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 the 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
(Hemlata Singh)
Under Secretary to the Government of India
Tel No. 011-24013252
To:
- All Ministries/Departments, Government of India
- Directorate of CGHS, R.K Puram, New Delhi.
- Addl. Director (HQ), CGHS, Delhi with the request to circulate.
- PS to AS & DG, CGHS.
6- 2/2024- Medical
Government of India
Ministry of Communications
Department of Posts
(Medical Section)
Dak Bhawan, Sansad Marg
New Delhi-110001
Dated: 23-02-2026
To,
All Heads of Circles/Parcel Directorate/PLI Directorate/PA Wing and All DDGs of Department of Posts.
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.
Sir/Madam,
I am directed to forward herewith a copy of Office Memorandum No. S.11030/4/2026- EHS dated 16.02.2026 received from Ministry of Health & Family Welfare (EHS Section) regarding enhancement of ceiling limit from ₹5.00 lakh to ₹10.00 lakh for settlement of Medical Reimbursement cases by Heads of Departments without consultation of IFD, subject to the conditions stipulated therein.
The same is forwarded for information and necessary action.
Encl: As above.
(Krishna Kumar Gupta)
Assistant Director General (Medical)
Copy to:
- Sr.PPS to Secretary (Posts) / Sr. PPS to Director General Postal Service, New Delhi-110001
- PPS/PS to Director General (Coordination)/Member (Banking)/Member (O)/Member (P)/Member (Planning & HRD)/Member (PLI)/Member (Tech.)
- Additional Secretary & Financial Adviser
- Sr. Deputy Director General (Vigilance) & CVO / Sr. Deputy Director General (PAF)
- Secretary, Postal Services Board
- GM (CEPT) for uploading the order on the India Post Websites
- Guard File
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