Instructions of
non availment of EHS facility certificate should submit for claiming of Medical
reimbursement
New instructions given by Telangana state government to all state
government employees to submit non availment of EHS certificate should
submit to claim medical reimbursement.
Circular memo no: H3/2807/2018 dated: 10.12.2020
TREASURIES AND ACCOUNTS DEPARTMENT
Sub: P. S &T A Dept- Medical Reimbursement claims - Forwarding of the Medical Re-imbursement claims by unit officers - Certain omissions — Reg.
- G.O.Ms. No. 74 HM & FW (K1)Dept . dated 15.03.2005.
- G.O.Ms. No. 105 HM & FW K1) Dept .dated:09.04.07.
- G.O.Ms No. 68 HM & FW (Kl) Dept dated 28.03.2011.
- GO.Ms. No. 103 HM & FW (K2) Dept dated 31.05.2014.
- G.O.Ms. No. 17 HM & FW (A2) Dept dated 16.09.2014,
- G,O.Ms.N0.32, HM&FW, (A2) Dept., dated 4.11.2014.
- G.O.Ms. No.54,HM & FW (Al) Dept dated.25.11.2020
This office circular memo even no. dated
19.072018.
Vide reference 6 cited, the Government
have given orders for implementation of Employees Health Scheme w.e.f
.01.11.2014 to provide cashless treatment for the listed therapies in the
empanelled hospitals, to all the Government employees, pensioners and their
dependent family members in replacement of the medical reimbursement system
under APIMA Rules, 1972. And stated that, all cases of treatment commenced
prior to 01-11-2014 shall be eligible for reimbursement as per Rules for
reimbursement.
Government have issued orders time to time for extension of the period for Medical re-imbursement, latest orders are vide reference 7th cited where it was extended up to 3 1-03-2021.
In view of the above orders, if an
employee/pensioner avails EHS for a treatment, the same is not eligible for
medical re-imbursement. Hence 'NON-AVAILMENT OF EMPLOYEE HEALTH SCHEME '
certificate from the hospital, where the treatment was given, is mandatory for
claiming the amount if any under Medical-re-imbursement system along with the
following documents.
1. Appendix-Il
Form
2. Essentiality
Certificate
3. Emergency
Certificate
4. Discharge
Summary
5. Non-
Drawl Declaration, which should be attested by Drawing and Disbursing Officer
concerned.
6. Declaration
of Dependence to be attested by Gazetted Officer.
7. Copy
of Pension Payment Order for retired employees.
8. Non Availment of EHS certificate.
Absence any one of the above documents listed above will be liable to the rejection of application.
Further, it has been observed that the
unit officers are submitting/ forwarding the proposals to Govt. for relaxation
of rules in routine manner without examination at their level and without
furnishing specific remarks consisting of individual's reasons for sanction of
gross admissible amount beyond the ceiling limits imposed by the government.
The specific remarks and recommendation of the forwarding officer are necessary
for forwarding the same to the government for relaxation.
The
JD, PPO, Hyderabad, and DDS / DTOs shall communicate these orders to all
concerned.
No comments:
Post a Comment