CGHS Rate for Cataract Surgery in India - Download PDF

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Medically Reviewed by Dr. Aman Priya Khanna
Written by Hexahealth Care Team, last updated on 6 September 2023| min read
CGHS Rate for Cataract Surgery in India - Download PDF

Quick Summary

  • The Central Government Health Scheme (CGHS) is one of the oldest health insurance schemes in India. It provides health insurance to central government employees and pensioners.
  • The CGHS rates for cataract surgery are very affordable and make it easier for government employees to seek cataract treatment without incurring huge costs.
  • To register with CGHS, you need to submit your application form along with the required documents to the CGHS office in your area.

Central Government Health Scheme (CGHS), launched by the Government of India, is one of the oldest health insurance schemes. It is, to date, one of the most active schemes that have ever been launched. Introduced in 1954, this scheme provides health insurance to central government employees and pensioners. What makes this scheme unique and highly effective is the many beneficiaries that are closely associated with it. The CGHS rates for cataract surgery have made it easier for government employees to seek cataract treatment without incurring huge costs. 

It provides a vast range of benefits and facilities to not just government employees and pensioners but also their families. CGHS covers various diseases and procedures for the beneficiaries under the scheme. The following blog focuses on the CGHS rate list for cataract surgery. The blog also discusses the eligibility criteria under the scheme and how one can register with CGHS. Continue reading to know more.'

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About CGHS

CGHS, or Central Government Health Scheme, is a healthcare scheme for Central Government employees and pensioners in India. The CGHS provides comprehensive medical care facilities to its beneficiaries, including consultation, hospitalisation, and medicines.

CGHS is available for those working for the Government. Even though this policy has been highly beneficial for people, its application process, eligibility, score, criteria, etc., differs greatly from the private and standard health policies.

Following is a list of citizens that are eligible for CGHS: 

  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

The Central Government Health Scheme has existed for many years and is widespread across many parts of the country. Cities in India where CGHS provides outstanding health facilities to central government employees include:

North South
Delhi Bengaluru
Jaipur Hyderabad
Lucknow Chennai
Kanpur Madurai
Chandigarh Mysuru
Allahabad Kochi
Srinagar Puducherry
East West
Kolkata Udaipur
Patna Surat
Durgapur Pune
Asansol Kota
Balasore Ahmedabad
Bhubaneshwar Jodhpur
Siliguri Jamnagar
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Understanding Cataract Surgery and its Cost

Cataract surgery is a common surgical procedure that involves the removal of the cloudy natural lens from the eye and replacing it with an artificial lens. The cost of cataract surgery in India can vary depending on several factors, including the type of surgery, the hospital or clinic, and the location.

The cost of cataract surgery in India can range from around ₹ 30,000 to ₹ 1,40,000 or more, depending on the factors mentioned above. The most common type of cataract surgery performed in India is Phacoemulsification, which is a modern technique that uses ultrasound waves to break up the cataract and remove it through a small incision.

In addition to the cost of the surgery itself, there may be additional costs such as pre-surgical tests, anaesthesia fees, medications, and follow-up visits. However, some government-run health schemes, such as CGHS, may cover the cost of cataract surgery for eligible patients.

CGHS Rates for Cataract Surgery

Under the CGHS program, the rates for cataract surgery are fixed by the government and are generally lower than the rates charged by private hospitals and clinics. The CGHS rates for cataract surgery cover the cost of the surgery, including the surgeon's fees, anaesthesia, and other expenses.

The rates for cataract surgery under the CGHS program may vary depending on the type of surgery, the location, and other factors. The rates are revised periodically to reflect changes in the cost of medical care and technology.

To be eligible for cataract surgery under the CGHS program, patients must be enrolled in the scheme and have a referral from a CGHS medical officer. Patients may also need to undergo certain medical tests and evaluations to determine their eligibility for surgery.

Patients who are eligible for cataract surgery under the CGHS program are advised to consult with their ophthalmologist and the CGHS guidelines to determine the applicable rates for their particular case. They should also ensure that the hospital or clinic where the surgery is performed is empanelled with the CGHS program.

The Central Government Health Scheme covers the cost beneficiaries incur on cataract eye surgery. The CGHS rates for cataract surgery are as follows:

CGHS Treatment Procedure NABH/NABL Rate Non-NABH Rate
Cataract extraction with IOL with capsular tension rings (Cionni’s ring)

₹ 35,000

₹ 26,000
Extracapsular cataract extraction (ECCE) with IOL

₹ 12,000

₹ 10,000
Phaco with foldable IOL (silicone and acrylic)/PMMA IOL

₹ 24,000

₹ 20,000
Small Incision Cataract Surgery (SICS) with IOL

₹ 8,500

₹ 7,500

To know the CGHS rate for cataract surgery in CGHS empanelled cities, visit the official CGHS website “https://cghs.nic.in/”.

Lens Covered by CGHS in Cataract Surgery

Cataract Surgery consists of placing a lens in the eye. These lenses are available in a wide variety of designs and qualities. There are primarily three types of Intraocular lenses for cataract surgery. As a patient, one must know that the CGHS rates for cataract surgery do not cover all lenses. The differentiation among the lenses can be done based on their needs. The different types of intraocular lenses are as follows:

  1. Mono-focal lenses: These lenses are most commonly used to treat eye problems such as near-sightedness, farsightedness, and astigmatism. These are available in both standard as well as wide standard varieties. These lenses are more affordable than the other variety of lenses. The beneficiary does not need to pay anything extra to get these lenses. However, one must know that CGHS rates for cataract surgery cover only Indian lenses and not imported ones.
  2. Extended depth-of-focus (EDOF) Lens: With its far dominant presence, the EDOF lens is emerging as the most beneficial for improving vision. These lenses allow a person to see objects that are far and at medium distances. To see objects that are near, doctors generally prescribe glasses. Compared to the Mono-focal lens, these are more expensive.
  3. Trifocal or Multifocal lenses: These lenses have been around for the longest time. They allow a person to see clearly despite the difference between near and far. However, it can cause problems in a person's vision at night time. These lenses are far more expensive than the other lenses.

Benefits of CGHS Rate for Cataract Surgery

The Central Government Health Scheme (CGHS) provides several benefits to patients who opt for cataract surgery under its program. Some of the key benefits include:

  1. Lower Cost: The CGHS rates for cataract surgery are generally lower than the rates charged by private hospitals and clinics. This makes the surgery more affordable for patients who may not have access to private healthcare facilities.
  2. Comprehensive Coverage: The CGHS program covers the cost of the surgery, including the surgeon's fees, anaesthesia, and other expenses. Patients can also avail of follow-up care and treatment under the scheme.
  3. Quality Care: The CGHS program empanels hospitals and clinics that meet certain quality standards and guidelines. This ensures that patients receive high-quality medical care and treatment.
  4. Accessibility: The CGHS program is available to central government employees, pensioners, and their dependents across various locations in the country. This makes it easier for patients to access medical care and treatment, especially in remote areas.
  5. Transparency: The rates for cataract surgery under the CGHS program are fixed by the government and are transparent. This helps patients to make informed decisions about their healthcare and treatment options.

Benefits of CGHS Rates for Cataract surgery image

How to Download CGHS Rate for Cataract Surgery?

The government created the CGHS rate list to give patients and medical professionals a wealth of information, including the rates for cataract surgery. It is a great resource because it is simple to acquire off the internet and keeps everyone in the loop regarding the treatment rates. To know about the rates of cataract surgery under CGHS, you can download the CGHS rate list PDF by following these steps:

  1. Visit the official CGHS website “https://cghs.nic.in/”. cghs.nic.in website image
  2. Close the pop-up window.close the pop-up image
  3. From the “Beneficiaries” dropdown list in the menu bar, click on “Empanelled Hospitals and Rates” Click 'Empanelled Hospitals and Rates' image
  4. A new search window will open to search for “Empanelled Hospitals/Diagnostic Centres, and CGHS Rates”.New search window image
  5. Select “Approved rates for Procedures/Investigations” from the “Search For” dropdown.Select 'Approved Rates for Procedures' image
  6.  Select your desired city from the “Select City” dropdown.Select the Desired City image
  7. Select “Opthalmology” from the “Investigation/Procedure Category” dropdown and click on the “Submit” button to receive the CGHS Rate list for Opthalmology-related procedures.Select 'Ophthalmology' image
  8. You will find the full CGHS rate list by scrolling down.Scroll for CGHS Rates image
  9. From the “Show entries” dropdown list, you can select “All” to get the entire list.Select 'All entries' image
  10. You can click on “Print” button to download the CGHS rate list for ophthalmology-related procedures pdf.Click on 'Print' image

How Can One Register With CGHS?

Registry for CGHS is, by all means, an easy task. After filling in your details in the form, you need to attach the following copies with the form. These copies 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 CGHS contribution in favour of PAO, CGHS, New Delhi (for Delhi) or Additional Director, CGHS, of the respective city

Takeaway

With medical expenses skyrocketing with every passing day, a robust and highly efficient medical insurance plan is needed like never before. The eye is one of the most vital organs of the human body. For a normal and peaceful existence, the importance of the eye in human life remains unquestioned and unparalleled. 

If you are a Central Government employee and have been facing problems with your eye, you have to worry no more. The CGHS rates for cataract surgery allow you to get your cataract surgery from some of the best doctors in your city at the most economical prices. A big advantage for central government employees, pensioners, and their families is that this health scheme ensures carrying out the best treatments in the smoothest ways. 

We at Hexahealth are a one-stop destination for your complete medical journey. Our team will help you connect with the right doctors and hospitals for surgery. Furthermore, we also collaborate well with the best medical and health policies in the country. Among our vast web of medical collaborations, CGHS is one of the best ones. If you are looking for the right hospital and doctor anywhere in India that can successfully carry your cataract eye surgery, get in touch with us TODAY!

Suggested Reads

To read more on CGHS, visit the following links:

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Frequently Asked Questions

As of 2021, the CGHS rates for cataract surgery in non-NABH (National Accreditation Board for Hospitals & Healthcare Providers) accredited hospitals range from ₹ 15,000 to ₹ 31,500, while in NABH-accredited hospitals, the rates are between ₹ 18,000 to ₹ 45,000 for phaco and non-phaco surgeries. These rates are subject to change and may vary depending on the hospital and location. 
Yes! The CGHS medical scheme is one of India's most established medical schemes and covers not just cataracts and other eye-related problems but also many other medical conditions.
Depending on the type of cataract a person is suffering from, cataract eye surgery in India starts from ₹ 30,000 and can go up to ₹ 1,40 000.
In most cases, the only effective way to treat the cataract is with cataract eye surgery. Your doctor will recommend surgery if you can no longer enjoy a good quality of life and your vision stops you from successfully carrying out the many day-to-day activities.
Traditional cataract eye surgery, also known as phacoemulsification, is one of the safest and most effective cataract surgeries. It not only permanently removes cataracts from the eyes of the patient but also significantly improves their vision.

Choosing the right lens for your cataract surgery is necessary to improve your vision. The most efficient ways to choose the right lens are:

  1. Choose a lens according to your eye health.
  2. It should match your lifestyle needs (do you need a lens that allows you to read, drive, etc.).
  3. Always ask your doctor for recommendations.
  4. Research each lens type in detail.
There are no specific age recommendations for cataract eye surgery. However, according to stats and reports, most patients above 60 years of age have been known to need this surgery.

Yes, the cost of getting a cataract lens is dependent on multiple factors. These factors include:

  1. The type of lens and brand that the patient chooses
  2. Fees and experience of the surgeon
  3. Choice of hospital or clinic for the procedure
  4. The complexity of the procedure

This low-cost medical scheme for Central Government employees provides excellent medical care and cashless treatment. The following are some CGHS-empanelled hospitals in Delhi for cataract treatment:

  1. Batra Hospital and Medical Research Center
  2. Bhagwati Hospital
  3. Bansal Hospital
  4. Brahma Shakti Hospital 
  5. Bhagat Chandra Hospital
  6. Centre For Sight
  7. Drishti Eye Care Centre, etc.
Yes, the Central Government Health scheme covers not only Cataract eye surgery but also many other eye-related problems such as squint, etc. There are different procedures and different operations for cataracts. Consult your doctor to go for the surgery that is most suitable for you. Also, the CGHS rates for cataract surgery cover only limited surgeries; patients might have to pay extra if they choose advanced surgeries and methods.

References

All the articles on HexaHealth are supported by verified medically-recognized sources such as; peer-reviewed academic research papers, research institutions, and medical journals. Our medical reviewers also check references of the articles to prioritize accuracy and relevance. Refer to our detailed editorial policy for more information.


  1. Central Government Health Scheme, Ministry of Health & Family Welfare, Government of Indialink

Updated on : 6 September 2023

Disclaimer: The information provided here is for educational and learning purposes only. It doesn't cover every medical condition and might not be relevant to your personal situation. This information isn't medical advice, isn't meant for diagnosing any condition, and shouldn't replace talking to a certified medical or healthcare professional.

Reviewer

Dr. Aman Priya Khanna

Dr. Aman Priya Khanna

MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES

12 Years Experience

Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More

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