CGHS beneficiary can also claim Health Insurance now - ALLCGNEWS

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05 May 2010

CGHS beneficiary can also claim Health Insurance now

Central governmentemployees, serving and retired, who have subscribed to the Central Government Health Scheme (CGHS) would now be able to claim reimbursement of their actual hospitalization expenses beyond the CGHS package rates, with the government easing conditions that enable them to use medical insurance policies to enhance their spending. This could spur demand for policies from  government employees. A recent circular from the Ministry of Health and Family Welfare states that CGHS beneficiaries will be allowed to claim  their hospitalization expenses not only from CGHS/ministry but also from
insurance companies provided that the reimbursement being claimed does not exceed the total  expenditure incurred by the beneficiary. Earlier, CGHS beneficiaries could claim CGHS and insurance firms such that the combined amount does not exceed prescribed package rates. CGHS has empanelled select hospitals that follow the package rates provided by it.  However, the package rates are lower than the market rates. This move helps a beneficiary to claim his expenses from an insurer in case the claim is beyond the CGHS package rates.

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