Pension – Medical Aid – New Health Insurance Scheme for
Pensioners (including spouse) / Family Pensioners – Implementation of
the Scheme- Orders – Issued
GOVERNMENT OF TAMILNADU
2013
FINANCE (PENSION) DEPARTMENT
G.O.No.462, Dated: 27th December, 2013
(Vijaya, Margazhi-12, Thiruvalluvar Aandu-2044)
Pension
– Medical Aid – New Health Insurance Scheme for Pensioners (including
spouse) / Family Pensioners – Implementation of the Scheme- Orders –
Issued.
Read the following:-
1. G.O.Ms.No.562, Finance (Pension) Department, dated: 11.07.1995.
2. G.O.Ms.No.378, Finance (Pension) Department, dated: 13.10.2005.
3. G.O.Ms.No.128, Finance (Pension) Department, dated: 12.04.2007.
4. G.O.Ms.No.50, Finance (Pension) Department, dated: 19.02.2008.
5. G.O.Ms.No.423, Finance (Pension) Department, dated: 25.11.2010.
6. G.O.Ms.No.188, Finance (Pension) Department, dated: 9.05.2008.
7. G.O.Ms.No.7, Finance (Pension) Department, dated: 6.1.2012.
8. G.O.Ms.No.474, Finance (Pension) Department, dated: 30.09.2009.
9. G.O.Ms.No.475, Finance (Pension) Department, dated: 30.09.2009.
ORDER:-
In
the Government Order first read above, the Government have constituted a
fund called Tamil Nadu Government Pensioners Health Fund with effect
from 1.7.1995 to provide financial assistance to pensioners for
undergoing specialized treatment/ surgery when they are affected by
major ailments and the maximum limit entitled for the pensioner is
Rs.1.00 lakh or 75% of the actual cost of the treatment whichever is
less. Subsequently, the above concession was extended to the spouse of
the Pensioner with effect from 17.2.2009.
2. In the Budget Speech
2013-2014, the Hon’ble Minister for Finance has announced in the floor
of the House to launch a separate Health Insurance Scheme in line with
the Government Servants Health Insurance Scheme to reduce the burden of
the health related expenses of the pensioners.
3. The Government
after careful examination has decided to launch the New Health Insurance
Scheme for the Pensioners (including spouse) / Family Pensioners.
Accordingly, the Government direct that New Health Insurance Scheme for
the Pensioners (including spouse) / Family Pensioners shall be
formulated on the following basis:-
i) the New Health Insurance
Scheme shall operate on a CASHLESS basis and it shall be made compulsory
to all the Pensioners (including spouse) / Family Pensioners.
ii)
the quantum of assistance shall be fixed as Rs.2.00 lakh for both
Pensioners (including spouse) and Family Pensioners for a block period
of four years from the date of the launch of the scheme.
iii) if
the spouse of the pensioners is also a pensioner, the recovery of
subscription shall be effected from one person only, based on the option
exercised by them.
iv) the New Health Insurance Scheme shall be
implemented by the Insurance provider finalised from among the Public
Sector Insurance provider by following due tender procedure.
v)
the New Health Insurance Scheme shall be implemented through the
Commissioner of Treasuries and Accounts as is being done in the case of
New Health Insurance Scheme for the Government Employees.
vi) the
amount of the Pensioners contribution to the scheme will be decided
after the selection of the Insurance Company and finalisation of the
costs.
4. Further modalities / terms and conditions for the New
Health Insurance Scheme for the Pensioners (including spouse) / Family
pensioners will be issued separately.
(BY ORDER OF THE GOVERNOR)
K. SHANMUGAM,
PRINCIPAL SECRETARY TO GOVERNMENT.
Source:
http://www.tn.gov.in/go_view/dept/9
