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II) (a) (204) procedures (which are appended to the Annexure to this order) are now withdrawn from Medical Reimbursement Scheme w.e.f 01.08.2018 and the same shall be continued as cashless under Employees Health Scheme (EHS).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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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II) (a) (204) procedures (which are appended to the Annexure to this order) are now withdrawn from Medical Reimbursement Scheme w.e.f 01.08.2018 and the same shall be continued as cashless under Employees Health Scheme (EHS).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.
Download Medical Reimbursement G.O copy
