Medical reimbursement to the pensioners after bifurcation of the State of Andhra Pradesh

HM & FW Dept. –Medical reimbursement to the pensioners after bifurcation of the State
of Andhra Pradesh – Certain guidelines - Issued.

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HEALTH, MEDICAL & FAMILY WELFARE (K2) DEPARTMENT
G.O.Ms.No.103. Dated 31.05.2014.
Read the following:-
1) G.O.Ms.No. 74, HM&FW(K1) Deptt., dt. 15/3/2005.
2) G.O.Ms.No. 180, HM&FW(K1) Deptt., dt. 11/5/2006.
3) G.O.Ms.No. 105, HM&FW(K1) Deptt., dt. 9/4/2006.
4) G.O.Ms.No. 68, HM&FW(K1) Deptt., dt. 28/3/2011.
                                        ***
ORDER:
Government have issued Andhra Pradesh Integrated Medical Attendance Rules
1972 for the benefit of all state Government employees and their dependents,
employees of local bodies, students of medical colleges, members of the State
Legislature, All India Service (AIS) Officers, A.P. State Higher Judicial officers etc.
Several Private Hospitals - both within the State and outside the State - have been
recognized by the Government as referral hospitals for providing health care and
treatment for these category of persons on reimbursement basis.

2. The detailed procedure for scrutiny and sanction of medical claims in respect of
serving employees as well as pensioners is indicated in G.O.Ms.No.74, HM&FW (K1)
Dept., dt.15-3-2005 read with G.O.Ms.No.180, HM&FW (K1) Dept., dt.11-5-2006,
G.O.Ms.No.105, HM&FW (K1) Dept., dt.9-4-2007 and G.O.Ms.No.68, HM&FW (K1)
Dept., dt.28-3-2011.

3. At present medical reimbursement bills of pensioners are drawn at the last place
of working of working and if the pensioner is drawing pension at a place other than the
last place of working, the bills are processed in the office of the Head of Department to
which the pensioner belongs to process the claims and draws the claims or the sanction
orders are sent to the last place of working for drawing and disbursing the claim amount
to the pensioner.

4. Due to bifurcation of the Andhra Pradesh into two states viz., Andhra Pradesh
and Telangana States, the Finance Department have suggested to adopt the following
procedure in the matter of medical reimbursement of pensioners.

1. The medical reimbursement bills of pensioner shall be drawn from the HOD of
the State where he is drawing his pension.

2. After disbursement of the medical reimbursement, the amount may be
apportioned between the two States as was done in the case of Pension and
pensionery benefits.

5. As per Section 59 of A.P. Reorganization Act, 2014, the liability of the existing
State of Andhra Pradesh in respect of pensions shall pass to, or be apportioned
between the successor States of Andhra Pradesh and Telangana in accordance with
the provisions contained in the Eighth Schedule to the said Act. As per para 5 (i) of
Schedule VIII of the said Act, “The liability in respect of the pension of any officer
service immediately before the appointed day in connection with the affairs of the
existing State of Andhra Pradesh and retiring on or after that day shall be that of
successor State granting him the pension and other retirement benefits. But the portion
of pension and other retirement benefits attributable to the service of any such officer
before the appointed day in connection with the affairs of the existing state of Andhra
Pradesh shall be allocable between the successor states on the basis of population
ratio and the Government granting the pension shall be entitled to recover from the
other successor State its share of the liability”.

6. In accordance with the above provisions of the A.P.Reorganization Act, Finance
Department issued orders in G.O.Ms.No.97, Fin (PSC) Dept., dt.7-5-2014 and
G.O.Ms.No.121, Fin (BG.III)) Dept., dt.22-5-2014 for apportionment of pension liability
between the two States in the ratio of 58.32 : 41.68.

7. Due to bifurcation of the state Government have decided to adopt the following
procedure for medical reimbursement to the pensioners.

• The Medical Reimbursement bills of the Pensioners shall be drawn from the
Head of the Department of the State, where he/she is drawing pension.

• After disbursement of the Medical Reimbursement, the amount may be
apportioned between the two States of Andhra Pradesh and Telangana in the
ratio of 58.32:41.68.

8. The following new Head of Account shall be adopted for medical reimbursement
claims in respect of all Pensioners.

2071          Pension and other Retirement Benefits
01              Civil
MH 800    Other Expenditure
SH (05)    Medical Reimbursement of all types of Pensioners (to be opened)
040           Pensionery Charges
043          Medical Reimbursement (to be opened)

9. All Secretariat Departments and all Heads of the Departments shall take action
accordingly in the matter.

10. This order issues with the concurrence of the Finance Dept vide their
C.No. 314/B.G.III/A2/14.

(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)
L.V.SUBRAHMANYAM PRINCIPAL SECRETARY TO GOVERNMENT