Health Card recommendations

Health Medical and Family Welfare – to provide Cashless treatment to the All India Service (AIS) Officers borne on the cadre of AP and working in connection with the affairs of the State & their dependents, the AIS pensioners of AP Cadre & their dependents, and the AIS family pensioners & their dependents - Constitution of Committee to review and make appropriate recommendation on the proposal of All India Services Health Scheme (AISHS) - Orders – Issued.

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HEALTH, MEDICAL AND FAMILY WELFARE (M2) DEPARTMENT

G.O.Rt.No. 719 Dated: 27-05-2013

1. Representation from Sri.M.Gopalakrishna, IAS (Retd.) President, AIS Pensioner’s Association, A.P, Hyd., Lr.No.AISPA/MA/CHCS /01/2013, Dated: 05-01-2013.

2. Govt. lr.No.582/M2/2013-1, HM&FW (M2) Deptt., Dated: 09-01-2013.

3. From Chief Executive Officer, Aarogyasri Health Care Trust, Hyd., Lr.No.115/AHCT/2013-1, Dated;16-01-2013

4.Govt. lr.No.582/M2/2013-2, HM&FW (M2) Deptt., Dated;08-04-2013

5.From the Chief Executive Officer, Aarogyasri Health Care Trust, Hyd., Lr.No.115/AHCT/2013, Dt:16-04-2013.

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ORDER:

In the reference 1st read above, Sri.M.Gopalakrishna, IAS (Retd.) President, AIS Pensioner’s Association, A.P, Hyderabad has submitted representation requesting for a cashless health scheme’ for the AIS Pensioners and Family Pensioners.

2. In the reference 3rd read above, the Chief Executive Officer, Aarogyasri Health Care Trust, Hyderabad has informed that the AIS Officers working in connection with the affairs of the State of Andhra Pradesh are governed by the AIS (MA) Rules 1954. In the AIS (MA) Rules, there is no provision for reimbursement of medical expenses to the AIS Pensioners and their dependents and the AIS family pensioners.

3. The facility available to the State Government Employees to secure treatment and medical attendance at the Government Hospitals / private hospitals recognized by the State Government has been extended to the AIS Officers and their dependents borne on the cadre of AP with full reimbursement of the cost of in-patient / out-patient treatment vide G.O.Ms.No.137, G.A. (SC.X) Dept dt.05-05-2003 r/w G.O.Ms.No.174, G.A. (SC.X) Dept 15-07-2004 and G.O.Ms.No.437 dt.31-12-2004.

4. Subsequently, in Circular Memo.No.1963/SC.X/2008-1 GA (SC.X) Dept dated: 04-09-2008, the AIS pensioners who retire while serving in connection with the affairs of the State were given option either to avail CGHS facilities or post retirement medical facilities provided by the State Government. In G.O.Ms.No.493 GA (SC.X) Dept dated 19-10-2009 it was ordered that the medical facilities that are available to serving AIS Officers borne on the cadre of AP and their dependents, for the purpose of treatment and reimbursements, shall be extended to the AIS pensioners of AP cadre, their dependents and to the AIS family pensioners subject to the maximum ceilings communicated by the State Government from time to time under APIMA Rules, 1972. Thus, only the AIS pensioners and their dependents and AIS family pensioners, who opt to post-retirement medical benefits provided by the State Government are entitled to treatment and reimbursement under APIMA Rules, 1972.

5. In the reference 5th read above, the Chief Executive Officer, Aarogyasri Health Care Trust, Hyderabad has informed that Trust agrees with the views expressed by the Principal Secretary, G.A. (GPM&AR) Dept and also the suggestion made by him. Accordingly, the following courses of action are suggested for consideration:

i. A separate ‘All India Services Health Scheme (AISHS)’ may be formulated to provide cashless treatment to the All India Service (AIS) Officers borne on the cadre of Andhra Pradesh and working in connection with the affairs of the State endents, the AIS pensioners of Andhra Pradesh Cadre and their dependents, and the AIS family pensioners and their dependents, which will ipso facto replace the existing medical reimbursement system under AIS (MA) Rules, 1954, with additional benefits.

ii. While formulating the ‘cashless scheme’, the orders issued in the G.O.Ms.No.307, GA (SC.X) Deptt., dated;18-07-2005 ; G.O.Ms.No.447, GA (SC.X) Deptt ., dated;11-07-2008; G.O.Ms. No.493, GA (SC.X) Deptt ., dated;19-1 0-2009; G.O. Ms. No. 74, HM&FW (K1) Deptt., dated; 15-03-2005 and G.O.Ms.No.105, HM & amp ;FW (K1) Deptt., dated;09-4-2007, in so far as AIS Officers and Pensioners are concerned, may be cancelled .

6 The Chief Executive Officer, Aarogyasri Health Care Trust has also reported that a representation has already been submitted by the AIS Pensioners’ Association, requesting for a ‘cashless health scheme’ for the AIS Pensioners and Family Pensioners. It is, therefore, for consideration whether ‘AIS Health Scheme’ may be formulated to provide cashless treatment to the All India Service (AIS) Officers borne on the cadre of Andhra Pradesh and working in connection with the affairs of the State and their dependents, the AIS pensioners of Andhra Pradesh Cadre and their dependents, and the AIS family pensioners and their dependents, which will ipso facto replace the existing medical reimbursement system under AIS (MA) Rules, 1954. Simultaneously, the Government Orders on medical re-imbursement in so far as they relate to AIS Officers / Pensioners / Family Pensioners may also be cancelled.

7. Government, after careful examination of the matter, hereby constitute a Committee with the following members to review and make appropriate recommendation on the proposal of All India Services Health Scheme (AISHS) to provide Cashless treatment to the All India Service (AIS) Officers borne on the cadre of AP and working in connection with the affairs of the State & their dependents, the AIS pensioners of AP Cadre & their dependents, and the AIS family pensioners & their dependents,

1. Principal Secretary to Govt., H.M. & F.W. Department.

2. Principal Secretary to Govt., G.A. (GPM&AR) Department.

3. Principal Secretary to Govt., Finance (R&E) Department.

4. Vice Chancellor of Dr. NTR University of Health Sciences.

5. Director of Medical Education, A.P., Hyderabad.

6. Chief Executive Officer, Aarogyasri Health Care Trust -- Convener

8. The Committee is therefore requested to submit their recommendations on the proposal to Government.

(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)

AJAY SAWHNEY, PRINCIPAL SECRETARY TO GOVERNMENT