The Central Government Health Scheme (CGHS) has announced new package rates for medical treatments, effective October 13, 2025, aimed at modernizing and rationalizing healthcare costs for beneficiaries.
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CGHS authorities have notified new CGHS
package rates which will come into force
from 13th October 2025.
Friends, before we begin, it is
important to acknowledge the consistent
pressure and dedicated efforts made by
the CGHS beneficiaries welfare association.
association.
For a long time, members of the
association have been representing the
concerns of pensioners and beneficiaries
regarding outdated CGHS rates. It is
because of their tireless follow-up,
discussions with authorities and
collective voice that the government has
finally notified the package rates. This
achievement reflects the strength of
unity and representation ensuring that
the health care needs of CGHS
beneficiaries are heard and addressed at
the highest levels.
Friends, important news for all CGHS beneficiaries.
beneficiaries.
The government of India has notified new
CGHS package rates which will come into
force from 13th October 2025.
This order has been issued by the
Directorate General of CGHS under the
Ministry of Health and Family Welfare.
The revised rates are aimed at bringing
greater transparency, uniformity, and
rationalization in medical expenses
benefiting both serving employees and
pensioners. Scope of applicability.
These new rates will apply in three main situations.
situations.
First, to all treatments taken at CGHS
impanled hospitals.
Second to medical reimbursement claims
made by serving employees, pensioners
and other eligible family members. And
third, under the cashless facility which
will continue for pensioners and
specified categories as per rules for
everyone's convenience. The full list of
revised rates has also been uploaded on
Non-impanled treatment rules. In certain
exceptional circumstances, treatment may
be taken from a private hospital that is
not empanled under CGHS.
In such cases, reimbursement will still
be possible but only as per the non-nab
rates applicable to that city. This
ensures that even if treatment is taken
outside the empanled list, the
reimbursement will remain within
approved limits. Structure of
differential rates. The revised package
rates have been rationalized based on
four factors. Accreditation status,
hospital type, city category and ward entitlement.
