CENTRAL SERVICES(MEDICAL

ATTENDANCE ) RULES
FOR CENTRAL GOVT. EMPLOYEES
BY
ASIT KUMAR PATTANAIK
 ELIGIBILITY:CS(MA) RULES,1944
CS(MA) Rules apply to (RULE 1)
. All Government Servants,when they are on duty,leave(including
Leave preparatory to retirement and terminal leave) or Foreign
Service in India or when under suspension.
. Railway employees and State Govt. servants,who are on deputa-
tion to an office under the Central Govt.
. Govt. Pensioners re-employed under the Central Govt.
. Probationers
. Apprentices in whole time service of the Govt.
These rules do not apply to
. Defence services personnel
. Deputation Abroad
. Retired Govt. Servants
Authorised Medical Attendant(AMA)-RULE 2(a)
Following categories of Medical Officers can be designated as
AMAs:
. Medical Officers of the Central Government.
. Medical Officers of the State/U.T . Governments.
. Private Registered Medical Practitioners (RMPs) when adequate
number of Govt. doctors or their services are not available in
various system of medicene within a radius of 5 KMS or because
 of the remoteness of the area.
. The AMA of a Govt. Servant is determined with reference to
the place at which he falls ill and his pay at that time,irrespective
of whether it is the permanent /temporary residence or a place of
casual stay.
. If no AMA is appointed for a suburban area,treatment can be
had from AMA in a Govt. hospital in the adjoining city.
 REFERENCE TO SPECIALIST/OTHER MEDICAL OFFICER
. If the condition of the patient so requires,the AMA can-
(1) Send the patient to the nearest Specialist or other Medical
Officer.
(2) Summon the Specialist/Medical Officer to attend on his
patient who is too ill to travel.
 RECOGNISED HOSPITALS-RULE 2(d)
. All State Govt. hospitals,including those maintained by
Municipal Committees and District Boards.
. All hospitals,Primary Health Centres and Dispensaries recognised
by State Govts for treatment of their employees and/or members
of their families.
. All hospitals/Dispensaries attached to Public Sector
Undertakings/ Projects/Port Trusts.
. All maternity and Child welfare centres with facilities for indoor
treatment and recognised by State Govts.
. Cantonment hospitals in cantonment areas where there are no
Govt. hospitals,for treatment of Govt. Servants and members
of their families residing in those areas and also in the adjoining
areas and also in the adjoining areas outside cantonment limits.
. All Railway hospitals.
. Pay clinics in Bihar,Punjab,Haryana,Uttar Pradesh,Madhya
Pradesh,Rajasthan and Chandigarh
. All Hospitals recognised by the State Govts/CGHS rules/
CS(MA) Rules.
. All Hospitals fully funded by the Central Govt. or State Govt.
. Private hospitals in particular stations notified by the Government
Of India time to time.
. Hospitals recognised by the Government for treatment of certain
special diseases like cancer,mental illness,Poliomyelitis,tubercul-
osis,Leprosy and Thalassaemia major.
 CONCESSIONS FOR FAMILY
‘Family’ means employee’s-
(i) Husband/Wife including more than one wife and also judic-
ially separated wife.
(ii) Parents and stepmother(Stepfather is not eligible)
In the case of adoption ,only the adoptive and not the real parents.
If the adoptive father has more than one wife,the first wife only.
. A female employee has a choice to include either her parents or
her parents-in-laws,option excercised can be changed only once
during service.
(iii) Children including legally adopted children,stepchildren and
children taken as wards subject to the following conditions:
. Unmarried Son…..Till he starts earning or attains the age of
25 years,whichever is earlier.
. Daughter……………Till she starts earning or gets married,
whichever is earlier,irrespective of age limit.
. Son suffering from permanent ……………………..No Age limit.
disability of any kind(Physical or Mental)
(iv) Widowed daughters and dependent divorced/separated
daughters.- irrespective of age limit.
(v) Sisters including unmarried/divorced/abandoned or separated
from husband/widowed sisters.- Irrespective of age limit.
(vi) Minor brothers
(vii) Permanently disabled depenent brother…….No age-limit.
 DEPENDENCY
. The income limit for dependency of the family members (other
than spouse) is Rs 9,000 plus the amount of Dearness Releif
admissible on Rs 9000 on the date of consideration of claim.
. Parents residing with either the Govt. Servant or the rest of the
family members in a station other than the employee’s headq-
uarters are eligible for reimbursement.
 WHEN BOTH HUSBAND AND WIFE ARE EMPLOYED
(a) The spouse employed in a State Govt.,Defence,Railways or
Corporation/Bodies financed partly/wholly by the Central/
State Govt., local bodies and private organisations,which
provides medical services,may choose either the facilities
under the Central Govt. rules or facilities provided by the
organisation in which the spouse is employed.
(b) Where both are Central Govt. Servants, either of them may
prefer claim for self and eligible members of their family,accord-
ing to his/her status.
(c) In both the type of cases, a joint declaration is required to be
furnished as to who will be preferring the [Link] the absence
of joint declaration,the concession is to be availed of by the
wife and family members according to the status of husband.
Declaration may be changed as oftentimes as the circumstances
like promotion,transfer,resignation etc. require.
(d) If judicially separated,pending decision on guardianship,
reimbursement for children may be allowed to either spouse.
(e) If the spouse is in receipt of fixed medical allowance,the
Govt. Servant can avail medical facilities under Medical
Attendance Rules for himself and members of family residing
with him except for the spouse.
 FACILITIES AVAILABLE
. The medical attendance which includes consultation and prescr-
iptions of medicines,can be had from an Authorised Medical
Attendant(AMA) or at OPD of a Govt. recognised hospital.
. The treatment at the consulting room of AMA is limited to
10 days with a maximum of 4 consultations and normally
10 [Link] number of injections may go up to 15 depend-
ing on patients ailment.
. The limit of 10 days treatment at the consulting room of AMA
may be increased to 40 days if the treatment is had in Indian
System of Medicines and in [Link] total number of
consultations will,however,remain 4 at an interval of 10 days.
. In case of consultation of a Specialist/other Medical Officer is
required in the opinion of and only reference of AMA,the limit
of 4 consultations within 10 days will count from the date on
which the specialist/other medical officer is consulted.
. If consultation is taken on the 10th day and further medicines are
prescribed,the consultation fee for that day shall not be reimbur-
[Link] such cases,the patient should go to OPD of Govt. recogn-
ised hospital.
. Cost of medicines,prescribed during these consultations only
(upto 10 days) is reimbursable.
. Cases of medical treatment requiring hospitalization have to be
referred to Govt. recognised hospital.
. If hospitalization is not considered necessary ,but treatment
is expected to be prolonged requiring 4 consultations or more
than a course of 15 injections as the case may be,either separa-
tely or concurrently,the patient should be referred to Out-Patient
Department(OPD) of Government/Recognised hospital.
. If for want of accommodation,admission to a hospital is not
possible,reimbursement of expenses incurred on treatment is
permissible to the extent otherwise admissible.
 . Separate claim is to be preferred for each spell of illness or an
entirely new disease.
. To justify a claim for second time,for the recurrence of the same
disease,there should be a reasonable gap between the closing of the
first spell and the recurrence of the second spell.
. When a patient consults the same AMA in regard to the super-
imposition of another disease during the course of treatment
of one disease,it is regarded as a fresh consultation and charged
for at full rates.
. If at the time of consultation the Medical Officer consulted also
administers injections,he will be entitled to charge fees both
for the consultation and for the injection at the prescribed rates.
However,if at a later stage the Medical Officer administers
injections prescribed at the previous consultation,fees should
be charged for injections only.
. Consultation on the 10th day is permissible,if no medicine is
prescribed on that consultation.
. Purchase of Allopathic medicines and drugs can be made from
any chemist/druggist licensed under the Drugs and Cosmetics
Act and rules framed thereunder.
. Purchase of Ayurvedic/Siddha/Unani medicines can be made
only from approved pharmacies.
. The controlling authrities should ensure that the prices charged
and reimbursed are in accordance with the Drugs Price Control
order issued from time to time i.e., as indicated in the labels,
cartons etc.
.The claim for reimbursement should be received within 6 months
However,subject to certain conditions ,the Departments/Minis-
tries may condone the delay beyond 6 months.
. Reimbursement of medical claims of Government Servants who
are admitted in the Hospitals before retirement and discharged
after their retirement should be made by their own office/Depa-
rtment/Ministry concerned.
. Govt. Servants who have subscribed to Medical Insurance Policies
can claim reimbusement from both insurance company and
Department subject to condition that the reimbursement should
not exceed the total expenditure on treatment.
. Delegation of powers to Head Of the Department(HOD) for
settling permission cases and for approval:
(i) HOD may grant permission for indoor treatment in a private
hospital on the prescription of concerned AMA.
(ii) HOD may decide cases of reimbursement of treatment obtain-
ed in emergency at private hospital/nursing home/clinic,
subject to item-wise ceiling as per rates prescribed, up to the
 limit of Rs 2 lakhs.
(iii) In offices where the HOD are at New Delhi or at any other place
far away,the cases may be decided by the Head Of Office not
below the rank of Joint Secretary to Government Of India up
to the limit of Rs 2 lakhs.
(iv) Reimbursement exceeding Rs 2 lakhs to be settled in
consultation with Financial [Link] cases of relaxation
may be referred to the Ministry.
. The medical prescription issued by an AMA/Govt. Specialist
prescribing diagnostic tests/investigation is valid for a single
use within a period of 2 weeks from the date of prescription
unless specified by them in the prescription as valid beyond
2 weeks.
The medica prescription would require revalidation or issue
of a fresh prescription from the prescribing AMA/Govt. Specialist
for getting the prescribed tests done after expiry of the validity
period.
. Medicines prescribed by the OPD doctor and purchased from the
market due to non-availability in the hospital,will also be reimb-
[Link],preparations classified as food,tonics,vitamins,
disinfections,toilet praparations etc. are not reimbursable.
Surgical sundries,disposables like cotton,syringes,needles,
catheters,tubes etc. are reimbursable in full.
. The Medical Officer incharge of the OPD will be regarded as the
Authorised Medical Attendant(AMA),who would advice hospitali-
sation wherever required.
. If inspite of the specific advice of the AMA/Medical Incharge
Officer of the OPD,a paient does not seek admission in a hospital,
the AMA shall record a note to that effect on the bills etc. nece-
ssary for claiming the reimbursement .In such case,no reimburse-
ment is allowed.
. Treatment at AIIMS can be had without any prior permission
and expenditures will be reimbursed at AIIMS rates.
 ADVANCE FOR MEDICAL EXPENSES
PURPOSES:
. In-patient treatment in a hospital.
. TB/Cancer/Chronic active Hepatitis treatment at consulting
room of Medical Officer(MO)/Residence of employee/OPD.
. Purchase,replacement,repair and adjustment of admissible
artificial appliances.
AMOUNT OF ADVANCE:
(i) For indoor treatment(irrespective of major or minor diseases):
90% of the approved CGHS package rates,on receipt of a certi-
ficate from the treating Physician of a Govt./Recognised hospital
as per guidelines issued in this regard.
(ii) For outdoor treatment: 90% of the total estimated expenditure
of the treatment ,provided that total estimate of expenditure
including tests/investigations is more than Rs 10,000.
. Advance should be released within 10 days of receipt of the
request.
CONDITIONS FOR GRANT OF ADVANCE:
. The duration and anticipated cost of treatment should be certi-
fied by the MO/Specialist.
. In case of temporary employee,surety from a permanent emplo-
yee is required.
. Advance can be paid in one or more instalments for the same
illness/injury subject to the limit prescribed.
. There is no limit with reference to number of advances payable.
. In case of serious illness/accident where official is unable to
apply,advance can be sanctioned on the application of wife or
legal heir.
. The advance will be paid direct to the hospital concerned on
receipt of an estimate from the treating Physician/Medical
Officer(MO).
. In the case of artificial appliances the payment will be made by
Ministries/Department direct to supplying agency.
 ADJUSTMENT OF ADVANCE:
(i) The advance shall be adjusted against the medical claim and the
balance,if any,from pay in 4 equal instalments.
(ii) In prolonged treatments,reimbusements may continue till the
concerned MO gives the certificate that the patient no more
requires treatment and advance may be adjusted in final claim.
(iii) If advance is paid direct to hospital,the final settlement bill
should be submitted by the employee within 1 month of dis-
charge from hospital and the Head Of Office will correspond
 with the hospital for refund of unutilized advance if any.

TA/DA FOR MEDICAL TREATMENT:RULE 4

Certified by the AMA/Specialist/MO attached to the hospital to
Whom the patient was referred,that the journey was unavoidably
necessary to obtain treatment.
ADMISSIBILITY: (Journey undertaken both ways)
(i) For the patient i.e employee or a member of his family,if the
distance between the place where the patient falls ill and the
hospital/dispensary/clinic,is more than 5 miles(8Kms) and it
is certified that the journey was unavoidable necessary.
 (ii) For attendant or escort if certified that it is unsafe for patient
to travel alone and an attendant or escort is necessary to
accompany the patient.
(iii) Fór donor of kidney to the employee or a member of his
family.
ENTITLEMENT FOR JOURNEY:
a) TA by road/rail/air/streamer is allowed by the entitled (or lower
class) (Govt. Servant or Member of his family and also Attendant).
(b) DA is allowed for the period of journey, however, no DA for halt
is admissible.(Govt. Servant or Member of his family and also
Attendant)
 (c) Airfare can be allowed if Government is satisfied that air travel
was absolutely essential and any other mode would have definitely
endangered the life of the patient.
(d) For travel within the city, conveyance charges limited to
mileage as on tour (only 50% mileage permissible in case of family
members) is admissible. (Distance travelled is more than 8kms each
way).
(e) Ambulance charges reimbursement:
.The ambulance should be used within the same city.
 . The ambulance should belong to Government or local fund or a
social service organization such as Red Cross Society, etc.
. The ambulance is used to convey a patient to a place of
treatment or from one hospital to another for purposes of certain
medical examination, etc.
. It should be certified that the conveyance of the patient by any
other means would definitely endanger his/her life or grossly
aggravate the conditions of his/her health.
 (f) ATTENDANT/ESCORT:
TA as for family member for journeys both ways, if it is certified
that it is unsafe for the patient to travel unattended and that an
attendant/escort is necessary to accompany him to the place of
treatment.
T.A. as above will also be admissible if it becomes necessary for an
attendant/ escort to travel again to fetch the patient and so
certified.
 (g) TRAVELLING EXPENSES INCURRED FOR KIDNEY DONOR:
Government servants are eligible for reimbursement of travelling
expenses of the donor of a kidney to them or to a member of their
family for the journeys made in connection with the transplantation
at the following rates:-
(a)If the donor is a private person, T.A. is admissible at the rates of
the recipient Government servant;
 b) If the donor is another Government servant or his family
member,TA is admissible at the rates applicable to the donor
Government Servant.
(h) Advance TA can be granted to the extent TA is admissible.
(i) TA advance is adjustable in the claim which should be submitted
on completion of journey or on 31st March,whichever is earlier.
 REIMBURSEMENT OF CHARGES FOR SPECIAL NURSING
( i) cost of accommodation in the hospital (suited to his status);
(ii) charges for ordinary nursing provided to in-patients by the
hospital.
In case of special nursing during in-patient treatment, (including
for CGHS beneficiaries) reimbursement is allowed subject to a
maximum of- (a) Rs. 150 per shift of 12 hours- for special nurse. (b)
Rs.75 per shift of 12 hours- for Ayah/Attendant. No reimbursement
is allowed for special nursing at residence.
 Aya charge can be reimbursed by Head of Office upto a limit of Rs.
2000 on certificate from MO in charge countersigned by Medical
Superitendent.

(ii) Diet charges paid to hospitals during the course of indoor

treatment, are reimbursible in full only in case of lowpaid
Government employees. (iv) Charges for pathological,
bactereological, radiological and other examinations for the purpose
of diagnosis including CT-SCAN charges.
 SURGICAL/CLINICAL CHARGES INCURRED FOR KIDNEY DONORS.
Government Servants are eligible for reimbursement of expenses
incurred on the surgery and post-operative care of the donor of the
kidney to them or to a member of their family for transplantation. If
undertaken at private recognized hospital, reimbursement will be
restricted to CGHS approved rates.-Rule 8.
 MEDICAL TREATMENT OUTSIDE INDIA
. Permitted when facilities are not available in India.
. Prior approval of the standing committee constituted by the
Ministry of Health and Family Welfare is essential.
. In special cases,if approval could not be obtained due to circum-
stances beyond the control,reimbursement may be allowed if
other conditions are fulfiled.
. The standing committee can authorize an attendant to accompa-
ny.
 A Government servant desiring to avail of medical treatment
outside India for himself or for a member of his family for any
treatment specified in the Table below shall, subject to the other
provisions of this rule, be eligible for medical treatment outside.
(1) Complex/high risk Cardio Vascular Surgery cases for treatment
at Centres with extensive experience; (2) Bone marrow Transplant;
(3) Complex Medical and Oncological Disorders, such as leukaemia
and Neo-plastic conditions (4) Complex high risk cases in Micro
Vascular and Neuro Surgery for treatment at Centres with extensive
experience
 (5) Treatment of extremely complex ailments other than those
mentioned above which in the opinion of Standing Committee can
only be treated abroad and fall in the high risk category.
The Central Government may for purposes of this rule, constitute a
Standing Committee consisting of :- (a) the Director-General of
Health Services in the Ministry of Health in the Central Government,
(b) the Director-General of Armed Forces Medical Services. (c) the
Director-General of the Indian Council of Medical Research, and (d)
the Joint Secretary in the Ministry of Health and Family Welfare.
 EMERGENCY TREATMENT IN PRIVATE HOSPITALS
In emergency cases of severe illness/ accident, employee can be
admitted in the nearest private hospital (including private nursing
home/private clinic) if there is no Government hospital nearer than
that and Head of the Department may reimburse the expenses.
The Head of Office not below the rank of Joint Secretary can pass
such claims upto Rs. 2 lakh per case. The conditions governing such
cases are:
 (a) Whether the case was a real emergency will be decided by the
Controlling Authority.
(b) There would not be any distinction between different types of
private hospitals, clinics, nursing homes for the reimbursement.
(c ) Reimbursement of expenses on treatment in the private
clinic/nursing home of AMA is not permissible.
(d) If expenditure is beyond the paying capacity of the employee,
Department may authorize the Controlling Authority to meet the
expenses on admissible items subject to prescribed limits by direct
payment/advance.
(e) In case of employee (or his family) covered under CS (MA)Rules
reimbursement shall be allowed at the non-NABH CGHS rates
applicable for the city or the nearest CGHS city, as the case may be,
or the actual expenditure, whichever is less.
# NABH : National Accreditation Board for Hospitals & Healthcare
Providers.
# CGHS : Central Govt. Health Schemes.
 INTRA-OCULAR LENS(IOL) IMPLANTATION
(a) Actual cost of Implantation/ Conventional operation for cataract
patients and treatment thereto reimbursable if undertaken at Government
hospital; if undertaken at private recognized hospitals reimbursement for
the different types of IOL implants will be at the rates mentioned below or
actual cost, whichever is [Link] of spectacles is not reimburseable.

1. Hydrophilic Foldable IOL (Multi-piece/ Single-piece Aspheric) -5,800

 2. Hydrophilic Acrylic IOL – Rs 4,500
3. PMMA IOL (A/c Pc) –Rs 500
4 Scleral Fixated IOL- Rs 3,500
(i) Reimbursement for LASIK Surgery and INTACS Rings is not
recommended.
(ii) Therapeutic and Bandage Contact Lenses for Keratoconus of
Corneal Ulcers can be considered on a case-to-case basis.
 (b) For conventional cataract operation, cost of spectacles for
correction of distant/near vision limited to Rs 200 reimbursable.
Replacement of such spectacles if advised by AMA admissible every
three years.
(c ) Admissible for members of family also.

MEDICAL CLAIMS-SOME USEFUL TIPS

[Link] pay and place of illnesy will determine who your AMA is.
2. Consult your AMA first and proceed according to his advice.
 3. Ensure that you purchase only the reimbursable medicines from
the approved pharmacy in case of treatment under Ayurvedic,
Siddha and Unani systems.
4. Support your claims with all the prescribed certificates.
5. Ensure that you get cash vouchers correctly and properly and get
the countersignature of the AMA on each of them.
6. Ensure that the Essentiality Certificate given by the AMA is
correctly filled.
 7. Ensure that the AMA's designation, qualification and
Registration number are correctly given.
8. If you go to a hospital for treatment as in-patient either for
yourself or a family member, inform the Medical Officer-in-charge of
your pay so that he may allot accommodation according to your
status.
9. Once you are admitted as in-patient, follow the rules and
procedure of the Hospital. Rules vary from hospital to hospital.
 10. Before leaving the hospital after treatment, get the hospital
bills, receipts, vouchers, essentiality certificates, etc., duly signed or
countersigned by the AMA or by the Medical Officer-in-charge of
the hospital, as the case may be, for claiming refund.
11. You heed not consult your AMA for getting in-patient treatment
for yourself or family members from a hospital where you are
normally entitled to the treatment. Female members may, however,
be admitted in women's any recognized hospital.
 12. Ensure that the claim is preferred within 6 months of
completion of treatment.
13. Delay in submission of medical bills may be condoned on
merits of each case by all the Joint Secretaries, besides Heads of the
Departmens concerned but the condonation should not be granted
as a routine matter .
14. Employees having mediclaim, can claim from insurance
company and the balance of eligible amount from the Government.
 15. Cases involving reimbursement in excess of approved rates
shall be referred to the Technical Standing Committee. Requests for
relaxation of procedures in considering the claims shall be referred
to the Minintry of Health along with specified documents.
16. Under CS(MA) rules,hospitals are recognised by the Ministry
Of Health and Family Welfare.
17. A male child of a Govt. Servant may receive medical attendan-
ce and treatment in a recognised Women’s hospital up to the
age of 6 years.
18. Reimbursement of expenses on In-Vitro Fertilisation(IVF)
treatment is allowed if the age of women undergoing treat-
ment is between 21 and 39 years.
19. Reimbursement of expenditure on IVF treatment is allowed
for a maximum of 3 freash cycles.
20. Full reimbursement is allowed for expenditure incurred on
Tooth extraction,filling of teeth,Root canal treatment but
full reimbursement is not allowed for Complete denture.
21. Cost of Drug Eluting Coronary Stents is reimbursible subject
to a maximum of Rs 23,625.
22. Beneficiaries are allowed reimbursement of cost of hip implant
subject to a maximum of (Rs 40,000 + GST).
23. Cost of Nebulizer is reimbursible to beneficiaries up to Rs 3000
or actuals,whichever is less.
24. When the medical reimbursement claim of an employee is
rejected by the Controlling Officer and the reasons for rejecti-
on communicated to the claimant, the claimant may submit
 an appeal to the Central Government within 45 days from the
date of receipt of the rejection order.
25. Medical Reimbursement claim under CS(MA) rules is to be
submitted in Form Medical 97.
26. For Mental diseases,a patient may be allowed to receive
indoor treatment for a maximum period of 3 years.
27. A Govt. employee shall be entitled for accommodation in
private ward,if his basic pay (Under VII CPC) is Rs 63,101 and
Above.
28. Reimbursement can not be claimed for cost of Vaccination
charges for ‘Malaria’ but reimbusement for Hepatitis-B,
Influenza and Leprovac.

SPECIFIED DISEASES
In India only:
1. Avitaminosis and Hypovitaminosis
2. Correction of squint (cye).
3. Discase(s) causing general debility and secondary anaemia.
 4. Treatment for immunizing and prophylactic purposes- in the
case of communicable discases only.
5. Venereal diseases and Delirium Tremens.
6. Treatment of sterility.
7. Operation for sterilization.
8. Medical termination of pregnancy performed at Government
hospital/recognized institution.
9. Confinement including at residence if attended by Child Welfare
and Maternity Centres staff; pre-natal and post-natal treatment.
 10. Testing of eyesight for glasses (once in three years) -For
employees only.
11. Blood and blood transfusion charges.
12. Dental treatment-(only in Government hospitals, private
recognized hospitals) Surgical operations needed for removal of
Odontomes and impacted wisdom-tooth; Treatment of gum boils;
Extraction. Scaling and gum treatment including Pyorrhoea and
Gingivitis, Filling of teeth (cost of denture reimbursable), Root canal
treatment.
 12(A): Dental treatment can be availed by CS (MA) beneficiaries in
any private hospital recognized under CGHS/CS (MA) Rules and the
hospitals recognized by the State Government subject to conditions.
13. Anti-rabic treatment.
14. Cost of Hepatitis Vaccine B, C & D.
15. In-Vitro Fertilization (IVF) treatment.
16. Reimbursement of cost of Liver Transplant Surgery.
17. Reimbursement of Bariatric Surgery charges, subject to
fulfilment of conditions.
 18. Reimbursement of cost of of surgery of Photo Selective
Vaporization of Prostrate (PVP) using Green Light HPS Fibre (Angled
Delivery Device).

RULES
# Rule 2 (b) “Districts” means the district in which the Government
servant falls ill.
# Rule 2(c) “The Government” means –
(i) in respect of a Part “A” or Part “B” state, the State Government;
(ii) in respect of a Part “C” State, the Lieutenant Governor or the
Chief Commissioner, as the case may be.
# Rule 2 (e). “Medical Attendance” means
# Rule 2 (f) “Patients” means a government servant to whom these
Rules apply and who has fallen ill;
# Rule 2 (g) “State” means the State in which a patient has fallen ill;
# Rule 2 (h) “Treatment” means the use of all medical and surgical
facilities available at the Government hospital in which the Govt.
servant is treated.
 # Rule 3 MEDICAL ATTENDANCE Rule 3 (i)- A Government servant
shall be entitled, free of charge to medical attendance by the
authorised medical attendant;
Rule 3 (ii)- Where a Government servant is entitled under sub-
rule (i), free of charge, to receive medical attendance, any amount
paid by him on account of such medical attendance shall, on
production of a certificate in writing by the authorised medical
attendant in this behalf be reimbursed to him by the Central Govern
ment.
 # Rule 4 TREVELLING ALLOWANCE FOR MEDICAL ATTENDANCE JOURNEYS.
# Rule 5 CONSULTATION WITH SPECIALIST.
# Rule 6 MEDICAL TREATMENT
# Rule 7 TREATMENT AT RESIDENCE
# Rule 8 OTHER MEDICAL FACILITIES:
Rule 8 (1)- Charges for services rendered in connection with but not
included in medical attendance on, or treatment of, a patient entitled, free
of charge, to medical attendance or treatment under these Rules,
shall be determined by the authorised medical attendant and paid by the
patient.
Rule 8(2)- If any question arises as to whether any service is included in
medical attendance or treatment it shall be referred to the Government and
the decision of the Government shall be final.
# Rule 9- COUNTERSIGNATURE OF CERTIFICATES
# Rule10- TRANSFER TO FOREIGN SERVICE:
No Government servant shall be transferred to foreign service unless the
foreign employer undertakes to afford to him so far as may be
privileges not inferior to those which he would have enjoyed under
these Rules if he had been employed in the service of the
Government of India.
# Rule11- TREATMENT OUTSIDE INDIA