CGHS New Rules: Government changed the rules for CGHS beneficiaries, check details immediately

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CGHS New Rules : The government has made new rules for CGHS cardholders. Now no private hospital can refuse to treat CGHS cardholders and members. They cannot be given a lower category hospital bed.

Also, they cannot charge above the rate card given by the government. The Union Ministry of Health and Family Welfare has issued new guidelines to resolve complaints of overcharging and refusal to provide service to the beneficiaries of Central Government Health Scheme (CGHS). The purpose of these instructions is to provide correct, affordable and transparent health service to CGHS beneficiaries.

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Government changed the rules for CGHS beneficiaries

1. Compulsory treatment

CGHS-empanelled hospitals cannot deny treatment to any eligible beneficiary. The Health Ministry clarified that all services will be provided without any discrimination.

2. Transparency in cost and service

Hospitals will be required to provide information related to treatment at prominent places. This will include the rates mentioned by CGHS. Status of beds available in wards and ICU. It will be necessary to provide information about the ward category fixed for the beneficiaries. Hospitals will not be able to provide the following categories. Doing so will be prohibited for hospitals. It will be necessary to provide information about the empanelment city of the hospital, credit eligibility and contact of the nodal officer.

3. Mandatory reporting

Hospitals must report emergency cases, non-referral cases and direct visits and admissions of beneficiaries above 70 years of age within 24 hours to the concerned Additional Director of CGHS via email. Unreported cases will not be accepted.

4. Accountability in serious cases

In case of death or coma of the patient, it will be mandatory for the hospital to provide the signature and contact details of the attendants of the beneficiary on the final bill.

5. Prescription rules

Prescriptions must use only generic names and be written in capital letters. Hospitals cannot force you to buy a particular brand.

6. Permission will have to be taken first for expensive treatment

Hospitals will have to take permission in advance for expensive treatments. So that unnecessary or excessive charges can be avoided.

7. Penalty will be imposed for not following the rules

Hospitals that do not follow the guidelines may face penalties, including removal from the CGHS network. These new guidelines will help protect the rights of CGHS beneficiaries and provide them with affordable and transparent treatment services.

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