MEDICAL REIMBURSMENT

                     G.O.RT.No. 147 Dated: 26-04-2016

Read the following:

1. G.O.Ms.No.159, HM&FW(I.) Dept., dt.22-12-2014.

2. G.O.Rt.No.84, HM&FW(I.1) Dept., dt.25.02.2016

3. Representation from the President, APNGO’s., Association,

Andhra Pradesh, dt:24.03.2016.

Government after careful examination hereby extend the

reimbursement facility as indicated para 3 of (v) in the G.O. 1st read above

with effect from 01.04.2016 to 30.09.2016.

G.O 147,DT26 04 2016 medical reimbursment facility  extend up to 30sep2016 copy here

GO.84 Extending Medical Reimbursement Facility up to 31.03.2016

GO 367 MEDICAL REIMBURSMENT EXTENDED UP TO 31.12.2015

GO.254 Medical Reimbursement Scheme Valid upto 30th June 2015.

GO.113 Medical Reiumbursement Continues upto 30th April 2015 along with EHF in paralle

government Employees/ Pensioners - Please show your Employee / Pensioners ID card at the hospital at the time of admission
GUIDELINES FOR SENDING MEDICAL REIMBURSEMENT PROPOSALS
Forms and Certificates
1.APPLICATION FOR MEDICAL REIMBURSEMENT-APPENDIX-2
2.CERTIFICATE-A (OP)	3.NON DRAWAL CERTIFICATE
4.DECLARATION (DEPENDENCY)CERTIFICATE	5.EMERGENCY ADMISSION CERTIFICATE
6.ESSENTIALITY CERTIFICATE	7.CHECKLIST
CGHS TARIFF LIST	NIMS TARIFF LIST
Recognized Hospitals list
Medical Reimbursement Online Status
Govt. Orders
Andhra Pradesh Integrated Medical Attendance Rules, 1972	G.O. Ms. No.105 APIMA Rules - certain amendments to Go Ms 74
Go. Ms 74 APIMA Rules 1972- Recommendations for revision Accepted	G.O.102 Death Relief
Go Ms 397 Enhancement of Medical Reimbursement to pensioners	Go Ms 68 PRC Recommendations
Go. Ms 29 - Allowances PRC recommendations	Go Ms 38 Private hospital within and outside state
Go. Ms 152 - Maternity leave enhancement to 180 days	Go. Ms 162 Guidelines for recognition of private Hospitals
Go. Ms No. 180 - Scrutiny of Medical Bills - MLA, Ex MLAs	Go. Ms 346 Scrutiny of bills upto Rs. 50,000
Go. Ms 579 - Admission and treatment - Pensioners - NIMS ans SVIMS	Go. Ms 155 Leave Rules - Enhancement of EOL for certain diseases
Go. Ms.136 - Relief in case of death of family pensioners	Go.Ms 52 Special Leave - Hysterectomy
Go Ms 87 - Inclusion of Family Pensioners	GO Ms 97 - Fixation of Bed strength for Super Specialty Hospitals
GO Ms 106 - Guidelines for recognition of Private Hospitals- Amendment	Go Ms No 299 - Medical Officers - MLA qtrs dispensaries
Go Ms No 342 - Proposal Medical Officers of MLA qtrs dispenaries - Amendment	Go Ms No 477 - Guidelines for Recognition of Private Hospitals - Prescribing MOU
Go Ms No 601 - Sanction of Medical reimbursement upto 3rd spell
Old Govt. Orders
Go Memorandum No. 2113- Instructions regarding treatment of open heart surgery cases - out of state	Go Ms No 98 - Raising of maximum ceiling limit from Rs.75,000 to Rs.1,00,000 for major ailments
Go Ms No 175 -Admissibility of Medical Expenditure with 20% cut without referral from NIMS SVIMS in cases of emergencies	Go Ms No 445 NIMS-Reimbursement of Expenditure �Simplification of procedures
Go Ms No 544 - SVIMS -Eligibity for medical Reimbursement	Go Ms No 580-Medical Treatment Cardiac Surgery
Go Ms No 1274 - APIMA Rules 1972 - Amendments

• 16 Points Guidelines on Medical Reimbursement-Click Here
• GO.68 -Dt:28/3/2011- Deletion of 10% Cut on the Amount admissible Where treatment was obtained in Recognised Hospitals and More- Click Here
• GO.397 Dt:14/11/2008_Enhancement of Medical Reimbursement charges to Pensioners from 1 Lakh to 2 Lakhs on par with Present Working Employees - Click Here
• GO.105 Dt:9/4/2007-Certain amendments to GO.74-Ceiling of amount in Major Cases to Rs. 2 Lakhs etc-Click
• GO.74  15-3-2005-Recommendations of PRC-Amendments to AP Integrated Medical Attendance Rules 1972-etc-Click Here
• GO.38  23.10.1996 - Treatments in Private Hospitals within State and outside of State- and List of Private Hospitals outside of State
• AP Integrated Medical Attendance Rules 1972-Click Here and Read
• Medical Attendance Rules -GONo.74.pdf (171 kB)
• Medical reiumbursement application.doc (61,5 kB)​

MED REIMBURSEMENT SOFTWARE DOWNLOAD-HERE

Medical Reimbursement Proposal forms set
Forwarding letter
Appendix II
Non Drawal Certificate
Model Proceedings 
USEFUL LINKS:

CHECK MEDICAL REIMBURSEMENT STATUS ONLINE
LIST OF RECOGNIZED HOSPITALS
RATE LIST OF RECOGNISED PRIVATE HOSPITALS  UNDER CGHS HYDERABAD 

MEDICAL REIMBURSEMENT
Enclosures needed along with Medical Reimbursement proposals:

     1. Annexure – II (with amount, signature of the applicant and attestation)
     2. Emergency certificate (with signature and stamp of hospital/treated doctor)
     3. Essentiality certificate (with signature and stamp of hospital/treated doctor. The amount in the Essentiality
     Certificate should tally with amount in the Annexure-II).
     4. Discharge Summary (with signature and stamp of hospital/treated doctor)
     5. Out Patient Card if treatment taken as Out Patient.
     6. Dependent and Non-drawal certificates (with attestation of the forwarding authority and signature of the
     applicant).
     7. For every follow up treatment for post operative cases, who requires life long treatments, the concerned
       patient has to get revalidation of prescriptions  once in six months from the specialist Government doctor.
     8. In case of accident cases and treatment taken in un-recognised hospitals under emergency, FIR should be
       submitted.
     9. Legal Heir certificate should be submitted in case of death of the teacher.


      The Medical Reimbursement should be submitted to this office with the following documents 

     1.Appendix-2
     2.Essentiality Certificate
     3.Emergency Certificate
     4.Detailed Inpatient / Discharge Bill
     5.Discharge Summary

      Address:
     DIRECTORATE OF MEDICAL EDUCATION,
     DM&HS CAMPUSKOTI A.P, HYDERABAD.
     Tel: 9140-24602514/15/16
     FAX No: 24650942
     E-mail: dir_mededu@ap.gov.in