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.