Cashless Treatment Eligibility

Last updated: October 13, 2025

Summary of Eligibility for Credit/Cashless Treatment

The following table summarizes who is eligible for cashless treatment and the bill submission process:

Eligibility Table

Category of CGHS BeneficiaryEligibility for Credit/CashlessBill Submission ProcessPayment Authority
Pensioners holding CGHS Card with green strip, Ex-Members of Parliament, Ex-Governors, Freedom FightersYesCredit 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 StripYesHCO 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 yearsLok Sabha/Rajya Sabha Secretariat, New Delhi
Serving CGHS/DGHS/Ministry of H&FW Employees and their dependants holding CGHS Card with Blue StripYesPhysical 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 HCOHOD/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 StripCredit may be given in emergency cases after obtaining letter from HOO/HOD of Beneficiary departmentCredit 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 departmentHOD/HOO of Concerned Department
Serving and Pensioners of Autonomous bodies holding CGHS Card with Yellow StripNoTreatment shall be provided on payment basis as per the CGHS Rates. Beneficiaries shall seek reimbursement from their departmentHOD/HOO of Concerned Department
Pensioners of Air India (Orange Strip)Yes. But BCA as decided by concerned authorities. Currently the BCA is UTIITSLAs per Air India processAIAHL
Accredited Journalist holding CGHS Card with Yellow StripNoTreatment shall be provided on payment basis as per the CGHS Rates-

Key Points

  • Pensioners with green strip: Eligible for cashless treatment at all empanelled hospitals
  • Serving employees (blue strip): May need to obtain authorization letter from their department for cashless treatment in emergency cases
  • Autonomous bodies (yellow strip): Not eligible for cashless; must pay and seek reimbursement from their department
  • MPs (red strip): Eligible for cashless; bills submitted to Parliamentary Secretariat