Revision Of Ceiling Rate And Guidelines For Reimbursement Of Hearing Aids Under Cs(Ma) Rules, 1944 And Cghs

Government of India Ministry of Health & Family Welfare

EHS Section, Kartavya Bhavan-1, New Delhi Dated: 09-09-2026

Letter No. S.11030/76/2026-EHS Supersedes: OM No. S.11011/37/2019-EHS dated 01.12.2020 CS(MA) Rules, 1944 & CGHS

Revision of Ceiling Rate & Guidelines for Reimbursement of Hearing Aids

📌 Key update: Maximum reimbursement ₹30,000/- per ear (inclusive of GST) for Standard Digital Programmable & Rechargeable Hearing Aids. 3-year comprehensive warranty included.

📋 Revised Reimbursement Ceiling

Category	Maximum Admissible Ceiling
Standard Digital Programmable & Rechargeable Hearing Aid (Digital BTE & Digital ITC/CIC)	₹30,000/- per ear (actual or ceiling, whichever is lower)
Bilateral Fitting (clinically justified)	Up to ₹60,000/- (subject to actual expenditure)

• Ceiling inclusive of GST & all other applicable taxes
• Complete usable package + 3-year comprehensive warranty included
• ✖ No separate reimbursement for GST, standard charger, fitting, programming, verification, counselling or routine maintenance
• ✖ Body‑worn/pocket type and analogue BTE hearing aids remain excluded

⚙️ Minimum Functional Specifications (Annexure‑I)

Requirement	Minimum Specification
Technology	Fully digital, computer‑programmable, current non‑discontinued model
Frequency adjustment	At least 8 independent frequency channels/bands
Compression	Multichannel wide‑dynamic‑range compression with programmable gain
Listening programmes	Automatic + at least 3 selectable/programmed programmes
Speech in noise	Directional microphone‑based enhancement & digital noise reduction
Feedback control	Digital adaptive feedback cancellation
Output safety	Programmable maximum power/output control
Power source	Rechargeable (standard charger mandatory within package)
Warranty	Minimum 3‑year comprehensive warranty on device & charger

Note: Optional premium features (wireless streaming, app‑based) do not entitle additional reimbursement.

📌 Eligibility & Step‑by‑Step Process

1. Referral – Medical Officer of CGHS Wellness Centre refers to ENT Specialist
2. Prescription – ENT Specialist recommends based on audiometric/audiological assessment (brand‑neutral)
3. Permission –
   • CGHS Pensioners: Additional Director of CGHS city
   • Serving Employees / Autonomous Bodies: Head of Department/Office
4. Undertaking (Annexure‑II) – declaration that no hearing aid reimbursement claimed in preceding 5 years

📄 Documents Required for Reimbursement

• Referral letter from CGHS Wellness Centre
• ENT Consultant's prescription + authenticated Audiogram Report
• CGHS Card copy
• Original Bill/Tax Invoice (seller details, RCI/MCI registration, serial number, GST)

• Original Permission Letter
• Empty box/carton with original label
• Documentary evidence of minimum specification compliance + fitting/programming record
• 3‑year comprehensive warranty certificate

🔄 Replacement & Maintenance

Replacement: permitted only after 5 years from date of purchase/reimbursement

Condemnation certificate: not required after 5‑year period

Post‑warranty: maintenance, batteries & consumables are beneficiary's responsibility

📝 Declaration by Beneficiary (Annexure‑II)

✅ Hearing aid clinically prescribed by competent ENT Specialist

✅ No reimbursement claimed for hearing aid in preceding 5 years

✅ Purchase conforms to minimum functional specifications

✅ Accepts ceiling of ₹30,000/- per ear (inclusive of GST)

✅ No duplicate reimbursement claimed from any other source

✅ Documents submitted are genuine

Place: _____________ Signature of Beneficiary: _____________ Date: _____________

Name: _____________ CGHS Beneficiary ID: _____________ Mobile: _____________

Effective from: 09‑09‑2026 (date of issue) Concurrence: Integrated Finance Division vide CD No. 1917 dated 02.09.2026 Issued by: (Sonika Khattar) Deputy Secretary, Tel: 011‑24013215

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Office Memorandum No. S.11030/76/2026-EHS | Dated: 09-09-2026