The New Employees Health Scheme (NEHS) has approved cashless treatment for 15,395 cases valued at ₹104.63 crore, covering government employees, pensioners and eligible family members.
The scheme currently has 919 empanelled hospitals, including 778 private hospitals and 141 government and approved facilities. The Telangana government has also brought police personnel under the scheme from September 1.
Under NEHS, employees and pensioners contribute 1.5% of their basic pay or pension, while the government makes a matching contribution. The combined monthly contribution is estimated at ₹88 crore, with ₹44 crore coming from beneficiaries and ₹44 crore from the government. The annual budget for the scheme has been estimated at ₹1,056 crore.
The scheme provides both outpatient and inpatient healthcare services. OPD services, including consultations, diagnostic tests and medicines, are available cashlessly through wellness centres. Currently, 12 wellness centres are operational, while plans are in place to add 25 more, taking the total to 37.
For hospitalisation, NEHS covers 1,816 CGHS treatment packages, including procedures, medicines, diagnostics, consumables, implants and follow-up care. Beneficiaries can also seek emergency admission at the nearest empanelled hospital without prior referral, subject to subsequent intimation to the trust.
Officials have clarified that treatment cannot be denied solely because a beneficiary has not received a health card. Employees and pensioners can use their identification numbers to access services.
As of September 28, health cards had been issued to 12,56,962 beneficiaries, with 7,56,210 having downloaded their cards.
Of the approved cases, 3,192 employee cases accounted for ₹18.75 crore, while 5,669 cases involving employees’ family members were valued at ₹39.52 crore. Pensioners accounted for 4,042 cases worth ₹29.27 crore, while 2,492 cases of pensioners’ family members were approved for ₹17.08 crore.
