CGHS New Rates 2025: Good news for central government employees and pensioners. The government has revised the rates of the Central Government Health Scheme (CGHS). The changes will take effect on October 13, 2025. This revised rate also includes the implementation of a new billing process and digital system (TMS 2.0).
These changes are expected to benefit approximately 4.6 million CGHS beneficiaries. The government says the new rates are based on the hospital’s accreditation, city category, hospital category, and patient ward.
What is the big change?
The rates have changed after 10 years. The last major change in CGHS rates occurred in 2014. Since then, there have been only a few minor revisions. Employees and pensioners complained that due to the old rates, many hospitals refused to provide cashless treatment, forcing patients to bear the expenses out of their own pockets and taking months to get their money back.
Private hospitals argued that the rates were not covering current medical costs. This is why the government has now revised the rates and digitalized the entire system.
New System
Now CGHS has been migrated to National Health Authority (NHA) platform under TMS 2.0, UMP and HEM 2.0 . Under this new system, patients will now be required to submit OTP verification to receive treatment at a hospital. The beneficiary’s mobile number must be updated in the CGHS database.
If the mobile number is outdated or not registered, it can be updated by visiting the nearest CGHS Wellness Centre.
Digital CGHS card will also be valid
Beneficiaries can download it from the CGHS website or from the ‘My CGHS 2.0’ mobile app.
Under the new billing system:
1.New CGHS rates will be applicable on all services from October 13, 2025 (12 midnight).
2. Services provided till October 12, 2025 will be billed at the old rates only. Additionally, if the hospital charges for an “unacceptable” item, a separate bill/receipt will be issued. This bill will not be claimed from CGHS.
Emphasis on transparency and patient consent
The government has directed hospitals to take geotagged photographs during treatment to maintain transparency. Additionally, at the time of discharge, each patient or their attendant must fill out a feedback form, including whether the hospital charged any additional fees during treatment.