No: S.11011/23/2009-CGHS D.II/Hospital Cell (Part I)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 16thNovember , 2010
The undersigned is directed to state that CGHS had initiated action for fresh empanelment of private hospitals under CGHS and also for the revision of package rates (which were fixed in 2006-07), to be paid to hospitals, by floating tender for the same. On the basis of the responses received package rates for various procedures / treatments have been arrived at and have been uploaded in the website of CGHS:
www.mohfw.nic.in\cghsnew\index.asp and can be downloaded.
(b) Cost of Implants / stents / grafts is reimbursable in addition to package rates as per CGHS ceiling rates for Implants / stents / grafts or as per actual, in case there is no CGHS prescribed ceiling rates.
(c) Treatment charges for new born baby are separately reimbursable in addition to delivery chares for mother.
d) The hospitals empanel led under CGHS shall not charge more than the package rates / rates.
2.2 Package rates envisage upto a maximum duration of indoor treatment as follows:
12 days for Specialised (Super Specialties) treatment; 27 days for other Major Surgeries;3 days for Lapar oscopic surgeries / normal deliveries; and 1 day for day care / Minor (OPD) surgeries.
2.3 However, there are certain procedures where there is no prescribed package rate under CGHS. Similarly, there are medical emergencies where the treatment is mainly conservative. The admissible amount in such cases is calculated item wise, room rent, procedures, investigation , etc.,
Therefore , it has now been decided to revise the rates applicable for room rent (Accommodation Charges) for different categor ies of wards as given below:
General ward -Rs.1000/- per day
Semi-private ward -Rs. 2000/ - per day
Private ward -Rs.3000/- per day
3. CGHS beneficiaries are entitled to facilities of private, semi-private or general ward depending on their basic pay / pension. The entitlement is as follows:-
Basic Pay (without the inclusion of grade pay)
Upto Rs. 13,950/-
Between Rs.13,951/ - and Rs.19,530/-
Rs. 19,540/- and above
4.2 This issues with the concurrence of Internal Finance Division in the Ministry of Health & Family Welfare, vide Dy. No: AS & FA / 3932 /2010 dated the 8thNovember , 2010.
The revised rates will come into effect from the date of issue of this Office Memorandum.
[R Ravi ]
[Tel: 2306 3483]
1 All Ministries / Departments, Government of India3
2 Director, CGHS, Ni rman Bhawan, New Del hi
3 All Additional Directors /Joint Directors of CGHS ci ties outside Delhi
4 All Pay & Accounts Off icers under CGHS
5 Additional Director (Hqrs) / Additional Director (SZ), CGHS, New Del hi
6 JD (Gr.)/JD(R&H), CGHS Delhi
7 CGHS Desk-I/Desk-II/CGHS-I/CGHS-II, Dte.GHS, Ni rman Bhawan. New Delhi
8 Estt.I/ Estt.II/ Estt.III/ Estt.IV Sect ions, Ministry of Heal th & Fami ly Welfare
9 Admn.I / Admn.II Sections of Dte.GHS
10 Rajya Sabha / Lok Sabha Secretari at
11 Registrar, Supreme Court of India /Punjab & Haryana High Court, Chandigarh
13 Finance Division
14 Deputy Secretary (Civil Service News), Department of Personnel & Training, 5th
Floor, Sardar Patel Bhawan, New Delhi.
15 PPS to Secretary (H&FW)/ Secretary (AYUSH)/ Secretary(HR)/ Secretary(AIDS Control), Ministry of Health & Family Welfare
16 PPS to DGHS / AS&FA / AS(H) / AS&MD, NRHM
17 Swamy Publ ishers (P) Ltd., P. B. No. 2468, R. A. Puram, Chennai 600028.
18 Shri Umraomal Purohit, Secretary, Staff Side, 13-C, Ferozshah Road, New Delhi
19 All Staff Side Member s of National Council (JCM) (as per list attached)
20 Office of the Comptroller & Auditor General of India, 10 Bahadur Shah Zafar Marg, New Delhi
21 All Offices / Sect ions / Desks in the Ministry
22 Sr. Technical Director, NIC, MOHFW, Nirman Bhawan, New Delhi with the request to upload on the websi te of the CGHS.
23 Office Order folder
24 Guard File