CGHS facility is meant for the serving Central Govt employees and pensioners residing in specified areas. Fixed Medical Allowance is granted to pensioners living in non-CGHS areas
Pensioners – Pension Policy –
Central Civil Services – FAQ on Fixed Medical Allowance. CGHS facilities
available for the Central Govt Employees.
Frequently asked questions on Fixed
Medical Allowance (FMA) for Central Civil Services Pensioners.
FIXED MEDICAL ALLOWANCE (FMA)
1) What is the medical allowance for
pensioners?
Fixed medical allowance @ Rs.500/-
is granted to the pensioners residing in areas not covered by CGHS, if they are
not using CGHS facility for OPD treatment from a CGHS dispensary in the nearest
city. The pensioners living in cosmopolitan cities not covered by CGHS
dispensary are also eligible on production of a certificate to that effect.
2) Are the Government Employees who
have not applied for CGHS card in spite of residing in areas covered by CGHS,
also eligible for Fixed Medical Allowance?
The CGHS facility is meant for the
serving Central Govt employees and pensioners residing in specified areas.
Fixed Medical Allowance is granted to pensioners living in non-CGHS areas, for
the CGHS facilities not available to them. The pensioners residing in CGHS
areas cannot opt out of CGHS and avail any other medical facility (i.e. Fixed
Medical Allowance). Therefore, such pensioners, if they do not choose to avail
CGHS facility by depositing the required contributions, cannot be granted Fixed
Medical Allowance in lieu of CGHS.
3) In the case of those Pensioners
who are in receipt of two pensions viz., service pension and family pension OR
military pension and another civil pension to which category of pension,
medical allowance shall be allocated.
If any pensioner or family pensioner
receives two pensions, only single medical allowance is admissible, if he/she
does not avail of the medical facilities provided by the respective
organizations As regards, pensioner who gets both military pension and civil
pension, if the pensioner avails of the medical facilities provided by one of
the civil or military organisations, he is not entitled to medical allowance
and if he does not avail medical facilities from any of the organizations, he
is entitled to medical allowances for only one of the two pensions.