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You are here: Home / CGHS / Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts
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Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts

October 7, 2018 rajasinghmurugesan

Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts

No. S.14025/23/2013-MS.EHSS
Government of India
Ministry of Health and Family Welfare
Department of Health and Family Welfare

Nirman Bhavan, New Delhi
Dated : 29.09.2016

OFFICE MEMORANDUM

Sub:- Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts – Regarding.

The undersigned is directed to state that various references are being received in Ministry of Health and Family Welfare on the above mentioned subject. it is hereby clarified that CS (MA) Rules, 1944 are not applicable to pensioners till date.

2. It is further informed that the following options to avail medical facilities are available to Central Government pensioners:

a) Pensioners residing in CGHS covered areas:

1) They can get themselves registered in CGHS dispensary after making requisite contribution and can avail both OPD and IPD facilities.

2). Pensioners residing in CGHS areas cannot optout cf CGHS and avail anyother medical facility {i.e. Fixed Medical Allowance). Such pensioners, if they do not choose to avail CGHS facility by depositing the required contributions, cannot be granted Fixed Medical allowance in lieu of CGHS.

b) Pensioners residing in non -CGHS areas:

1). They can avail Fixed Medical Allowance (FMA) @ Rs.500/- per month

2) They can also avail benefits of CGHS- [OPD and IPD] by registering themselves in the nearest CGHS “city after“ making the required subscription.

3) They also have the option to avail FMA, for OPD treatment and CG HS for IPD treatments after making the required subscriptions as per CGHS guidelines.

3.In view, of the above, reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts, need not be referred to the Ministry of Health and Family Welfare. The respective Administrative Department/Ministry may take their own decision in this regard.

4. Further, all Departments/Ministries are requested to intimate their employees proceeding for retirement regarding the above options for medical facilities available to the Central Government pensioners.

5.This issues with the approval of competent authority.

S/d,
(SUNIL KUMAR GUPTA)
UNDER SECRETARY TO THE GOVT. OF INDIAS

Source :  cghs.gov.in

 

Related posts:

  1. Reimbursement of medical claims to Pensioners under CS(MA) Rules 1944 – guidelines
  2. Revision of time limit for submission of final claims for reimbursement of medical expenses under CS(MA) Rules, 1944-regarding.
  3. Extension of medical facilities to Industrial Staff under CS (MA) Rules, 1944 from the date of their joining the service
  4. Stoppage of Fixed Medical Allowance (FMA) being paid to the Central Government employees working in the interior/remote areas and their governance under CS(MA) Rules, 1944
  5. Guidelines / Criteria for reimbursement of expenses for In-Vitro Fertilisation (IVF) treatment to CGHS beneficiaries and beneficiaries under Central Services (Medical Attendance) Rules. 1944
  6. Health Insurance Scheme for the Central Government employees and pensioners
  7. REIMBURSEMENT IN RELAXATION OF RULES IN EMERGENT CASES UNDER CGHS/CS(MA) RULES, 1944
  8. Medical Facility to pensioners residing in non-CGHS areas -DOT
  9. CGHS : Relaxation of Rules for consideration of reimbursement in excess of the approved rates pertaining to medical claims
  10. Grant of 90% medical advance for all treatments (IPD and OPD) under CGHS and CS(MA) Rules, 1944.
  11. Revision Of Consultation / Visiting / Injection Fee Of Authorized Medical Attendants (Amas) Under Cs (Ma) Rules, 1944
  12. Guidelines for providing CGHS facility in Non CGHS areas
  13. Revision of rate and Guideline for Reimbursement of Expenses on Purchase of hearing AIDS under CS(MA) Rules, 1944 and CGHS
  14. Renewal of recognition of BBC Heart Care, Pruthi Hospital, Jalandhar (Punjab) for treatment of Central Government employees under CS(MA) Rules, 1944.
  15. Simplification of procedure for treatment at private hospitals empanelled under CGHS/CS (MA) Rules,1944
  16. Proposal for reimbursement of in-patient medical expenses in addition to Fixed Medical Allowance (FMA) to serving Government employees in remote areas
  17. Reimbursement of medical expenses to pensioners where payment of FMA is allowed to staff working in the interior where AMA not available
  18. Grant of Fixed Medical Allowance to Central Government Civil Pensioners residing in areas not covered under CGHS
  19. Grant of Fixed Medical Allowance (FMA) to the Central Government Pensioners residing in areas not covered under CGHS.
  20. Recognition of Chaitanya Hospital, Chinchwad, Pune (Maharashtra) for treatment of Central Government employees under CS(MA) Rules, 1944

Filed Under: CGHS October 7, 2018 2 Comments

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Comments

  1. P S MANI says

    June 3, 2017 at 8:35 am

    Sir,

    What sort of moderation is awaited on it.

    Reply
  2. P S MANI says

    June 3, 2017 at 8:33 am

    Sir,

    National Institute of Rural Development and Panchayat Raj, Rajendranagar, Hyderabad, is an autonomous institution is not extending the medical facility to its retired employees on par with regular employees even after making the payment of 10 years subscription at the time of retirement. The Employees Association has made several representations to the concern officials but gone vain. The facility was extended to the retired employees since 2009. The Ministry of Rural Development has also got the representations from the retired employees but no favourable action on this issue. Whereas, the government of India is extending the same facility to its autonomous institutions which are situated at Delhi only but not other parts of India, i.e. till date as on date. It is requested that a favourable action may kindly be taken in this regard.

    P S MANI
    Former President
    NIRDPR Employees Association

    Reply

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