Acceptance of Medical Reimbursement for Treatment in Private Non-Referral Hospitals in Emergency Cases and COVID 19
Ref:
1.GO.MS No 74 HM&W (KI) Department, dated 15.03.2005
2.GO.Ms. No 105 HM & FW (K1) Dept dt 09.04.2007
2.GO.Ms. No 105 HM & FW (K1) Dept dt 09.04.2007
3. GO.Ms NO 68 HM & FW (KI) Depl. dt.28-03-2011
4.GO.Ms.No. 159 HM &FW (11) Department, dated 22.12.2014
5.GO.Rt. No. 30 HM & FW (11] Department, dated 29.01.2021
6. Lr.No 5/2021, dated: 06.04.2021.
During the management committee meeting held on dated 15.03 2021 under the Chairmanship of CEO, Dr. YSR Aarogyasri Health Care Trust some of the members at requested to send clarification to commissioner of School Education Department regarding
During the management committee meeting held on dated 15.03 2021 under the Chairmanship of CEO, Dr. YSR Aarogyasri Health Care Trust some of the members at requested to send clarification to commissioner of School Education Department regarding
- a) Acceptance of treatment of the employees of Chittoor, Ananthapur & Nellore Districts. As per G.O.Ms. No. 159 TM & FW Department, dated 22.12.2014
- b) Acceptance al Medical Reimbursement bills of Employees & Pensioners of School Education Department in case if they get treatment in non-referral hospitals
In regard to (a), it is to note that vide G.O.Ms No. 159 HM & FW (II) Department, dated: 22.12.2014 in para 3 clause VII & VIII, the Government clearly says as follows:
In regard to Point (b) Dr. YSR Aarogyasri Health Care Trust has been following guidelines and instructions laid down in GO Ms No 68 HM & FW Department Dated 28.3.2011 under para (2) in clause J
Mr Shaik Sabjeee, MLC has requested clarification applicability of Medical Reimbursement for COVID-19 treatment in Non-referral Hospitals. In this regard as per GO. Rt. No. 30 HM & FW Department, dated 29.01.2021 treatment of COVID 19 under Medical Reimbursement scheme within the state and outside the state, Hyderabad Chennai, Bengaluru subject to ceiling amount upto 2 lakhs.
- "VII. Even in the case of Employees/pensioners who are having "Health Cards they avail treatment in Non-empaneled hospitals, in Emergency, they may be allowed reimbursement, as per the package rates of Employees Health Scheme
- VIII. Employees working in Nellore, Chittoor & Anantapur having health cards, and seek treatment in the Super Specialty Hospitals in Chennai, Vellore & Bengaluru respectively, especially in case of complicated diseases will be allowed reimbursement as per the package rates of Employee Health Scheme".
In regard to Point (b) Dr. YSR Aarogyasri Health Care Trust has been following guidelines and instructions laid down in GO Ms No 68 HM & FW Department Dated 28.3.2011 under para (2) in clause J
- J. The treatment for all accident cases and all emergent cases in the unrecognised private hospitals is permitted
Mr Shaik Sabjeee, MLC has requested clarification applicability of Medical Reimbursement for COVID-19 treatment in Non-referral Hospitals. In this regard as per GO. Rt. No. 30 HM & FW Department, dated 29.01.2021 treatment of COVID 19 under Medical Reimbursement scheme within the state and outside the state, Hyderabad Chennai, Bengaluru subject to ceiling amount upto 2 lakhs.
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