GOVERNMENT OF ANDHRA PRADESH
                                        ABSTRACT
 
     Medical  Attendance to State Government employees at Sri  Venkateswara 
     Institute   Medical   Sciences,   Tirupathi   with   eligibility   for 
     reimbursement/medical advance -Orders - Issued.


 

               HEALTH MEDICAL AND FAMILY WELFARE (K l) DEPARTMENT
 
     G.O.Ms.No. 544                                       Dated: 9-11-1993
                                                       Read the following: -
     1. G.O.Ms.No. 445, HM&FW dated 19-7-1991.
     2. G.O.Ms.No. 184, HM&FW dated 2-4-1992.
     3. G.O.Ms.No. 86, Fin&Plg (FW) dept, dt. 1-6-92.
 
     4. From   the  President,  A.P.  Non-Gazetted  Officers   Association, 
        Hyderabad letter dated 31-8-1993.
 
ORDER:
 
     The  medical  attendance  to  State  Government  employees  and  their 
     dependent  family  members  is governed by  the  provision  of  Andhra 
     Pradesh  Medical  Attendance Rules, 1972. As  an  Additional  facility 
     orders  were issued in the Government Order first read above  allowing 
     them  to  obtain treatment at Nizam's Institute of  Medical  Sciences, 
     Hyderabad   directly  without  reference  in  the  following   medical 
     situations  with  eligibility  for  reimbursement  of  the  admissible 
     expenditure  therefor  or for advance with reference to  the  estimate 
     furnished by the Nizam's Institute of Medical Sciences, subject to the 
     monetary, ceiling fixed by the Government from time to time.
 
     a)    Acute Mycardial Infraction (Cardiology Department)
     b)    Acute renal failure (Nephrology Department)
     c)    Severe cases of Head and spinal injury (Neuro - Surgery Dept.,)
     d)    Cases of Coma (Neurology Department).
 
     In all other cases also the facility of treatment for them at  Nizam's 
     Institute  of Medical Sciences, with eligibility for reimbursement  or 
     advance is made available subject to reference to that Institute by  a 
     Specialist/Head  of the Department of a teaching hospital and  subject 
     to  the  monetary ceiling as mentioned above. Orders  have  also  been 
     issued  in the Government order third read above delegating powers  to 
     the  Heads  of  Departments for the sanction of  advances  within  the 
     monetary  ceiling  for the treatment at Nizam's Institute  of  Medical 
     Sciences as indicated above.
 
2.    In  quite  a  number of cases the employees  working  in  the  border 
     districts of Nellore, Chittor and Cuddapah are obtaining treatment  in 
     neighbouring  states  and coming up with requests  for  reimbursement. 
     Each  of  these cases are being examined on merits and such  of  those 
     cases,  where  the  required  treatment  is  not  available  in  State 
     Government  Hospitals within the area of the State, a liberal view  is 
     being  taken and such claims are-being allowed in relaxation of  rules 
     on  compassionate grounds in view of the distance involved  in  coming 
     State capital.
3.   Now the Super Speciality Hospital, viz., Sri Venkateswara Institute of 
     Medical   Sciences,   Tirupathi,  financed   by   Tirumala   Tirupathi 
     Devasthanam, has commenced functioning at Tirupathi as a Society  with 
     the following specialities:
 
               1.    Cardiology
               2.    Cardio Thoracic Surgery
               3.    Neurology
               4.    Urology.
               5.    Nephrology
               6.    Endocronology.
 
     The President, Andhra Pradesh Non-Gazetted Officers Association in his 
     representation   fourth  read  above  has  requested   for   according 
     permission  for treatment at this Institution as at Nizam's  Institute 
     of Medical Sciences, Hyderabad.
 
4.   Government have reviewed the matter including the policy as  mentioned 
     in  para 2 above and here by extend the facility of treatment  at  Sri 
     Venkateswara Institute of Medical Sciences, Tirupathi to all those who 
     are  eligible for medical attendance, under Andhra Pradesh  Integrated 
     Medical Attendance Rules, 1972 on the same lines as applicable for the 
     treatment   at  Nizam's  Institute  of  Medical  Sciences,   Hyderabad 
     including the elegibility for advance. Simultaneously Government  have 
     also  decided  not to allow relaxation of Andhra  Pradesh,  Integrated 
     Medical Attendance Rules 1972/Orders in the case of the type mentioned 
     in para 2 above with immediate effect.
 
5.   These  orders will have prospective effect from the date of  issue  of 
     this orders.
 
          (BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRAPRADESH)
 
                                                       K. SWAMINATHAN 
                                        Principal Secretary to Government