The Central Government Health Scheme (CGHS), which is called the backbone of health services for central government employees and pensioners, has seen major changes during the last ten years. The 7th Pay Commission period (2016–2025) is now in its final phase, and in the meantime the government has implemented many important reforms in 2025.
At the same time, the formal launch of the 8th Pay Commission is getting delayed, but the eyes of the employees and pensioners are now fixed on the new recommendations and health facilities. One of the questions frequently asked is whether the government will replace CGHS with another insurance-based scheme under the 8th Pay Commission. We will understand the current situation in this story going forward.
Major reforms during the 7th Pay Commission
CGHS went through continuous digital and structural changes during the 7th Pay Commission period.
Changes in ward allocation: Eligibility for general, semi-private and private wards in private hospitals was decided on the basis of the basic salary of the employees.
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Linking to ABHA ID: Efforts started to link CGHS card to Ayushman Bharat Health Account (ABHA). However, the decision to make it mandatory was later postponed.
Ease in issuing cards: Employees whose salary is deducted for CGHS contribution are now given the facility of automatic issuance of cards.
Easy referral process: Changes like facility of treatment without referral in government hospitals, consultation with three specialist doctors on a single referral in private hospitals, and reduction of old age limit to 70 years were made.
These reforms significantly eased access to health services for employees and pensioners.
New CGHS rules implemented in 2025
In 2025, the Center took several major steps towards making CGHS completely digital.
Online application and equipment approval: Digital process has now been implemented for the approval of devices like CPAP, BiPAP and oxygen concentrator.
Improvement in payment system: The old system was discontinued and a new HMIS portal was implemented. All payments will now be made through this portal.
Launch of MyCGHS app: Card transfer, adding dependents and other features are now available through the mobile app.
Relaxation in photo rules: For admitted patients, photos will be required only at admission and discharge.
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