KGS (Medical Attendance) rules 1963

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KGS (Medical Attendance) rules 1963

• K. SRINIVASA
• CONSULTANT (F/M)
• ATI, MYSORE

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Application of RuleRule 2 (1)

• Whole time govt. servants
• Local candidates
• G.S. under suspension.
• Re employed G.S.

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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.

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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

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Controling Officer

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

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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

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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

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• 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

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• 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.

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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

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

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Ward chargesAll govt. / spl. Hospitals /
sanatoria
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Ward chargesauthorised Hospitals
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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)

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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

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• 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

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• 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

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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

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• Thank you