Dated, Thiruvananthapuram, 11th July 2012. Sub:-Medical Reimbursement-Further Instructions-Issued-Regarding

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Kerala Gazette No. 33 dated 14th August 2012.

PART I

GOVERNMENT OF KERALA

Health and Family Welfare (G) Department

CIRCULAR

No. 24623/G2/2012/H&FWD.
Dated, Thiruvananthapuram, 11th July 2012.

Sub:—Medical Reimbursement—Further Instructions—Issued—Regarding.

It has been brought to the notice of Health & Family Welfare Department
that many Administrative Departments in Government Secretariat recommend and
forward proposals for Medical Reimbursement in respect of Government
employees to this Department even though the hospital where treatment was
undergone is a recognized one by the Government and the patient has been
referred by an Authorized Medical Attendant. Such a procedure results in undue
delay in settling the Medical Reimbursement Claims even in deserving cases. In
order to reduce the Administrative delay and to make the procedure much easier
the Administrative Departments in Government Secretariat including Law and
Finance are directed to examine the cases of Medical Reimbursement Claims
properly on the basis of the following before forwarding the files to Health and
Family Welfare Department for concurrence:—

(1) The cases of Medical Reimbursement claims in which treatment is


undergone in Government approved private hospitals can be settled by the AD
themselves as per KGSMA rules, 1960, in consultation with DHS and Finance
Department, as per the ceiling limit fixed in this regard if the patient is referred
by an Authorized Medical Attendant.
2
(2) Only those proposals for which special sanction is required for
reimbursement (ie. for the treatment in unapproved private hospitals with or
without proper reference) need be forwarded to this Department. In such cases
specific recommendation at the level of Secretary is required.

A list of approved hospitals and list of diseases for which Medical


Reimbursement is admissible is appended herewith. Which is available in the
Website of this Department also.

V. V. VINAYAKUMAR,
Special Secretary to Government.

To
All Departments including Law, Finance and Legislature.
All Head of Departments.
Information and Public Relations Department.
3
Government Order by
Sl.
Name of Centre Name of Disease which the centre is
No.
approved by Govt.
(1) (2) (3) (4)

1 Alshifa Hospital, Orthopaedics G. O. (Rt.) No. 2175/03/H&FWD


Perinthalmanna dated 21-7-2003
2 AKG Memorial (1) Cardiology and G. O. (P) No. 126/2007/H&FWD
Co-operative Cardiovascular dated 2-6-2007
Hospital, Kannur Disease
(2) Neuro Medicine
(3) Neuro Surgery
(4) Urology
(5) Paediatric Medicine
and Surgery
(6) Plastic Surgery
(7) Oncology
(8) Obstetrics and
Gynaecology
(9) Orthopaedics
(10) ENT
(11) Dermatology
(12) General Medicine
(13) Ophthalmology
(14) General Surgery
3 Amala Cancer Cancer G. O. (Ms.) No. 195/84/HD
Hospital, Thrissur dated 25-7-1984
4 Amrita Institute of Cardiology and G. O. (P) No. 230/2000/H&FWD
Medical Science Cardio Vascular dated 18-8-2000
and Research Surgery
Centre, Kochi
4
(1) (2) (3) (4)

(1) Gastro Intestinal G. O. (P) No. 263/2002/H&FWD


Diseases and dated 21-10-2002
Surgery (Gastro-
enterology)
(2) Orthopaedic
(3) Renal
Transplantation
and Dialysis
(4) Neurology and
Neuro Surgery
(5) Investigations in
Radio Diagnosis
Department
(Including CT
Scan, MRI, Ultra
Sound etc.)
(6) All types of
Laboratory
Investigations
(7) Urology including
Lithotripsy
(8) Paediatric Cardiology
(9) Nuclear Medicine
Department
Medical Oncology G. O. (P) No. 182/2009/H&FWD
Radiation Oncology dated 19-6-2009
Surgical Oncology

5 August Nursing & Undergoing Treatment G. O. (Rt.) No. 3911/84/HD


Homoeopathic in the Institution dated 12-12-1984
Research Centre, G. O. (Rt.) No. 2929/85/HD
Kalamassery dated 16-9-1985
5
(1) (2) (3) (4)

6 Caritas Hospital, Cancer G. O. (P) No. 524/2011


Kottayam H&FWD dated 24-10-2011
7 Cosmopolitan Hospital, Orthopaedics G. O. (P) No. 45/97/H&FWD
Thiruvananthapuram dated 18-2-1997
8 EMS Memorial (1) Cardiology G. O. (P) No. 126/2007/
Co-operative (2) Neurology H&FWD dated 2-6-2007
Hospital & Research (3) Neuro Surgery
Centre, Perinthalmanna (4) Nephrology
(5) Gastroenterology
(6) Urology
(7) Andrology
(8) Infertility
(9) Paediatric Surgery

Investigation facilities
MRI Scan
CT Scan
Echo Cardiography
TMT
EEG
Nerve Conduction
studies
(1) General G. O. (P) No. 316/2009/
Medicine H&FWD dated 9-9-2009
(2) General
Surgery
(3) Orthopaedics
(4) Gynaecology
and Obstertrics
(5) Paediatrics
(6) ENT
6
(1) (2) (3) (4)

(7) Radiology
(8) Dental and
Maxillofacial
(9) Cardiothorasic and
Vascular Surgery
(10) Interventional
Cardiology
(11) Interventional
Neurology
Investigation facilities

(1) Cardiac Catherization


Laboratory (Cath Lab)
(2) Bronchoscopy
(3) Upper Gastro Intestinal
Endoscopy, Colonoscopy
(4) Pulmonary Function Test
(5) (a) Clinical Laboratory
Investigations
(b) Bio Chemistry
(c) Micro Biology
(d) Histopathology
(e) Clinical Pathology
(f) Immunology
9 Ernakulam Orthopaedics G. O. (P) No. 45/97/
Medical Centre, H&FWD dated 18-2-1997
Ernakulam
10 Indian Institute of Diabetes G. O. (P) No. 169/04/
Diabetes, H&FWD dated 2-8-2004
Thiruvananthapuram
11 Indian Institute of For treatment in G. O. (Ms.) No. 14/96/
Panchakarma, the institution H&FWD dated 11-1-1996
Cheruthuruthy,
Shornur
7
(1) (2) (3) (4)
12 Kerala Co-operative (1) Cardiology G. O. (P) No. 182/05/
Hospital Complex and (2) Cardiothorasic H&FWD dated 13-7-2005
Centre for Advanced Surgery
Medical Services Ltd., (3) Nephrology
Pariyaram, Kannur (4) Orthopaedics
(1) Oncology G. O. (P) No. 113/2011/
(2) Surgery & H&FWD dated 21-2-2011
Paediatrics
13 KPM Hospital, Cardiology G. O. (P) No. 71/2001/
Malappuram H&FWD dated 15-3-2001
14 Komaranchanth Urology & Renal Trasnsplan- G. O. (P) No. 45/97/
Renal Transplantation tation Paediatrics H&FWD dated 18-2-1997
Centre, Ernakulam
15 Lakshmi Hospital, (1) Paediatrics G. O. (P) No. 291/2011/
Aluva (2) Obstetrics and H&FWD dated 30-4-2011
Gynaecology
16 Lakshmi Hospital, (1) Paediatrics
Ernakulam (2) Cardiology
(3) Neo-Natology G. O. (P) No. 136/02/
(4) Paediatric H&FWD dated 15-6-2002
Surgery
17 Lakshmi Hospital, (1) Paediatrics G. O. (P) No. 291/2011/
Perumpavoor (2) Obstetrics and H&FWD dated 30-4-2011
Gynaecology
(3) General Medicine
18 Lakshmi Hospital, Obstetrics and G. O. (P) No. 291/2011/
Thrippunithura Gynaecology H&FWD dated 30-4-2011
19 Lakshmi Hospital, (1) General G. O. (P) No. 291/2011/
Udyogamandal, Medicine H&FWD dated 30-4-2011
Ernakulam (2) Paediatrics
8
(1) (2) (3) (4)

20 Lisie Hospital, (1) Cardiology G. O. (P) No. 291/2011/


Ernakulam (2) Cardiothorasic H&FWD dated 30-4-2011
Surgery
(3) Neuro Surgery
(4) Orthopaedics
(5) Nephrology
(6) Urology
21 Malabar Cancer Centre Cancer Treatment G. O. (P) No. 251/2002/
Society, Kannur H&FWD dated 1-10-2002
22 Matha Hospital, Orthopaedics G. O. (P) No. 45/97/
Thrissur H&FWD dated 18-2-1997
23 Medical Trust Hospital, Cardiology and G. O. (P) No. 340/97/
Kochi Cardiovascular H&FWD dated 9-12-1997
Surgery
Orthopaedics
Paediatrics Renal G. O. (P) No. 45/97/
Transplantation for H&FWD dated 18-2-1997
Renal Diseases
24 Moulana Hospital, Cardiology G. O. (P) No. 71/2001/
Perinthalmanna H&FWD dated 15-3-2001
25 Msgr. Joseph Kandathil Cancer G. O. (P) No. 558/2010/
Memorial Cancer Research H&FWD dated 21-8-2010
Centre, Cherthala
26 National Hospital, Renal G. O. (P) No. 71/2001/
Kozhikode Transplantation H&FWD dated 15-3-2001
for Renal Diseases
27 N.S. Memorial Institute Orthopaedics G. O. (P) No. 94/2011/
of Medical Science, H&FWD dated 14-2-2011
Palathara, Kollam
9
(1) (2) (3) (4)

28 N.S.S. Medical Mission Only for the patients G. O. (Ms.) No. 257/86/
Hospital, Pandalam referred by Authorized H&FWD dated 22-12-1986
Medical Attendent for
better Treatment
29 Panchakarma Hospital For treatment G. O. (P) No. 20/2007/
and Research Institute in the Institution H&FWD dated 6-1-2007
of Oushadhi at
Thiruvananthapuram
and Thrissur
30 P.R.S. Hospital (1) Cardiology and G. O. (P) No. 71/2001/
Killippalam, Cardiovascular H&FWD dated 15-3-2001
Thiruvananthapuram Surgery
(2) Orthopaedics
(3) Urology
31 Doctors Diagnostics & For Clinical Tests not G. O. (Ms.) No. 482/99/
Research Centre, available in Government H&FWD dated 16-12-1999
Thiruvananthapuram/ sector, at fixed rate as
Kottayam/Ernakulam per Government Order
32 Recognition of Devi For Clinical tests not G. O. (Ms.) No. 70/2001/
Scans Private Ltd., available in Government H&FWD dated 14-3-2001
Thiruvananthapuram sector, at fixed rate as
per Government Order
33 Samaritan Hospital, Complicated Heart G. O. (Ms.) No. 122/1985/
Aluva Surgery HD dated 3-7-1985
34 Specialist Hospital, (1) Urology G. O. (P) No. 71/2001/
Ernakulam (2) Orthopaedics H&FWD dated 15-3-2001
(3) Plastic
Reconstructive
Surgery
35 SP Fort Hospital, (1) Orthopaedics G. O. (P) No. 71/2001/
Thiruvananthapuram (2) Thorasic Surgery H&FWD dated 15-3-2001

G. 56/2012/DTP.
10
(1) (2) (3) (4)
37 SUT Hospital, Cardiology and G. O. (P) No. 340/97/
Thiruvananthapuram Cardiovascular Surgery H&FWD dated 1997
Orthopaedics G. O. (P) No. 45/97/
(Fat embolisam cases H&FWD dated 18-2-1997
requiring Ventilatory
Support) Joint
Replacement Surgery
for Knee and Hip
38 Tellicherry Co-operative (1) Cardiology and G. O. (P) No. 126/2007/
Hospital, Kannur Cardiovascular H&FWD dated 2-6-2007
Disease
(2) Neuro Medicine
(3) Neuro Surgery
(4) Urology
(5) Paediatric Medicines
and Surgery
(6) Plastic Surgery
(7) Oncology
(8) Obstetrics and
Gynaecology
(9) Orthopaedics
(10) ENT
(11) Dermatology
(12) General Medicine
(13) Ophthalmology
(14) General Surgery
Endocrinology G. O. (P) No. 316/2009/
H&FWD dated 9-9-2009

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