Medical Reimbursement Form CGHS - Summary
This is a Medical Reimbursement Form CGHS, designed for individuals to claim medical expenses that they paid in cash for their family’s treatment. You can easily download the Medical Reimbursement form PDF from the link at the bottom of this page.
Medical reimbursement is a helpful service where an employer pays back the medical expenses that the employee or their family members have incurred, even if they are not covered under health insurance. This is particularly important for general medicine or accident-related costs.
Essential Information to Include in the Medical Reimbursement Form
Details to be Mentioned in Medical Reimbursement Form
- Name and Designation of Government Employee
- Office in which Employed
- Place of Duty
- Permanent Address
- Name of Patient and their relation with the Government servant
- Details of the Amount Claimed
- Hospital Treatment Details
- Any other relevant information
Documents Required for Claiming Medical Reimbursement
- Medical Reimbursement Application Form
- Hospital Discharge Summary (Original)
- Case Receipts from Hospitals or Chemists
- Health Card Copy
- If there is an accident, then FIR or medico-legal certificate (MLC)
- Any other necessary details
This Central Government Health Scheme (CGHS) medical reimbursement form is essential for serving government employees who want to claim their medical expenses. Remember to fill it out carefully and attach all the required documents to ensure a smooth processing of your claim. 😊
-
CGHS Medical Reimbursement Form For Pensioners
-
Medical Reimbursement Form
-
Medical Reimbursement Form West Bengal
-
Medical Reimbursement Form for Maharashtra Government Employees Marathi
-
Medical Reimbursement (Advance) Form West Bengal
-
Rangareddy Telangana Form of Application for Medical Reimbursement
-
Application Form For Reimbursement of Medical Claims
-
Medical Claim Form For State Govt. Employees