CS (MA) Rules and CGHS

(Important MCQ from Exam Perspective)

1 When can a Medical Officer send a Government servant and his family to a private clinic /
lab for bacteriological or pathological examination?

(a) When it is essential owing to non-availability of such facility at a Government

hospital with the consent of the Director of Health Services.
(b) At the request of Government servant
(c) When the Medical Officer feels so
(d) For better results

2 Who appoints a private medical practitioner as an AMA?

(a) Ministry of Health and Family Welfare

(b) Head of the Department
(c) Medical Council
(d) Health Minister of the State.

3 What is the rate of first consultation fees paid to Medical Postgraduate /

Specialists appointed as AMA?

(a) Rs. 100 (b) Rs. 200 (c) Rs. 300 (d) Rs. 500

4 Who of the following has the power to recognise any private hospitals for treatment
of beneficiaries and their family members under CS(MA) Rules , 1944?

(a) District Health Officer

(b) Ministry of Health and Family Welfare
(c) CGEWCC
(d) Respective State Health Minister

5 What is the period of stay in a hospital termed as average stay for

"In patient" treatment under CS (MA) Rules, 1944 ?

(a) Two weeks (b) Six weeks

(c) Four weeks (d) Ten weeks

6 Define the circumstances under which special nursing charges are reimbursed --

(a) When special nursing become essential for the recovery of the disease
(b) For prevention of serious deterioration in the condition of the patients
 (c) Both (a) and (b)
(d) Neither (a) nor (b)

7 What is the age criteria for women undergoing IVF treatment to be eligible for
reimbursement under CS (MA) Rules?

(a) Between the age of 21 and 29 years.

(b) Between the age of 21 and 39 years.
(c) Between the age of 30 and 40 years.
(d) Between the age of 25 and 45 years.

8 Reimbursement of expenditure incurred on IVF treatment will be allowed

for how many cycles?

(a) 2 (two) (b) 3(three) (c) 4(four) (d) 5(five)

9 When a claim for reimbursement is rejected by a Controlling Officer

what is the period within which an appeal is to be made

(a) Thirty days (b) Forty days

(c) Forty-five days (d) Sixty days.

10 What are the maximum number of consultations that are allowed in the AMA's
Consulting room for the outpatient treatment of a Government Servant?

(a) 2 (two) (b) 3(three) (c) 5(five) (d) 4(four)

11 What is the maximum number of days allowed for the treatment at the consulting room
of the AMA in case the treatment is in Indian System of Medicines and in Homeopathy?

(a) 5 days (b) 20days (c) 25 days (d) 40 days

12 To become eligible for TA, what is the distance prescribed between a place where a patient
falls ill and the consulting room?

(a) More than five miles by the shortest route

(b) More than eight miles by the shortest route
(c) More than 5 kms by the shortest route
(d) More than 12 kms by the shortest route

13 Who is competent to refer a patient to consult a specialist / medical officer?

 (a) Any private doctor
(b) Controlling Officer of the patient
(c) AMA of the patient
(d) The patient himself can consult a specialist

14 What is the frequency at which a Government servant may have his eye-sight tested?

(a) Once in every two years

(b) Once in every three years
(c) Once in every four years
(d) Once in every five years

15 In-patient treatment is permissible without consulting AMA in a

(a) Private Nursing home

(b) Private hospital
(c) Private Clinic
(d) Government hospital / recognised hospital

16 What are the charges that are reimbursed in case of admission in nursing
home / clinics (as in-patient) run by AMAs?

(a) No reimbursement allowed (b) Medicines only

(c) Consultation fees only (d) Injection charges / medicines

17 Charges for which of the following treatment is not reimbursable under CS (MA) Rules?

(a) Delirium Tremens

(b) Treatment of sterility
(c) Treatment from a private dentist
(d) Operation for sterilization

18 What is the frequency and limit prescribed for reimbursement of cost of boot
for patients of polio?

(a) Once in 3 years for 3 times

(b) Once in 3 years for 5 times
(c) Once in 5 years for 3 times
(d) No limits

19 What is the periodicity for re-issue of motorized wheel-chair and tricycle for beneficiaries?
 (a) Every year (b) After 2 years
(c) After 3 years (d) After 5 years

20 What is the upper age-limit for reimbursement of sophisticated prosthetic appliances to

Government servants and their dependent family members participating in State level sports
activities?

(a) 35 years (b) 40 years (c) 42 years (d) 45 years

21 The ceiling rate for reimbursement for cochlear implant shall be _______

(a) Rs. 5,40,000 (b) Rs. 5,35,000

(c) Rs. 4,25,000 (d) Rs. 3,75,000

22 What is the age prescribed for annual medical examination for the Group 'A'
Officers of Central Civil Services?

(a) 35 years and above (b) Rs. 40 years and above

(c) 45 years and above (d) 50 years and above

23 What is the package rate prescribed for the purpose of annual medical examination
in respect of men and women officers respectively?

(a) Rs. 2,000 and Rs. 2,200 (b) Rs. 2,200 and Rs. 2,000
(c) Rs. 2,400 and Rs. 2,500 (d) Rs. 3,000 and Rs. 3,500

24 When should a bill for reimbursement of medical claim be taken up for condonation?

(a) Bills submitted after 45 days from the date of completion of treatment
(b) Bills submitted after six months from the date of completion of treatment
(c) Bills submitted after two months from the date of completion of treatment
(d) Bills submitted after four months from the date of completion of treatment

25 What is the financial limit up to which powers are delegated to Heads of Department /Ministry to
settle cases of reimbursement of medical claims for treatments obtained in emergency at a private
hospital / nursing home / clinic?

(a) Rs. 2,00,000 (b) Rs. 3,00,000 (c) Rs. 2,50,000 (d) Rs. 4,00,000

26 What is the limit for grant of medical advance in respect of outpatient treatment?
 (a) Pay last drawn by the Government servant
(b) Up to Rs. 10,000
(c) 75% of estimated cost of treatment
(d) 90% of estimated expenditure if the cost of treatment is more than Rs. 10,000

27 What is the time-limit prescribed for submission of medical bills for settlement of advance

(a) Forty-five days from the date of discharge from the hospital
(b) One month from the date of discharge from the hospital
(c) Two months from the date of discharge from the hospital
(d) Three months from the date of discharge from the hospital

28 Which family member is not included in the definition of family for reimbursement of
medical claims under CS (MA) Rules/

(a) Wife/Husband (b) Parents

(c) Brother aged 23 years (d) Stepmother

29 What is the age-limit of a dependent daughter to be eligible for reimbursement

of medical claims?

(a) Age up to 18 years

(b) Till she starts earning or gets married, irrespective of the age-limit, whichever is earlier
(c) Age up to 21 years
(d) Age up to 20 years

30 What is the income limit for dependency of the family members for reimbursement of medical
expenses after implementation of Seventh CPC?

(a) Rs. 7000 plus the amount of DR admissible on date of consideration

(b) Rs. 9000 plus the amount of DR admissible on the date of consideration of the claim
(c) Rs. 3,500 p.m.
(d) Rs. 12,000 p.m.

31 State which of the following sentences is correct for parents of a Government

servant to claim medical expenses ?

(a) They must reside with the Government servant in the headquarters
(b) They can reside separately other than in the Government servant's headquarters
(c) They can reside either with the Government servant or with the family members at another
station
(d) They can reside anywhere in India
32 When can a female Government servant give a declaration regarding inclusion of her parents-in-law
for reimbursement of medical expenses?

(a) At the time of joining service

(b) Immediately after her marriage
(c) Once year after the marriage
(d) Any time after the marriage

33 How many times can a female Government servant change the declaration regarding
inclusion of parents-in-law for reimbursement of medical expenses?

(a) Only once during her entire service

(b) Any number of times during her service
(c) Two times in her entire service
(d) Once every calendar year

34 What is the percentage fixed for permanent disability for a disabled dependent
brother of a Government servant to be eligible for reimbursement of medical claims?

(a) 25% or more of one or more disabilities

(b) 40% or more of one or more disabilities
(c) 30% or more of one or more disabilities
(d) 50% or more of one or more disabilities

35 What is the validity period for recognition of a private hospital?

(a) 4 years at a time

(b) 5 years at a time
(c) 6 years at a time
(d) No validity period

36 What are the circumstances to justify treatment in private Medical Institution

in an emergency under CS (MA) Rules?

(a) Accidents
(b) Serious nature of disease
(c) Patient was admitted by others when the beneficiary was unconscious
(d) All the above

37 The AMA should prescribe such quantities of medicines as are necessary and sufficient for
treatment of disease within a period of ……….. Days from the commencement of treatment ---
 (a) 25 (b) 20 (c) 15 (d) 10

38 Pathological, Bacteriological, Radiological or other methods of examination

for the purpose of diagnosis should be carried out at a ………………..

(a) Private Hospital

(b) Private laboratory
(c) Government hospital or laboratory
(d) Any one of the above

39 Identify the type of medicines admissible for reimbursement under CS (MA) Rules?

(a) Siddha Medicines (b) Homeopathetic Medicine

(c) Ayurvedic and Unani Medicines (d) All the above

40 Form of application for claiming refund of medical expenses incurred for taking
treatment from an AMA and a hospital has to be made in …………………..

(a) Med.97 (b) Med. 97-A

(c) A-4 paper (d) Bills with a consolidated sheet

41 The benefits of CGHS accrue from date on which the Government servants----------

(a) Deduction of CGHS subscription from the salary

(b) applies for a CGHS card

42 For the serving beneficiaries and their dependants the validity of CGHS Card is

(a) Three Years

(b) Five Years
© Whole Life
(d) Seven years

43 Sons above the age of 25 years, where the disability has occurred after attaining the age of
25 years can be considered as dependent for availing medical facilities under CGHS.
(True/False)

True. They can be considered as dependent for availing medical facilities under CGHS subject
to fulfilment of conditions as mentioned in OM dated 7-5-2018

44. Minor children of widowed /separated daughters who are residing with and dependent
upon CGHS beneficiary are also eligible for medical facilities up to the age of ______ years.
 (a) 21 years (b) 25 years (c) 18 years (d) In such cases no facility available from CGHS.

45. The rate of contribution towards CGHS subscription per month will be with reference to --

(a) Pay in the Pay Matrix (b) Level of Pay of post held (c) Post held by him (d) None of
above
46. For indoor treatment the _______ Medical advance of the approved CGHS package rates for
all indoor treatments, irrespective of major or minor diseases on receipt of a certificate from
the treating of government/ recognized hospital

(a) 75% (b) 50% (c) 90% (d) 100%

47. A retired employee who does not join the CGHS immediately after retirement has to pay a
registration fee of Rs. _____

(a) Rs. 30 (b) Rs. 50 (c) No fee (d) Rs. 100

48. An employee transferred to non-CGHS station from CGHS station leaving his family at the
old station, may continue to pay the contribution, in which case his family can continue to
receive the benefits at the old station for _______ duration

(a) till contribution is made (b) only for six months (c) only for one year (d) None of the
above

49. Entitlement of Hospital accommodation under CGHS is based on----

(a) Pay Level of the Post held. (b) Basic Pay drawn in 7 CPC (c) Post held (d) None of
above.

50. Where there are no prescribed CGHS rates for procedures/ Investigations, the Head of the
Department/CGHS of the city may grant up to Rs. ________ as per the recommended rates
of the Government Specialist, limited to the AIIMS rates.

(a) Rs. 20,000 (b) Rs. 10,000 (c) Rs. 25,000 (d) None of the above.

51. The time-limit for submission of final claims for reimbursement of medical expenses is -----

(a) Three months (b) Six months (c) Fifteen days (d) None of the above.

52. CGHS beneficiaries and other Central Government employees including their eligible family
members under CS(MA) Rules have the option to go to any private hospital, in case of
emergency. In case of above treatment, reimbursement will be limited to----

(a) Actual expenditure (b) CGHS rates (c) CGHS rates or actual, whichever may be lower
(d) reimbursement not allowed.