Get the free CGHS Medical Reimbursement Claim Form (for serving employees)

Medical Claim Form | Direct Member Reimbursement Request INSTRUCTIONS: Make sure you and your physician or other health care professional fill out this form completely in order for you to receive

How to fill out cghs medical reimbursement claim

How to fill out cghs medical reimbursement claim

1. Step 1: Obtain the CGHS Medical Reimbursement Claim Form from the CGHS wellness center or download it from the official website.
2. Step 2: Fill in the personal details such as name, address, CGHS beneficiary card number, etc.
3. Step 3: Provide details of the medical treatment received like the name of the hospital, dates of admission and discharge, etc.
4. Step 4: Attach all the original medical bills, receipts, and prescriptions related to the treatment.
5. Step 5: In case of any investigations or tests, provide the supporting documents such as diagnostic reports, invoices, etc.
6. Step 6: If specialized treatment was required, attach a copy of the referral letter from the CGHS empaneled doctor.
7. Step 7: If any other reimbursement claims have been made for the same treatment, mention them along with their status.
8. Step 8: Sign and date the form.
9. Step 9: Submit the completed form along with the supporting documents to the concerned CGHS office.
10. Step 10: Keep a copy of the form and documents for your records.

Who needs cghs medical reimbursement claim?

1. CGHS beneficiaries who have availed medical treatment can apply for CGHS medical reimbursement claim.
2. Government employees, pensioners, and their dependents who are covered under the CGHS scheme are eligible for reimbursement.
3. Individuals who have undergone medical treatment at empaneled hospitals under the CGHS scheme can claim reimbursement for the expenses incurred.

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What is cghs medical reimbursement claim?

CGHS medical reimbursement claim is a request for reimbursement of medical expenses incurred by an individual who is a beneficiary of the Central Government Health Scheme.

Who is required to file cghs medical reimbursement claim?

Beneficiaries of the Central Government Health Scheme are required to file CGHS medical reimbursement claims.

How to fill out cghs medical reimbursement claim?

To fill out a CGHS medical reimbursement claim, beneficiaries must provide details of the medical expenses incurred, along with supporting documents such as bills and prescriptions.

What is the purpose of cghs medical reimbursement claim?

The purpose of CGHS medical reimbursement claim is to ensure that beneficiaries are reimbursed for eligible medical expenses incurred.

What information must be reported on cghs medical reimbursement claim?

Information such as the name of the beneficiary, details of the medical expenses incurred, and supporting documents must be reported on CGHS medical reimbursement claims.