CGHS ECHS ESI UP Police Ayushman Bharat / PM-JAY

Use Your Government Health Card at Saluja Dentals

Saluja Dento Max Fac Centre is empaneled under multiple government health schemes. Whether you are a CGHS, ECHS, ESI, UP Police, or Ayushman Bharat beneficiary, our care coordinators help you access cashless or reimbursable dental care with clarity and support.

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Scheme-Wise Insurance & Empanelment Guide

Understand eligibility, covered services, documents, and the claim process for each scheme.

CGHS

Active Empanelment

Who Is Eligible

Central government employees, pensioners, and their registered dependents holding a valid CGHS card.

Typically Covered Dental Services

  • Consultations and routine dental procedures
  • Extractions and fillings as per CGHS package
  • Major procedures subject to prior permission

Documents Required

  • Valid CGHS card (original + photocopy)
  • Government photo ID
  • Referral / permission slip where applicable

Process

Cashless treatment at our empanelled centre for approved procedures. Some treatments may require reimbursement if prior approval is needed.

Limits

Coverage is limited to procedures and rates defined in the current CGHS package list. Cosmetic and premium procedures are typically excluded.

ECHS

Active Empanelment

Who Is Eligible

Ex-servicemen, widows, and registered dependents covered under the Ex-Servicemen Contributory Health Scheme.

Typically Covered Dental Services

  • Dental consultations and basic treatments
  • Extractions, fillings, and dentures as per package
  • Specialist procedures with ECHS approval

Documents Required

  • Valid ECHS card (original + photocopy)
  • Dependent card if applicable
  • Referral / authorization as per local polyclinic rules

Process

Most treatments are cashless through the ECHS network. Our team coordinates with the local ECHS polyclinic for permissions and paperwork.

Limits

Coverage follows ECHS rates and approved treatment packages. Non-listed or upgraded materials may require out-of-pocket payment.

ESI

Active Empanelment

Who Is Eligible

Insured persons and their families registered under the Employees’ State Insurance Corporation (ESIC).

Typically Covered Dental Services

  • Emergency and routine dental consultations
  • Extractions and basic restorative care
  • Pre-approved specialist treatments

Documents Required

  • ESI / e-Pehchan card
  • Photo ID
  • Employer or IP declaration if required

Process

Cashless treatment is provided for approved procedures under ESI. Reimbursement may apply for emergency treatment or non-network referrals.

Limits

Coverage is based on ESIC-approved dental packages and empanelment rules. Cosmetic and non-essential treatments are usually excluded.

UP Police

Active Empanelment

Who Is Eligible

Serving and retired Uttar Pradesh Police personnel and their eligible dependents as per the state police health scheme.

Typically Covered Dental Services

  • Routine and emergency dental care
  • Extractions, fillings, and dentures
  • Major treatments with departmental approval

Documents Required

  • Official police ID / pension certificate
  • Dependent documents if applicable
  • Scheme authorisation or referral as required

Process

Treatment may be cashless or reimbursable depending on current departmental circulars. Our front desk assists with the required paperwork.

Limits

Coverage limits and approved procedures are defined by the UP Police medical cell. We recommend confirming eligibility before treatment.

Ayushman Bharat / PM-JAY

Saluja Dento Max Fac Centre is empaneled under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). Eligible beneficiaries can receive cashless treatment for approved dental and oral surgery packages.

Eligibility is verified through the PM-JAY portal, Ayushman app, or by checking your ration card / SECC status. Coverage is limited to the packages and procedures approved under PM-JAY at the time of treatment.

Verify PM-JAY Empanelment

How to Use Your Scheme Card at Our Clinic

A simple step-by-step process from eligibility check to claim settlement.

1

Check Eligibility

Confirm your card is valid and the procedure is covered under your scheme.

2

Bring Card & ID

Carry your original scheme card, Aadhaar, and photo ID to every visit.

3

Consultation & Estimate

We examine your condition and provide a treatment plan with cost estimate.

4

Treatment

Approved treatment is carried out by our dental specialists.

5

Paperwork Submission

We prepare and submit bills, prescriptions, and supporting documents.

6

Claim / Settlement

Cashless settlement or reimbursement is processed as per scheme rules.

Documents Checklist

Bring these documents to ensure smooth processing of your treatment and claim.

For Cashless Treatment

  • Original scheme card (CGHS / ECHS / ESI / UP Police / PM-JAY)
  • Photocopy of the scheme card
  • Aadhaar card or other government photo ID
  • Referral or prior approval letter if required

For Reimbursement Claims

  • Discharge summary / treatment record
  • Original bills and receipts
  • Prescriptions and investigation reports
  • Claim form duly filled and signed

Common Queries

Answers to questions patients frequently ask about insurance and empanelment.

Do I need a referral?
It depends on your scheme. CGHS and ECHS often require a referral or prior permission for certain treatments. ESI may need authorisation from your dispensary or employer. Our front desk will guide you based on the latest rules.
Are implants covered?
Dental implant coverage varies by scheme and current package rules. Some schemes cover implants partially or only in specific cases. Please contact our care coordinators or check the official portal for the latest coverage details.
What is not covered?
Cosmetic procedures, premium materials, tooth jewellery, and treatments beyond the approved package list are generally not covered. We will clearly explain what is payable out of pocket before starting any treatment.
How long does reimbursement take?
Reimbursement timelines vary by scheme, typically ranging from a few weeks to a few months after complete documentation is submitted. We provide all necessary paperwork to help speed up the process.

Need Help with Your Scheme?

Our care coordinators are trained to assist with eligibility checks, documents, and claim support.

Verify Empanelment

Check Official Status

Verify our CGHS, ECHS, ESI, UP Police, and PM-JAY empanelment online.

Cost Transparency

No surprises. We explain costs, coverage, and out-of-pocket expenses before any procedure.

Whether you are paying directly, using a government scheme, or claiming through insurance, we provide a clear cost estimate and explain what is covered and what is not. For a detailed breakdown of common dental treatments, visit our Cost Guide.

View Cost Guide

Let Us Help You Use Your Health Card

Bring your scheme card to Saluja Dento Max Fac Centre and let our team handle the paperwork while you focus on your dental health.

Verify My Coverage Call +91 98891 93233