Medical Reimbursement 204 Procedures removed GO 291 Dated: 12-07-2018

Health, Medical & Family Welfare –Medical Reimbursement Scheme under APIMA Rules, 1972 – Further extension of Medical Reimbursement Scheme from 01.04.2018 to 31.12.2018 – Orders – Issued. HEALTH MEDICAL AND FAMILY WELFARE (I.1) DEPARTMENT G.O.RT.No. 291 Dated: 12-07-2018. (204) procedures are now removed from Medical Reimbursement Scheme w.e.f 01.08.2018 and the same shall be continued as cashless under Employees Health Scheme (EHS). Medical Reimbursement extended up to 31st Dec 204 Procedures removed GO 291.

Medical Reimbursement extended up to 31st Dec 204 Procedures removed GO 291

Read the following: 
  • 1. G.O.Ms.No.159, HM&FW(I.1) Department, dt:22.12.2014. 
  • 2. G.O.Rt.No.113, HM&FW(I.1) Department, dt:28.02.2015. 
  • 3. G.O.Rt.No.254, HM&FW(I.1) Department, dt:27.04.2015. 
  • 4. G.O.Rt.No.367, HM&FW(I.1) Department, dt:06.07.2015. 
  • 5. G.O.Rt.No.84, HM&FW(I.1) Department, dt:25.02.2016. 
  • 6. G.O.Rt.No.147, HM&FW(I.1) Department, dt:26.04.2016. 
  • 7. G.O.Rt.No.459, HM&FW(I.1) Department, dt:22.11.2016. 
  • 8. G.O.Ms.No.12, HM&FW(I.1) Department, dt.23.01.2017. 
  • 9. G.O.Rt.No.283, HM&FW(I.1) Department, dt:12.04.2017. 
  • 10. G.O.Rt.No.573, HM&FW(I.1) Department, dt:06.11.2017. 
  • 11. G.O.Rt.No.62, HM&FW(I.1) Department, dt:14.02.2018. 
  • 12. From the CEO, Dr.NTR VS Trust, e-file No.19031(31)/5/2018- FOSE-NTRVS, dt:04.07.2018 -
O R D E R
  1. In the G.O 11th read above, Government have extended the “Medical Reimbursement Scheme” facility under APIMA Rules,1972 till 31.03.2018, along with Employees Health Scheme in parallel. 
  2. 2. The Chief Executive Officer, Dr.NTR VS Trust in the letter 12th read above, has submitted certain modalities for extension of Medical Reimbursement Scheme facility under APIMA Rules, 1972. Government after careful examination of the issue, hereby extend the provision of Medical Reimbursement facility under APIMA Rules, 1972 as specified hereunder: i. Continuation of Medical Reimbursement Scheme from 01.04.2018 to 31.12.2018, according to APIMA Rules,1972 and rates. 
  3. ii (a) (204) procedures (which are appended to the Annexure to this order) are now removed from Medical Reimbursement Scheme w.e.f 01.08.2018 and the same shall be continued as cashless under Employees Health Scheme (EHS).
  4. (b) The Reimbursement for above procedures shall be as per EHS rates only. iii. However, 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 8th read above. 
  5. 3. All the Scrutinizing Authorities concerned shall take necessary action accordingly. 4. This order issues with the concurrence of Finance (FMU, HM&FW) Department vide their U.O.No.42028/426/FMU-HM&FW/2018,dt.09.07.2018.
The (204) procedures are now removed from Medical Reimbursement Scheme w.e.f 01.08.2018 and the same shall be continued as cashless under Employees Health Scheme (EHS) are given in brief below.
  • All Dental Surgeries
  • All Plastic Surgeries
  • All ENT Surgeries
  • 19 General surgeries
  • 4 common ENT surgeries 
  • Almost All Opthmology surgeries
  • Gynecology Surgeries ( Hysterectomy)
  • Common Orthopedic surgeries (Knee Replacement )
  • Cardiac surgeries( Angioplasty 3Additional stent)
  • Hearing Aid 
  • Dermatology
  • All Cohelar Implant Surgeries Etc

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