“Forward ever, backward never: onwards with Breaking Through”
Reimbursement of medical claims to Pensioners under CS(MA) Rules – guidelines issued by MoHFW
CGDA, Ulan Batar Road, Palam, Delhi Cantt.-110010
IMPORTANT CIRCULAR
No. AN/XIV/19015/Govt. Orders/TA/DA/LTC/Medical
Dated: 29/11/2019
To,
All PCsDA/CsDA/PCA (Fys.)
(Through website)

Sub : Reimbursement of medical claims to Pensioners under CS(MA) Rules 1944 – guidelines issued by Ministry of Health & Family Welfare.

Ministry of Health and Family Welfare vide its OM No. S.14025/23/2013-MS.EHSS dated 29th September 2016 has clarified that CS (MA) Rules 1944 are not applicable to pensioners till date. The Ministry has issued the following guidelines for medical facilities to Central Government pensioners:-
a) Pensioners residing in CGHS covered areas:
1) They can get themselves registered in CGHS dispensary after making requisite contribution and can avail both OPD and IPD facilities.
2) Pensioners residing in CGHS areas cannot opt out of CGHS and avail any other medical facility (i.e. Fixed Medical Allowance). Such pensioners, if they do not choose to avail CGHS facility by depositing the required contributions, cannot be granted Fixed Medical allowance in lieu of CGHS.

b) Pensioners residing in non-CGHS areas:
1) They can avail Fixed Medical Allowance (FMA) @ Rs. 500/- per month revised to Rs. 1000/- from 01.07.2017.
2) They can also avail benefits of CGHS (OPD and IPD) by registering themselves in the nearest CGHS city after making the required subscription.
3) They also have the option to avail FMA, for OPD treatment and CGHS for IPD treatments after making the required subscriptions as per CGHS guidelines.
2. All retired/ retiring Officers/ Staff of the Defence Accounts Department may please be advised to adhere to the above provisions and subscribe to CGHS facility by depositing the required contributions for availing medical facilities after retirement.
This issues with the approval of Sr. Jt. CGDA (AN).
(Rajeev Ranjan Kumar)
Dy. CGDA (AN)
Source: Click here to view/download the PDF.
-----------------------------------------------------------------------------------------------------------------------------


Reimbursement of Medical Claims to Pensioners under CS(MA) Rules 1944 as directed by various CATs and Courts
No. 5.14025/23/2013-MS.EHSS
Government of India
Ministry of Health and Family Welfare
Department of Health and Family Welfare
Nirman Bhavan, New Delhi
Dated the 29 September, 2016
OFFICE MEMORANDUM
Sub:-Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts – Regarding.
The undersigned is directed to state that various references are being received in Ministry of Health and Family Welfare on the above mentioned subject. it is hereby clarified that CS (MA) Rules, 1944 are not applicable to pensioners till date.
2. It is further informed that the following options to avail medical facilities are available to Central Government pensioners:
a) Pensioners residing in CGHS covered areas:
1) They can get themselves registered in CGHS dispensary after making requisite contribution and can avail both OPD and IPD facilities.
2). Pensioners residing in CGHS areas cannot optout cf CGHS and avail anyother medical facility {i.e. Fixed Medical Allowance). Such pensioners, if they do not choose to avail CGHS facility by depositing the required contributions, cannot be granted Fixed Medical allowance in lieu of CGHS.
b) Pensioners residing in non -CGHS areas:
1). They can avail Fixed Medical Allowance (FMA) @ Rs.500/- per month
2) They can also avail benefits of CGHS- [OPD and IPD] by registering themselves in the nearest CGHS “city after“ making the required subscription.
3) They also have the option to avail FMA, for OPD treatment and CG HS for IPD treatments after making the required subscriptions as per CGHS guidelines.
3. In view. of the above, reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts, need not be referred to the Ministry of Health and Family Welfare. The respective Administrative Department/Ministry may take their own decision in this regard.
4. further, all Departments/Ministries are requested to intimate their employees proceeding for retirement regarding the above options for medical facilities available to the Central Government pensioners.
5. This issues with the approval of competent authority.
(SUNIL KUMAR GUPTA)
UNDER SECRETARY TO THE GOVT. OF INDIA
Source: [CGHS.GOV.IN Click to download ##download##]
Subscribe to: Posts (Atom)