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KGS (Medical Attendance) rules 1963

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KGS (Medical Attendance) rules 1963 K. SRINIVASA CONSULTANT (F/M) ATI, MYSORE Application of Rule Rule : 2 (1) Whole time govt. servants Local candidates G.S. under ... – PowerPoint PPT presentation

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Title: KGS (Medical Attendance) rules 1963


1
KGS (Medical Attendance) rules 1963
  • K. SRINIVASA
  • CONSULTANT (F/M)
  • ATI, MYSORE

2
Application of RuleRule 2 (1)
  • Whole time govt. servants
  • Local candidates
  • G.S. under suspension.
  • Re employed G.S.

3
FamilyRule 2 (2)
  • Wife or Husband of G.S.
  • Father and Mother (also step mother)
  • Children, Step Children, adopted Children, Wholly
    dependent on G.S.

4
Authorised Medical AttendantRule 3
  • Medical officers Working in Govt. Hospital or
    Medical Institutions
  • For authorised Hospitals or Institutions
    specified in schedule-I Reg. Medical Attendant
    incharge of respective wing

5
Controling Officer
  • Heads of Dept.
  • The officers empowered to countersign T.A. Bill.

6
Govt. Hospital
  • A Hospital or Dispensary run by central Govt. or
    state Govt. or a corporation or other local body
    where the office is situated.
  • In respect of G.S. working in the karnataka
    Bhavan, New Delhi the Medical Attendance received
    from the specified Doctors, Clinics, Hospitals or
    Diagnostic centres etc. recognised under the
    central Govt. Health scheme shall be deemed to be
    Medical Attendance received in Govt. Hospital

7
Package RateRule 3 (e)
  • Package rate shall Mean and include lump sum
    cost of in patient treatment / day care /
    diagnostic procedure for which a beneficiary has
    availed or for treatment under emergency from the
    time of admission to the time of discharge,
    including (but not limited to) the following
    charges
  • Registration
  • Admission

8
  • Accommodation including diet
  • Operation
  • Injection
  • Dressing
  • Doctor / consultant visit
  • ICV / ICCV
  • Monitoring
  • Transfusion

9
  • Anesthesia
  • Operation theatre
  • Procedural charge, surgeons fee
  • Cost of surgical disposals and sundries during
    hospitalisation
  • Cost of medicines
  • Related routine, essential investigation
  • Physiotherapy
  • Nursing care

10
  • Provided where one or more minor procedures form
    part of major treatment procedure, then the
    package rate would be the rate admissible for
    major procedure and only 50 of the package rate
    for minor procedure.

11
TreatmentRule 3(h)
  • Use of all medical, x - ray, surgical facilities
  • Supply of medicines available in hospital
  • Prescription for medicines by AMA
  • Supply of such quantity of blood

12
  • Treatment charges for new born baby are
    separately reimmbursible in addition to delivery
    charges of mother
  • Treatment on package rate basies

13
Ward chargesAll govt. / spl. Hospitals /
sanatoria
14
Ward chargesauthorised Hospitals
15
Production of certificate
  • Form AA at the time of admission (Rule 9)
  • Free of medical attendance by AMA (Rule 10)
  • Treatment at other than HQ. TA is admissible

  • (Rule 11)
  • Anti-rabic (special medical treatment)

  • (Rule 12)

16
Reimbursement of medical expensesRule 14
  • Free treatment in govt. Hospital as certified by
    AMA
  • Cost of preparation like foods, tonics, toilet,
    preparation, disinfectants not admissible.
  • Sales tax refundable
  • Ambulance
  • Sterelization charges not payable by G.S.
  • ECG charges refundable

17
  • The cost of ayurvediv, unani, homoeopathy
    medicines refundable as per list, Director Indian
    system of medicine and homoeopathy
  • Non cosmetic Dental treatment as out patient in
    govt. Hospital or authorised Hospitals are
    reimbursible

18
  • Artificial appliances are reimbursible (Pay not
    exeeding 15600)
  • Cost of spectacles once in two years
  • purchase of hearing aid once in service
  • The reimbursement of the medical expenses in
    respect of the diagnostic procedures and
    treatment taken in the authorised Hospital and
    medical institution (schedule 1) shall be at the
    same rate fixed for package rate by the ministry
    of health and family welfare GOI under (CGHS)
    from time to time

19
Claims of reimbursementRule 15
  • Purchase of medicine essentiality certificate
    form B
  • MR Bill - Form C
  • voucher to be submitted Within 3 months
  • Delay condonation
  • When a GS is on duty, Leave in any place out
    side the state FD sanction is required for the
    claim

20
  • Thank you
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