CGHS Medical Reimbursement Ceiling Enhanced to ₹10 Lakh: MoHFW OM 16 Feb 2026

File No. S.11030/4/2026-EHS(8385264)

I/3840089/2026

Government of India

Ministry of Health & Family Welfare

(EHS Section)

Kartavya Bhawan-1, New Delhi

Dated: 16-02-2026

OFFICE MEMORANDUM

Subject: Delegation of Powers to Heads of Departments in various Ministries/Departments for Settling Permission cases and Post Facto Approval relating to Referral System and Medical Reimbursement under CGHS or CS(MA) Rules, 1944 – Enhancement of Ceiling Rate from Rs. 5 Lakhs to Rs. 10 Lakhs without Consultation of IFD of concerned Ministry – reg.

The undersigned is directed to refer to the MoHFW vide OM No. 11011/20/2014-CGHS(P)/EHS, dated 23.11.2016, whereby the ceiling limit for settlement of medical reimbursement cases (where no relaxation of rules is involved and entitlement is worked out strictly as per prescribed CGHS rates) was enhanced from ₹2.00 lakh to ₹5.00 lakh.

In this regard, the matter has been re-examined and decided to enhance the present ceiling limit from ₹5.00 lakh to ₹10.00 lakh for settling medical reimbursement cases by the Heads of Departments of Ministries/Departments without consultation of IFD, provided that:

(i) No relaxation of CGHS/CS(MA) Rules is involved, and

(ii) The entitlement is worked out strictly with reference to the prescribed CGHS/CS(MA) rate lists.

This has the concurrence of IFD vide CD No. 3131 dated 29.01.2026. This issues with the approval of the competent authority.

Digitally signed by

HEMLATA SINGH

Date: 16-02-2026

12:51 PM

Under Secretary to the Government of India

Tel No. 011-24013252

To:

1. All Ministries/Departments, Government of India
2. Directorate of CGHS, R.K Puram, New Delhi
3. Addl. Director (HQ), CGHS, Delhi with the request to circulate
4. PS to AS & DG, CGHS