I retired in Dec 2011. Due to certain reasons I had to go to my native place in Uttaranchal and could not make pensioner’s CGHS card. In May 2012 I came to Delhi and had heart attack. In emergency I was treated in private hospital. I got CGHS Card made after discharge but I have been refused reimbursement of the expenditure incurred.
After retirement three months grace period is given to get the
CGHS card made. There are two conditions which may arise:
(a) Pensioner beneficiary does not have a CGHS card and the
treatment is taken within the grace period of three months from
the date of retirement. This will be allowed and expenditure
reimbursable subject to the condition that the beneficiary has
either obtained or applied for CGHS pensioner card with all
documents and requisite CGHS subscription within one month of
expiry of the grace period of three months.
(b) Pensioner beneficiary does not have a CGHS card and the
treatment is taken after the grace period of three months from date
of retirement- This will not be reimbursable unless the beneficiary
has obtained a valid CGHS card or has applied for CGHS pensioned
card with all documents and requisite CGHS subscription prior the
taking such treatment. The reimbursement in such cases will be
applicable only fronm the date of application for the card with all
documents and subscription.