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GOVERNMENT OF ANDHRA
PRADESH
A B S T R A C T
Health,
Medical & Family welfare – Employees Health Scheme and Medical
Reimbursement system under APIMA Rules 1972 – Reviewed the Scheme and arrival of certain decisions -
Orders – Issued.
HEALTH MEDICAL AND FAMILY WELFARE (I.1) DEPARTMENT
Read the following:
1.
G.O.Ms.No.174,
HM&FW(M2) Dept., 1-11-2013
2.
G.O.Ms.No.134,HM&FW(I.1)
Dept., dt.29-10-2014.
3.
G.O.Ms.No.159,HM&FW(I.1)
Dept., dated.22-12-2014
4.
G.O.Rt.No.367,
HM&FW(I.1) Dept., dt.06-07-2015.
5.
Representations
received from the President, Andhra Pradesh Secretariat Association,
Dt.10-12-2015.
6.
Representation from the President, JAC, AP, dt.29-12-2015.
7. Minutes of the meeting held on 13-1-2016
-oSo-
O R
D E R:
In the Government orders 1st and 2nd read above, orders were issued for
implementing Employees Health Scheme to
provide cashless treatment to the State Government employees, pensioners and
their eligible dependent family members
in replacement of the medical reimbursement system under APIMA Rules, 1972.
2. The grievances of employees
associations on implementation of the Scheme has been reviewed in detail on
13-1-2016 and certain decisions have been taken for effective of implementation
of scheme.
3. Government after careful examination
hereby issue the following orders for effective implementation of Employees
Health Scheme.
a)
The
total project cost to implement the Employees Health Scheme works out to Rs.400
Crs. per annum. The Employees Unions have agreed to contribute
50% (Rs.200 Crs) towards this.
b)
The
representatives of ASHA and CEO, NTR Vaidya Seva Trust shall work out revised
package rates under Employees Health
Scheme which is reasonable, just and
mutually agreeable. The entire exercise shall be completed within six weeks and
the advice of the Advisor to Govt. Medical & Health and other experts
shall also be taken in this regard.
c)
The ASHA shall issue directions to the network
hospitals to implement the Employees Health Scheme with immediate effect. The
package rates at commencement of the scheme
shall be as per the revised rates
to be finalized by the CEO., Dr. NTR
Vaidya Seva Trust. The employees share of 50% shall also commence with the
onset of the scheme.
d)
The contribution of the employees under the
Employees Health Scheme shall be parked
with the NTR Vaidya Seva Trust in an account
created exclusively for this purpose.
:: 2::
e)
The
recoveries from the employees and pensioners made by the DTA, PAO and other
agencies etc., shall be transferred to the Dr.NTR Vaidya Seva Trust by 15th of every month by
respective agency.
f)
The Finance Dept., shall issues necessary
instructions to ensure that the operation of PD account for the EHS., is
simplified such that the payments can be made to the Hospitals within a
fortnight of the submission of scrutinized bills.
g)
The
Share of Government shall be released
quarterly by the Finance Dept., to the Dr.NTR Vaidya Seva Trust and also
transfer the presently available amount with Finance Dept., to the Trust with
immediate effect.
h)
The
Finance Department shall give access data of all eligible employees and
pensioners and also data relating to Teachers of Municipal Corporations of
Visakhapatnam and Kurnool to Dr.NTR Vaidya Seva Trust by Finance Department
with immediate effect.
i)
A separate Management Committee within the NTR
Vaidya Seva Trust shall be constituted
to monitor the implementation of the Employee Health Scheme which will have
representatives from the recognized employees unions. The GA (Ser. Welfare)
Dept., shall issue separate orders accordingly.
j)
The
steering committee shall review the scheme from time to time and ensure its effective implementation.
4. This order issues with the concurrence
of the Finance (FMU-HM&FW Department) vide their
U.O.No.42028/33/2016-FMU-HM&FW-Finance, dt:18.02.2016.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF
ANDHRA PRADESH)
Dr. POONAM MALAKONDAIAH
PRINCIPAL SECRETARY TO GOVERNMENT
To
The Chief Executive Officer, DR.NTR Vaidya
Seva Trust, AP, Hyderabad.
The ASHA through CEO, Dr. NTR VST., AP,
Hyderabad.
Copy
to:
The Finance (FMU,HM&FW) Department.
The
General Administration (Ser.Welfare) Department.
The Accountant General (A&E), AP,
Hyderabad
The Director of Treasuries and Accounts, AP,
Hyderabad.
The PAO, AP, Hyderabad
All the District Collectors .
All Heads of the Department.
The Principal Secretary to C.M
OSD to M (HM&FW)
All the Special Chief Secretaries to
Government /Prl. Secretaries/ Secretaries
in Secretariat, AP, Hyderabad
All the employees and pensioners associations
through GA (Services Welfare) Department, AP, Secretariat, Hyderabad.
Sf/Sc
// FORWARDED :: BY ORDER//
SECTION OFFICER
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