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Renewal of CGHS Plastic Cards: Download Specimen Forms

S 11011/1/2014-CGHS (P) 
Government of India 
Ministry of Health and Family Welfare 
Department of Health and Family Welfare 
CGHS (Policy) Division
Nirman Bhavan, New Delhi 
Dated: the 10th February, 2014
OFFICE MEMORANDUM

Sub: Renewal of CGHS Plastic Cards – reg.

The undersigned is directed to refer to this Ministry’s O.M No.S.11012/3/2011-CGHS (P) dated 29.12.2011 laying down the guidelines for issue of individual plastic cards to CGHS beneficiaries. CGHS Plastic Cards were introduced in September, 2008 in Delhi NCR and the cards were initially issued with a validity period of 5 years. The CGHS Plastic Cards completing their validity period are due for renewal and accordingly fresh cards with renewed validity period are being issued by the Office of Additional Director, CGHS of the city concerned. With a view to further streamline the process of renewal of CGHS Plastic Cards, it has been decided to issue the following guidelines supplementing the existing instructions on issue of CGHS Plastic Cards:

Serving beneficiary

a) Application for renewal of CGHS Plastic Cards in the prescribed proforma (Form AA) alongwith requisite documents (current photographs, copy of pay slip and address proof of residence, if changed), should be submitted through their Administrative Office to the Office of Additional Director, CGHS of the respective CGHS city following the same procedure as prescribed for issue of fresh CGHS card.
b) Fresh CGHS Plastic Cards with same beneficiary ID nos. shall be issued with a validity period of 5 years.
c) Applications for renewal of old plastic cards can be made 3 months in advance prior to its expiry.

Pensioner beneficiary

a) Application for renewal of Pensioners’ CGHS Plastic Cards in the prescribed proforma (Form BB) alongwith requisite documents (current photographs, PPO or LPC, address proof, if changed) should be submitted to the parent CGHS Wefiness Centre where his /her card is registered. He / she can also submit the application to the Office of Additional Director, CGHS of the respective CGHS city for renewal of CGHS cards.
b) Fresh CGHS Plastic Cards with same beneficiary ID nos. shall be issued with validity for lifetime or up to the date for which the contribution has been made by the beneficiary.
c) Applications for renewal of old plastic cards can be made 3 months in advance prior to its expiry. This issues with the approval of Additional Secretary and Director General, CGHS.

End: Specimen Form AA and Form BB.

sd/- 
(V.P.Singh) 
Deputy Secretary to the Government of India

Source: Download Specimen Form AA and Form BB

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COMMENTS

WORDPRESS: 1
  • Rao Vadrevu 10 years ago

    I have paid lifetime payment opting forCGHS facilityformyself and my wife at the time of my retirement.Accordingly,twoplastic cards valid upto 31st july2015 were issued. Now,for renewal of the cards,the dept is asking for photos and copy of old plasticcards again.I surprise as to why the necessity arise for resubmission of the above documents again when the cards are computerised and can be issued duly incorporating the renewal date. I am sick and cannot take trouble of visiting the office for no. of times for new cards. I feel it is very strange to note that there is no relief to the pensioners in the new primeministership of Honourable Honourable MODI SAHEB. Even now,if the above procedure is liberelised now,many patients will be happy. Kindly help us to die happily.—-vvsnrao(a pensioner)