CGHS New Rates: The Union Health Ministry has announced changes to the Central Government Health Scheme (CGHS) rates. These new changes will come into effect on October 13, 2025. For the first time since 2014, the central government has revised rates for approximately 2,000 medical procedures.
The central government has given a big gift to lakhs of employees and pensioners of the country. After the increase in dearness allowance, now many major reforms have been made in the Central Government Health Scheme (CGHS). The Union Health Ministry has announced changes in the rates of the Central Government Health Scheme. These new rates will come into effect from October 13. The ministry has given this information by issuing a notification. For the first time since 2014, the central government has changed the rates for about 2,000 medical procedures.
This change is the biggest reform in the last 15 years. The old rates caused problems not only for employees but also for hospitals. These new rates are expected to provide relief to both employees and hospitals. Treatment costs will now be determined based on the hospital’s accreditation, type, city category, and ward. Treatment at super-specialty hospitals will be 15% more expensive than at NABH/NABL-accredited hospitals.
Know what is included in the CGHS package?
The Central Government Health Scheme (CGHS) is a medical facility run by the Central Government for its employees and pensioners, which provides them subsidised medical charges for various expenses like OPD tests, consultations, surgeries and hospital stay coverage, among other benefits.
Why is it necessary to change the rates of CGHS scheme?
A major complaint from central government employees and pensioners was that hospitals affiliated with the CGHS scheme often refused to provide cashless treatment. Patients were forced to make large deposits and then wait months for a refund. It is now hoped that these problems will be resolved.
Know what is there in the new reform?
The central government has set new rates for nearly 2,000 medical procedures. These rates are based on the city’s category (Tier-I, Tier-II, Tier-III) and the quality of the hospital (such as NABH accreditation).
1. Package rates in Tier-II cities will be 19% less than the base rate.
2. Package rates in Tier-III cities will be 20% less than the base rate.
3. NABH accredited hospitals will provide services at base rates.
4. Non-NABH hospitals will get 15% lower rates.
5. Super-speciality hospitals with more than 200 beds will get 15% higher rates.
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