LIST OF EMPANELLED HOSPITALS AND LABS

DELHI
SL. NAME OF THE HOSPITAL OPD DISCOUNT CONTACT
NO. PERSON/TEL.NO./FAX NO.
1. Center for Sight 10% ON OTHER THAN S/Sh.
B-5/24, Safdarjung Enclave CGHS S.Avasthi
New Delhi (CGHS) (all centres 9958422442
in Delhi and NCR) 011-41644000
011=41651744

2. Cygnus Orthocare, Safdarjung NO DIS. Vikas

Development Area, New Delhi 9868908051
(CGHS)(opp. IIT main gate) 011-45550000

3. Deepak Memo.Hospital 10% ON OTHER THAN Manoj

Vikas Marg, CGHS 9711918490
Delhi (CGHS) 011-22155555
011- 22379260
4. Dharmshala Cancer Hospital & 10% S.K. Gupta
Research Centre, Dharmshala Road, 9818505645
Vasundhra Enclave, 011-43066358/359
Delhi 011-22617770
011-22618574
5. Delhi Heart & Lung Institute, NO DIS. Ms. A.Bhalla
3-MM 11, Panchkuian Road, 9711322286
New Delhi-110055 (CGHS) 011-42999999
011- 42999961
6. Dr. B.L. Kapoor Memorial Hospital, Pusa 10% Amit Negi
Road, N.D 9953531693
011-30403040
011-30653015
[email protected]
7. Escorts Heart Institute & Research 15% Tarun Garg
Centre , 9999510789
Okhla Road, New Delhi 011-47135000
011-26825013
8. Fortis Flt. Lt. Rajan Dhall Hospital 15% S.Rajvanshi
Sector B, Pocket 1 Aruna Asaf Ali Marg, 9953099607
Vasant Kunj, 011-42776222
New Delhi – 110 070. 011-42776221

9. Fortis Hospital 15% Sahil Chadha

A Block, Shalimar Bagh 925009090
New Delhi-110088 011-45302222
011-45302211

10.. Goyal Eye Hospital No DIS. Pawan Goyal

East Patel Nagar
Delhi (CGHS) 011-25881259
011-25888145
011-25880114
11. Holy Family Hospital, Okhla Road. NO DIS. Fr.George P.A.
New Delhi. 011-26845900-09
011-26913225
011-26913325

12. Indian Spinal Injuries Centre , 15% OTHER THAN CGHS Vipin
Sector – C, 9999798689
Vasant Kunj, New Delhi 011 42255225 ext. 201 / 202
ONLY FOR (ORTHO AT CGHS) 011 42255201 (Direct)
011 42255202 (Direct)
011-42255371

13. Jaipur Golden Hospital, 15% Ms. Poonam

Sector-III, Rohini 9911763595
Delhi -110085 011-27525984
/85/ 86______
011-27518121
14. Jeevan Anmol Hospital, 10% OTHER THAN CGHS B. Sondhi
Mayur Vihar, Phase-1 011-22750380
New Delhi. (CGHS) 011-22735237
011-22755993

15. Metro Hospital & Cancer Institute 10% ON OTHER THAN Sushant Sharma
(A unit of Anand Health Care Ltd.) CGHS 9810823555
21, Community Centre, Preet Vihar, 011-22460000
Delhi-110092 011-22526671
011-22524126
011-22526671
16. Metro Hospital & Heart Institute 10% OTHER THAN CGHS Sushant Sharma
Lajpat Nagar, 14, Ring Road 9810823555
Lajpat Nagar-IV 011-42424343
New Delhi (CGHS) 011-26481356

17. Maharaja Agrasen 15% Ms. Poonam

Hospital Punjabi Bagh 9910172476
New Delhi. 011-40777555 / 40777666/
40777777
[email protected]
18. Mata Chanan Devi NO DIS Dr. Nidhi Sareen
Hospital, C-1, Janakpuri 011-25610008
New Delhi. (CGHS) 011-25610009
011-25544001

19. Moolchand Medcity, 10% Ashish

Lajpat Nagar III, 9650100734
New Delhi-110024 011-42000112
011=42000300

20. Max Devki Heart & Vascular 20% consultation fees Raju Sharma
Institute, 2 Press Enclave Road, Saket Rs.500/-(flat)ortho,cardio or 9818688013
New Delhi. (EAST) oncology,Renal at CGHS 011-26515050
011-26517000
21. Max Super Specility Hospital 20% consultation fees Raju Sharma
West Block,Press Enclave, Rs.500/-(flat)ortho,cardio or 9818688013
Saket, New Delhi oncology,Renal at CGHS 011-26515050
011-26517000

22. Max Medi Centre (Only for diagnosis and 20% discount on diagnostic Raju Sharma
eye treatment) 9818688013
Panchsheel 011-26499870
New Delhi 011-26499880
011-26499860
23. Max Hospital 20% CONSULTATION ₨ Sarpreet Singh
Pitampura, (near TV Tower) 500/- (flat) 9999703092
New Delhi-110034 Ortho, Cardio, Oncology, 011-47351844
Renal at CGHS 011-47357229

24. Max Balaji Hospital 20% CONSULTATION ₨ M. Rehman

Patparganj, Delhi 500/- (flat) 9899978860
Ortho, Cardio, Oncology, 011-27951844
Renal at CGHS 011- 22235563

25. Max Super Speciality Hospital Shalimar 20% CONSULTATION ₨ Ms. Pooja Tiwari
Bagh 500/- (flat) 9015499945
FC - 50, C & D Block, Shalimar Bagh Ortho, Cardio, Oncology, 011- 66422222
New Delhi 110 088. Renal at CGHS 011- 6642 2233

26. Primus Super Speciality Hospital NO DIS. P.K.SINGH

2, Chandra Gupta Marg 9953722892
Chanakya Puri 011-66206630
New Delhi (CGHS) 011-66206640
011-66206650
01126112633
27. Rajiv Gandhi Cancer Institute & 10% Ms. Mita Gosh
Research Centre 9873688996
Rohini , Delhi 011-47022222
011- 27054001
011-27051037
28. Rockland Hospital, 10% ON OTHER THAN Lalji Patel
B-33-34, Qutab Institutional Area CGHS 8800197138
New Delhi. (CGHS) 011-4122222
011-41688752-64
011-41688765
29. Rockland Hospital, 10% ON OTHER THAN
Sector-12-B, CGHS
Dwarka,
New Delhi(CGHS)

30. Sir Ganga Ram Hospital NO DIS. Neeraj

Rajinder Nagar 9818441844
New Delhi 011-25735205
011-25735206
011-25861458
31. St. Stephen’s NO DIS Subrata Sen
Hospital Tiz- 9868399258
Hazari Delhi. 011-23966021-27
011-23932412
32. Saket City Hospital (GM Modi Hospital) 10% ON OTHER THAN Tarun Sahu
Mandir Marg, Press Enclave Road CGHS 9899199988
New Delhi - 110017 011-40699999
011-26963801

33. Sharp Sight Centre NO DIS. ArchanaVedi 9582211733

Vikas Marg, Delhi 9999055514(w.Delhi)
(CGHS) (full chain of SSC in Delhi/NCR) 9811034007(S.Delhi)
9999405599(E.Delhi)
9899534441 (Gzbd)
34. Sunder Lal Jain Charitable Hospital, NO DIS Aggarwal
Ashok Vihar, Delhi-110052 9818055792
(CGHS) 011-47030900,
011-47030921,
011-47030936
[email protected]
1

FARIDABAD (NCR)
NAME OF HOSPITAL OPD DISCOUNT CONTACT PERSON/TEL.NO./FAX NO.
S.No
.
1. Escort Hospital and Research 15% Taranpuri
Centre, Neelam Chowk, Bata Road, 9711988729
Faridabad, Harayana. 0129-2466200
9717010101
0129-2426586

GURGAON (NCR)
S.No. NAME OF HOSPITAL OPD DISCOUNT CONTACT PERSON/TEL.NO./FAX
NO.
1. Colombia Asia Hospital 15% Ms. R. Hingorani
Palam Vihar Gurgaon. 9582475497
(CGHS) 0124-39898969
0124-3022022
2. Medanta – The 15% Aditya Bahadur
Medicity Sector – 9650004921
38 Gurgaon. 0124-4141414
0124-4411441
0124-4834111
3. Fortis 15% Ramesh Gupta
Healthcare, 9971554370
Sect.41, Gurgaon 0124 4921021,
0124 4921071,
0124 4921033
0124 492 1041
4. Max Health Care, Gurgaon, 20% Raju Sharma
Block-B, Shushant Lok, Phase-I, CONSULTATION ₨ 9818688013
Gurgaon. 500/- (flat) 0124-6623000
Ortho, Cardio, 0124-6623111
Oncology, Renal at
CGHS
 NOIDA (NCR)

S.No. NAME OF HOSPITAL OPD DISCOUNT CONTACT PERSON/TEL.NO./FAX NO.

1. Kailash Hospital & Heart 10% ON OTHER Manish Aggarwal

Institute, H-33, Sec.27 THAN CGHS 8826007191
NOIDA (CGHS) 0120-2445566
0120-2466666
0120-2552323
0120-2533333
2. Kailash Hospital Ltd. 10% OTHER THAN Manish Aggarwal
23, KP- 1, Greater NOIDA. CGHS 8826007191
(CGHS) 0120-2322222
0120-2321111
0120-2322227
3. Metro Hospitals & Heart 10% ON OTHER Sushant Sharma
Institute THAN CGHS 9810823555
(Cardiology Wing) 0120-2533491
X-1, Sector 12 0120-4366666
NOIDA(CGH) 0120-2533487
4. Metro Hospitals & Heart 10% ON OTHER Sushant Sharma
Institute (Multispeciality THAN CGHS 9810823555
Wing) 0120-2522959
L-94, Sector -11, NOIDA. 0120-2442555
(CGHS)
5. Prakash Hospital Pvt. Ltd. NO DIS. Dr. Siddiqui
D-12,12-A,12-B, Sec.-33, 9810532534
NOIDA (CGHS) 0120-2505264
01202505265
0120-2505757
6. Max Hospital 20% CONSULTATION Raju Sharma
Sect.19, ₨ 500/- (flat) 9818688013
NOIDA Ortho, Cardio, 0124-6623000
Oncology, Renal at 0124-6623111
CGHS
7. Fortis Hospital, 10% ON OTHER Rahul Bhatnagar
Sector 62, NOIDA THAN CGHS 9871999424
0120-2400222
9899920511
[email protected]
8. I Care Eye NO DIS. Dr. Chaudhary
Hospital, 9811880015
Sector-26, 0120-2477600-602,
NOIDA 2555969,2558274
(CGHS) 0120-2556389
 GHAZIABAD (NCR)

S.No. NAME OF HOSPITAL OPD DISCOUNT CONTACT PERSON/TEL.NO./FAX NO.

1. Yashoda Hospital NO.DISCOUNT

i) Yashoda Hospital & P.N.ARORA
Research Centre Ltd. Nehru 0120-4182000
Nagar, Ghaziabad. 0120-2752168
ii) Yashoda
Superspeciality Hospital H-
1, Kaushambi, Ghaziabad.
(CGHS) 0120-4181900

JAIPUR

S.N NAME OF HOSPITAL OPD DISCOUNT CONTACT

O. PERSON/TEL.NO./FAX NO.
1. Santokba Durlabhji Memorial NO DIS. Vijay S. Taragi
Hospital, 9929607084
Bhawani Singh Marg, Near 0141-2566251-58/
Rambagh 0141-5110209
Circle, Jaipur.

LIST OF EMPANELLED LABS

S.NO. NAME OF THE LABORTARORY TELEPHONE NO.

1. Dr. D.K. Gulati Path Lab, A-20, Community Centre, Ashok Vihar, 011-25624283
Delhi (CGHS)

2. Diwan Chand Satayapal Agarwal X-Ray Clinic, 10-6, 011-23329887

Kasturba Gandhi Marg, New Delhi – 110 001. 011-23322497
(20% DISCOUNT)
3. Dr. Lal Path Labs Pvt. Ltd. 54, Eskay 011-23361329
House, Hanuman Road New Delhi. 011-23342046
(20% DISCOUNT) Manoj Guleria
All over India- 8527999141
Pls. Note : Discount not available on franchise centre of
Dr.Lal Path Labs.

4. Dr. Mukul’s Diagnostics Clinic, 6-39, 011-26692555

Shivalik 011-26692487
New Delhi – 110 017.
(CGHS)

PLEASE NOTE THAT THE NAME OF CONTACT PERSON IN HOSPITALS IS GIVEN AS PER RECORDS
AVAILABLE IN THE DIVN.
General Information/Forms:

- FOR TREATMENT IN ANY CGHS EMPANELLED HOSPITAL, THE RESPECTIVE HOSPITAL IS

EMPANELLED ONLY AT CGHS SCHEDULE OF CHARGES AND ALL
PROCEDURES/TREATMENT/INVESTIGATIONS ARE PAID BY STC TO THE RESPECTIVE
HOSPITAL AT CGHS RATES ONLY. IF ANY BENEFICIARY OPTS FOR HIGHER COST OF DEVICE
ETC. IN LIEU OF LISTED UNDER CGHS DURING A PROCEDURE, THE DIFFERENCE, IF ANY,
WOULD BE BORNE ONLY BY THE BENEFICIARY OF STC AT HIS/HER OWN WILL.

ISSUANCE OF AUTHORISATION LETTER TO EMPANELLED HOSPITAL:

- IN NORMAL COURSE, THE AUTHORISATION LETTER IS ISSUED ON PRODUCTION OF

PRESCRIPTION FROM THE DOCTOR OF EMPANELLED HOSPITAL ADVISING ADMISSION TO THE

BENEFICIARY;

- IN CASE OF EMERGENCY STC BENEFICIARY CAN GO DIRECTLY TO ANY EMPANELLED

HOSPITAL LISTED ABOVE ALONG WITH THE MEDICAL CARD ISSUED BY STC. IN THAT CASE

AUTHORISATION LETTER TO THE RESPECTIVE HOSPITAL IS FAXED ON RECEIVING

INFORMATION FROM THE HOSPITAL/BENEFICIARY. HOWEVER, THE BENEFICIARY IS

ADVISED TO COLLECT THE ORIGINAL LETTER FROM STC AND SUBMIT THE SAME WITH THE

HOSPITAL AUTHORITIES BEFORE DISCHARGE FOR BILLING PURPOSE ;

ENTITLED ROOM CATEGORY:

Ex- JGM & Abv. : S.Room,

Ex-AM /SOM-IIup to DGM : Semi-Pvt.

Ex GR_I - Ward –

OPD ENTITLEMENT:

₨ 30,000/- p.a. - EX-CMD/DIR,

₨ 22,500/- p.a. Ex-ED/CGM/GM

₨ 18,000/- p.a. EX-CMM UPTO SOM-II,

₨ 15,000/- p.a. GR.I UPTO SOM-I

INDOOR TREATMENT CEILING

EX-EMPLOYEES PRIOR TO NOV. 2008 - 95% OF THE ADMISSIBLE BILLED AMOUNT TO BE

BORNE BY STC & 5% TO BE BORNE BY EX-EMPLOYEE/SPOUSE.

CEILING CADRE-WISE FOR EX-EMPLOYEES RETIRED AFTER NOV. 2008

EX-CMD/DIR Rs. 5.00 lacs p.a.

Ex-ED/CGM/GM/JGM Rs. 4.10 lacs p.a.

EX-CMM /DGM UPTO SOM-II RS. 3.45 lacs p.a.

GR.I UPTO SOM-I Rs. 2.50 lacs p.a.

MEDICAL SECTION CONTACT PERSONS & PHONE NOS.

GM- SH. SAMIT MOHAPATRA - 0FF 011- 23462161, M.No.9971128126

JGM- SH. T.KERKETTA - 0FF. 011-23462090, M.No.8527656080

DM- SMT. SARITA JAIN - OFF. 011- 23462220, Res.No.22243775

AM - SH. SUSHIL KUMAR - OFF. 011 -23462374, Res.No.23650321

Rs.10/- stamp paper duly attested by oath commissioner/notary/AFFIDAVIT(DEATH)

I___________________aged_________(date of birth______ ) wife/husband of

late/Shri/Smt.____________________r/o__________________________________________do
hereby solemnly affirm and declare as under:-

1. That my husband/wife late Sh./Smt.______________________Ex_____________

Who worked as ___________in the office of ___________has expired on________.
A copy of the Death Certificate is enclosed.
2. That I am not employed anywhere/working in the office of ____________________
and not drawing any medical facility including cash as perks from my office. A
certificate issued by my office in this regard is also enclosed.

DEPONENT

VERIFICATION

Verified that the content of the above affidavit are correct to the best of my knowledge and
belief and nothing has been concealed there from.

DEPONENT
 AFFIDAVIT RS. 10/- STAMP PAPER ( LOST MEDICAL CARD)

I …………………………………. S/o/W/o ……………………………………….. r/o………………………………………

is hereby solemnly affirm and state as under:-

That my medical card no. has been lost.

FIR to this effect has been lodged(copy enclosed)

I also undertake that in case the same is found and misused, I shall indemnify the same to STC.

DEPONENT

VERIFICATION

Verified at New Delhi that the contents of my above said affidavit are true and
correct and nothing material has been concealed there from.

DEPONENT
 OPD CLAIM FORM

PROFORMA FOR CLAIMING REIMBURSEMENT FOR OPD TRETMENT

FOR RETIRED EMPLOYEES/SPOUSE OF RETIRED EMPLOYEES
Certified that I have spent more than Rs. …………….on medical as OPD expenses during the
period:
April, __________ to September, _____________
October,____________ to March, __________________

I request that an amount of Rs…………………….may kindly be reimbursed to me.

Further, it is certified that my spouse is alive*/not alive

I certify that I am not gainfully employed/gainfully employed but not availing medical facility
from my present employer (certificate enclosed)
It is certified that my spouse is not employed/employed but not availing medical facility from
his/her employer (certificate enclosed)/already available with Personnel Division.
I undertake that there is no change in the particulars furnished by me at the time of submitting
my application for issuance of Medical Card to me.

Signature………………………………..
Name Of The Retired Employee……………………………….
Name Of The Spouse Of The Deceased Employee………………………………….
Residential Address………………………………….

OPD REIMBURSEMENT AMOUNT(P.A.)

-Director/CMD : Rs. 30,000/-

-GM/JGM/CGM/Ex-Director : Rs. 22,500/-
-SOM-II/AM/CMM/DGM : Rs. 18,000/-
-Grade-I up to SOM-I : Rs. 15,000/-