Cghs Om Dated 16.01 2013: A Comprehensive Overview

On the 16th of January, 2013, a significant document titled “Cghs Om Dated 16.01 2013” was released. This document, available in PDF format, has garnered attention from various quarters due to its comprehensive nature and the depth of information it provides. In this article, we delve into the multifaceted aspects of this document, offering you a detailed insight into its contents.

Background Information

The document in question is a product of the Central Government Health Scheme (CGHS), an initiative by the Government of India to provide health insurance coverage to its employees and their families. The CGHS was established in 1954 and has since expanded its coverage to include various categories of government employees.

Structure of the Document

The document is structured into several sections, each focusing on a different aspect of the CGHS scheme. The following table provides an overview of the sections and their respective contents:

Section	Content
1. Introduction	Overview of the CGHS scheme, its objectives, and the scope of coverage.
2. Eligibility Criteria	Details of the eligibility criteria for availing the CGHS benefits.
3. Coverage and Benefits	Information on the types of treatments, medications, and other benefits covered under the scheme.
4. Process for Availing Benefits	Step-by-step guide on how to avail the CGHS benefits, including the required documentation and procedures.
5. Network of Hospitals	Details of the hospitals and healthcare providers that are part of the CGHS network.
6. Frequently Asked Questions (FAQs)	Answers to common queries regarding the CGHS scheme.

Eligibility Criteria

One of the key aspects of the CGHS scheme is its eligibility criteria. The document outlines the various categories of government employees and their families who are eligible for the scheme. These categories include:

Central Government employees
State Government employees
Employees of Autonomous Bodies and Public Sector Enterprises
Employees of Universities and Colleges
Employees of Local Bodies

Coverage and Benefits

The CGHS scheme offers a wide range of coverage and benefits to its eligible members. These include:

Medicines: Coverage for prescribed medicines, including generic and branded medications.
Outpatient Services: Coverage for consultations, diagnostic tests, and other outpatient services.
Inpatient Services: Coverage for hospitalization, including room rent, nursing care, and other related expenses.
Preventive Health Care: Coverage for vaccinations, health check-ups, and other preventive health care services.

Process for Availing Benefits

The document provides a detailed guide on the process for availing the CGHS benefits. This includes:

Obtaining a CGHS card: Eligible members need to apply for a CGHS card, which serves as their identification for availing the benefits.
Choosing a healthcare provider: Members can select from the network of hospitals and healthcare providers to avail the benefits.
Submitting claims: Members need to submit the required documentation to claim the benefits.

Network of Hospitals

The CGHS scheme has a vast network of hospitals and healthcare providers across the country. The document provides a comprehensive list of these hospitals, categorized by state and city. This makes it easier for members to find a healthcare provider near them.