ap go ms no 184
andhra pradesh state government has released go ms no 184 for implement health cards to state governament employees. for more information regarding go
click the link below
http://goir.ap.gov.in/Reports.aspx
GOVERNMENT OF ANDHRA PRADESH
ABSTRACT
Health Medical and Family Welfare – Aarogyasri Health Care Trust – Implementation of
‘Employees Health Care Fund Scheme (EHF) – Orders – Issued.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
HEALTH, MEDICAL AND FAMILY WELFARE (M2) DEPARTMENT
G.O.Ms.No.184, Dated: 14-08-2012.
Read the following:-
1.G.O.Rt.No.1049 HM&FW (M2) Dept., dated: 31-05-2011.
2.G.O.Ms.No.329 HM&FW (M2) Dept dated 10-11-2011.
3.From the Chief Executive Officer, Aarogyasri Health Care Trust
Letter No.EHF/254/2012, dated 05-06-2012.
<<0>>
ORDER:
The Government, have decided to provide comprehensive health care to all
Government Employees, Pensioners, and their family members, on cashless basis,
through an appropriate scheme in lieu of the present medical reimbursement system
under ‘The Andhra Pradesh Integrated medical Attendance Rules, 1972 (APIMA Rules,
1972)’.
2. After holding a series of meetings with the Joint Action Committee of Employees,
Pensioners Associations and A.P. Secretariat Employees’ Co-ordination Committee
representatives, and based on the inputs received during these meetings, Government
issued orders in the G.O. 1st read above constituting a Technical Committee headed by
Commissioner, Health & Family Welfare and Chief Executive Officer, Aarogyasri Health
Care Trust (CEO-AHCT) as its Member-Convenor to analyse all aspects of the scheme
and make comprehensive recommendations for its effective implementation. In
acceptance of the recommendations of the Technical Committee, orders were issued in
the G.O. 2nd read above, constituting a State Level Committee (SLC) headed by Special
Chief Secretary to Govt., HM&FW Dept., with eight (8) more official members, including
CEO-AHCT as member-Convenor and the representatives of Services Associations, to
examine the recommendations of the Technical Committee, and to offer
recommendations on all the modalities to be adopted finally for launching of the
Scheme.
3. The State Level Committee met on 22-11-2011, 19-01-2012 and on17-02-2012,
and based on the decisions taken in the meetings, the CEO-AHCT submitted a ‘draft
Scheme’ to Government vide his letter 3rd read above.
4. The salient features of the Scheme based on the earlier decisions were
discussed with the representatives of the various Services Associations on 03-08-2012
in the meeting convened by the Principal Secretary to Government, Health, Medical and
Family Welfare Department and a consensus has been arrived at on the salient features
of the Employees Health Care Fund Scheme (EHF) and on the ‘Operational guidelines
relating to the issue of Identity Cards to all the beneficiaries under the Scheme’.
5. Government, after careful examination of the matter, have decided to approve
the ‘Employees Health Care Fund Scheme (EHF)’ and hereby issue the following
orders for implementation of EHF.
i) AHCT will be the implementing agency as a service provider for the Scheme,
initially for a period of two (2) years.
ii) The salient features of the Scheme are given in the annexure to this
Government Order.
iii) A Steering Committee headed by the Chief Secretary will monitor the Scheme
and review its implementation from time to time. Principal Secretary-Finance,
Secretary(Services) GAD, Principal Secretary-Medical and Health,
Commissioner Family Welfare, Director of Medical Education, Director of Health
and Family Welfare, Commissioner of APVVP, Director of Treasuries and
Accounts, Pay and Accounts Officer, and representatives of employees and
pensioners associations as identified by GAD Services Department will be
members, and Chief Executive Officer-AHCT the member-convenor for this
committee.
/p.t.o./
/2/
iv) Government Order on the Operational guidelines for concerned officers under the
control of Director of Treasuries and Accounts (DTA), Pay and Accounts Officer
(PAO), Secretary to Government-Information Technology and Communication
department (Secretary IT&C), Commissioner Civil Supplies and Ex-Officio
Secretary to Government (Civil Supplies and Consumer Affairs), District Collectors
and Heads of Departments (HoD) for enrolment of beneficiaries, and operation of
the Scheme by the Chief Executive Officer, Aarogyasri Health Care Trust will be
issued separately.
v) The EHF will be jointly funded through monthly premium contribution by the State
Government employees including the State Government pensioners to the extent
of 40 percent, and Government to the extent of 60 percent. The CEO-AHCT will
separately furnish the detailed estimates based on the fund forecast for this year.
vi) AHCT will ensure maximum coverage of employees and pensioners through the
District Collectors and the HoDs concerned, so that EHF can be launched on
1st November 2012 for implementation of the Scheme in the entire State.
6. The Chief Executive Officer Aarogyasri Health Care Trust, Director of Treasuries
and Accounts, Pay and Account Officer, District Collectors, Secretary IT&C,
Commissioner Civil Supplies, and all Heads of Departments shall take necessary further
action in the matter accordingly.
7. This order issues with the concurrence of Finance (Expr. M&H.1) Department
vide their U.O. No.7581/260/A1/Expr.M&H-1/2012, dated: 14-08-2012.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)
MINNIE MATHEW,
CHIEF SECRETARY TO GOVERNMENT.
To
The Chief Executive Officer, Aarogyasri Health Care Trust, Hyderabad.
The Secretary, I.T. & C.
The Commissioner of Civil Supplies. A.P., Hyderabad.
The Director of Treasuries and Accounts, A.P. Hyderabad.
The Pay & Accounts Officer, Hyderabad.
All the District Collectors
All heads of Departments.
Copy to:
All the Secretaries /Prl. Secretaries / Spl. Chief Secretaries to Govt. in Secretariat.
All the employees and pensioners associations through GA (Services) Dept.
Accountant General (A&E), AP., Hyderabad.
Finance (Expr.M&H-1) Dept.
All concerned.
S.F. / S.Cs.
//forwarded :: by order//
SECTION OFFICER.
Contd. for Annexure…
/3/
ANNEXURE to the G.O.Ms.No.184, HM&FW(M2) Dept. Dated: 14-08-2012
SALIENT FEATURES OF EMPLOYEES HEALTH CARE FUND SCHEME (EHF)
1) Employees Health Care Fund Scheme is intended to provide cashless treatment
to all the State Government employees including the State Government
pensioners, along with their dependent family members through a network of
empanelled hospitals of Aarogyasri Health Care Trust, in lieu of the present
medical reimbursement system under ‘The Andhra Pradesh Integrated medical
Attendance Rules, 1972 (APIMA Rules, 1972)’.
2) Enrolment and Contribution are Compulsory. In cases where both the spouses
are eligible employees/service pensioners, then enrolment and contribution by
both is compulsory, and there shall be no duplication of dependent family
members at the time of enrolment.
3) The scheme will provide treatment in Network Hospitals for all the listed
therapies.
4) All diseases, including pre-existing diseases, will be covered from day one. The
period from date of reporting to hospital up to 10 days from the date of discharge
from the hospital shall be treated as part of the package, besides follow-up
packages.
5) The sum insured is Rs.3.00 lakhs per family per annum on floater basis. Orders
in respect of the monthly premium contribution will be issued separately. The
ward entitlement will be as per the existing APIMA Rules, 1972.
6) The following will constitute the family.
(i) Parents (either adoptive or biological, but not both);
(ii) One legally wedded wife and her dependent parents in case of a male
employee/ service pensioner;
(iii) Husband and his dependent parents in case of a female employee/ service
pensioner; and
(iv) Wholly dependent legitimate children (including step children and adopted
children).
7) Dependency will have the following meaning.
i) In case of parents, those who are dependent on the employee for their
livelihood;
ii) In case of unemployed daughters, those who are unmarried or widowed or
divorced or deserted; and
iii) In case of unemployed sons, those who are below the age of 25 years or
disabled with a disability which renders them unfit for employment.
8) The categories of beneficiaries covered under EHF will cease to be covered
under the APIMA rules upon commencement of EHF.
Contd..4.
/4/
9) The categories of beneficiaries covered under EHF at present is given in table
below.
BENEFICIARY CATEGORIES
Sl.
No.
Name of Category of beneficiaries covered under EHF at present
I. SERVING
1 All regular State Government Employees.
2 Provincialised Employees of local bodies
II. RETIRED
1 All service pensioners
2 Family pensioners without dependents
3 Re-employed service pensioners
III. EXCLUDED BENEFICIARIES
1 Those who are covered for the listed therapies under other Insurance
Schemes such as CGHS, ESIS, Railways, RTC, Arogyabhadratha of Police
Department
2 Law Officers (Advocates General, State Prosecutors, State Counsels,
Government Pleaders and Public Prosecutors)
3 Dependents of Family Pensioners
4 Casual and daily paid workers
5 Biological parents if adopted parents exist
6 All independent children
7 All AIS officers and pensioners who opt for CGHS
Note: Orders regarding those categories not covered here but listed under
APIMA rules will be issued separately.
MINNIE MATHEW,
CHIEF SECRETARY TO GOVERNMENT.
//forwarded :: by order//
SECTION OFFICER.
andhra pradesh state government has released go ms no 184 for implement health cards to state governament employees. for more information regarding go
click the link below
http://goir.ap.gov.in/Reports.aspx
GOVERNMENT OF ANDHRA PRADESH
ABSTRACT
Health Medical and Family Welfare – Aarogyasri Health Care Trust – Implementation of
‘Employees Health Care Fund Scheme (EHF) – Orders – Issued.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
HEALTH, MEDICAL AND FAMILY WELFARE (M2) DEPARTMENT
G.O.Ms.No.184, Dated: 14-08-2012.
Read the following:-
1.G.O.Rt.No.1049 HM&FW (M2) Dept., dated: 31-05-2011.
2.G.O.Ms.No.329 HM&FW (M2) Dept dated 10-11-2011.
3.From the Chief Executive Officer, Aarogyasri Health Care Trust
Letter No.EHF/254/2012, dated 05-06-2012.
<<0>>
ORDER:
The Government, have decided to provide comprehensive health care to all
Government Employees, Pensioners, and their family members, on cashless basis,
through an appropriate scheme in lieu of the present medical reimbursement system
under ‘The Andhra Pradesh Integrated medical Attendance Rules, 1972 (APIMA Rules,
1972)’.
2. After holding a series of meetings with the Joint Action Committee of Employees,
Pensioners Associations and A.P. Secretariat Employees’ Co-ordination Committee
representatives, and based on the inputs received during these meetings, Government
issued orders in the G.O. 1st read above constituting a Technical Committee headed by
Commissioner, Health & Family Welfare and Chief Executive Officer, Aarogyasri Health
Care Trust (CEO-AHCT) as its Member-Convenor to analyse all aspects of the scheme
and make comprehensive recommendations for its effective implementation. In
acceptance of the recommendations of the Technical Committee, orders were issued in
the G.O. 2nd read above, constituting a State Level Committee (SLC) headed by Special
Chief Secretary to Govt., HM&FW Dept., with eight (8) more official members, including
CEO-AHCT as member-Convenor and the representatives of Services Associations, to
examine the recommendations of the Technical Committee, and to offer
recommendations on all the modalities to be adopted finally for launching of the
Scheme.
3. The State Level Committee met on 22-11-2011, 19-01-2012 and on17-02-2012,
and based on the decisions taken in the meetings, the CEO-AHCT submitted a ‘draft
Scheme’ to Government vide his letter 3rd read above.
4. The salient features of the Scheme based on the earlier decisions were
discussed with the representatives of the various Services Associations on 03-08-2012
in the meeting convened by the Principal Secretary to Government, Health, Medical and
Family Welfare Department and a consensus has been arrived at on the salient features
of the Employees Health Care Fund Scheme (EHF) and on the ‘Operational guidelines
relating to the issue of Identity Cards to all the beneficiaries under the Scheme’.
5. Government, after careful examination of the matter, have decided to approve
the ‘Employees Health Care Fund Scheme (EHF)’ and hereby issue the following
orders for implementation of EHF.
i) AHCT will be the implementing agency as a service provider for the Scheme,
initially for a period of two (2) years.
ii) The salient features of the Scheme are given in the annexure to this
Government Order.
iii) A Steering Committee headed by the Chief Secretary will monitor the Scheme
and review its implementation from time to time. Principal Secretary-Finance,
Secretary(Services) GAD, Principal Secretary-Medical and Health,
Commissioner Family Welfare, Director of Medical Education, Director of Health
and Family Welfare, Commissioner of APVVP, Director of Treasuries and
Accounts, Pay and Accounts Officer, and representatives of employees and
pensioners associations as identified by GAD Services Department will be
members, and Chief Executive Officer-AHCT the member-convenor for this
committee.
/p.t.o./
/2/
iv) Government Order on the Operational guidelines for concerned officers under the
control of Director of Treasuries and Accounts (DTA), Pay and Accounts Officer
(PAO), Secretary to Government-Information Technology and Communication
department (Secretary IT&C), Commissioner Civil Supplies and Ex-Officio
Secretary to Government (Civil Supplies and Consumer Affairs), District Collectors
and Heads of Departments (HoD) for enrolment of beneficiaries, and operation of
the Scheme by the Chief Executive Officer, Aarogyasri Health Care Trust will be
issued separately.
v) The EHF will be jointly funded through monthly premium contribution by the State
Government employees including the State Government pensioners to the extent
of 40 percent, and Government to the extent of 60 percent. The CEO-AHCT will
separately furnish the detailed estimates based on the fund forecast for this year.
vi) AHCT will ensure maximum coverage of employees and pensioners through the
District Collectors and the HoDs concerned, so that EHF can be launched on
1st November 2012 for implementation of the Scheme in the entire State.
6. The Chief Executive Officer Aarogyasri Health Care Trust, Director of Treasuries
and Accounts, Pay and Account Officer, District Collectors, Secretary IT&C,
Commissioner Civil Supplies, and all Heads of Departments shall take necessary further
action in the matter accordingly.
7. This order issues with the concurrence of Finance (Expr. M&H.1) Department
vide their U.O. No.7581/260/A1/Expr.M&H-1/2012, dated: 14-08-2012.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)
MINNIE MATHEW,
CHIEF SECRETARY TO GOVERNMENT.
To
The Chief Executive Officer, Aarogyasri Health Care Trust, Hyderabad.
The Secretary, I.T. & C.
The Commissioner of Civil Supplies. A.P., Hyderabad.
The Director of Treasuries and Accounts, A.P. Hyderabad.
The Pay & Accounts Officer, Hyderabad.
All the District Collectors
All heads of Departments.
Copy to:
All the Secretaries /Prl. Secretaries / Spl. Chief Secretaries to Govt. in Secretariat.
All the employees and pensioners associations through GA (Services) Dept.
Accountant General (A&E), AP., Hyderabad.
Finance (Expr.M&H-1) Dept.
All concerned.
S.F. / S.Cs.
//forwarded :: by order//
SECTION OFFICER.
Contd. for Annexure…
/3/
ANNEXURE to the G.O.Ms.No.184, HM&FW(M2) Dept. Dated: 14-08-2012
SALIENT FEATURES OF EMPLOYEES HEALTH CARE FUND SCHEME (EHF)
1) Employees Health Care Fund Scheme is intended to provide cashless treatment
to all the State Government employees including the State Government
pensioners, along with their dependent family members through a network of
empanelled hospitals of Aarogyasri Health Care Trust, in lieu of the present
medical reimbursement system under ‘The Andhra Pradesh Integrated medical
Attendance Rules, 1972 (APIMA Rules, 1972)’.
2) Enrolment and Contribution are Compulsory. In cases where both the spouses
are eligible employees/service pensioners, then enrolment and contribution by
both is compulsory, and there shall be no duplication of dependent family
members at the time of enrolment.
3) The scheme will provide treatment in Network Hospitals for all the listed
therapies.
4) All diseases, including pre-existing diseases, will be covered from day one. The
period from date of reporting to hospital up to 10 days from the date of discharge
from the hospital shall be treated as part of the package, besides follow-up
packages.
5) The sum insured is Rs.3.00 lakhs per family per annum on floater basis. Orders
in respect of the monthly premium contribution will be issued separately. The
ward entitlement will be as per the existing APIMA Rules, 1972.
6) The following will constitute the family.
(i) Parents (either adoptive or biological, but not both);
(ii) One legally wedded wife and her dependent parents in case of a male
employee/ service pensioner;
(iii) Husband and his dependent parents in case of a female employee/ service
pensioner; and
(iv) Wholly dependent legitimate children (including step children and adopted
children).
7) Dependency will have the following meaning.
i) In case of parents, those who are dependent on the employee for their
livelihood;
ii) In case of unemployed daughters, those who are unmarried or widowed or
divorced or deserted; and
iii) In case of unemployed sons, those who are below the age of 25 years or
disabled with a disability which renders them unfit for employment.
8) The categories of beneficiaries covered under EHF will cease to be covered
under the APIMA rules upon commencement of EHF.
Contd..4.
/4/
9) The categories of beneficiaries covered under EHF at present is given in table
below.
BENEFICIARY CATEGORIES
Sl.
No.
Name of Category of beneficiaries covered under EHF at present
I. SERVING
1 All regular State Government Employees.
2 Provincialised Employees of local bodies
II. RETIRED
1 All service pensioners
2 Family pensioners without dependents
3 Re-employed service pensioners
III. EXCLUDED BENEFICIARIES
1 Those who are covered for the listed therapies under other Insurance
Schemes such as CGHS, ESIS, Railways, RTC, Arogyabhadratha of Police
Department
2 Law Officers (Advocates General, State Prosecutors, State Counsels,
Government Pleaders and Public Prosecutors)
3 Dependents of Family Pensioners
4 Casual and daily paid workers
5 Biological parents if adopted parents exist
6 All independent children
7 All AIS officers and pensioners who opt for CGHS
Note: Orders regarding those categories not covered here but listed under
APIMA rules will be issued separately.
MINNIE MATHEW,
CHIEF SECRETARY TO GOVERNMENT.
//forwarded :: by order//
SECTION OFFICER.