Health, Medical & Family Welfare Department Strengthening of Employees Health Scheme - Orders - Issued. HEALTH, MEDICAL & FAMILY WELFARE (IA) DEPARTMENT G.O.Rt.No.353 . EHS Medical Reimbursement allowed for 204 Procedures, 25 Chronic Diseases Added Again GO 353 Dated; 12.05.2023
During the meeting convened by the Chief Secretary to Government on 14.03.2023 with the Employees Associations, certain requests were put forth for Strengthening of Employees Health Scheme. Accordingly, the CEO, Dr.YSR Aarogyasri Health Care Trust has furnished the proposals in the ref 4'h read above
2. After careful examination of the matter and keeping in view of the request made by the Employees Associations, Government hereby issue the following orders:
(i) 25 procedures under EHS having package prices above 2 lakhs will be permitted under Medical Reimbursement also with the same package price as upper ceiling, as an exception to G.O.Rt.No.79, HM & FW (M2) department, dated :21.01.2014 (the details of 25 Procedures are appended as Annexure-A to this order).
(ii) Permitted to start Outpatient services for chronic ailments at all 26 Districts in addition to the existing 14 centres in Teaching hospitals/Area Hospitals or District Hospitals with an initial set up cost not exceeding Rs.2 lakhs from the available EHS funds.
(iii) Dispensary system will be provided for EHS beneficiaries by setting up clinics at AHs for consultation, diagnostics, medicines and referral system to higher centres.
The deleted 204 procedures under Medical Reimbursement Scheme shall (i) be continued with EHS package rates as the ceiling in supersession of orders issued in G.O. Rt. No. 345, HM & FW (I.1) department, dated.21.08.2018.
3. The Chief Executive Officer, Dr.YSR Aarogyasri Health Care Trust, AP, Mangalagiri, Guntur District shall take further necessary action in the matter.
4. This order issues with the concurrence of the Finance (FMU, HM&FW) Department vide their U.O.No. FIN01-FMUOBES(HMF2)/11/2023-FMU-HMFW, dt.08.05.2023.
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EHS Medical Reimbursement allowed for 204 Procedures again, Dental Treatments Enhancement GO 353
Read the following:- 1. G.O. Rt No.79, HM&FW(M2) Department, Dated.21.01.2014.
- 2. G.O. Rt No.150, HM&FW(I.1) Department, Dated.04.12.2014.
- 3. G.O. Rt No.345, HME4FW(1.1) Department, Dated.21.08.2018.
- 4. From the CEO, Dr.YSR Aarogyasri Health Care Trust, Mangalagiri, e_file No.2042551, dt.11.04.2023.
During the meeting convened by the Chief Secretary to Government on 14.03.2023 with the Employees Associations, certain requests were put forth for Strengthening of Employees Health Scheme. Accordingly, the CEO, Dr.YSR Aarogyasri Health Care Trust has furnished the proposals in the ref 4'h read above
2. After careful examination of the matter and keeping in view of the request made by the Employees Associations, Government hereby issue the following orders:
(i) 25 procedures under EHS having package prices above 2 lakhs will be permitted under Medical Reimbursement also with the same package price as upper ceiling, as an exception to G.O.Rt.No.79, HM & FW (M2) department, dated :21.01.2014 (the details of 25 Procedures are appended as Annexure-A to this order).
(ii) Permitted to start Outpatient services for chronic ailments at all 26 Districts in addition to the existing 14 centres in Teaching hospitals/Area Hospitals or District Hospitals with an initial set up cost not exceeding Rs.2 lakhs from the available EHS funds.
(iii) Dispensary system will be provided for EHS beneficiaries by setting up clinics at AHs for consultation, diagnostics, medicines and referral system to higher centres.
Government hereby permit the following package rates for 4 Dental procedures
| Sl No | Procedure | Present Package Rate | New Package Rate |
|---|---|---|---|
| 1 | Metal Ceramic Crown | 1392 | 1500 |
| 2 | Flap Surgery | 6710 | 8700 |
| 3 | Complete Denture | 6710 | 10000 |
| 4 | Orthodontic Treatment Fixed Braces | 12935 |
15000 |
The deleted 204 procedures under Medical Reimbursement Scheme shall (i) be continued with EHS package rates as the ceiling in supersession of orders issued in G.O. Rt. No. 345, HM & FW (I.1) department, dated.21.08.2018.
3. The Chief Executive Officer, Dr.YSR Aarogyasri Health Care Trust, AP, Mangalagiri, Guntur District shall take further necessary action in the matter.
4. This order issues with the concurrence of the Finance (FMU, HM&FW) Department vide their U.O.No. FIN01-FMUOBES(HMF2)/11/2023-FMU-HMFW, dt.08.05.2023.
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