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| + | {{htmlmetatags> | ||
| + | metatag-description=(Track CGHS at cghs.gov.in or cghs.nic.in by beneficiary ID or mobile. Plus what to do if CGHS card not issued, empanelment changed, or claim rejected.)}} | ||
| + | |||
| + | ====== How to check CGHS card status + empanelled hospitals (2026) ====== | ||
| + | |||
| + | {{page> | ||
| + | |||
| + | <WRAP info> | ||
| + | |||
| + | ===== Quick facts ===== | ||
| + | | **What you need** | Beneficiary ID OR mobile + DOB | | ||
| + | | **Official portal** | [[https:// | ||
| + | | **City coverage** | 75 cities (2026) | | ||
| + | | **Empanelled hospitals** | List at [[https:// | ||
| + | | **Mobile app** | My CGHS (Android/ | ||
| + | | **SLA — new card** | 15-30 days post submission | | ||
| + | | **Helpline** | CGHS Toll-free: **1800-208-9988** · City-wise: cghs.gov.in | | ||
| + | | **Email** | web.dghs-mohfw@nic.in | | ||
| + | | **Statutory base** | CGHS Manual + %%MoHFW%% directives | | ||
| + | |||
| + | ===== Step-by-step ===== | ||
| + | - Visit cghs.gov.in → Beneficiary Login → enter ID + password. | ||
| + | - Status shows: Card Active, Validity, Family Members, Empanelled Hospitals near you. | ||
| + | - Download digital CGHS card. | ||
| + | - For **empanelled hospital list**: cghs.gov.in → Empanelled Hospitals → select city → list with categorization (general, specialty, super-specialty). | ||
| + | - For **claim status (reimbursement)**: | ||
| + | - For **new card application**: | ||
| + | |||
| + | ===== Real story from a citizen ===== | ||
| + | **What we hear from RTI Wiki users**: Ms. Devi, a 71-year-old central govt pensioner in Hyderabad, lost her CGHS card. Tried to apply for replacement; | ||
| + | |||
| + | ===== 7 reasons your status may be stuck ===== | ||
| + | * **%%HoO%% endorsement missing** — for new/ | ||
| + | * **Family addition issue** — newborn/ | ||
| + | * **City transfer** — moved to new city; old card invalid. Fix: transfer application via CGHS Wellness Centre. | ||
| + | * **Empanelment change** — your usual hospital de-empanelled. Fix: check current list; switch hospitals. | ||
| + | * **Claim rejection** — wrong package, missing pre-auth. Fix: appeal via AD-CGHS. | ||
| + | * **Annual subscription unpaid** for pensioners — Rs. 1, | ||
| + | |||
| + | ===== Pro tips most don't know ===== | ||
| + | * **My CGHS app** lets you book OPD appointments at Wellness Centres + see medical history + track claims. | ||
| + | * **Empanelment changes** every 3-6 months — check before going to a hospital. Some big private hospitals (Apollo, Fortis, Max) regularly empanel/ | ||
| + | * **Pre-authorisation** required for non-emergency hospitalisation > Rs. 50,000. Get it via CGHS Wellness Centre or directly from hospital' | ||
| + | * **Cashless not available? | ||
| + | * **Generic medicine substitution** — CGHS dispensaries push generics; if you need branded, get specific prescription from CGHS doctor. | ||
| + | |||
| + | ===== Helpline + contact ===== | ||
| + | CGHS Toll-free: **1800-208-9988** · City-wise AD-CGHS offices · web.dghs-mohfw@nic.in · My CGHS app helpdesk | ||
| + | |||
| + | ===== If status is delayed beyond SLA — file an RTI ===== | ||
| + | |||
| + | The official SLA on this service is published. If your status is stuck beyond it, you have a **statutory right** under §6 RTI Act 2005 to demand information from the public authority. Reply mandatory in **30 days**. | ||
| + | |||
| + | **File an RTI to**: // | ||
| + | |||
| + | **Ask these 5 questions**: | ||
| + | |||
| + | - card status by beneficiary ID | ||
| + | - empanelment list (latest) | ||
| + | - package rates | ||
| + | - my reimbursement claims | ||
| + | - disputed items | ||
| + | |||
| + | → **[[https:// | ||
| + | |||
| + | → **[[https:// | ||
| + | |||
| + | → **For deeper case-law** on this scenario: [[: | ||
| + | |||
| + | ===== Frequently asked questions ===== | ||
| + | * **Q: Who is eligible for CGHS?** — Central government employees + pensioners + dependents. Not state govt employees (they have state schemes). | ||
| + | * **Q: Cost?** — Free for serving employees. Pensioners pay annual subscription based on grade pay (Rs. 1, | ||
| + | * **Q: What if no CGHS in my city?** — Use Fixed Medical Allowance (FMA) of Rs. 1, | ||
| + | * **Q: Can I use CGHS in different city?** — Yes — temporary attachment via the city's AD-CGHS, for max 6 months. | ||
| + | * **Q: Senior citizen 70+ — additional benefit?** — Yes — universal Ayushman Bharat coverage announced 2024 for all 70+; layers on top of CGHS. | ||
| + | |||
| + | ===== Summary + what to do next ===== | ||
| + | |||
| + | To check status: use the official portal listed above with your reference number. SLA is published; if stuck beyond it, file a free RTI. | ||
| + | |||
| + | * **If status is normal** → wait the published SLA, then download/ | ||
| + | * **If status is delayed** → click [[https:// | ||
| + | * **If status is rejected** → demand reasons under §4(1)(d) RTI Act; appeal/ | ||
| + | * **For state-specific guidance** → see [[: | ||
| + | |||
| + | ===== All RTI Wiki tools (free, no login) ===== | ||
| + | |||
| + | * 🪄 **[[https:// | ||
| + | * 🎤 **[[https:// | ||
| + | * 🔮 **[[https:// | ||
| + | * ⚖️ **[[https:// | ||
| + | * 📬 **[[https:// | ||
| + | * 📅 **[[https:// | ||
| + | * 💰 **[[https:// | ||
| + | * 🔍 **[[https:// | ||
| + | |||
| + | ===== Related on RTI Wiki ===== | ||
| + | |||
| + | * **Master guide**: [[: | ||
| + | * **State-by-state**: | ||
| + | * **Citizen RTI playbook**: [[: | ||
| + | * **The RTI Act 2005**: [[: | ||
| + | * **All status-check guides**: [[: | ||
| + | |||
| + | ===== Sources ===== | ||
| + | |||
| + | * RTI Act 2005 §§6, 7, 19 | ||
| + | * Official portal (linked in Quick Facts) | ||
| + | * Statute referenced in Quick Facts | ||
| + | |||
| + | //Last reviewed: 25 April 2026.// | ||
| + | |||
| + | {{tag> | ||