Securing Your Family Future: CGHS Nomination Facility for Medical Reimbursement on Demise

Nomination facility under CGHS for claiming medical reimbursement in the event of death of the principal CGHS cardholder

Note : In a Reply to a Recent query of our reader, this 25th September 2013 Order is reposted here

CGHS Nomination Facility for Medical Reimbursement on Demise

Government of tndia
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, Maulana Azad Road
New Delhi 110108

No. S 11011/12/2013-CGHS (P)

Dated: the 25th September, 2013

OFFICE MEMORANDUM

Sub: Nomination facility under CGHS for claiming medical reimbursement in the event of death of the principal CGHS cardholder – reg.

The undersigned is directed to state that the Ministry has been receiving representations from CGHS beneficiaries to introduce nomination facility whereby a person duly nominated by the principal CGHS cardholder can claim the reimbursement of expenses incurred on the medical treatment of the beneficiary in the event of unfortunate death of the principal card holder.

2.The matter has been examined in this Ministry in the context of difficulties being faced by the family members of a deceased CGHS cardholder in completing the prescribed formalities for claiming reimbursement of medical expenses. Accordingly, it has been decided with the approval of the competent authority to simplify the procedure and provide an option to the principal CGHS cardhol er beneficiary to nominate a person to claim reimbursement of medical expenses in the event of his/her unfortunate death.

3.The nomination facility shall be subject to the following conditions:-

a) The nomination facility shall be available only to the CGHS pensioner card holders.

b) Beneficiaries who wish to exercise this option shall submit their declaration of nomination in the prescribed ‘Nomination Form’ duly filled up and complete in all respect, to the CMO In-charge of the CGHS Wellness Centre where the beneficiary is enrolled. [Proforma of Nomination Form enclosed]

c) CMO In-charge shall maintain a separate register ‘ ‘Nomination Register’to record the particulars of the nomination submitted by the CGHS beneficiary in exercise of this option. Once the nomination details are recorded, the CMO In-charge shall forward the ‘Nomination Form’ to the card issuing authority, i.e., Addl. Director (HQ), CGHS in the case of Delhi and respective Additional{oint Director, CGHS in the case of other CGHS covered cities for making necessary entries in the CGHS database after due scrutiny and approval of Additional Director, CGHS concerned.

d) The nomination shall be treated as valid only if the same has been entered in the CGHS database.

e) Only one person shall be allowed to be nominated as the original nominee or first nominee. ln addition, another person can also be norninated as ‘alternate nominee or second nominee’ who can claim reimbursement in case of unforcunate death of the first nominee.

f) The principal CGHS cardholder beneficiary can nominate any natural or luristic person as his/her nominee for this purpose, whether related or unrelated to him/ her.

g) This option can be exercised at any time during the lifetime of the beneficiary. However, this option can be exercised only twice in the lifetime of the pensioner card holder.

h) In case, no option has beefi exercised during the life time of the CGHS pensioner beneficiary, the existing CGHS provision fo1 claiming reimbursement of medical expenses, requiring submission of Affidavit by the claimant and NOCs from other legal heirs shall continue to apply’

4. This Office Memorandum will be effective from the date of its issue”

5. Hindi version will follow’

Encl: Proformo of Nomination Form

(V.P.Singh)
Deputy Secretary to the Governrnent of India

1. All Ministries/Departments, Government of lndia
2. Director, CGHS, Nirman Bhavan, New Delhi
3. AD (Hq), CGHS, Bikaner House, New Delhi
4. Addl.DDG (HQ), CGHS, MoHFW, Nirman Bhavan, New Delhi
5. All Addl Directors{oint Directons of CGHS cities outside Delhi
6. Additional Director (Sz)I (CZ)l(EZ)l (NZ), CGHS, New Delhi
7. JD(Gr.){D(R&H), CGHS, Delhi, Bikaner House, New Delhi
8. CGHS Desl<- llll/lll/lv, Dte General of CGHS, Nirman Bhawan, New Delhi
9. Estt.l /Estt.ll/ Esst. lll/ Estt.lV Section, MoHFW, Nirman Bhavan
   10.Admn.l/ Admn.ll Section of Dte. CGHS, Nirman Bhawan, New Delhi
10. Medical services Division, MoHFW, Nirman Bhawan, New Delhi
11. PPS to Secretary (H&FW)lsecretary (AYUSH)/Secretary (HR)/Secretary (AIDS Control), Ministry of Health & Family Welfare’ New Delhi
12. PPS to DGHS/AS (H)/ AS & DG (CGHS)/AS&MD,NRHM, Ministry of Health & Family Welfare, Nirman Bhawan, New Delhi
13. Rajya Sabha/ Lok Sabha Secretariat, Parliament House Annexe, New Delhi
14. Cabinet Secretariat, Rashtrapati Bhawan, New Delhi
15. Department of Pension & Pensioners’ Welfare, Lok Nayak Bhawan, Khan Market, New Delhi – I l0 003
16. Registrar, Supreme Court sf lndia, Bhagwan Das Road, New Delhi
17. U.P.S.C, Dholpur House, Shahjahan road, new Delhi
18. Integrated Finance Division, Ministry of Health & Family Welfare, Nirman Bhawan, New Delhi
19. Deputy Secretary (Civil Service News), Department of Personnel & Training,5th Floor, Sardar Patel Bhawan, New Delhi,
20. All Staff Side Members of National Council (JCM) (as per list)
21. Office of the Comptroller & Auditor General of India, Bahadur Shah Zafar Marg, New Delhi,
22. Sr. Technical Director, NlC, MOHFW, Nirman Bhawan, New Delhi with the request to upload this OM on the CGHS website.
23. Executive Director (Health), Railway Board, Rail Bhawan, New Delhi
24. Medical Commissioner, ESIC, ESIC Hqrs. Office, Panchdeep Bnawan, C.l.G. Marg, New Delhi-110002
25. MD, ECHS, Army Headquarters, AG’s Branch, Maudelines, Delhi Cantt.
26. Guard File