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1
Brief Guidelines of Medical Expenses Reimbursement Scheme of the Institute
The scheme obtaining at the Institute is similar to the Central Government Health Scheme
(CGHS) and its implementation at the Institute has been mostly in accordance with the
relevant guidelines issued from time to time covering the employees of the Central
Government.
Booklets detailing CGHS are available at the Clinic, Library and in all the group offices. Latest
booklets of these are being procured to replace these. The following guidelines relating to
reimbursement claims will be followed by the Institute effective June 1, 2012, until a
computerized system, which is being explored, is implemented.
1. The minimum claim per each reimbursement shall be least of Rs.1000/-, or medical
expenses incurred over a period of six months. It is mandatory to add a list of all the
medicines purchased for which bills are handwritten, in legible form, in the claim form.
This is not required if the bills for medicines are computer-generated. A single claim
form is enough for all the family members. Provide the names and other relevant
details are listed in the same form, or in an attached sheet.
2. The administration has been hitherto, on requests, condoning the delays in submitting
their claims. From now onwards, this discretionary decision will be exercised only in
rare exceptions. In case of delays beyond six months as indicated above, per every
month delay an amount equivalent to 5% of the reimbursable amount will be deducted
up to maximum of six months delay. No bills will be entertained which are more than
12 months.
3. Claims will generally be processed in about two-four weeks’ time. The claims ready
for disbursement will be notified on the notice board in the Clinic along with the time
and date for payment as well as on the website.
4. Reimbursements up to Rs.1,000/- will be made in cash. For reimbursements exceeding
Rs.1,000/-, reimbursement will be made by Account Payee Crossed cheque.
5. If any employee is aggrieved with any claimed expenses being disallowed, they may,
after verifying with the details listed in the CGHS booklets made available as above,
submit a note detailing the ground for their disagreement with the decision of the
administration. The administration on receipt such a note, will review its decision. Upon
such review if its earlier disallowance is reconfirmed, it will provide a note about it. On
receipt of such a reconfirmation from the Administration, if the concerned employee is
still aggrieved, such an employee may approach the following authority directly as some
of the employees are already doing so.
The Additional Director
CGHS, III Florr, E-Wing
Kendriya Sadan
Koramangala
Bangalore – 560 034.
2
Pattern of Reimbursement:
1 For Non-RRI Clinic Consultation:
General Physician
Upto Rs.100 per consultation
2 Specialist Consultation on written
referral to specialist
Rs. 100 to Rs.200 per consultation
3 Dental:
Extraction of Tooth including LA Rs. 100
Complicated Ext. per Tooth including LA Rs. 250
Flap Operation per Tooth Rs. 350
Gingivectomy per Tooth Rs. 200
Cyst under LA (Small) Rs. 250
Cyst under LA (Large) Rs. 450
Aposcectomy including LA Rs. 300
Implacated Molar including LA -
Fracture Wiring including LA Rs. 400
Intra Oral X-ray Rs. 50
Root Canal per Tooth Rs. 800
4. Medicines : As per CGHS norms - A book containing details of admissible medicines is
available at Library and Clinic.
5. X-rays, diagnostic tests, etc,: These services may be availed at any one of the
labs/hospitals listed in the attached file, who are recognized by CGHS. When you
approach them, please do mention that you are covered under a medical
reimbursement scheme of the Institute, and they normally charge for their
services at CGHS rates. If there are no such recognized hospitals/labs close to your
residence, please do let the Institute know about other places which are closer to you.
6. Annual Health Check-ups for Group A employees (self only) of the Institute who are
above 40 years of age, i.e. any employee whose is Pay Band 3 with grade pay of
Rs.5,400/- and above. The reimbursement will be on a financial year basis, and it is
limited to lease of the following rates or actuals incurred. This facility will be effective
from this year financial year (2012-13)
(i) Annual Medical Examination of the Men Officers - Rs. 2,000/-
(ii) Annual Medical Examination of the Women officers- Rs. 2,200/-
3
In-Patient treatment:
The reimbursement will be as per the norms laid down under CGHS.
This facility may be availed at any of the hospitals approved by CGHS, whose list is also given
in the enclosure. The Institute will, on request, provide authorization letters to these
hospitals to provide the required treatment and to send their bills directly to it for
payment. (Many of these hospitals have also offered out-patient treatment as well as
diagnostic facilities. Payment for these services will have to be made directly by the
employees.)
Employees may at their choice also get treatment at other hospitals (non-CGHS). For this,
the Institute has empaneled such hospitals which are also included in the attached list. It may
specifically be noted that these hospitals do not provide treatment at CGHS rates, and have
offered their services at credit, on formal referral by the Institute, and offer some
concessions as per their corporate policies.
If treatment at hospitals other than those approved by CGHS and/or empaneled one is
availed, please do ensure that they are approved by the Commissioner of Income Tax. If they
are not, reimbursement for such treatment availed will be subject to income tax as laid
down by the Income Tax Act, 1961.
4
5
6
7
RA
MA
N R
ES
ER
CH
IN
ST
ITU
TE
B
an
ga
lore
Inst
itu
te e
mp
an
ell
ed
Pri
va
te H
osp
ita
ls /
Dia
gn
ost
ic C
en
ters
H
osp
ita
ls :
In
ad
dit
ion
to
CG
HS
ho
spit
al
list
ed
in
An
ne
xure
–1
, th
e f
ollo
win
g h
osp
ita
ls /
dia
gn
ost
ic c
en
ters
ha
ve
be
en
en
list
ed
by t
he
In
stit
ute
. H
ow
eve
r, h
osp
ita
ls m
ark
ed
wit
h *
are
alr
ea
dy r
eco
rde
d i
n C
GH
S l
ist
of
ho
spit
als
/ d
iag
no
stic
ce
nte
rs.
Ho
spit
als
/ D
iag
no
stic
ce
nte
rs m
ark
ed
wit
h *
* h
ave
ext
en
de
d C
GH
S r
ate
s o
n t
he
ir
list
ed
pri
ces.
S
ince
th
ese
ho
spit
als
ch
an
ge
th
eir
po
lici
es
oft
en
it
is d
esi
rab
le t
o v
eri
fy.
Ad
dit
ion
s a
nd
de
leti
on
s to
th
is l
ist
wil
l b
e n
oti
fie
d in
du
e c
ou
rse
.
Ho
spit
al
Na
me
A
dd
ress
**
A
ga
di H
osp
ita
l &
Re
sea
rch
Ce
ntr
e
No
.35
, H
. S
idd
iah
Ro
ad
W
ilso
n G
ard
en
s B
an
ga
lore
5
60
02
7
Arv
ind
Dia
gn
ost
ice
#
45
9,
III
Ma
in R
oa
d
Op
p.
Sw
imm
ing
Po
ol
Ma
in G
ate
Sa
da
shiv
an
ag
ar,
Ba
ng
alo
re
56
0 0
80
**
B
an
ga
lore
Ba
pti
st H
osp
ita
l B
ell
ary
Ro
ad
H
eb
ba
l B
an
ga
lore
5
60
02
4
Ba
ng
alo
re I
nst
itu
te o
f O
nco
log
y
(Ba
ng
alo
re C
an
cer
Ho
spit
al)
44
-45
,
II C
ross
, R
aja
ram
Mo
ha
n R
oy E
xtn
.
Ba
ng
alo
re
56
0 0
27
Ba
ng
alo
re K
idn
ey
Fo
un
da
tio
n
(B.K
.F.
Ch
an
de
Ne
ph
ro-U
rolo
gy C
en
tre
)
CA
-6,
15
th M
ain
, 1
1th
Cro
ss,
Pa
dm
an
ab
ha
Na
ga
r
Ba
ng
alo
re
56
0 0
70
Ba
ng
alo
re K
idn
ey
Sto
ne
Ho
spit
al
10
& 1
1,
Vo
kka
lig
ara
Bh
ava
n
Hu
dso
n C
ircl
e
Ba
ng
alo
re
56
0 0
27
Ch
inm
aya
Mis
sio
n H
osp
ita
l C
.M.H
. R
oa
d
Ind
ira
Na
ga
r B
an
ga
lore
5
60
03
8
Ch
ord
Ro
ad
Ho
spit
al
10
0,
LIC
Co
lon
y,
II S
tag
e
Ba
save
shw
ara
na
ga
r
Ba
ng
alo
re
56
0 0
86
.
Co
lum
bia
Asi
a
Be
lla
ry R
oa
d
Ke
mp
ap
ura
He
bb
al
Ba
ng
alo
re
56
0 0
24
Ga
ne
sh N
urs
ing
Ho
me
(o
nly
fo
r e
me
rge
ncy
case
s)
No
.4,
Ach
iah
Ch
ett
y L
ayo
ut
Ra
jma
ha
l V
ila
s E
xtn
B
an
ga
lore
5
60
08
0
**
G
aya
tri H
osp
ita
l 9
1,
Ma
ga
di C
ho
rd R
oa
d
Vij
aya
na
ga
r B
an
ga
lore
8
HC
G
All
th
e 4
Ce
nte
rs i
n B
an
ga
lore
Un
de
r H
CG
**
H
CG
Ba
ng
alo
re I
nst
itu
te o
f O
nco
log
y
No
.44
-45
/2,
II C
ross
R
aja
R
am
M
oh
an
R
oy
Ext
en
sio
n,
(off
La
lba
gh
Do
ub
le R
oa
d)
Ba
ng
alo
re
56
00
27
**
HC
G B
an
ga
lore
In
stit
ute
of
On
colo
gy
Sp
eci
alt
y C
en
tre
P.
Ka
lin
ga
Ra
o R
oa
d
Sa
mp
an
gir
am
Na
ga
r B
an
ga
lore
5
60
02
7
**
HC
G C
uri
e C
en
tre
of
On
colo
gy
No
.88
, 1
7th
A M
ain
, II
Cro
ss
Ne
ar
Su
kh
S
ag
ar
Ho
ste
l, K
ora
ma
ng
ala
Ba
ng
alo
re
56
00
95
**
H
CG
MS
R C
uri
e C
an
cer
Ce
ntr
e
M S
Ra
ma
iah
Me
mo
ria
l H
osp
ita
l M
SR
N
ag
ar,
M
SR
IT
Po
st
Ba
ng
alo
re
56
00
54
*
HO
SM
AT
Ho
spit
al
45
, M
ag
ara
th R
oa
d
B
an
ga
lore
5
60
02
5
**
K
IMS H
osp
ita
l &
Re
sea
rch
Ce
ntr
e
K.R
. R
oa
d,
V V
Pu
ram
Ba
ng
alo
re
56
0 0
04
M.S
. R
am
aia
h H
osp
ita
ls
M.S
.R.
Na
ga
r M
SR
IT P
ost
B
an
ga
lore
5
60
05
4
**
N
ara
ya
n N
eth
rala
ya
12
1/C
, C
ho
rd R
oa
d
Ra
jaji
Na
ga
r R
Blo
ck
Ba
ng
alo
re
56
0 0
10
*
N
ara
ya
na
Hru
da
ya
laya
B
om
ma
san
dra
In
dl.
Are
a,
Ho
sur
Ro
ad
A
ne
ka
l T
alu
k
Ba
ng
alr
oe
5
60
09
9
Ne
thra
dh
am
a E
ye
Cli
nic
& S
urg
ica
l C
en
ter
No
,81
8,
13
th C
ross
, 7
th B
lock
We
st
Jaya
Na
ga
r B
an
ga
lore
5
60
08
2
*
P
.D.
Hin
du
ja S
ind
hi
Ho
spit
al
Sa
mp
an
gir
am
Na
ga
r
Ba
ng
alo
re
56
0 0
27
Ra
jma
ha
l V
ila
s H
osp
ita
l N
o.1
38
, S
an
jayn
ag
ar
B
an
ga
lore
5
60
09
4.
Ra
vi
Kir
losk
ar
Me
mo
ria
l H
osp
ita
l N
o.1
9,
2n
d M
ain
Ro
ad
P
ee
nya
In
du
stri
al A
rea
B
an
ga
lore
5
60
05
8
Re
pu
bli
c H
osp
ita
l N
o.5
, La
ng
ford
Ga
rde
ns
Ba
ng
alo
re
56
0 0
35
Sa
nto
sh D
iag
no
stic
& S
can
Ce
ntr
e
No
.69
, S
t. J
oh
n’s
Ch
urc
h R
oa
d
Ne
ar
Co
les
Pa
rk
Ba
ng
alo
re
56
0 0
05
Sa
nto
sh H
osp
ita
l 6
/1,
Pro
me
na
de
Ro
ad
F
rase
r T
ow
n
Ba
ng
alo
re
56
0 0
05
**
Se
va
ksh
etr
a H
osp
ita
l 2
7th
Cro
ss,
Ba
na
sha
nka
ri I
I S
tag
e
B
an
ga
lore
5
60
07
0
Sh
eka
r N
eth
rala
ya
N
o.6
63
, 1
00
ft.
Rin
g R
oa
d
J.P
. N
ag
ar,
III
Ph
ase
B
an
ga
lore
5
60
07
8
Sh
ird
i S
ai
Ho
spit
al
# 5
19
, II
Ma
in N
eth
rava
thi
Str
ee
t D
eva
san
dra
B
an
ga
lore
5
60
05
4.
Sri
Ra
gh
ave
nd
ra H
osp
ita
l 1
3/4
, T
. D
asa
rah
all
i T
um
ku
r R
oa
d
Ba
ng
alo
re
56
0 0
73
St.
Ph
ilo
me
na
’s H
osp
ita
l 1
Ne
ela
san
dra
Ro
ad
Ba
ng
alo
re
56
0 0
47
Su
da
rsh
an
a N
eth
rala
ya
N
o.4
52
, R
.S.
Pla
za,
Ab
ove
Kid
s K
ing
do
m,
Be
twe
en
6th
& 7
th C
ross
Sa
mp
ige
Ro
ad
,
Ma
lle
swa
ram
Ba
ng
alo
re
56
0 0
03
Th
e A
po
llo
Cli
nic
M
era
He
alt
h C
are
Pvt.
Ltd
, N
o.8
3/8
7,
Gro
un
d F
loo
r
So
un
da
rya
Pa
ram
ou
nt,
5th
Cro
ss,
Ma
lle
swa
rm,
Ba
ng
alo
re –
5
60
00
3
**
V
ikra
m H
osp
ita
l #
71
/1,
Mille
rs R
oa
d
B
an
ga
lore
5
60
05
2
9
**
V
ina
ya
ka
Ho
spit
al
#1
10
, 8
0ft
. R
oa
d,
SB
M C
olo
ny
BS
K 1
st S
tag
e,
Ha
nu
ma
nth
na
ga
r,
(Ne
ar
Se
eth
a C
ircl
e)
Ba
ng
alo
re
56
0 0
50
**
VIV
US
– B
ha
gw
an
Ma
ha
ve
er
Jain
He
art
Ce
ntr
e
Mil
lers
Ro
ad
Ba
ng
alo
re
56
00
52
Ye
lla
mm
a D
asa
pp
a H
osp
ita
l N
o.2
5,
An
dre
e R
oa
d
Sh
an
thi N
ag
ar
Ba
ng
alo
re
56
0 0
27
Dia
gn
ost
ic C
en
ters
:
Dia
gn
ost
ic C
en
tre
A
dd
ress
An
an
d I
nst
t. o
f La
bo
rato
ry M
ed
icin
es
No
.11
, B
lue
Cro
ss C
ha
mb
er
Infa
ntr
y R
oa
d C
ross
B
an
ga
lore
5
60
00
1
Be
ng
alu
ru I
nst
. O
f O
nco
log
y (
Ph
:40
20
60
00
) N
o.8
, P
.Ka
lin
ga
Ro
ad
S
am
pa
ng
ira
m N
ag
ar
Be
ng
alu
ru
56
00
27
Ce
ntr
al La
b (P
h:2
22
37
37
0)
F3
, 3
rd F
loo
r Sh
iv S
ha
nka
r P
laza
N
o.1
9,
Lalb
ag
h,
Ric
hm
on
d C
ircl
e J
n.,
Be
ng
alu
ru
56
00
27
Elb
it M
ed
ica
l D
iag
no
stic
s Lt
d.
No
.6/1
, In
fan
try R
oa
d
B
an
ga
lore
5
60
00
1
Ka
nva
Dia
gn
ost
ics
63
/B,
10
th M
ain
, 4
th B
lock
R
aja
ji N
ag
ar
Ba
ng
alo
re
56
0 0
10
*
M
ed
ino
va
Dia
gn
ost
ic
Infa
ntr
y R
oa
d
B
an
ga
lore
5
60
00
1
No
rth
Ba
ng
alo
re D
iag
no
stic
Pvt.
Ltd
. W
est
of
Ch
ord
Ro
ad
Ba
ng
alo
re
56
0 0
86
*
R
.V.
Dia
gn
ost
ics
21
, 1
0th
Cro
ss,
Ye
lla
pa
Ga
rde
n
Ma
lle
swa
ram
B
an
ga
lore
5
60
00
3
*
R
ag
ha
v’s
Dia
gn
ost
ic &
Re
sea
rch
Ce
ntr
e P
vt.
Ltd
.
Sa
dg
uru
Co
mp
lex
No
.14
, 2
7th
Cro
ss,
4th
Blo
ck W
est
Jaya
Na
ga
r
Ba
ng
alo
re
56
0 0
11
Jun
e 2
01
2