Ministry of Health and Family
Welfare OM on grant of 90% advance for all treatments (IPD and OPD) under CGHS
and CS(MA) Rules, 1944
No.S.14025/18/2015-MS/EHSS
Government
of India
Ministry
of Health and Family Welfare
Department
of Health & Family Welfare
Nirman
Bhawan, New Delhi
Dated
the 17th October, 2016
OFFICE
MEMORANDUM
Subject: Grant of 90% medical
advance for all treatments (IPD and OPD) under CGHS and CS(MA) Rules, 1944.
The undersigned is directed to refer
to O.M.NO.S. 14025/7/94-MS dated 15.05.1996, and OM No.S.12025/1/96-CGHS(P)
dated 1305.1997 provisioning, inter-alia, grant of advance upto 90% in case of
major illness like by-pass surgery, Kidney transplant, major cancer treatment,
etc.
2. During the meeting held on
25.03.2015, National Council (Staff Side) requested this Ministry to make
provisions for grant of 90% advance of the estimated cost for all treatments
for serving Central Government employees, irrespective of major or minor
diseases.
3. The matter was examined in the
Ministry. Considering that the basic purpose of grant of advance for treatment
of any disease is to provide relief to a Government employee from facing
hardship, it has been decided with the approval of the competent authority that
serving CS(MA) and CGHS beneficiaries may be granted 90% medical advance of the
approved CGHS package rates for all indoor treatments, irrespective of major or
minor diseases, on receipt of a certificate from the treating physician of a
Government/recognized hospital as per the guidelines given in the OM
No.S.14025/7/94-MS dated 15.05.1996 and OM No.S-11016/1/92-CGHS(P) dated
29.10.1992 for CS(MA) and CGHS beneficiaries respectively.
4. For out-door treatment, it has
also been decided that advance may be limited to 90% of the total estimated
expenditure of the treatment, subject to the condition that the advance for OPD
treatment may only be granted when the total estimate of expenditure for OPD
treatment including tests/investigations is more than Rs.10,000/-.
5. The advance should be released
within 10 days on receipt of the request for advance by the administrative
Department/Ministry/office in order to avoid inconvenience to the employees.
6. The OM No.S.12025/1/96-CGHS(P)
dated 13.05.1997 stands withdrawn from the date of issue of this O.M.
(Sunil
Kumar Gupta)
Under
Secretary to the Govt. of India
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