Get the free CGHS Medical Claim

CENTRAL GOVERNMENT HEALTH SCHEME MODIFIED CHECKLIST FOR REIMBURSEMENT OF MEDICAL CLAIMS 1. CGS Token No. & place of issue: 2. Validity of CGS Card (for pensioners) & Entitlement: from to 3. Full Name

How to fill out cghs medical claim

How to Fill out CGHS Medical Claim:

1. Gather all necessary documents: Before filling out the CGHS medical claim form, make sure you have all the required documents handy. This includes your CGHS beneficiary card, doctor's prescription, original bills, and medical reports.
2. Download the CGHS medical claim form: Visit the official website of the Central Government Health Scheme (CGHS) and download the medical claim form. Ensure that you have the latest version of the form.
3. Fill in personal details: Start by filling in your personal details accurately in the form. This includes your name, address, CGHS beneficiary card number, department, and employee code (if applicable). Double-check your information for any errors.
4. Provide treatment details: Indicate the details of the medical treatment availed in the claim form. This includes the name and address of the hospital/medical institution, date of admission and discharge, diagnosis, and the treatment received.
5. Attach necessary documents: Make sure to attach all the required documents, such as the original bills, doctor's prescription, and medical reports. Ensure that these documents are clear and legible.
6. Mention the amount claimed: Specify the amount you are claiming for medical reimbursement. Ensure that the amount claimed is supported by the bills and is within the permissible limits set by CGHS.
7. Sign and date the form: Once you have filled in all the necessary details and attached the required documents, sign and date the form at the designated space. Keep a copy of the filled form for your records.

Who Needs CGHS Medical Claim?

1. Government employees: CGHS medical claims are primarily meant for government employees and their dependents who are eligible for the Central Government Health Scheme.
2. Pensioners: Retired government employees who are CGHS beneficiaries can also avail medical claim benefits under the scheme.
3. CGHS beneficiaries: CGHS medical claim is available to any individual who holds a valid CGHS beneficiary card, including serving and retired government employees, their dependents, and eligible individuals from autonomous bodies and organizations covered under CGHS.

It is advisable to review the CGHS guidelines and seek assistance from the concerned authorities to ensure accurate and timely submission of the medical claim form.

For pdfFiller’s FAQs

What is cghs medical claim?

CGHS medical claim is a reimbursement claim for medical expenses incurred by beneficiaries covered under the Central Government Health Scheme (CGHS).

Who is required to file cghs medical claim?

Beneficiaries covered under the CGHS are required to file CGHS medical claims.

How to fill out cghs medical claim?

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

What is the purpose of cghs medical claim?

The purpose of CGHS medical claim is to reimburse beneficiaries for medical expenses incurred during treatment.

What information must be reported on cghs medical claim?

Information such as name of beneficiary, details of medical expenses, date of treatment, name of hospital/doctor, and supporting documents must be reported on CGHS medical claim.

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