CGHS Card Application Form: Step-by-Step Guide, Sample Filling, Download & Eligibility (2025)

Central government employees and pensioners in India rely on the Central Government Health Scheme (CGHS) for affordable medical care and cashless treatment facilities. To access these benefits, it is mandatory to apply for a CGHS health card using the official CGHS Card Application Form. This form is the key to enrolling yourself and eligible dependents in CGHS, unlocking a range of healthcare features—including cashless hospitalization, access to hundreds of empaneled hospitals, and easy claims for medical reimbursements.

In this step-by-step guide, we explain how to fill out the CGHS Card Application Form, provide sample form filling instructions, list required documents, and offer easy download links. Whether you are a newly recruited government employee, a retiring pensioner, or updating details for your family members, our CGHS Card Application guide will help you navigate the process smoothly and avoid common mistakes. Get ready to download, fill, and submit your CGHS Card with confidence!

Table: Quick Summary

Form NamePurposeEligible UsersDownloadOfficial Source
CGHS Card Application FormApply for CGHS health cardCentral Govt employees, pensioners📥 Download PDFCentral Government Health Scheme

What is the CGHS Card Application Form?

The CGHS Card Application Form is used by central government employees, pensioners, and eligible dependents to register for the Central Government Health Scheme (CGHS), giving access to medical facilities, wellness centers, and cashless treatment benefits.

Who Can Apply for CGHS Application?

  • All Central Government employees stationed in CGHS-covered cities.
  • Pensioners and family pensioners.
  • Members of Parliament (current/former), Judges.
  • Dependents: spouse, children up to 25, dependent parents.

Exclusions: Employees not posted in CGHS-covered cities.

Documents Required for filling CGHS form

  • Filled CGHS Card Application Form (latest version)
  • Passport-sized photographs (all beneficiaries)
  • Employee ID, Retirement Order (if pensioner)
  • Aadhaar Card copies (all applicants/beneficiaries)
  • Age/relationship proof for dependents
  • Bank account details (for pensioner card)

How to Apply for CGHS Plastic Card—Step-by-Step

Step 1: Obtain Latest Form

  • Download the CGHS Card Application Form from the Official CGHS Website or your department’s portal.

Step 2: Fill Out the Details

  • Employee Section: Name, designation, office address, pay level, Aadhaar number, mobile/email.
  • Family Section: List all dependents—full names, relationship, age, Aadhaar.
  • Pensioner Details: PPO number, last pay drawn, date of retirement.

Sample Filling Example:

  • Name: Rajesh Kumar
  • Designation: Section Officer
  • Dependent 1: Smt. Shweta Kumar (Spouse), Age 52, Aadhaar XXXXX
  • Dependent 2: Master Aryan Kumar (Son), Age 19, Aadhaar XXXXX

Step 3: Attach Required Documents

  • Photographs
  • Aadhaar cards
  • Retirement order (for pensioners)
  • PPO copy

Step 4: Submit the Form

  • Working Employees: Submit to your department’s DDO or CGHS administrative office.
  • Pensioners: Submit at the nearest CGHS wellness center with PPO, Aadhaar, and relevant documents.
  • Online (where enabled): Some cities allow online application through CGHS Portal.

Step 5: Collect Acknowledgement & Track Status

  • Get a receipt/reference number.
  • Track issuing status via CGHS portal or local administration.

CGHS Deduction (2025 Rates)

  • Serving Employees: Monthly CGHS deduction via salary based on pay level.
  • Pensioners: One-time or annual contribution (payable at wellness center).
CategoryFee (Annual)
Pay Level 1-5₹3,000
Pay Level 6-9₹5,400
Pay Level 10+₹7,500

Processing Time

  • Fresh Issue: 7-14 working days
  • Add/Remove Dependent: 3-7 days
  • Replacement or Lost Card: 5-10 days

FAQs

Q1: Can non-dependent children apply?
A1: Only dependent children up to age 25 or those with disabilities are eligible.

Q2: Can CGHS cards be portable between cities?
A2: Yes, request transfer/update at new posting city’s wellness center.

Q3: Are pensioners required to renew the CGHS card?
A3: Lifetime cards available; annual payment option if preferred.

Q4: What if I lose my CGHS card?
A4: Apply for duplicate at your wellness center; FIR may be required.

Q5: Can I update my CGHS card online?
A5: Card update (add/remove beneficiaries) available online for select cities.


Related Forms & Tools (Internal Links)

  • [CGHS Medical Reimbursement Form Guide]
  • [Leave Encashment Application]
  • [7th Pay Commission Salary Calculator]
  • [Income Tax Form 16 for Govt Employees]
  • [Pension Calculator Tool]

Official Source for Latest Forms

For the latest notifications, application forms, and updates, visit the Central Government Health Scheme homepage.

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