Revision of income limit for dependency for the purpose of providing Central Government Health Scheme subsequent to sixth Central Pay Commission

Subject: Revision of income limit for dependency for the purpose of providing Central Government Health Scheme (CGHS) coverage to family members of the CGHS covered employees subsequent to implementation of recommendations of the sixth Central Pay Commission – regarding

S.11012/1/98 -CGHS (P) Dated the 10th December, 2008
Subsequent to the implementation of the recommendations of the 5th CPC the income limit for dependency for the purpose of extending CGHS coverage to “family” members of the CGHS covered Central Government employees was enhanced to Rs. 1500/- per month.

2. With the implementation of the recommendations of the 6th Central Pay Commission, the issue of revision of income limit for dependency for the purpose of providing CGHS coverage to family members of the CGHS covered Central Government employees and pensioner CGHS beneficiaries was under consideration keeping in view the amount of minimum pension/ family pension fixedPLEOTOR 20 by the 6th Central Pay Commission.

3. On the basis of the recommendations of the 6th CPC, the Department of Pension and Pensioners’ Welfare under para 5.5 of their OM No. 38/37/08-P&PW (A) dated 2.9.2008, has fixed the amount of minimum pension as Rs. 3500/- per month and under para 8.1of this OM the amount of family pension has been fixed as 30% of the basic pay in all cases shall be subject to a minimum of Rs.3500/- per month and maximum of 30% of the highest pay in the Government. The DoP&PW at para 8.5 of the same OM has decided that dependency criteria for the purpose of family pension shall be the minimum family pension along with dearness relief thereon.

4. It has been decided, in consultation with the Department of Expenditure, to revise the income limit for the purpose of providing CGHS coverage to the family members of the CGHS covered Central Government employees to “Rs.3500/- plus the amount of dearness relief on basic pension of Rs.3500/- as on the date of consideration”.

5. As such, all the orders related to the CGHS Rules stands amended to the extent that the income limit for Rs.1500/- per month from all sources including pension/ and family pension stands amended to an income of Rs. 3500/- plus amount of the dearness relief on the basic pension of Rs.3500/- as on the date of consideration. The amount of dearness relief, as indicated in the income limit stands for the amount of dearness relief drawn by a pensioner/ family pensioner on the date of consideration and not the amount of dearness relief due on the date of consideration.

6. The income limit for dependency of “Rs. 3500/- plus amount of the dearness relief on the basic pension of Rs.3500/- as on the date of consideration”, shall also be applicable for the cases covered under CS (MA) Rules, 1944 for the purpose of examining eligibility of family members of the Central Government employee for medical facilities under the Rules.

7. The order shall be effective from 1st January, 2009.

8. This issues with the concurrence of the Department of Expenditure vide their I.D. No. 566/EV/2008 dated 4.11.2008.