grievances related to overcharging or incorrect billing.

The CGHS rate list has been developed by the Government to provide extensive clarity to patients and health providers. It is an excellent source because it can be easily downloaded from the internet and keep the concerned parties informed about the treatment rates. To know about the rates of treatments and procedures under the scheme, you can download the CGHS rate list PDF by following these steps:

1. Visit the official CGHS website “https://cghs.nic.in/”.
2. Close the pop-up window.
3. From the “Beneficiaries” dropdown list in the menu bar, click on “Empanelled Hospitals and Rates”.
4. A new search window will open to search for “Empanelled Hospitals/Diagnostic Centres, and CGHS Rates”
5. Select “Approved rates for Procedures/Investigations” from the “Search For” dropdown.
6. Select your desired city from the “Select City” dropdown.

7. Click on the “Submit” button to receive the CGHS Rate list. If you are looking for rates of specific investigation/procedure, you can select it from “Investigation/Procedure Category” dropdown and “Investigation/Procedure Name”.

8. You will find the full CGHS rate list by scrolling down.

9. From the “Show entries” dropdown list, you can select “All” to get the entire list.

10. You can click on “Print” button to download the CGHS rate list pdf.

The updated CGHS rate list for 2023 covers a wide range of medical services and treatments, including consultations, diagnostic tests, surgical procedures, and hospitalization expenses. The rates are determined based on the type of treatment, the hospital or clinic providing the service, and the location of the facility.

Some of the key highlights of the updated CGHS rate list for 2023 are:

1. The rate list includes the cost of various medical procedures and treatments, such as consultation fees, laboratory tests, radiology services, and surgical procedures.
2. The rates for various medical procedures have been revised to reflect the current market rates and ensure that the scheme remains affordable for all beneficiaries.
3. The updated rate list includes the cost of new medical procedures and treatments that have been recently introduced.
4. The rate list also includes the cost of medicines and medical equipment that are covered under the scheme.
5. The updated rate list has been designed to ensure that beneficiaries have access to quality healthcare services without having to bear a heavy financial burden.

Overall, the CGHS rate list for 2023 provides a comprehensive guide to the prices of various medical treatments and procedures, ensuring that beneficiaries can avail of quality healthcare services at affordable rates.

The CGHS rate list has proved valuable time and again for government employees. It helps beneficiaries know the rates of the treatments they require. However, certain factors must be seriously considered when using the CGHS rate list. These are: 

1. Eligibility: The scheme is designed to serve retired government employees and their dependents. Ensure you are eligible for the scheme before using the rate list.
2. Updated Rates: The CGHS rate list is updated periodically, so make sure you use the latest version to avoid any discrepancies in billing. You can check the latest rates on the official website or by contacting your local CGHS office.
3. Authorized Providers: Only authorised CGHS-empanelled hospitals and diagnostic centres can charge Central Government rates. Choose a provider empanelled with CGHS to avoid overcharging.
4. Services Covered: The CGHS rate list covers many medical services and procedures, but not all services may be covered. Check the rate list to see which services are covered and which are not.
5. Billing Process: Make sure that you understand the billing process and the charges that you will be required to pay. CGHS rates are fixed, so there should be no hidden charges or additional fees.
6. Pre-authorization: You may need pre-authorization from the CGHS office before getting the procedure done for specific procedures. Make sure to check whether pre-authorization is required and follow the necessary procedures.
7. Reimbursement Process: If you have paid for medical services out of your pocket, you can apply for reimbursement from the CGHS office. Ensure you follow the reimbursement process correctly to avoid delays or rejections.

Registry for CGHS is an easy task. After filling in the form’s details, you only need to attach the following copies with your form. These include:

1. Residential proof
2. Dependents’ proof of stay
3. Son/daughter’s age proof
4. Disability Certificate for son(s) above the age of 25, if applicable
5. Passport photos of eligible family members
6. Attested copies of the Last Pay Certificate and PPO (for retired staff)
7. Demand Draft towards Central Government Contribution in favour of PAO, CGHS, New Delhi (for Delhi) or Additional Director, CGHS, of the respective city.

With the increasing expenses of medical facilities, doctor consultations, and hospitalisations like never before, the importance of a good health insurance policy remains unquestioned. CGHS is an excellent central government health policy that has been conceptualised and developed, keeping the best interests of the employees, pensioners, and their families in mind. 

With the wide variety of treatments and consultations made available through this scheme, the CGHS rate list has been highly beneficial for thousands of people out there who are seeking medical assistance. Easy to register and use, this health scheme will make getting medical procedures from the best doctors affordable.

HexaHealth is an outstanding application built to make every medical journey, both big and small, easy for you. A one-stop destination for all your medical requirements, we are dedicated to helping you in finding not just the best doctors but also the best hospitals. From making your appointments to free consultations, the best medicines, and the right doctors for surgeries, we are here to do it all for you. To find out more about how to download CGHS rate list PDF, get in touch with our experts today.

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