Get the free CGHS Medical Form - dcmsme gov

ANNEXED CENTRAL GOVERNMENT HEALTH SCHEME MODIFIED CHECK LIST FOR REIMBURSEMENT OF MEDICAL CLAIMS 1. 2. 3. 4. 5.CGS Token No. and place of issue Validity of CGH Card (For pensioners) & Entitlement

How to fill out cghs medical form

How to fill out cghs medical form

1. To fill out the CGHS medical form, follow the steps below:
2. Obtain the CGHS medical form from any CGHS wellness center or download it from the official CGHS website.
3. Fill in your personal details, such as name, date of birth, address, contact number, etc., in the designated fields.
4. Provide your CGHS card number, if applicable.
5. Mention the details of your family members who are dependent on you for medical benefits.
6. Fill in the details of your pre-existing medical conditions, if any.
7. Provide information about any specific medical concerns or requirements you may have.
8. Attach any supporting documents, such as previous medical reports, prescriptions, etc.
9. Sign and date the form.
10. Submit the completed form along with the required documents to the nearest CGHS wellness center or as instructed by the concerned authorities.
11. Keep a copy of the filled form for your records.

Who needs cghs medical form?

1. CGHS medical form is required by individuals who are eligible for CGHS benefits. This includes:
2. - Central Government employees and pensioners
3. - Central Government dependent family members
4. - Employees of select autonomous bodies
5. - Members of Parliament
6. - Retired Judges and their dependent family members
7. - Freedom Fighters
8. - Accredited Journalists
9. - Beneficiaries under the Contributory Health Service Scheme
10. - Any other individuals covered under the CGHS scheme as notified by the government.
11. It is advisable to consult the official CGHS website or contact the nearest CGHS wellness center to determine if you are eligible and require a CGHS medical form.

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What is cghs medical form?

CGHS medical form is a form used by Central Government Health Scheme beneficiaries to claim reimbursement for medical expenses.

Who is required to file cghs medical form?

CGHS beneficiaries are required to file the CGHS medical form.

How to fill out cghs medical form?

To fill out the CGHS medical form, beneficiaries need to provide details of the medical expenses incurred and submit the form along with supporting documents.

What is the purpose of cghs medical form?

The purpose of the CGHS medical form is to claim reimbursement for medical expenses incurred by beneficiaries.

What information must be reported on cghs medical form?

Beneficiaries must report details of medical expenses, including the nature of treatment, date of treatment, amount incurred, and any supporting documents.