Revised CGHS rates applicable for treatment at Healthcare Organisations of ECHS: DESW Order

Revised CGHS rates applicable for treatment at Healthcare Organisations of ECHS: DESW Order dated 05.12.2025

F.No.22(16)/2025-D(WE)/Res-I
Government of India
Ministry of Defence
Department of Ex-Servicemen Welfare

Room No 218, B-Wing
Sena Bhawan, New Delhi
Dated 05th December, 2025

To,

The Managing Director
Central Organisation ECHS
Thimayya Marg, Near Gopinath Circle, Delhi Cantt – 110010

Subject: Revised CGHS rates applicable for treatment at Healthcare Organisations of ECHS

In reference to subject above, and in supersession of all previous memoranda on the subject, the revised CGHS package rates as notified by MoH&FW vide OM No 5-16/CGHS(HQ)/HEC/2024(Part I) dated 03.10.2025 are hereby notified for ECHS.

1. Implementation of Revised CGHS rates for ECHS

These rates will be effective from 15.12.2025 and shall apply to:

a) All healthcare services availed at ECHS empaneled Healthcare Organisations (HCOs).

b) Medical Reimbursement Claims of individuals (in r/o Service pensioners and eligible ECHS beneficiaries).

c) ECHS cashless treatment shall be extended to Service Pensioners and other eligible ECHS beneficiaries as per extant rules.

The revised rates as per Annexure-I are for the semiprivate ward entitlement and are also available on the ECHS website: https: //echs.gov.in.

In exceptional circumstances, where treatment has been availed from any non-empaneled private HCOs, reimbursement may be considered as per extant instructions, but the rate would be restricted to Non-NABH (National Accreditation Board for Hospital for Healthcare Providers) rates of the concerned city.

2.Structure of Differential Rates

Revised rates have been rationalised based on accreditation status, hospital type, city classification and ward entitlement:

a) Non-NABH and Non-NABL HCOs: 15% lower than NABH/NABL accredited HCOs. (NABL – National Accreditation Board for Testing and Calibration of Laboratories)

b) Rates for super speciality hospitals shall be 15% higher than those applicable to NABH-accredited hospitals for the corresponding Super specialities within the same city category.

c) HCO located in Y (Tier II) cities and Z (Tier III) cities rates shall be 10% and 20% respectively lower than those located in X (Tier I) Cities. Y (Tier II) rates also apply to the HCO located in North-East region and Union Territories of Jammu & Kashmir and Ladakh.

d) The new package rates mentioned in are for semi-private ward. For general ward there will be a decrease of 5% in the rates, and for the private ward entitlement, there will be an increase of 5% on the applicable admissible claim amount.

e) Rates for consultations, radiotherapy, investigations, day care procedures, and minor procedures not requiring admission shall remain uniform, irrespective of the ward entitlement.

f) For cancer surgeries, existing CGHS rules and rates continue in ECHS. However, revised rates apply to chemotherapy, investigations and
radiotherapy.

3. Supporting Guidelines and Definitions

Key definitions and guidelines are provided in Annexures II-VII, including:

a) CGHS Package Rate structure and inclusions.
b) Description of Ward Categories.
c) ICU and Nursing Care Charges.
d) Equipment Charges.
e) Admissible vs. Non-Admissible Items.
f) Definition and Criteria for Super Speciality Hospitals.
g) Relevant Office Memoranda issued by Govt of India, MoD/DoESW and Orders issued by Central Organization ECHS.

4. Renewal of MoA with Empanelled Hospitals

a) All existing Memoranda of Agreement (MoAs) executed with private empanelled hospitals shall cease to be valid with effect from 15.12.2025 12 AM.

b) All Health Care Organisations (HCOs) are required to seek renewal of empanelment through the online Hospital Empanelment Module.

c) The revised MoAs must be executed afresh within 90 days from the date of implementation of the revised rates.

d) However, in order to continue to avail the benefit of the revised rate, each HCO shall be required to submit an undertaking before 15.12.2025, confirming its acceptance of the terms and conditions of the revised MoA.

e) In case, the HCO fails to submit the undertaking shall be deemed to be de-panelled.

The above OM is issued in supersession of OM of even number dated 29th November, 2025.

This issues with the approval of the Competent Authority.

Encl: Annexure I to VII

(M.K. Rai)
Deputy Secretary (WE)

CGHS rates applicable for treatment at healthcare organisation: CGHS O.M. dated 03.10.2025

CGHS Rate List

Annexure 1 is divided into three parts, A for Tier 1, B for Tier 2, and C for Tier III cities

A) Rate list for Semiprivate ward for HCOs in X(Tier I)

B) Rate list for Semiprivate ward for HCOs in Y (Tier II) cities

C) Rate list for Semiprivate ward for HCOs in Z (Tier III) cities

Annexure-II Definition of Package Rates and inclusions

Annexure-III Description of Ward categories, Nursing care charges, ICU and Critical Care Unit Charges, Equipment Charges

Annexure-IV Admissible and Non-Admissible Items (Billing Guidelines)

Annexure V Super Speciality Hospitals

Annexure VI List of Office Memorandum (suppressed)

Annexure VII Summary table on Eligibility for Credit/Cashless treatment

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