The Government of India has increased the approval limit for settling medical reimbursement cases under CGHS and CS (MA) Rules from ₹5 lakh to ₹10 lakh. This decision has been taken by the Ministry of Health & Family Welfare.
CGHS is a health care scheme started by the Government of India for Central Government employees, pensioners, and certain other eligible groups.
An Office Memorandum (File No. S.11030/4/2026-EHS (8385264) / I/3840089/2026) was issued by the EHS Section of the Ministry from Kartavya Bhawan-1, New Delhi, dated 16 February 2026.
What Has Changed?
Earlier, Heads of Departments in various Ministries and Departments were allowed to settle medical reimbursement cases up to ₹5 lakh without consulting the Integrated Finance Division (IFD). Now, this limit has been increased to ₹10 lakh.
This means that Heads of Departments can approve medical reimbursement claims up to ₹10 lakh without sending the case to IFD, provided certain conditions are met.
Background
The Ministry referred to its earlier Office Memorandum No. 11011/20/2014-CGHS(P)/EHS dated 23 November 2016. In that order, the ceiling limit for medical reimbursement was increased from ₹2 lakh to ₹5 lakh.
Now, after re-examining the matter, the Ministry has decided to further enhance the ceiling from ₹5 lakh to ₹10 lakh.
Conditions for Approval
The increased limit will apply only if:
- No relaxation of CGHS or CS (MA) Rules, 1944 is involved.
- The reimbursement amount is calculated strictly according to the prescribed CGHS/CS (MA) rate lists.
This means the rules must be followed exactly, and the payment must be based on official rate lists.
Approval and Concurrence
The decision has received concurrence from the Integrated Finance Division (IFD) vide CD No. 3131 dated 29 January 2026.
The order has been issued with the approval of the competent authority.
