Payment/ reimbursement of medical expenses from two sources viz, from insurance agencies and under Rajasthan Civil Services (Medical Attendance) Rules, 2008.

GOVERNMENT OF RAJASTHAN
FINANCE DEPARTMENT
(RULES DEVISION)

ORDER

No. F.6(5)FD/Rules/2010- Pt.

Jaipur, dated :14th June 2012.

Sub:- Payment/ reimbursement of medical expenses from two sources viz, from insurance agencies and under Rajasthan Civil Services (Medical Attendance) Rules, 2008.

   Government servants appointed before 01.01.2004 are entitled to Medical facility under the Rajasthan Civil Service (Medical Attendance) Rules, 2008. As per provisions contained in Rule 5 of these rules a Government servant, who is entitled to avail medical attendance and treatment facilities and reimbursement thereof under these rules, can opt out of the benefits under these rules and avail medical facilities under any medi claim insurance Scheme, of any insurance provider regulated by the Insurance Regulatory & Development Authority (IRDA). The option once exercised is final and irrevocable and such Government servant is not entitled to avail facility of medical attendance and treatment and reimbursement thereof, under these rules.

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Forms related WBHS,2008 as updated on 15.09.2011

Government of West Bengal

Finance Department

Audit Branch Medical Cell

No. 6953-F (MED)

 Dt. 11-07-2011

Memorandum

   In the process of implementation of the West Bengal Health Scheme, 2008 the Government from some time past was considering for amendment of Forms regarding enrolment under the Health Scheme and settlement of claims. Accordingly, the Governor is pleased to publish the following amended Forms under the West Bengal Health Scheme, 2008 and guidelines for settlement of claims.

   2. Under Clause-7 (1) of the West Bengal Health Scheme, 2008, costs of OPD treatment of ten listed diseases are reimbursable. Reimbursement of the cost of medical treatment of such diseases may be allowed when the attending physician of recognized hospital clearly certifies that the beneficiary was/ has been suffering from any of the listed diseases of Clause-7(1) of the Health Scheme. Essentiality Certificate for treatment under Clause-7 (1) of the Health Scheme should be furnished in Form-‘D1’/ Form-‘IV1’

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