REVISED GUIDELINES FOR IMPLEMENTATION OF NEHS - UPDATED
1. Beneficiary Coverage & Eligibility
- Serving Employees Covered: Includes all regular State Government employees, provincialised employees of local bodies, and employees of Model Schools, Gurukul/Residential Educational Institutions, Government-aided institutions, Agricultural Market Committees, State Universities, and Government-supported Libraries.
- Retired Employees Covered: Covers all Service Pensioners, Family Pensioners, and Re-employed Service Pensioners.
- Eligible Dependents: Includes dependent parents (either biological or adoptive, but not both), a legally wedded spouse, wholly dependent legitimate children (including stepchildren/adopted children), and dependents of family pensioners.
- Dependency Limits: Unemployed daughters remain eligible while unmarried, widowed, divorced, or deserted. Unemployed sons are covered up to the age of 25. Disabled children unfit for employment remain eligible indefinitely.
- Exclusions: Excludes individuals covered under other government arrangements (e.g., CGHS, ESIS, Railways, RTC), Law Officers, casual/daily workers, and All India Service officers (unless specifically included).
- Dual-Spouse Rule: If both spouses are government employees or pensioners, only one makes a monthly contribution under a single shared family account.
- New Employees Health Scheme important links
2. Enrolment & Electronic Health Cards
- Digital Enrolment: Registration and data validation will be conducted through an online module integrated with the Integrated Financial Management Information System (IFMIS) and other authoritative databases.
- Electronic Health Cards: Cards are generated digitally via a web portal or mobile app. Existing EHS cards remain valid during the transition period. The digital card grants access to cashless treatments and specific outpatient concessions.