Grant of Medical Advance to the Central Govt. Employees: 48th NC JCM Meeting

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Grant of Medical Advance to the Central Govt. Employees: 48th NC JCM Meeting

Grant of Medical Advance to the Central Govt. Employees: 48th NC JCM Meeting Minutes of the 48th Meeting of the National Council (JCM) held on 26.0

Procedure to process of Medical Reimbursement Claim – Check List for Processing Medical Advance
Medical advance without documentation in cases of emergency hospitalization on account of serious life threatening illnesses including Covid
Grant of Medical Advance for all treatment (OPD and IPD) under CGHS / CS(MS) Rules – Clarification by CGHS

Grant of Medical Advance to the Central Govt. Employees: 48th NC JCM Meeting

Minutes of the 48th Meeting of the National Council (JCM) held on 26.06.2021 vide DoP&T OM No.3/4/2021-JCA dated 14th July, 2021

grant-of-medical-advance-to-the-central-govt-employees-48th-nc-jcm-meeting

5.2 Item No. NC-47 / 16/ 19: Grant of Medical Advance to the Central Govt. Employees .

The demand in brief is that the ceiling for medical advance be enhanced from the existing Rs 10,000 to Rs.50,000. This item was discussed in the last meeting of the NC . A copy of the relevant OM No. S. 14025/ 18/ 20 15-MS/ EHSS dated 17.10.2016 has since been made available to Staff Side. Secretary (Health) explained the provisions of the said OM & informed that now CGHS and CS(MA) beneficiaries may be granted 90% medical advance of the approved CGHS package rates for all indoor treatment without any ceiling for the amount. For OPD treatment, medical advance may be limited to 90% of the total estimated expenditure of the treatment, subject to the condition that the advance for OPD treatment may only be granted when the total estimate of expenditure for OPD treatment including tests/ investigations is more than Rs.10,000. In case of amount less than Rs.10000, immediately upon making the expenditure, the government servant can claim reimbursement from his office.

Shri C. Srikumar, Member, Staff Side stated that the guidelines are not being interpreted properly by the lower functionaries and treatment for diseases like jaundice, diarrhea etc. is not covered by these guidelines .

Decision: Chairman directed that a clarification maybe issued by MoHFW regarding cases of treatment for diseases other than those covered under the package rates and an advance @ 90% of the estimates may also be given, subject to CGHS rates. With this direction, the item to be treated as closed.

Previous: 5.1. Item No. NC-47/ 13/ 19: Reimbursement of expenses in indoor treatment to pensioners living in Non-CGHS towns.

Next: 5.3. Item No. NC-47/17/19: Reimbursement of additional charges paid on account of overstay in the hospitals.

View: Full Minutes of the 48th Meeting of the National Council (JCM) held on 26.06.2021

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