Nabhi Publications Compendium of Orders Under Central Government Health Scheme CGHS in 3 Vols. by Nabhi Board of Editors

The “Compendium of Orders under Central Government Health Scheme (CGHS), 20th Edition 2025 (In 2 Volumes)” is a comprehensive resource published by Nabhi Publications, designed to provide detailed and up-to-date information on various aspects of the CGHS. This two-volume set spans approximately 1,750 pages and is available in paperback format.

Key Features:

• Eligibility and Enrollment: Detailed guidelines on who qualifies for CGHS benefits and the procedures for enrollment.
• Dependent Family Members: Information on coverage for family members under the scheme.
• Opting Out of the CGHS: Procedures and implications for those considering opting out of the scheme.
• Medical Facilities Under CGHS: An overview of the medical services and facilities available to beneficiaries.
• Reimbursement for Specialized Tests and Treatments: Guidelines on the reimbursement process for specialized medical services.
• Contribution: Details on the contribution rates and payment procedures for beneficiaries.
• Pensioners/Family Pensioners: Specific provisions and benefits available to pensioners and their families.
• Traveling Allowance for Medical Treatment: Information on allowances provided for travel related to medical treatments.
• Medical Advance: Procedures for obtaining advances for medical expenses.
• Settlement of Medical Claims: Step-by-step guidance on the claims settlement process.
• Delegation of Powers & Referral System: Insights into the administrative structure and referral procedures within CGHS.

Additionally, the compendium includes annexures with the text of relevant orders for easy reference, enhancing its practical utility.

This compendium serves as an essential guide for CGHS beneficiaries, healthcare providers, and administrators, offering a thorough understanding of the scheme’s provisions and procedures.

Contents

1.    Introduction
2.    Eligibility
3.    Dependent Family Members
4.    Opting out of the C.G.H. Scheme
5.    Medical Facilities under CGHS
6.    Reimbursement for Specialised Tests and Treatments
7.    Contribution
8.    Identity Cards and Temporary Permits
9.    Pensioners/Family Pensioners
10.  Travelling Allowance for Medical Treatment
11.  Medical Advance
12.  Settlement of Medical Claims
13.  Delegation of Powers & Referral System
14.  NABH/NABL accreditation of Hospitals/Diagnostic Centres
•  Appendix I –     Rates for Specialised Medical Treatments/ Tests in Empanelled Private
Hospitals/ Diagnostic Centres in Various Cities
•  Appendix II –    Rates of Reimbursement for Various Treatments/ Tests at AIIMS, Delhi
•  Appendix III –   List of Government/Referral Hospitals, Empanelled
Private Hospitals, Eye Care Centres, Dental Clinics & Diagnostic
Centres and Regional Cancer CenAtres, in various Cities
•  Appendix IV –    List of Ayurvedic, Unani, Yoga and Naturopath Hospitals Empanelled
under CGHS
•  Appendix V –     Rates for Ayurveda, Unani and Yoga & Naturopathy
Treatments/Procedures in respect of Empanelled AYUSH Hospitals/ Centres
•  Appendix VI –    List of CGHS Wellness Centres (Dispensaries) in Delhi
•  Appendix VII –   Source of Further Information