Central Government Health Scheme – CGHS Frequently asked questions

24. Can  dependent  in-laws  be  included  under  family  members  for  CGHS
facilities?

A lady Government servant will be given a choice to include either her parents or parents –in-law for the purpose of availing the benefits under CGHS subject to the condition of dependence and residence, etc., being satisfied.

Such option is not available for male Government servants.

25. Me and my wife are both  central Govt. employees and have dependant brothers / sisters and parents. Can we make separate cards and include family members?

Yes. Both Government employees have the option to make CGHS Contribution and obtain Two separate CGHS cards and the names of the eligible dependant family members can be included on their respective cards.

Your wife can include the names of her parents/ brothers / sisters and such other eligible dependants  in  her card, subject  to  the  condition  of dependence and residence, etc., being satisfied.

26. Can  the  CMO  or  the  pharmacist  give  a  different  brand  than  the  one prescribed by the specialist?

CGHS shall supply / indent only those medicines, which are included in the CGHS formulary (Pl ref to reply to Q 29 ).

27. What is the procedure for getting life saving drugs ?

In Delhi- through CGHS Medical Store Depot, Gole Market The documents required are:-

1.    Prescription of specialist. of Govt. Hospital or CGHS approved private Hospital.

2.    Photocopy of his/ her token card/ plastic card.

3.    Copy of permission if his prescription is from CGHS approved private

Hospital.

4.    Utilization certificate in original during subsequent visit

5.    Indent is placed online through CGHS Wellness centre.

In other cities request is to be submitted to the Addl. Director of City.

28. What are the guidelines for Anti Cancer and related medicines?

Only the anti Cancer and other similar medicines, which are   approved by DCGI for use in India are supplied under CGHS. In case an Indian version is available, which     is cheaper than the   imported medicine, only the   Indian medicine     shall  be  supplied  even  if,  an     imported  medicine  has  been prescribed.

29. What are the guidelines for issue of medicines?

a)        CGHS shall supply / indent only those medicines, which are included in the CGHS formulary, except for para (b) below. CGHS formulary containing  1447  generic  and  622  branded  medicines  is  available  on CGHS website at http://msotransparent.nic.in/cghsnew/index.asp

b)       Anti Cancer and other similar medicines are however supplied on a case to case basis. Only the medicines approved by DCGI for use in India shall  be supplied.  In  case an  Indian  version  is  available, which     is cheaper than the   imported medicine, only the   Indian medicine   shall be supplied even if, an   imported medicine has been   prescribed.

c)       Medicines shall be supplied for a maximum period of one month.

d)       In case of CGHS beneficiaries going abroad, issue of medicines shall be restricted for a maximum period of three months.

30. What should I do if the Wellness Centre/Dispensary does not give all the medicines?

Contact CMO i/c of the concerned Wellness Centre or Addl. Director, CGHS of concerned city or Director, CGHS.

31. How long does it take to get the medicines?

Medicines available in the dispensary are issued immediately. If any medicine is not available and is to be indented through Authorized Local Chemist the same are issued on the next day.

32. Are the prescription of specialists of empanelled hospitals binding on the dispensary ?

Medicines are issued on the basis of prescriptions of government doctors. However, in permitted cases medicines are issued on the basis of prescriptions of empanelled hospitals. CGHS shall supply / indent only those medicines, which are included in the CGHS formulary except anti-cancer and other related medicines ( pl ref to   reply under Q 29   above).

33. What is the maximum period for which medicines can be given in one go ?

1.        Medicines upto one   month are issued in one go , provided there is a valid prescription.

2.        In case of a beneficiary visiting a foreign country , medicines up to ‘3’ months are issued , based on valid prescription and documentary support of visit to a foreign country.

Beneficiary is required to submit an application for obtaining permission from AD/JD along with the following documents:-

Copy of valid CGHS card/ token card.

Valid  prescription  for  six  months  counter  signed  by HOD  of Specialty of Govt. Hospital.

Proof of station leaving   like ticket, Visa etc.

34. If  some  medicines  like  antibiotics  are  urgently  required  and  are  not available at CGHS Wellness Centre what can be done?

In case some medicines are not available and are urgently required for treatment , there is provision  for issue of authority form  by CMO i/c for collection of medicines, for a few days like 3-5 days, directly from authorized local chemists .

This article has multiple pages. Click the page number below to read further
You might also like