KGS (Medical Attendance) rules 1963
K. SRINIVASA CONSULTANT (F/M) ATI, MYSORE
Application of Rule
Rule : 2 (1)
 Whole time govt. servants
 Local candidates  G.S. under suspension.
 Re employed G.S.
Family
Rule :2 (2)
 Wife or Husband of G.S.
 Father and Mother (also step mother)
 Children, Step Children, adopted Children, Wholly dependent on G.S.
Authorised Medical Attendant
Rule : 3
 Medical officers Working in Govt. Hospital or Medical Institutions  For authorised Hospitals or Institutions specified in schedule-I Reg. Medical Attendant incharge of respective wing
Controling Officer
 Heads of Dept.
 The officers empowered to countersign T.A. Bill.
Govt. Hospital
 A Hospital or Dispensary run by central Govt. or state Govt. or a corporation or other local body where the office is situated.  In respect of G.S. working in the karnataka Bhavan, New Delhi the Medical Attendance received from the specified Doctors, Clinics, Hospitals or Diagnostic centres etc. recognised under the central Govt. Health scheme shall be deemed to be Medical Attendance received in Govt. Hospital
Package Rate
Rule : 3 (e)
 Package rate shall Mean and include lump sum cost of in  patient treatment / day care / diagnostic procedure for which a beneficiary has availed or for treatment under emergency from the time of admission to the time of discharge, including (but not limited to) the following charges  Registration  Admission
Accommodation including diet Operation Injection Dressing Doctor / consultant visit ICV / ICCV Monitoring Transfusion
Anesthesia Operation theatre Procedural charge, surgeons fee Cost of surgical disposals and sundries during hospitalisation Cost of medicines Related routine, essential investigation Physiotherapy Nursing care
 Provided where one or more minor procedures form part of major treatment procedure, then the package rate would be the rate admissible for major procedure and only 50% of the package rate for minor procedure.
Treatment
Rule : 3(h)
 Use of all medical, x - ray, surgical facilities  Supply of medicines available in hospital  Prescription for medicines by AMA
 Supply of such quantity of blood
 Treatment charges for new born baby are separately reimmbursible in addition to delivery charges of mother  Treatment on package rate basies
Ward charges All govt. / spl. Hospitals / sanatoria
Sl.No. 1 Uo to 6500 Basic pay Class Gen. ward, Rs. 30, Rs. 50
2
3 4
Above 6500
Above 9500 Above 14400
Up to 9500
Up to 14400 Up to16800
Rs. 30, Rs. 50
Rs. 50, Rs. 75 Rs. 100 , below Rs. 150
Above 16800
Rs. 150 or above
Ward charges authorised Hospitals
Sl. No. 1 Basic pay Up to Rs. 8000 Category Gen ward Ward / Room rent Rs. 200 /day
2
3
Rs. 8001  21600
Rs.21601 and above
Semi private ward
Private ward
Rs. 750 /day
Rs. 1000 /day
Production of certificate
 Form AA at the time of admission (Rule 9)  Free of medical attendance by AMA (Rule 10)  Treatment at other than HQ. TA is admissible
(Rule 11)
 Anti-rabic (special medical treatment)
(Rule 12)
Reimbursement of medical expenses
Rule 14
 Free treatment in govt. Hospital as certified by AMA  Cost of preparation like foods, tonics, toilet, preparation, disinfectants not admissible.  Sales tax refundable  Ambulance  Sterelization charges not payable by G.S.  ECG charges refundable
 The cost of ayurvediv, unani, homoeopathy medicines refundable as per list, Director Indian system of medicine and homoeopathy   Non cosmetic  Dental treatment as out patient in govt. Hospital or authorised Hospitals are reimbursible
 Artificial appliances are reimbursible (Pay not exeeding 15600)  Cost of spectacles once in two years  purchase of hearing aid once in service  The reimbursement of the medical expenses in respect of the diagnostic procedures and treatment taken in the authorised Hospital and medical institution (schedule 1) shall be at the same rate fixed for package rate by the ministry of health and family welfare GOI under (CGHS) from time to time
Claims of reimbursement
Rule 15
 Purchase of medicine  essentiality certificate form B  MR Bill - Form C  voucher to be submitted Within 3 months  Delay condonation  When a GS is on duty, Leave in any place out side the state FD sanction is required for the claim
Thank you