Get the free dgehs medical reimbursement calculation sheet pdf download

This document serves as a checklist for Delhi government employees to submit medical claims for reimbursement under the DGEHS, detailing required information and supporting documents.

How to fill out medical calculation sheet form

How to fill out dgehs medical reimbursement form:

1. Obtain the form: The dgehs medical reimbursement form can be obtained from the official website of the Directorate of General Health Services (DGEHS) or from their office.
2. Fill in personal information: Start by providing your personal details such as name, address, contact number, and email address. Make sure to write legibly and accurately.
3. Mention beneficiary details: If you are filling out the form on behalf of a beneficiary (e.g., a family member), provide their name, relationship to you, and any relevant identification details.
4. Provide employment information: Fill in details about your employment, including the name of your organization, office address, and employee ID if applicable.
5. Enter medical treatment details: Specify the date of medical treatment, the name and address of the medical facility, and the type of treatment received. Include any supporting documents such as medical bills, prescriptions, and diagnostic reports.
6. Include payment details: Mention the total amount paid for the medical treatment, the mode of payment (cash, credit card, etc.), and attach copies of payment receipts.
7. Check reimbursement eligibility: Ensure that you meet the eligibility criteria for medical reimbursement as specified by DGEHS. This may include factors such as being a government employee or a dependent of a government employee.
8. Sign and date: Once you have filled out all the required information accurately, sign and date the form.
9. Submit the form: Submit the completed form along with the necessary supporting documents to the designated DGEHS office or as instructed on the form.

Who needs dgehs medical reimbursement form:

1. Employees of the government: Government employees who have received medical treatment can utilize the dgehs medical reimbursement form to claim reimbursement for their medical expenses.
2. Dependents of government employees: Dependents, such as spouses and children, who are covered under the government employee's healthcare plan can also use the dgehs medical reimbursement form to claim reimbursement for their medical expenses.
3. Individuals meeting the eligibility criteria: Individuals who meet the specific eligibility criteria outlined by the Directorate of General Health Services can also use the dgehs medical reimbursement form to claim reimbursement for their medical expenses.

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What is dgehs medical reimbursement form?

The DGEHS medical reimbursement form is a document used for claiming medical expenses for reimbursement under the Delhi government health scheme.

Who is required to file dgehs medical reimbursement form?

Employees and their eligible family members who are covered under the Delhi Government Employees Health Scheme (DGEHS) must file this form to claim medical reimbursement.

How to fill out dgehs medical reimbursement form?

To fill out the DGEHS medical reimbursement form, provide personal details, describe the medical treatment received, attach supporting documents such as bills and prescriptions, and submit it to the designated authority.

What is the purpose of dgehs medical reimbursement form?

The purpose of the DGEHS medical reimbursement form is to facilitate the claim of medical expenses incurred by employees against their health scheme benefits.

What information must be reported on dgehs medical reimbursement form?

The information to be reported includes employee details, details of the medical treatment, expenses incurred, supporting documents (like bills and prescriptions), and any other required declarations.