The Central Government Health Scheme (CGHS) is undergoing its biggest reform in a decade, effective from 13th October 2025. Nearly 50 lakh government employees, pensioners, and their families will be impacted by this sweeping change. The new policy introduces tier-based city pricing, revised rates for 2,000 medical procedures, upgraded empanelled hospitals, and improved online access. Rates now vary across Tier 1, 2, and 3 cities, with NABH accreditation and hospital category also influencing costs. Ward entitlements, OPD consultations, and inclusivity measures for transgender children and dependent siblings are also part of the overhaul. This revamp aims to ensure affordable, equitable, and quality healthcare while addressing medical inflation and expanding cashless treatment options nati

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