Telangana New EHS Guidelines 2026:: New Employees Health Scheme for Employees and Pensioners Complete Details

August 23, 2026

Telangana New EHS Guidelines 2026:: New Employees Health Scheme for Employees, pensioners, family pensioners & eligible dependants Complete Details

Telangana New Employees Health Scheme (NEHS) Guidelines 2026 have been issued by the Employees Health Care Trust (EHCT),Government of Telangana vide the Proceeding No. 01/EHCT/NEHS/1505/2026 dated 22 August 2026 . The comprehensive guidelines provide the framework for coverage, health cards, cashless treatment, Wellness Centres, hospital empanelment, financial coverage, employee contributions, grievance redressal and other operational aspects of the scheme. The guidelines are stated to come into force with effect from 17 July 2026.

The Government of Telangana introduced the New Employees Health Scheme (NEHS) to provide cashless and comprehensive healthcare services to serving State Government employees, service pensioners, family pensioners and their eligible dependants through the Employees Health Care Trust (EHCT). The framework for adrninistration of the Scheme was prescribed, inter alia, in G.O.Ms.Nos.174, 175 and 176, dated 01.11.2013; G.O.Ms.No.32, dated 03.11.2014; G.O.Ms.No.36, dated 27.11.2014; G.O.Ms.Nos.97 and 98, dated 07.06.2017; and G.O.Ms.No.186, dated 08.10.2023.

NEW EHS TELANGANA – District wise Network Hospital List Download

The complete New Employees Health Scheme (NEHS) Guidelines 2026, issued by the Employees Health Care Trust, Telangana, contains the detailed provisions covering Beneficiary Eligibility, Employee and Pensioner Contributions, Health Cards, Wellness Centres, OP and In-Patient Treatment, Emergency Treatment and Referral Procedures, Financial Coverage and Claims, Hospital Empanelment, CGHS Packages, Medical and Financial Audits, Grievance Redressal, and details relating to eligible Dependants available in this page.

Telangana New EHS 2026 Scheme– Key Highlights

Particulars	Details
Name of the Scheme	New Employees Health Scheme (NEHS)
Implementing Authority	Employees Health Care Trust (EHCT)
Proceedings Date	22 August 2026
Effective Date	17 July 2026
Coverage	Employees, pensioners, family pensioners & eligible dependants
Financial Coverage	₹3 lakh per illness episode
Number of Episodes	No limit on number of episodes
CGHS Packages	1,816 adopted packages
Existing Wellness Centres	12
Additional Wellness Centres	25
Total Wellness Centres	37
Employee Contribution	1.5% of Basic Pay
Pensioner Contribution	1.5% of Basic Pension
Government Contribution	Equal matching contribution
NEW EHS SCHEME District wise Hospital List	District wise Network Hospital List Download

What is the New Employees Health Scheme (NEHS)?

The Telangana Government introduced the New Employees Health Scheme (NEHS) to provide cashless and comprehensive healthcare services to serving State Government employees, service pensioners, family pensioners and their eligible dependants through the Employees Health Care Trust.

The new guidelines provide a comprehensive framework for implementation, administration and operation of the scheme.

Who is Eligible Under NEHS 2026?

The guidelines cover the following categories:

Serving Employees

All regular State Government employees.
Provincialized employees of local bodies.
Aarogya Bhadratha beneficiaries of the Police Department.
Aarogya Sahayatha beneficiaries of the Prohibition & Excise Department, subject to the prescribed implementation modalities.

Retired Employees

All Service Pensioners.
Family Pensioners.
Re-employed Service Pensioners.

The scheme also covers eligible dependant family members of serving employees, service pensioners and family pensioners. Existing Government Orders continue to govern beneficiary categories, family constitution, dependency criteria and exclusions unless otherwise specifically ordered by EHCT.

NEHS Digital Enrollment Through IFMIS

The guidelines provide for a digital beneficiary management system.

Beneficiary and dependant details will be enrolled and validated through IFMIS and integrated with EHCT.

Employees, service pensioners and family pensioners are required to verify, update or submit their particulars through the concerned:

Drawing and Disbursing Officer (DDO)
Pension Payment Officer (PPO)
Sub-Treasury Officer (STO)

The system also provides mechanisms for resolving exceptional, unmatched and disputed cases through IFMIS.

New NEHS Health Cards

New EHS Health Cards will be generated digitally and made available through the NEHS mobile application and web portal after validation and certification of the beneficiary database through IFMIS.

The digital Health Card, QR code or other secure credential notified by EHCT will be accepted by empanelled hospitals and Wellness Centres for beneficiary identification and authentication.

Important

Until the new Health Cards are issued, eligible beneficiaries can continue to receive treatment using the applicable Employee/Pensioner Identity Number.

An eligible beneficiary cannot be denied admission or treatment merely because the new NEHS Health Card has not yet been issued.

Correction of Employee and Family Details

The guidelines provide for an online procedure for:

Correction of demographic details
Addition of eligible dependants
Deletion of dependants
Dual-spouse declarations
Resolution of IFMIS mismatches

Changes are required to have a verifiable audit trail through the concerned authorities and integration with the NEHS portal.

NEHS Healthcare Benefits

The New Employees Health Scheme provides:

Cashless outpatient treatment
Basic investigations
Medicines through Wellness Centres
Cashless inpatient treatment
Treatment through empanelled Government hospitals
Treatment through empanelled private network hospitals

Outpatient Treatment

Outpatient treatment will ordinarily be provided through Wellness Centres.

The scheme covers treatment for common ailments and a range of conditions, including:

Ophthalmic conditions
Dental conditions
ENT conditions
Paediatric conditions
Physiotherapy
Diabetes mellitus
Hypertension
Coronary artery disease
Cerebrovascular disease
Cancer
Renal failure
Tuberculosis
Leprosy
Rheumatological disorders
Arthritis
Autoimmune diseases
Urological conditions
Orthopaedic conditions
Other approved long-term and short-term medical conditions

Investigations Available Through Wellness Centres

The guidelines include a wide range of investigations.

Blood and Pathology Tests

These include:

Blood grouping and Rh typing
Haemoglobin
PCV
RBC indices
Total WBC count
Differential count
ESR
Platelet count
Peripheral smear
Complete urine examination
Stool examination
Pap smear

Biochemistry

Glucose Tolerance Test
Serum Creatinine
Urea
Uric Acid
Lipid Profile
Liver Function Tests
PSA, where clinically indicated
Serum Calcium

Microbiology and Serology

HIV screening
HBsAg
HCV
Other notified tests subject to applicable protocols

Radiology and Other Diagnostics

X-ray
Ultrasonography
ECG
Mammography
Pulmonary Function Test
Gynaecological investigations
Diet counselling
Pre-operative investigations
Post-operative investigations
Other required investigations

Eye examination facilities include visual acuity, refraction, intraocular pressure and fundoscopy.

Medicines Through Wellness Centres

Prescribed medicines, surgical consumables, supportive accessories, emergency drugs and life-saving medicines required for common ailments and long-term treatment will be provided through Wellness Centres according to the approved formulary and procurement procedure.

The guidelines specifically provide for medicines relating to several areas including diabetic, cardiac, renal, oncological, neurological, orthopaedic, ophthalmic, dental and other conditions.

Referral Facility

If a required investigation is not available at a Wellness Centre, beneficiaries may be referred to Government diagnostic facilities through a cashless referral mechanism.

Cases requiring inpatient treatment may be referred to empanelled network hospitals with a physical or electronic referral containing the provisional diagnosis and available clinical records.

Emergency Direct Admission

One of the important provisions under NEHS is Emergency Direct Admission.

In an emergency, a beneficiary may be admitted directly to the nearest empanelled network hospital without prior referral.

The admission must be intimated to EHCT immediately and, in any case, not later than 48 hours from the time of admission.

Inpatient Treatment Under NEHS

The scheme provides end-to-end cashless inpatient treatment through empanelled Government and private network hospitals for approved:

Medical procedures
Surgical procedures
Day-care procedures

The NEHS guidelines adopt 1,816 CGHS packages and package rates notified in October 2025, as approved by the Board of Trustees.

An approved package includes the services, medicines, consumables, investigations, implants/devices and follow-up care specified in the relevant package.

An empanelled hospital cannot demand additional payment from the beneficiary for items already included in the approved package.

Hospital Categories

For empanelment and application of package rates, hospitals may be categorised as:

Non-NABH Hospitals
NABH Hospitals
NABH Super-Specialty Hospitals

Beneficiary Liability

A beneficiary should not be required to pay for services or items included in the approved package.

However, if a beneficiary voluntarily chooses accommodation higher than the entitled room category or chooses a service/item that is not admissible under the package, the applicable differential amount will be borne by the beneficiary.

The guidelines also state that OPD consultations and investigations at empanelled hospitals will be payable by the beneficiary at applicable CGHS package rates.

Treatment Outside Telangana

Ordinarily, prior approval from EHCT is required when the necessary treatment is not available within Telangana.

In an emergency outside the State, the beneficiary may be admitted to the nearest appropriate hospital. EHCT must be informed within 24 hours and in any case not later than 48 hours.

The beneficiary is required to submit prescribed documents such as the emergency certificate, essentiality certificate, discharge summary, original invoices and other records.

NEHS Financial Coverage – ₹3 Lakh Per Episode

A major feature of the NEHS 2026 guidelines is the financial coverage.

Employees, pensioners and eligible dependant family members are entitled to ₹3.00 lakh per episode of illness, with no limit on the number of episodes.

Importantly, where the treatment cost exceeds ₹3 lakh, cashless treatment will continue, and a network hospital cannot deny treatment merely because the cost exceeds ₹3 lakh.

The ₹3 lakh limit does not apply where a predetermined package rate itself is above ₹3 lakh.

Approval Levels

Treatment Amount	Approval
Up to ₹3 lakh	Technical Committee
Above ₹3 lakh up to ₹10 lakh	Sub-Committee with Technical Committee and 3–4 Board Members
Above ₹10 lakh	Board/Trust quorum through Emergency Meeting

Hospital Room Entitlement

Beneficiaries are classified into slabs based on Pay Grade.

The guidelines provide the following structure:

Pay Grade	Slab	Accommodation
1 to IV	Slab-A	Semi-Private Ward
V to XVII	Slab-B	As prescribed under the applicable entitlement
XVIII and above	Slab-C	Private Ward

For service pensioners and family pensioners, the applicable slab is determined with reference to the Pay Grade of the post from which the pensioner retired.

Eligible dependants receive the same room entitlement as the principal employee or pensioner through whom they are enrolled.

37 Wellness Centres Across Telangana

The NEHS guidelines provide for expansion of Wellness Centres.

There are currently 12 Employees/Journalists Health Scheme Wellness Centres.

S.No.	Wellness Centre	Address / Location	Contact
1	Adilabad	Quarters Block, Opp. RIMS Hospital	08732-224410
2	Karimnagar	District Head Quarter Hospital, Behind Mother and Child Health Centre, Karimnagar	0878-2970935
3	Khairatabad	Area Hospital, Khairatabad	040-23300989
4	Khammam	Ayurvedic Building, District Government Hospital, Opp. Collectorate, Wyra Road, Khammam	—
5	Kukatpally	Sivananda Rehabilitation Centre, Kukatpally, Hyderabad	040-29885904
6	Mahabubnagar	Old DM&HO Premises, Bandlageri, Mahabubnagar	08542-255299
7	Nalgonda	District Government Hospital Campus, Nalgonda	08682-293322
8	Nizamabad	Old Municipal Office, Near NTR Statue, Nizamabad	08462-227467
9	Sangareddy	Paying Room Block, District Hospital, Sangareddy	08455-296150
10	Siddipet	Old MCH Hospital, Near Buruzu, Siddipet	08457-229177
11	Vanasthalipuram	Area Hospital, Vanasthalipuram	040-24242989
12	Warangal	Urban Family Welfare Centre Building (1st Floor), Govt. Maternity Hospital, Warangal	0870-2980989

The Government plans to establish 25 additional Wellness Centres, taking the total number to 37 Wellness Centres.

The centres are intended to ensure access across all 33 districts of Telangana.

Locations will be finalised based on factors including:

Beneficiary concentration
Geographical accessibility
Government infrastructure
Patient load
Administrative feasibility

The additional centres may be established in Government General Hospitals, Government Teaching Hospitals, District Hospitals, Area Hospitals or other suitable Government premises.

Hospital Empanelment

Hospitals will be empanelled based on factors including:

Infrastructure
Qualified specialists
Nursing and paramedical staff
Equipment
Diagnostic facilities
Accreditation status
Geographical necessity
Quality standards
Patient safety

The list of empanelled hospitals is to be made available through the official EHCT website, mobile application and other communication channels.

For immediate implementation, existing EHS network hospitals for existing specialties will be deemed empanelled under NEHS until their current empanelment validity expires. Similarly, DME-empanelled hospitals for Medical Reimbursement will be deemed empanelled until the expiry of their existing validity.

NEHS Health Scheme Contributions

Employee Contribution

Every serving employee will contribute:

1.5% of Basic Pay drawn for the month.

Pensioner Contribution

Every service pensioner and family pensioner will contribute:

1.5% of Basic Pension drawn for the month.

The contribution will be recovered at source before payment of salary or pension by the concerned DDO, PPO, STO, Pay and Accounts Office or Treasury.

If Both Spouses Are Government Employees/Pensioners

Where both spouses are serving State Government employees, service pensioners or family pensioners, contribution by one spouse alone will be sufficient, subject to submission of the prescribed declaration and identification particulars.

Government Matching Contribution

The State Government will provide an equal matching contribution corresponding to the aggregate beneficiary contribution collected every month.

The Finance Department will make the necessary budget provision and ensure timely release of the matching contribution to the designated EHCT Trust Fund Account.

NEHS Trust Fund

EHCT will maintain a dedicated Trust Fund Account in a Scheduled Bank approved by Government.

Beneficiary contributions and matching Government contributions will be credited directly to the Trust Fund.

The Trust Fund will be used exclusively for admissible claims and approved operational and administrative expenditure connected with NEHS.

Digital NEHS System

The guidelines provide for a new software system, website and mobile application for implementation of NEHS.

The system may include modules for:

Beneficiary enrolment
Health Cards
Wellness Centres
Hospital empanelment
Pre-authorisation
Claims
Payments
Contributions
Audit
Grievance redressal

The software applications will be integrated, wherever required, with IFMIS, Treasuries, Pension Payment Offices and other Government databases.

Medical and Financial Audit

EHCT will conduct periodic medical and financial audits.

Medical audit will examine matters such as:

Medical necessity
Admission and treatment
Length of stay
Clinical documentation
Implants and devices
Readmissions
Mortality
Quality of care
Compliance with package protocols

Financial audit will examine package-rate compliance, duplicate or irregular claims, contributions, Government matching contribution, hospital payments, procurement and Trust Fund reconciliation.

Grievance Redressal Under NEHS

EHCT will establish grievance redressal mechanisms at:

State level
District level
Wellness Centre level
Network hospital level

Beneficiaries can raise grievances relating to:

Health Cards
Eligibility
Denial of treatment
Demand for payment
Room entitlement
Medicines
Investigations
Pre-authorisation
Hospital coordination
Quality of care

Cases involving denial of emergency treatment, unauthorised collection of money or patient safety concerns will receive priority attention.

Important Points for Telangana Employees and Pensioners

Employees and pensioners should take note of the following important provisions:

NEHS covers eligible serving employees, pensioners, family pensioners and dependants.
Beneficiary information will be validated through IFMIS.
New Health Cards will be provided digitally.
Treatment cannot be denied merely because the new Health Card has not yet been issued.
Outpatient services will ordinarily be provided through Wellness Centres.
Inpatient treatment will be available through empanelled hospitals.
Emergency direct admission is permitted at the nearest empanelled network hospital.
Emergency admission must be intimated to EHCT within the prescribed period.
The scheme provides ₹3 lakh per illness episode with no limit on the number of episodes.
Cashless treatment continues even where treatment costs exceed ₹3 lakh, subject to the guidelines.
The scheme adopts 1,816 CGHS packages.
Employee contribution is 1.5% of Basic Pay.
Pensioner contribution is 1.5% of Basic Pension.
Government provides an equal matching contribution.
The number of Wellness Centres is planned to increase from 12 to 37.
A grievance mechanism will operate at multiple levels.

NEHS 2026 – Important Dates

Proceedings issued: 22 August 2026

NEHS Guidelines effective from: 17 July 2026

The proceedings state that the Chief Executive Officer, EHCT, and authorities specified in the guidelines shall take necessary action for implementation.

Frequently Asked Questions (FAQs)

1. Who can benefit from NEHS?

Serving State Government employees, service pensioners, family pensioners and eligible dependants are covered, subject to the applicable eligibility conditions.

2. How much is the NEHS financial coverage?

The guidelines provide ₹3 lakh per illness episode, with no limit on the number of episodes.

3. What happens if treatment costs more than ₹3 lakh?

Cashless treatment will continue in such cases. The guidelines state that network hospitals shall not deny treatment merely because the treatment cost exceeds ₹3 lakh.

4. What is the employee contribution?

Serving employees contribute 1.5% of Basic Pay per month.

5. What is the pensioner contribution?

Service pensioners and family pensioners contribute 1.5% of Basic Pension per month.

6. What if both spouses are Government employees?

Contribution by one spouse alone is sufficient, subject to the prescribed declaration and identification requirements.

7. Can a beneficiary get emergency admission without referral?

Yes. In an emergency, direct admission to the nearest empanelled network hospital is permitted without prior referral, subject to the prescribed intimation requirement.

8. How many Wellness Centres will Telangana have?

The guidelines provide for 25 additional centres over the existing 12, taking the planned total to 37 Wellness Centres.

9. Will new Health Cards be digital?

Yes. New Health Cards will be generated digitally through the NEHS mobile application and web portal after validation of the beneficiary database.

10. What should beneficiaries do if they face a problem?

EHCT will provide grievance redressal mechanisms for issues including Health Cards, eligibility, denial of treatment, unauthorised payment demands, medicines, investigations, pre-authorisation and quality of care.

Download the complete official NEHS Guidelines 2026 PDF

NEW_EHS_GUIDELINES_2026_Point wise Download Pdf

NEW_EHS_GUIDELINES_2026_Telugu Pdf

Note: This article is prepared from the Telangana EHCT NEHS Guidelines/Proceedings dated 22 August 2026. Readers should refer to the official proceedings and subsequent Government/EHCT instructions for the latest operational procedures, notifications and amendments.

Tags: Telangana NEHS 2026, New Employees Health Scheme, Telangana Employees Health Scheme, NEHS Guidelines 2026, EHS Health Card, Telangana Government Employees, Telangana Pensioners, EHCT, Wellness Centres, Cashless Treatment, NEHS Health Card, Telangana EHS