Is diabetes OPD treatment covered cashless under CGHS?

No. OPD consultations and routine diabetes medications at private CGHS-empanelled hospitals are generally NOT cashless. You pay at the time of visit and claim reimbursement from your CGHS Wellness Centre. Cashless (direct payment by CGHS to hospital) applies mainly to IPD (hospitalisation) for diabetes complications — diabetic foot, hyperosmolar state, DKA, severe hypoglycaemia — and approved inpatient procedures.

Which diabetes diagnostics are covered cashless under CGHS?

CGHS covers a range of diabetes-related investigations at empanelled hospitals at notified rates. At Gini's in-house lab, covered tests include: HbA1c, fasting and post-prandial glucose, lipid profile, kidney function tests (creatinine, eGFR, urine microalbumin), liver function, and thyroid function. Echo and TMT (for cardiac risk assessment in diabetics) are also available at Gini at CGHS rates. For inpatient stays, these are cashless; for OPD investigations, reimbursement applies.

Diabetes Treatment Under CGHS — Cashless Care at Gini Hospital Mohali

Q: What diabetes complications are covered as IPD under CGHS?

CGHS covers inpatient management of diabetes complications including: diabetic ketoacidosis (DKA), hyperosmolar hyperglycaemic state (HHS), severe hypoglycaemia requiring IV glucose, diabetic foot infection or gangrene (IPD wound care, debridement, minor amputation), acute kidney injury complicating diabetes, and hyperosmolar coma. All these require admission at Gini with pre-authorisation (or emergency admission).

Q: Can I see Dr. Anil Bhansali as a CGHS patient?

Yes. Dr. Anil Bhansali (former Head of Endocrinology, PGIMER Chandigarh) sees CGHS patients at Gini Advanced Care Hospital, Sector 69 Mohali. OPD consultation fees are payable at the time of visit and reimbursable through your CGHS Wellness Centre. Dr. Bhansali's expertise in complex diabetes, including insulin pump therapy, GLP-1 agonists, and diabetic foot, is available to CGHS beneficiaries.

Q: How do I claim CGHS reimbursement for diabetes OPD at Gini?

Gini provides a consultation receipt with doctor's name, registration number, diagnosis, and prescription. Keep this along with the referral from your Wellness Centre. Submit the reimbursement claim (Form CGHS-2 or as applicable) at your Wellness Centre with: referral, prescription, original receipt, and investigation reports. Our CGHS desk can help you understand which expenses are reimbursable and how to organise the file.

CGHS Resources at Gini

🏥 CGHS Hospital Overview 🏆 Best CGHS Hospital 📖 Zone Guide 💰 CGHS Rates 2025 🪪 Apply for CGHS Card 🏨 Admission Process 🔪 Surgeries Covered 🚨 Emergency Care 🦿 CGHS Knee Replacement 🩺 CGHS Diabetes Treatment (You Are Here) 💉 GLP-1 & CGHS 🦴 Hip Replacement 💪 Shoulder Surgery 🏃 Knee Injuries & ACL ❤️ Cardiac Tests 🔬 All Diagnostics 🫁 Pulmonology 👨‍⚕️ Best Diabetes Doctor 🧬 Best Endocrinologist 🦶 Diabetic Foot

Coverage Guide

What CGHS Covers for Diabetes — Honestly Explained

We explain CGHS coverage clearly. This helps you plan your visit and avoid disappointment at billing.

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Diabetes OPD is NOT Cashless at Private CGHS Hospitals

Routine diabetes OPD consultations, prescription medicines, and monthly checkups at private CGHS-empanelled hospitals are NOT cashless. You pay the consultation fee and medicine cost at the time of visit. You then claim reimbursement from your CGHS Wellness Centre. This is standard CGHS policy for outpatient treatment at private hospitals — it is not specific to Gini. Our CGHS desk will help you organise reimbursement paperwork so your claims are accepted quickly.

✅ Cashless (IPD / Inpatient)

✓Diabetic foot infection — hospitalised wound care, debridement, minor amputation
✓Diabetic ketoacidosis (DKA) — ICU or ward admission with IV insulin
✓Hyperosmolar hyperglycaemic state (HHS) — emergency admission
✓Acute kidney injury complicating diabetes (IPD nephrology care)
✓Severe hypoglycaemia requiring IV glucose and observation
✓Inpatient investigations during IPD stay (HbA1c, kidney function, Echo, TMT)

🔄 Reimbursable (OPD — pay & claim back)

↩OPD consultation with Dr. Anil Bhansali
↩HbA1c test, fasting/PP glucose (OPD basis)
↩Lipid profile, kidney function (urine microalbumin, creatinine)
↩Echo and TMT for cardiac risk in diabetics
↩Insulin, OHA (prescribed medicines) — subject to CGHS formulary
↩Thyroid function, HbA1c follow-up tests (OPD)

Gini provides itemised receipts, prescriptions with ICD codes, and doctor registration details — formatted to simplify CGHS reimbursement claims.

In-House Lab

Diabetes Diagnostics Available at Gini's In-House Lab

All key diabetes monitoring tests done in-house. Results in 15–20 minutes. Same-day consultation + results — no second trip to an external lab.

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HbA1c

3-month glucose average · CGHS rate

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Fasting & PP Glucose

Day-of results

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Lipid Profile

Total cholesterol, LDL, TG, HDL

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Kidney Function

Creatinine, eGFR, urine microalbumin

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Echocardiogram (Echo)

Cardiac risk assessment in diabetics

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TMT (Treadmill Test)

Stress test · exercise tolerance · CGHS rate

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Thyroid Function (TSH/T3/T4)

Critical co-existing condition in diabetics

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Diabetic Foot Assessment

Monofilament, ABI, Doppler vascular study

Your Endocrinologist

Dr. Anil Bhansali — India's Top Endocrinologist

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Dr. Anil Bhansali

DM Endocrinology · Former Head, PGIMER Chandigarh

450+ research papers · Asia's most cited endocrinologist

View Full Profile →

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Former PGIMER Head — India's Most Cited Endocrinologist

Dr. Bhansali served as Head of Endocrinology at PGIMER Chandigarh. 450+ peer-reviewed papers. National and international guidelines on diabetes foot, insulin therapy, and PCOS.

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Diabetic Foot — National Expert

Diabetic foot is India's leading cause of non-traumatic amputation. Dr. Bhansali has prevented hundreds of amputations through early intervention, advanced wound care, and vascular assessment. Many CGHS patients with foot ulcers access this expertise through Gini's IPD team.

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Complex Insulin & GLP-1 Management

Insulin pump therapy, sensor-augmented insulin, GLP-1 agonists (Mounjaro, Ozempic, Wegovy) — Dr. Bhansali manages complex cases that routine OPDs cannot. Particularly valuable for CGHS patients with long-standing type 2 diabetes on multiple agents. GLP-1 and CGHS — what's covered →

FAQs

CGHS Diabetes — Frequently Asked Questions

Is diabetes OPD treatment cashless under CGHS?+

No. OPD consultations and routine diabetes medications at private CGHS-empanelled hospitals are NOT cashless. You pay at visit and claim reimbursement from your CGHS Wellness Centre. Cashless (direct CGHS payment) applies to IPD hospitalisations for diabetes complications — diabetic foot, DKA, HHS, severe hypoglycaemia, acute kidney injury. Gini provides detailed receipts to facilitate quick reimbursement claims.

Which diabetes diagnostics are covered at Gini under CGHS?+

Gini's in-house lab performs: HbA1c, fasting/PP glucose, lipid profile, kidney function (creatinine, eGFR, urine microalbumin), liver function, thyroid (TSH/T3/T4), ECG, Echocardiogram, and TMT — all at CGHS notified rates. During IPD stays, these are cashless. For OPD investigations, you pay and claim reimbursement. All results are ready within the same visit — no external lab.

What diabetes complications are covered as IPD under CGHS?+

CGHS cashless IPD coverage includes: diabetic ketoacidosis (DKA), hyperosmolar hyperglycaemic state (HHS), severe hypoglycaemia requiring IV treatment, diabetic foot infection/gangrene (wound care, debridement, minor procedures), acute kidney injury complicating diabetes, and critical care admission. All require pre-auth for planned admissions (or emergency admission for acute crises).

Can I see Dr. Anil Bhansali as a CGHS patient?+

Yes. Dr. Anil Bhansali sees CGHS patients at Gini, Sector 69 Mohali. OPD consultation fees are payable at visit and reimbursable through your Wellness Centre (subject to CGHS OPD rules). No referral is required for the OPD visit itself, but a referral is needed to claim reimbursement. Book on 0172 4120100, Monday–Saturday, 10 AM–6 PM.

How do I claim CGHS reimbursement for diabetes OPD at Gini?+

Gini provides a consultation receipt with doctor's name, MCI registration number, diagnosis (ICD code), and prescription. Collect the original receipt, Gini's prescription, and your CGHS Wellness Centre referral letter. Submit these with a CGHS reimbursement form at your Wellness Centre. Our CGHS desk (0172 4120100) can advise you on claim formats if needed.

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CGHS Hospital Hub

All CGHS/ECHS information, desk contact, procedure list.

CGHS hub →

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CGHS Zone Guide

Wellness centres, referral steps, eligibility checker, rates.

Zone guide →

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Diabetes Treatment Hub

Full diabetes programme — HbA1c control, insulin, GLP-1.

Diabetes hub →

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Dr. Anil Bhansali Profile

Credentials, research, approach, and patient outcomes.

Doctor profile →

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Diagnostics & Lab

Full list of tests at Gini's in-house lab. HbA1c, Echo, TMT, home collection.

Diagnostics →

Book a Diabetes Consultation with Dr. Bhansali

CGHS patients pay OPD fee at visit and claim reimbursement. IPD complications are cashless. Our CGHS desk helps with all paperwork. Mon–Sat, 10 AM–6 PM.

📞 0172 4120100 (CGHS Desk)