Nomination Facility under CGHS for Claiming Medical Reimbursement in Event of Death of Principal CGHS Cardholder
The Ministry of Health & Family Welfare has simplified the procedure
by providing an option to the principal CGHS cardholder beneficiary to
nominate a person to claim reimbursement of medical expenses in the
event of his/her unfortunate death.
The nomination facility shall be subject to certain conditions which
include - the nomination facility shall be available only to the CGHS
pensioner card holders; beneficiaries who wish to exercise this option
shall submit their declaration of nomination in the prescribed
‘Nomination Form’ duly filled up and complete in all respect, to the CMO
In-charge of the CGHS Wellness Centre where the beneficiary is
enrolled; the nomination shall be treated as valid only if the same has
been entered in the CGHS database; only one person shall be allowed to
be nominated as the original nominee or first nominee, and another
person can also be nominated as ‘alternate nominee or second nominee’
who can claim reimbursement in case of unfortunate death of the first
nominee; the principal CGHS cardholder beneficiary can nominate any
natural or juristic person as his/her nominee for this purpose, whether
related or unrelated to him/her; this option can be exercised at any
time during the lifetime of the beneficiary. However, this option can be
exercised only twice in the lifetime of the pensioner card holder; and
in case, no option has been exercised during the life time of the CGHS
pensioner beneficiary, the existing CGHS provision for claiming
reimbursement of medical expenses, requiring submission of Affidavit by
the claimant and NOCs from other legal heirs shall continue to apply.
Source: Ministry of Health & Family Welfare, Department of Health
& Family Welfare, No.S 11011/12/2013-CGHS (P), dated September 25,
2013