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Friday, 26 May 2017

Reimbursement of Medical Claims to Pensioners under CS(MA) Rules 1944 as directed by various CATs and Courts


Reimbursement of Medical Claims to Pensioners under CS(MA) Rules 1944 as directed by various CATs and Courts
No. 5.14025/23/2013-MS.EHSS
Government of India
Ministry of Health and Family Welfare
Department of Health and Family Welfare
Nirman Bhavan, New Delhi
Dated the 29 September, 2016
OFFICE MEMORANDUM

Sub:- Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts - Regarding.

The undersigned is directed to state that various references are being received in Ministry of Health and Family Welfare on the above mentioned subject. it is hereby clarified that CS (MA) Rules, 1944 are not applicable to pensioners till date.

2. It is further informed that the following options to avail medical facilities are available to Central Government pensioners:

a) Pensioners residing in CGHS covered areas:
1) They can get themselves registered in CGHS dispensary after making requisite contribution and can avail both OPD and IPD facilities.
2). Pensioners residing in CGHS areas cannot optout cf CGHS and avail anyother medical facility {i.e. Fixed Medical Allowance). Such pensioners, if they do not choose to avail CGHS facility by depositing the required contributions, cannot be granted Fixed Medical allowance in lieu of CGHS.

b) Pensioners residing in non - CGHS areas:
1). They can avail Fixed Medical Allowance (FMA) @ Rs.500/- per month
2) They can also avail benefits of CGHS- [OPD and IPD] by registering themselves in the nearest CGHS "city after" making the required subscription.
3) They also have the option to avail FMA, for OPD treatment and CG HS for IPD treatments after making the required subscriptions as per CGHS guidelines.

3. In view. of the above, reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts, need not be referred to the Ministry of Health and Family Welfare. The respective Administrative Department/Ministry may take their own decision in this regard.

4. Further, all Departments/Ministries are requested to intimate their employees proceeding for retirement regarding the above options for medical facilities available to the Central Government pensioners.

5. This issues with the approval of competent authority.
(SUNIL KUMAR GUPTA)
UNDER SECRETARY TO THE GOVT. OF INDIA
Source: [CGHS.GOV.IN]
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Implementation of Government's decision on the recommendations of the Seventh Central Pay Commission- Revision of pension of pre- 2016 pensioners/family pensioners etc

Dept of Post: Revision of pension of Pre- 2016 pensioners/family pensioners - Govt's decision on 7th CPC Recommendations
No. 4-3/2017-Pension
Government of India
Ministry of Communications
Department of Posts
(Pension Section)
Dak Bhawan, Sansad Marg,
New Delhi - 110 001
23rd May, 2017
To
All Head(s) of Circles
All Directors/Dy. Directors of Accounts (P)
APS Headquarter
Head of PLI and BD Directorate
Director, Postal Staff College, Ghaziabad

All Directors of Postal Training Centres

Sub: Implementation of Government's decision on the recommendations of the Seventh Central Pay Commission- Revision of pension of pre- 2016 pensioners/family pensioners etc-reg.

Sir/Madam,
I am directed to say that based on the decisions of the Government, Department of Pension and Pensioners' Welfare has issued O.M. No. 38/37/2016-P&PW(A) dated 12.05.2017 for fixation of pension/family pension of pre-2016 pensioners/family pensioners to the higher of the two formulations. A copy of the OM. is circulated herewith for information and necessary action.

2. The pension/family pension of all pre-2016 pensioners/family pensioners shall be revised in line with instructions contained in the DoP&PW OM. dated 12.05.2017. The higher of the two formulation i.e. (i) the pension/family pension already revised in accordance with DoP&PW O.M. dated 4.8.2016 or (ii) the revised pension/family pension as worked out in accordance with para 4 of the DoP&PW OM. dated 12.5.2017, shall be treated as revised pension/family pension w.e.f 1.1.2016. It shall be the responsibilities of the Head of Department and concerned Director of Accounts (Postal) to revise the pension/family pension of pre-2016 pensioners/family pensioners w.e.f 1.1.2016 in accordance with these orders and to issue a revised pension payment authority.

3. As envisaged in the DoP&PW O.M., the Pension sanctioning Authority (PSA) would impress upon the concerned Head of Office for fixation of pay on notional basis at the earliest. The information can be obtained in Proforma A. Based on notional pay so fixed, the revision proposal will be sent by Pension Sanctioning Authority to concerned DA (P) to apply necessary checks and issue revised authority under the existing PPO number. To facilitate fixation of notional pay, DA (P) will provide copy of PPO/pension papers to concerned PSA immediately on requisition. All PSAs will maintain records of processing cases of retirees year-wise in Proforma 8. DA (P) will maintain data of proposal received and authority issued in software as has been done in case of 6th CPC revision of PPOs.

4. Since there will be large number of cases for revision, concerted efforts of all authorities will be required to accomplish the task. It is requested to take immediate action for revision of pension/family pension at the earliest.

This issues with approval of Secretary (Posts).
Yours faithfully,
Encl: As above
(Smriti Sharan)/
Dv. Director General (Estt.)
Source: [Click here to view full O.M]

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Key Achievements and Initiatives of Department of Financial Services for providing Social Security and Credit to various sections of society and ensuring Financial Inclusion


Key Achievements and Initiatives of Department of Financial Services for providing Social Security and Credit to various sections of society and ensuring Financial Inclusion

Through its Major Schemes, Department of Financial Services is ensuring financial inclusion, providing social security to the people as well as providing credit to various sections of the society. The major achievements of various schemes under the Department are highlighted below.

1. Pradhan Mantri Jan Dhan Yojana (PMJDY)
The deposit base of PMJDY accounts has expanded over time. As on 05.04.2017, the deposit balance in PMJDY accounts was Rs. 63,971 crore in 28.23 crore accounts. The average deposit per account has more than doubled from Rs. 1,064 in March 2015 to Rs. 2,235 in March 2017.  22.14 crore RuPay cards have been issued under PMJDY.

The Bank Mitra network has also gained in strength and usage. The average number of transactions per Bank Mitra, on the Aadhaar Enabled Payment System operated by Bank Mitras, has risen by over eightyfold, from 52 transactions in 2014-15 to 4,291 transactions in 2016-17.

PMJDY



2. Pradhan Mantri Jeevan Jyoti Bima Yojana (PMJJBY)

PMJJBY

As on 12th April, 2017, Cumulative Gross enrolment reported by Banks subject to verification of eligibility, etc. is about 3.1 Crore under PMJJBY. A total of 63291 claims were registered under PMJJBY of which 59770 have been disbursed.


3. Pradhan Mantri Suraksha Bima Yojana (PMSBY)
As on 12th April, 2017, Cumulative Gross enrolment reported by Banks subject to verification of eligibility, etc. is about 10 Crore under PMSBY.  A total of 12816 claims were registered under PMSBY of which 9646 have been disbursed.
PMSBY


4. Atal Pension Yojana (APY)
As on 31st March, 2017, a total of 48.54 lakh subscribers have been enrolled under APY with a total pension wealth of Rs. 1,756.48 crore.

5. Pradhan Mantri Mudra Yojana     
Under the scheme a loan of upto Rs. 50000 is given under sub- scheme 'Shishu'; between Rs. 50,000 to 5.0 Lakhs under sub-scheme 'Kishore'; and between 5.0 Lakhs to 10.0 Lakhs under sub-scheme 'Tarun'.
As per latest data, loans extended under the Pradhan Mantri Mudra Yojana (PMMY) during 2016-17 have crossed the target of Rs. 1,80,000 crore for 2016-17. Sanctions currently stand at Rs. 1,80,528 crore. Of this amount, about Rs. 1,23,000 crore was lent by banks while non-banking institutions lent about Rs. 57,000 crore.

Data compiled so far indicates that the number of borrowers this year were about 4 crore, of which over 70% were women borrowers. About 18% of the borrowers were from the Scheduled Caste Category, 4.5% from the Scheduled Tribe Category, while Other Backward Classes accounted for almost 34% of the borrowers.

6. Stand Up India Scheme
The Scheme facilitates bank loans between Rs.10 lakh and Rs.1 crore to at least one Scheduled Caste/ Scheduled Tribe borrower and at least one Woman borrower per bank branch for setting up greenfield enterprises. This enterprise may be in manufacturing, services or the trading sector.

As on 11th April, 2017, Rs 5807.7 crore has been sanctioned in 28444 accounts. Of these, women hold 22708 accounts with sanctioned loan of Rs 4740.11 crore, Scheduled Caste persons hold 4487 accounts with sanctioned amount of Rs 825.17 crore while Scheduled Tribe persons hold 1249 accounts with a sanctioned amount of Rs. 242.43 crore.

Stand Up India Scheme


7. Varishtha Pension Bima Yojana (VPBY)
The revived Varishtha Pension Bima Yojana (VPBY) was formally launched by the Finance Minister on 14.08.2014 based on the budget announcement made during 2014-15 and has been opened during the window stretching from 15th August, 2014 to 14th August, 2015. Thus all those who subscribe to the VPBY during this period will receive an assured guaranteed return of 9% under the policy. As per LIC, a total number of 3,23,128 policies with corpus amount of Rs. 9073.20 crore have been subscribed to the Scheme.

8. Other Initiatives

The Government of India in the Interim Budget of FY 2014-15, announced the setting up of Venture Capital Fund for Scheduled Castesunder the head Social Sector Initiatives in order  to promote entrepreneurship among the Scheduled Castes (SC). The scheme is operational since 16.01.2015 with a present corpus of Rs. 290.01 crore contributed by Ministry of Social Justice and Empowerment, Govt. of India (Rs. 240.01 crore) and IFCI Ltd. as sponsor and investor (Rs. 50 crore).  As of 15.03.2017, IFCI Venture Capital Fund Ltd. has sanctioned and disbursed Rs. 236.66 crore and Rs. 109.68 crore to 65 and 32 beneficiaries, respectively under the scheme since launch of the scheme.

The Credit Enhancement Guarantee Scheme (CEGS) for Scheduled Castes (SCs) was announced by Govt. of India in the Union Budget of 2014-15 wherein a sum of Rs.200 crore was allocated towards credit facility cover for young and energetic start-up entrepreneurs, belonging to SCs, who aspire to be part of neo middle class category with an objective to encourage entrepreneurship in the lower strata of the society resulting in job creation besides creating confidence in SCs.

Banks have undertaken Financial Literacy programmes through 718 Financial Literacy and Credit Counselling Centres (FLCCs). A total of 17,422 skilling centres have been mapped with branches and literacy centres, and financial literacy imparted to 7 lakh students. The literacy materials have been developed in regional languages and disseminated.

Card acceptance infrastructure: To augment card acceptance infrastructure for use of debit cards, a major drive was undertaken between December 2016 and March 2017, resulting in an increase in the number of Point of Sale (PoS) terminals by an additional 12.54 lakh, up from 15.19 lakh as on 30.11.2016. Further, to improve such infrastructure in villages, 2.04 lakh PoS terminals have been sanctioned from the Financial Inclusion Fund by NABARD.

PIB
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Recommendations of 7th CPC on benchmark for the purpose of MACPS: AIRF writes to Railway Board on clarification


Recommendations of 7th CPC on benchmark for the purpose of MACPS: AIRF writes to Railway Board on clarification
A.I.R.F.
All India Railwaymen's Federation
D.O. No.AIRF/MACPS
Dated : 22.05.2017

Sub: Recommendations of 7th CPC on benchmark for the purpose of MACPS - Clarification reg.
Ref.: Railway Board's letter No.PC-V/2016/MACPS/1 dated 19.05.2017

This issue has been discussed with you on several occasions individually as well as jointly, where I mentioned that, the Cabinet Secretary has agreed to us that, the Railways being working under different working conditions, and for operation of the trains, a flow process system is in vogue, that is the reason, in the selections for various posts and categories; benchmarking system had been introduced after VI CPC when DoP&T issued instructions that, financial upgradation under MACPS should be based on "Very Good" benchmark. Even DoP&T agreed that the same benchmark should be used for MACPS which is in vogue for selection in case of the Railway employees.

Now, it is a matter of utter surprise that, on the reference as well as reply from the DoP&T, the Railways had issued instructions for "Very Good" benchmark for financial upgradation under MACPS. This issue is very sensitive and will definitely create lots of agitations because, in the MACPS benchmark of "Very Good" will be considered for consecutive three years. In most of the cases employees will be deprived of from MACPS. Since Railways are working in a flow process system, wherein, instead of individual contribution, joint contribution of the employees has their weightage.

We sincerely hope that, you will kindly intervene in the matter and as has been advised by the Cabinet Secretary, the same benchmark, which is prevalent for selection should be in vogue in case of MACPS also.
With Kind regards!
Yours sincerely,
Sd/-,
(Shiva Gopal Mishra)
General Secretary
Shri A.K.Mittal,
Chairman,
Railway Board,
New Delhi.

Source : AIRF
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ECHS Order: Empanelled Hospital Claims- Ophthalmic procedures


ECHS Order: Empanelled Hospital Claims- Ophthalmic procedures
Empanelled Hospital Claims- Ophthalmic procedures

Central Organisation,ECHS
Adjutant General's Branch
Integrated Headquarters
Ministry Of Defence(army)
Maude Lines
Delhi Cantt - 110010
B/49773/AG/ECHS/Rates/Policy
18th May 2017
UTI-ITSL
15533/1, Above Farico Show Room
1st Floor, Old Madras Road
Halasuru, Bangalore,
Karnataka - 560008

EMPANELLED HOSPITAL CLAIMS : OPHTHALMIC PROCEDURES

1. It has been noted with concern while scrutinizing claims of an Eye Centre that ECHS had been billed more than the hospital rates. It was also observed that for ocular investigations the hospital was billing ECHS at twice the CGHS rates (stating that the CGHS rates are for one eye). It has been clarified the CGHS rates for Ophthalmology investigations are for both eyes unless specified".

2. As per provisions of MoA and para 4(b)(x) of Gol MoD letter NO.24(8)/03/US(WE)/D(Res) dated 19 Dec 2003, the hospital cannot bill ECHS more than the hospital rates. It should be ensured by Regional Centre's that the rate list of the hospital is taken whenever MoA is being renewed. The rate list attached with MoA should not have a rate more than CGHS rate/Hospital rate. wherever the hospital rate is below CGHS rate it should be reflected with an asterisk (*) on the rate list attached with MoA.

3. BPA to check the claims of such hospital (including settled claims) which have not been processed correctly and the excess amount paid post implementation of CGHS 2014 rates if any would be recoered from the pending claims of the hospitals.

4. The RCs are directed to ensure no additional charges/extra charges than CGHS/ECHS or actuals whichever is less to be paid to the hospital. It is also requested RCs to accordingly review the pending claims (i.e not settled claims) of the hospitals not restricted to ophthalmic claims and those with observations be returned to BPA for correct processing.

5. Please ask.
Sd/-
(IVS Gahlot)
Col
Dir (Med)
for MD ECHS
Source: [Document Click here to download]
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