Changes in CGHS Facilities for Central Civil Estimates Pensioners

The Office Memorandum, No. 4-12(12)/2018-PAT-Part (1), issued by the Government of India, Ministry of Communications, Department of Telecommunications, pertains to the provision of CGHS (Central Government Health Scheme) facilities for retired BSNL/MTNL employees (Combined Service Pensioners) who receive a pension from Central Civil Estimates. The memorandum discusses the revised mapping for determining CGHS subscription rates and entitlement of wards in private hospitals empanelled under CGHS.

Revised CGHS Facilities for Retired BSNL/MTNL Employees: Mapping & Ward Entitlement

No. 4-12(12)/2018-PAT-Part (1)
Government of India
Ministry of Communications
Department of Telecommunications
(PAT Section)

New Delhi, dated.21 July, 2023

OFFICE MEMORANDUM

Subject: CGHS facilities to the retired BSNL/MTNL employees (Combined Service Pensioners) who are in receipt of pension from Central Civil Estimates – Revised mapping for determining CGHS subscription and Ward entitlement.

The undersigned is directed to refer to this Office Memorandum No. 4-12(12)/2018-PAT-Part(1) dated 01.07.2019 on above subject vide which the revised mapping of IDA and CDA pay scales was issued for deciding the rate of monthly CGHS contribution and entitlement of wards in private hospitals empanelled under CGHS in respect of retired BSNL/MTNL employees who receive pension from Central Civil Estimates and avail CGHS facilities.

  1. The entitlement of wards in Private Hospitals empanelled under CGHS has been revised e.f. 28.10.2022 by Ministry of Health & Family Welfare vide its O.M. No. S.11011/11/2016-CGHS(P)/EHS dated 28.10.2022. This has necessitated corresponding modification in Annexure-8 of the said O.M. dated 01.07.2019 .
  2. Accordingly, Annexures to the said M. dated 01.07.2019 stands modified w.e.f. 28.10.2022, as enclosed.
  3. This M. and mapping is applicable only for the Combined Service Optees who retired from BSNL/MTNL with IDA pay scale.
  4. This M. and mapping is not applicable for pro-rata pensioners who retired from DoT under CDA pay scale. Also, as per guidelines issued from Directorate of CGHS, MoH&FW, ward entitlement is based on the last basic pay and CGHS subscription is based on the pay scale as mentioned in the Pension Payment Order (PPO) of a particular retiree. Accordingly, ward entitlement and CGHS subscription in case of pro-rata pensioners of BSNL/MTNL will continue to be decided based on last pay drawn in DoT before absorption, as mentioned in their respective PPO while retiring from DoT, Govt. of India as already conveyed vide this office O.M. No. 4-12(12)/2018-PAT dated 08.09.2021. Hence, no mapping of IDA/CDA scale is required in case of pro-rata pensioners.
  5. This issues with the approval of Member (Services).

Encl: As

(Vikas)
Assistant Director General (PAT)
Phone: 011-23036245

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