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Medical Reimbursement Rules


šŸ“‹ Instructions for Submitting Medical Reimbursement Claims

  1. Submit Form 7 along with all original bills and prescriptions.
  2. Claim must be submitted within 6 months from the date of treatment.
  3. In emergencies, private hospital bills are reimbursable even if not empanelled (with justification/approval).
  4. Permission & estimate required in advance for planned surgeries.
  5. Keep photocopies of all submitted documents.
  6. Prefer treatment at CGHS/ESI/State Government empanelled hospitals.

šŸ“˜ Downloadable Handbook:

šŸ” Medical Circulars Reference Table

S.No. Title / Brief Pb. Govt. Rule No. Date CHD Letter No. Date Remarks
1 Reimbursement of Medical Claim/Fixed Medical Allowance 7(202)-54IIBV+C2285/8675 7th/14th May, 1985 Fixed Medical Allowance
2 Reimbursement to Pensioners and Dependents 10/27/92-UTFII(7)-94/9416 20.07.1994 Fixed Medical Allowance

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šŸ” Last Updated: May 2025