EHS, CGHS and ESI Coverage for Radiation Therapy — Eligibility, Referral and Centres in Telangana

Yes. All three schemes list cancer treatment, including radiotherapy, for their own beneficiaries. EHS covers Telangana state government employees, pensioners and journalists. CGHS covers central government employees and pensioners in CGHS cities such as Hyderabad. ESI covers insured workers under the wage ceiling and their dependants. Each scheme runs its own referral route and its own empanelled hospital list, so your cover follows your scheme, not the hospital you happen to walk into. Nothing here is a coverage guarantee for an individual case — eligibility, referral and empanelment are always verified case by case.

EHS — the Employees Health Scheme — is for serving Telangana state government employees, state service pensioners, working and retired journalists, and the dependants registered on the same health card. Eligibility is tied to an active EHS health card rather than to your department alone, so an unregistered spouse, parent or child is not automatically covered even when the employee is. Registration and dependant details are worth checking before treatment is planned, not after the first session has been delivered.

For CGHS, specialised treatment at an empanelled private hospital normally needs a referral or permission first. Pensioners are usually referred through the medical officer at their CGHS Wellness Centre; serving employees usually route the permission through their own department. The referral names the treatment and the empanelled hospital, and billing then follows CGHS-approved package rates. Credit or cashless facility is extended to some categories while others pay and claim reimbursement, so confirm which applies to you before treatment starts.

ESI referrals move up a chain. The insured person or dependant is seen at their ESIC dispensary, referred on to an ESIC hospital, and from there referred to a tie-up super-speciality hospital for radiotherapy, because most ESIC facilities do not deliver radiotherapy themselves. The referral letter is the document that makes the treatment chargeable to ESIC, so it should be obtained before the course begins rather than reconstructed afterwards.

Only a centre empanelled or tied up under your specific scheme, and empanelled for oncology or radiotherapy rather than for general services. A hospital on the CGHS list is not automatically on the EHS or ESIC list, and empanelment is revised from time to time. CION Cancer Clinics does not own or operate a linear accelerator and is not itself NABH-accredited; your radiotherapy is delivered at an NABH-accredited partner centre while CION coordinates your treatment plan, your oncology team and your care throughout. Our scheme desk confirms which partner centre is currently empanelled for your scheme before you travel anywhere.

This happens, and it is not automatically a dead end. Government schemes reimburse against approved package rates, and a more conformal or more complex technique can sit above the listed rate for your procedure code. Your care team should identify that gap in writing before treatment starts, then set out the options: an appropriate covered alternative, a private policy or a second scheme stacked on top, or a clearly itemised amount you arrange separately. All figures quoted are indicative only, as of August 2026.