How the MoH Order of 28.10.2022 Upgraded the Ward Entitlement for CGHS Beneficiaries in Private Hospitals

Despite the Department of Health & Family Welfare issuing an order on October 28, 2022, to revise and upgrade the Ward Entitlement for CGHS Beneficiaries in private hospitals empanelled under CGHS, there remains confusion regarding its implementation. Here’s an overview of the issues contributing to this confusion:

Lack of Clear Communication: Although the order aimed to upgrade ward entitlements, the details were not effectively communicated to all stakeholders. Beneficiaries and hospital administrators are unclear about the specifics of the changes, leading to inconsistent application.

Inconsistent Implementation: Not all empanelled private hospitals have uniformly adopted the revised ward entitlements. Some hospitals may not have updated their systems or trained their staff accordingly, resulting in beneficiaries receiving varying levels of care.

Beneficiary Awareness: Many CGHS beneficiaries may not be fully aware of the revised entitlements. This lack of awareness means that beneficiaries are not in a position to demand the upgraded ward facilities they are entitled to under the new order.

To address this confusion, the order of Department of Health & Family Welfare dated 28.10.2022 is reproduced below

Ward Entitlement for CGHS Beneficiaries in Private Hospitals – MoH&FW Order

F. No. S.11011/11/2016-CGHS(P)/EHS
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
(EHS Section)

Dated, the 28th October, 2022
Nirman Bhawan, New Delhi

OFFICE MEMORANDUM

Subject: Revision of rates of subscription under Central Government Health Scheme due to revision of pay and allowances of Central Government employees and revision of pension/ family pension on account of implementation of recommendations of the Seventh Central Pay Commission.

In partial modification to this Ministry’s O.M. of even number dated 9th January, 2017, the undersigned is directed to say that entitlement of wards in private hospitals empanelled under CGHS as contained in Para 3(B) of the O.M. ibid stands revised as under with effect from the date of issue of this O.M. :

Ward Entitlement for CGHS Beneficiaries in Private Hospitals

Sl.No.	Corresponding Basic Pay drawn by Officer in 7th CPC per month	Ward Entitlement
1	Upto Rs. 36,500	General
2	Rs.36,501 to Rs.50,500	Semi-Private
3	Above Rs. 50,500	Private

2. This issues with the concurrence of the Department of Expenditure vide their I.D. Note No. 18(1)/EV/2016 dated 11th May, 2022 read with I.D. Note dated 6th October, 2022.
3. Hindi Version follows.

(Guite Elsy Thang Biak Lun)

The hand written Note quoted below was made by Under Secretary -EHS

“We are receiving a lot of enquiries with respect to the genuinity of this order. CGHS is requested to upload the order on the website of CGHS“

sd/-
Hemalatha Singh
Under Secretary-EHS

View the Order pdf