The undersigned is directed to state that in accordance with the
definition of ‘family’ mentioned in Ministry of Health Memo. No. F.6(1) 1-54-H,
dated the Ist May, 1954 the family of a beneficiary for the purpose of CGHS
scheme includes husband/wife of the CGHS card-holder, as the case may be,
wholly dependent children or step-children and parents, who are mainly
dependent on and residing with the Government Servant. While it is incumbent
upon the card issuing. Authorities, i.e. various departments and offices
participating in the scheme, to ensure that the names of only genuine and
eligible persons are included in the CGHS token cards, it is the responsibility
of the employees concerned to apply for a deletion of the name of the dependent
from the CGHS card, when the ward is no more entitled to the benefit eligible
under the scheme. The failure on the part of a cardholder to get the name of a
child deleted from the CGHS token-card when he is no more dependent on him is a
good and sufficient reason for initiating disciplinary proceedings against him
in terms of the CCS (CCA) Rules, 1965.
All Ministers/Departments of the Government of India are requested
kindly to ensure that the above said provisions are complied with fully. These
instructions may also be brought to the notice of all employees concerned.
Opting out of the C.G.H. Scheme
Spouse employed outside Central Government and availing Medical
Facilities provided by his/her Employer
Central Government Servants covered under Central Govt. Health Scheme
and whose spouse is employed in Defence or Railway Services, State Government
or Corporations or Bodies financed partly or wholly by the Central or State
Government, Local Bodies and private organizations which provide medical
facilities to the employees and their family members, can opt out of the CGH
Scheme and avail medical facilities so provided by the above mentioned
organizations.
It is to be ensured that neither of the two nor their family members
avail medical facilities from both the sources at the same time and for this
purpose, the concerned Central Government employee shall give an undertaking to
the authority issuing the CGHS Card.
Re-admission under CGHS after ‘opting out’
Such Government Servants, who have opted out of CGHS, may apply for
readmission and avail the benefit of CGHS in case their spouse dies or resigns
or is dismissed from the office/organization, which provided medical
facilities.
Availability of ‘Opting Out’ Facility
The facility of opting out of CGHS can only be availed twice during the
whole service career of the employee. Administrative Ministry/Department shall
record the same by making an entry in the employee’s Service Book
