Is Central Government Health Scheme’s Accident Insurance Enough For You?

Healthcare expenses are rising rapidly in India, making it difficult for people to bear such costs without any financial assistance. Mediclaim insurance is an excellent tool for people to protect themselves from unexpected medical expenses. However, deciding on which policy to opt for can be a confusing task as there are multiple options available in the market.

 

One of the most popular schemes is the Central Government Health Scheme (CGHS). The scheme was created solely for central government employees and their dependents. The CGHS offers an accident insurance policy that is a part of the comprehensive CGHS package. However, the question to ask is whether the CGHS accident insurance is enough for you.

 

What is Central Government Health Scheme (CGHS)?

 

The Central Government mediclaim insurance Scheme (CGHS) is a comprehensive package that offers healthcare facilities to central government employees and their dependents. The scheme was introduced in 1954 to provide medical assistance to government employees. It aims to provide affordable and accessible healthcare to its members.

 

Under the CGHS, eligible employees are provided with a health card that entitles them to a range of medical services, including outpatient consultation, diagnostic tests, and hospitalisation. The CGHS network also includes a range of allopathic, homeopathic, Ayurvedic, and Unani dispensaries and hospitals across India. The scheme is funded by the government and is managed by the Ministry of Health and Family Welfare.

 

Overall, the CGHS is an essential health insurance scheme that helps ensure that government employees and their families have access to affordable and high-quality healthcare services when they need them most.

 

CGHS Accident Insurance

 

The CGHS accident insurance policy is a part of the comprehensive central government health package. It is designed to provide financial assistance in the event of an accident.

 

The policy offers coverage for accidents resulting in the death or disability of the insured person. The coverage includes accidental death and permanent total disablement. The policy covers both the primary and secondary beneficiaries of the CGHS member. The policy offers a sum insured of up to Rs. 10 lakh for accidental death or permanent total disablement.

 

The CGHS accident insurance policy is an excellent benefit for central government employees as it helps them meet unforeseen expenses resulting from accidents. However, it is not enough for everyone.

 

Is CGHS accident insurance enough?

 

The CGHS accident insurance is designed for central government employees and their dependents. It offers a limited sum insured and may not be sufficient to cover all expenses incurred in the event of an accident.

 

Moreover, the policy only covers accidents resulting in the death or permanent total disablement of the insured person. The policy does not cover accidents resulting in partial disablement or hospitalisation expenses resulting from accidents.

 

Considering these limitations, it is essential to check if the CGHS accident insurance is enough for you. Here are a few factors that you need to consider while evaluating the policy’s adequacy for your needs:

 

1. Healthcare needs

 

Assess your healthcare needs to determine the sum insured required. The CGHS accident insurance policy offers coverage only for accidental death and permanent total disablement. If you want coverage for partial disablement or hospitalisation expenses resulting from accidents, you may need to opt for additional policies.

 

2. Age

 

The risk of accidents increases with age. Therefore, it is essential to evaluate your age and health condition before deciding to rely on the CGHS accident insurance policy.

 

3. Occupation

 

If you work in a hazardous environment, you are at a higher risk of accidents. The CGHS accident insurance policy may not be enough for you if your job requires you to work in hazardous conditions.

 

4. Dependents

 

The policy offers coverage for both primary and secondary beneficiaries of the CGHS member. However, if you have more dependents, the sum insured may not be sufficient to cover all expenses incurred in the event of an accident.

 

In conclusion, the central govt health scheme is a useful benefit for central government employees and their dependents. It offers coverage for accidental death and permanent total disablement. However, the policy may not be enough for everyone’s needs.

 

If you have a higher risk of accidents or have specific healthcare needs, it is advisable to opt for additional policies to supplement the CGHS accident insurance. It is essential to assess your healthcare needs and evaluate the policy’s coverage before deciding whether the CGHS accident insurance policy is enough for you.

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