DRAFT DOCUMENT CENTRAL GOVERNMENT EMPLOYEES AND PENSIONERS HEALTH INSURANCE SCHEME (CGEPHIS)
DRAFT DOCUMENT CENTRAL GOVERNMENT EMPLOYEES AND PENSIONERS HEALTH INSURANCE SCHEME (CGEPHIS) NAME OF THE SCHEME: Central Government Employees & Pensioners Health Insurance Scheme (CGEPHIS). BENEFICIARIES: Applicable to all Central Government personnel, including All India Service officers (serving, newly recruited, retired/retiring) under CGHS and CS(MA) Rules. Compulsory for new recruits post-implementation. Compulsory for retirees post-implementation. Voluntary for existing employees/pensioners under CGHS or CS(MA). TARGET GROUP: 17 lakh serving employees and 7 lakh pensioners. INSURANCE COVERAGE: a) In-patient treatment in empanelled hospitals. b) Coverage for all pre-existing conditions from inception. c) Pre-hospitalization (30 days) and post-hospitalization (60 days). d) Domiciliary hospitalization in select conditions. e) Specified Day Care procedures. f) Disabilities treatment covered. g) Maternity and newborn benefits. FAMILY SIZE: Includes self, spouse, two dependent...