CGHS is not just a card for central government employees. Since its inception in 1954, the scheme has served as a support system for government employees and their families—a health scheme that has become a backbone for central government employees and pensioners. The 7th Pay Commission also introduced several reforms to strengthen the scheme. The 7th Pay Commission period (2016–2025) is now in its final phase, and during this time, the government implemented many important reforms in 2025.
However, the formal launch of the 8th Pay Commission has been delayed. This has strengthened claims that the government may replace CGHS with another insurance-based scheme under the 8th Pay Commission. Employees and pensioners are uncertain about the new proposals, which include updated recommendations and health facilities. The question—Will the 70-year-old CGHS end?—is becoming increasingly prominent.
Will 70-year-old CGHS end?
Reports from the ministry suggest that It is possible that with the recommendations of the 8th Pay Commission, the government will replace CGHS with a completely new, modern and insurance-based health scheme.
Major reforms During 7th Pay Commission
During the 7th Pay Commission CGHS went through continuous digital and structural changes.
Changes in ward allocation: The type of hospital ward an employee can use—general, semi-private, or private—depends on their basic salary. Higher salaries may allow access to better wards, while lower salaries are limited to basic wards.
Linking to ABHA ID: Initially government tried to link the CGHS card to the Ayushman Bharat Health Account (ABHA). However, the decision to make it mandatory was later postponed.
Employees whose salary is deducted for CGHS contribution are now given the facility of automatic issuance of cards.
Easy referral process: Now, employees and pensioners can get treatment in government hospitals without a referral. In private hospitals, a single referral allows consultation with up to three specialist doctors.
The age limit for these benefits was reduced to 70 years.
These changes made it much easier for employees and pensioners to access health services.
