Medical Reimbursement Scheme further Extension up to 31.12.2018 - Comprehensive Guidelines
O R D E R:
In the G.O 13th read above, Government have extended the
“Medical Reimbursement Scheme” facility under APIMA Rules,1972 till
31.12.2018, along with Employees Health Scheme (EHS) in parallel duly
specifying some conditions therein.
2. The Chief Executive Officer, Dr.NTR Vaidya Seva Trust in the letter
14th read above, has requested the Government to issue corrigendum to the
G.O issued in the 13th read above.
3. Government after careful examination of the matter here by issue
Comprehensive guidelines for extension of Medical Reimbursement Scheme
facility under APIMA Rules, 1972 as specified hereunder in supersession of
the orders issued in the G.O 13th read above:
I) (a) Extension of Medical Reimbursement Scheme from 01.04.2018 to
31.07.2018 according to APIMA Rules,1972 with CGHS rates.
(b) Continuation of Medical Reimbursement Scheme from 01.08.2018 to
31.12.2018 with EHS package prices replacing CGHS rates.
II) (a) (204) procedures (which are appended to the Annexure to this order)
are now withdrawn from Medical Reimbursement Scheme w.e.f
01.08.2018 and the same shall be continued as cashless under
Employees Health Scheme (EHS).
(b) The Reimbursement for remaining (1685) procedures shall be as per
EHS rates only w.e.f 01.08.2018.
III) However, the employees working in A.P. Secretariat; HoDs; and Retired
employees and their dependents stationed at Hyderabad along with
the employees working in A.P. Bhavan, New Delhi shall be eligible to
continue Medical Reimbursement facility for all Employees Health
Scheme (EHS) procedures until suitable arrangements are made, as
issued in the G.O.Ms.No.12, HM&FW(I.1) Dept, dt.23.01.2017.
IV) If treatment has taken in any procedure which is not enlisted in EHS
package, the Scrutiny of the concerned Medical Reimbursement bill will
be undertaken at the discretion of the Scrutinizing Authority.
4. All the Scrutinizing Authorities concerned shall take necessary action
accordingly.
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