RELAXATION OF RULES FOR CONSIDERATION OF REIMBURSEMENT IN EXCESS OF THE APPROVED RATES PERTAINING TO MEDICAL CLAIMS

Government of India

Ministry of Health and Family Welfare

Department of Health & Family Welfare

EHS Section

No: Z.15025/38/2018/DIR/CGHS/EHS 

Nirman Bhawan, New Delhi

Dated the 22nd May, 2018

OFFICE MEMORANDUM

Subject: - Relaxation of Rules for consideration of reimbursement in excess of the                   approved rates pertaining to medical claims

            With reference to the above mentioned subject the undersigned is directed to draw attention to the Office Memorandum No. 4-18/2005- C&P [Vo]. l-Pt (1)], dated the 20th February 2009 and to state that it has now been decided to modify the Para 3 (2) of the above referred Office Memorandum as per the details given under the succeeding paragraphs.

a) The requests for full reimbursement which fall under the following defined criteria shall be examined by Directorate General of CGHS and submitted to AS&DG (CGHS) for consideration of approval. After the recommendation of AS&DG (CGHS), the concurrence of Internal Finance Division and approval of Secretary, Ministry of Health & Family Welfare are required for reimbursement in excess of CGHS rates:

1) Treatment was obtained in a private unrecognized hospital under emergency and the patient was admitted by others when the beneficiary was unconscious or severely incapacitated and was hospitalized for a prolonged period.

2) Treatment was obtained in a private unrecognized hospital under emergency and was admitted for prolonged period for treatment of Head Injury, Coma , Septicemia, Multi-organ failure , etc.

3) Treatment was obtained in a private unrecognized hospital under emergency for treatment of advanced malignancy

4) Treatment was taken under emergency in higher type of accommodation as rooms as per his/her entitlement are not available during that period.

5) Treatment was taken in higher type of accommodation under specific conditions for isolation of patients to avoid contacting infections

6) Treatment was obtained in a private unrecognized hospital under emergency when there is a strike in Govt. hospitals.

7) Treatment was obtained in a private unrecognized hospital under emergency while on official tour to non-CGHS covered area.

b) The requests from CGHS beneficiaries. having a valid CGHS Card at the time of treatment, in respect of the following conditions shall be considered by a High Powered Committee constituted by Ministry of Health & Family Welfare:

(i) Settlement of medical claims in relaxation of rules

(ii) Approval for air-fare with or without attendant on the advice of treating doctor for treatment in another city even though he/she is not eligible for air travel treatment facilities are available in city of residence

(iii) Representations from CGHS beneficiaries seeking full reimbursements under special Circumstances, which are not notified.

c) The other terms and conditions mentioned in the OM No. 4-18/2005- C&P[Vol. l-Pt(1)] dated the 20 February 2009 shall remain unchanged. 

Sd/-

(Rajeev Attri)

Under Secretary to Government of India

TRADE UNIONS OF WHOLE WORLD ARE KEENLY WATCHING THE PROGRESS OF GDS INDEFINITE STRIKE OF POSTAL EMPLOYEES OF INDIA.

WORLD FEDERATION OF TRADE UNIONS (WFTU) EXTENDS SOLIDARITY SUPPORT. IT IS REALLY ENCOURAGING THE LEADERS AND CADRES.

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PHOTOS OF ALL INDIA CONFERENCE (AIC) OF ALL INDIA RMS & MMS EMPLOYEES GROUP-C AT GHAZIABAD (UP DATED 23.05.2018

          19-05-2018

strike declaration national convention of central government employees

2018 june 10th sunday - 10 am to 5 pm

at hyderabad

                                   venue :  Sundarayya vignana kendra, baghalingampally.

*        scrap nps. restore defined pension system to all

*        honour assurance given by group of ministers. increase minimum pay and fitment formula.

*        settle 10 (ten) points charter of demands.

“defeat the disastrous neo-liberal policies. 
defeat the anti-labour ruling class politics behind it.”

Programme

10-06-2018, Sunday

08.30 AM                :     Registration

09.30 AM                :     Flag Hoisting and Homage to Martyrs.

10.00 AM                :     Inaugural Session

Preisded by            :     Com. K.K.N.Kutty

                                    National President, Confederation.

Welcome Speech    :     Com. A. Azeez

                                    General Secretary,C.O.C, AP & Telangana States.

Inauguration by       :     Shri. G. Sajjeeva Reddy

                                    National President, INTUC.

Guests of honour    :     Com. Amarjeet Kaur

                                    National General Secretary, AITUC.

                              :     Com. Ramulu

                                    State President, CITU.

                              :     Com. A. Sreekumar

                                    General Secretary, All India State Govt. Employees -

                                    Federation.

01.00 PM                :     Presentation of Draft Strike Declaration Resolution.

Presentation by       :     Com. M. Krishnan

                                    Secretary General, Confederation.

01.15 to 02.00 PM   :     Lunch Break

02.00 PM                :     Discussion on Draft Resoluion & Address by Chief Executives of Affiliates.

04.30 PM                :     Summing up of Discussion and adoption of Strike Declaration Resolution.

05.00 PM                :     Vote of thanks

by                           :     Com. V.Nageshwara Rao

                                    President, C.O.C, AP & Telengana States.

- E n d -

Leaders & Delegates - Please Note

Convention will commence at 09.30 AM itself.  Time schedule will be strictly followed.  All leaders and delegtes of affiliated organisations are requested to reach the venue before 09.30 AM.

To All Affiliates/National Secretariat Members:

Plese ensure participation of delegates as per quota fixed to each affiliates/C.O.Cs.  Please issue seperate circulars and also give wide publicity.

PAYMENT OF SALARY TO CENTRAL GOVERNMENT EMPLOYEES ON 29^th  MAY 2018 DUE TO BANK STRIKE CALLED BY UNITED FORUM OF BANK UNIONS

TALKS BETWEEN GDS UNIONS AND

POSTAL ADMINISTRATION FAILED TODAY DURING MEETING WITH SECRETARY (POST)

GDS STRIKE CONTINUE

     Extend full solidarity support and help to make the strike of GDS total success.

     Hold Lunch hour demonstration at all work places everyday during the period of strike.

     Bear Black Badges during period of duty till strike continues to protest inordinate delay in implementation of Kamlesh Chandra Committee Report.

      R.N. PARASHAR

SECRETARY GENERAL

             NFPE

Bye-elections to fill clear vacancies in the Lok Sabha Parliamentary constituencies and State Legislative Assemblies to held on 28.05.2018 Grant of Paid holiday to employees – regarding (Click the link below to view)

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Maj Gen Prem Sagar Negi (IPoS-1984) has assumed the office of Member (Planning), Postal Services Board, Department of Posts, Ministry of Communications (Click the link below to view)    http://utilities.cept.gov.in/dop/pdfbind.ashx?id=2833

POSTING OF HUSBAND AND WIFE AT THE SAME 
STATION 

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FRAMING A TRANSFER POLICY IN ALL CADRES-REGARDING 

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OM – REGARDING – TIMELINES FOR SETTLEMENT 
OF MRC OF PENSIONERS – MAY 2018
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AIPEU GDS meeting with Department on 18-05-2018

National Federation of Postal Employees

1^st Floor North Avenue Post Office Building, New Delhi-110 001

Phone: 011.23092771                                                       e-mail: nfpehq@gmail.com

       Mob: 9868819295/9810853981                      website: http://www.nfpe.blogspot.com

No.NFPE/AIIPUGDS/STRIKE/2018                                                                    Dt.17-05-2018

To

Shri A.N.Nanda

Secretary

Department of Posts

Dak Bhawan

New Delhi – 110 001

Respected Sir,

            Sub:- Indefinite strike by GDS unions – reg.

As you are aware that AIPEU GDS and other GDS Unions have served strike notice to go on indefinite strike from 22^nd May 2018 for implementation of positive recommendations of Kamalesh Chandra Committee report.

You will agree that there is inordinate delay in implementation of the recommendations of the GDS committee, the GDS staff are eagerly waiting for their wage revision and improvement in other service conditions.

Now, the department is going under technological change and RICT is being implemented in all BOs for which the GDS staff has to work more than required. The business of IPPB will also depend mainly on the GDS employees. Keeping in view of all these aspects, Kamalesh Chandra Committee has submitted its report accordingly. As the benefit of 7^th CPC has already been given to Departmental employees, GDS employees are also waiting for since long.

It is therefore requested to kindly bestow your personal attention and cause necessary action to get it implemented as early as possible and atleast before 22^nd May 2018.

The entire regular staff is also agitated and extended full solidarity and support to the GDS strike. If there will be any further delay and any victimization of GDS, all regular employees also will go on serious agitational programme.

Hoping for a positive response.

An early action is highly solicited.

Yours sincerely

(R.N.PARASHAR)

Secretary General

NFPE

National Federation of Postal Employees

1^st Floor North Avenue Post Office Building, New Delhi-110 001

Phone: 011.23092771                                                      e-mail: nfpehq@gmail.com

       Mob: 9868819295/9810853981                      website: http://www.nfpe.blogspot.com

 

Circular

No.PF/GDS/STRIKE-2018                                                                        Date: 17 May 2018

To

            All General Secretaries/NFPE Office Bearers

            All Circle/Divisional and Branch Secretaries of NFPE affiliated unions.

Comrade,

           

            Federal Secretariat Meeting of N.F.P.E was held at NFPE office North Avenue, New Delhi under Presidentship of Com. Giriraj Singh, President NFPE.

          All General Secretaries of NFPE affiliated unions were present in the meeting. Available NFPE office bearers also participated in the meeting.

            A threadbare discussion took place on the ensuing strike of GDS unions which is scheduled to be held from 22^nd May 2018. A  unanimous decision was taken in Federal Sectt which is mentioned as below

1. All NFPE affiliated unions will extend full solidarity support, help and co-operation to make the GDS  strike total success.

2.During the period of strike massive demonstration will be held at all work places during lunch hours every day till strike continues.

3.All members of NFPE unions will wear blackbadge  to protest inordinate delay in implementation of positive recommendations of Kamlesh Chandra committee Report.

Future course of action can be decided during the course of strike and if Postal administration and Govt do not take any positive action .

            All General Secretaries are requested to direct their circle, Divisional and branch secretaries to make all efforts for success of GDS strike and send circular to all.

            All Circle, Divisional and Branch Secretaries are requested to extend all help to make the strike of GDS cent percent success and observe all agitational programmes as mentioned above in a very massive way to give a message to Deptt and Govt that if the demands of GDS unions are not met, regular employees will also be compelled to launch serious programme of action in support of GDS.

         

          With revolutionary greetings

Yours Commradely

R.N. Parashar

Secretary General

                                                                                                                                                NFPE