Handbook on Medical Reimbursement

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Contents
THE KERALA GOVERNMENT SERVANT'S MEDICAL ATTENDANCE RULES, 1960
1. Short title
2. Extent of Application
3. Definitions
(i) Application of the Rules to the Provisional Hands
(ii) Employees of Private Colleges
(iii) Trainees
(iv) Part-time Employees
(v) Aided School Teachers
(vi) Project Officers and Professor-in-charge of Kayachikilsa
(vii) Chief Medical Officers of Ayurveda-Hospital
(viii) All Medical Officers in the Dept of Indian System of Medicine
(ix) Medical Officers in the Insurance Medical Service Dept
(x) Medical Officers of the E.S.I.
(xi) The term 'Children' will include children adopted legally
(xii) Reimbursement of the cost of spectacle
(xiii) Spectacles for Blind Employees
(xiv) Ambulance Charge
4. Persons entitled to free Medical Attendants
(i) Claim of Retired Government Servants
(ii) Doubtful cases-referred to the Vigilance Department
5. Medical attendance at residence
6. Consultation with Specialists
(i) Specialist Consultation - Reference by A.M.A.
(ii) Who should refer?
7. Reimbursement of expenditure incurred outside the State.
7A. Expenditure incurred for 'Special Treatment' outside the State
(i) Orders regarding the reciprocal arrangement between the Govt. of Kerala and Tamilnadu in the matter of M.A.
(ii) Guidelines for Medical treatment abroad
(iii) Special Treatment - outside the State
(iv) Referrence to outside the State.
7B. Travelling Allowance for Medical Attendance Journeys
8. Special Concessions in regard to Medical treatment.
9. Reimbursement of cost of Medicine purchased.
10. Identification of Government Servants
11. Treatment of Government Servants in out Patient departments.
12. Preference for admission.
(i) Rule 12 are also applicable to the family of the Govt. Servant.
(ii) 50% of the rent for KHRWS Pay wards
12A. One Pay ward room shall be kept separate for the Nursing Staff
13. Issue of Medical Certificate.
(i) When husband and wife are in Government Service.
(ii) Time Limits for Medical Claims
(iii) Continuious Treatment
(iv) Infertility Treatment
(v) Heads of Departments delegated powers to condone delay submission of claims
(vi) Quasi Government Institutions and Autonomous Bodies.
(vii) Charges for Private Laboratories.
(viii) Ceiling limit of Scrutiny and Sanction of Medical Claims
(ix) Register of Medical Reimbursement
(x) Other Relevant Matters
(xi) Counter Signature of DHS - Not necessary
(xii) Duplicate copies of documents not to be insisted
(xiii) Office seal not necessary on the cash bill.
(xiv) Sanctioning of Medical Bills by the Controlling Officers.
(xv) Reimbursement of Medical Expenses to Gazetted Officers
(xvi) Vitamin B Complex
(xvii) Hearing aid
(xviii) Reimbursement of the cost of Homoeopathic Medicines
(xix) Reimbursement for Secretariat Employee's
(xx) O.P. Ticket - want of
(xxi) Designation of Medical Officers
(xxii) T.B. Patient - Refer first to T.B. Centre
(xxiii) Costly drugs - avoid
(xxiv) Medical Allowances to the Heirs of deceased Pensioners
(xxv) Medical Allowance to Pensioners
LIST OF MEDICINES
INTEREST FREE LOAN
MEDICAL ATTENDANCE - LIST OF APPROVED
HOSPITALS (IN KERALA)
GOVERNMENT ORDERS
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Author Details
Lekha S Nair