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    No . 14017/412005-AIS-I1Government of IndiaMinistry of Personnel, P.G. & PensionsDepartment of Personnel & TrainingNorth B lock, New Delhi - 110001Dated 41hJanuary, 2010

    Office M emorandumSubject:- Incentives of AIS officers sew in g in the NE cadre -Hea lthcare, regarding

    The undersigned is directed to refer t o the sub-ject cited abov e andto say that the question of extending the facility of providing health carein Army and Cantonment Hospitals on payment basis to all AIS officersand their families while serving in the North-East Region, has beenengaging the attention of the Government for some time. Accordingly,Ministry of Defence has issued necessary instruction to all MilitaryHospital in the N E region to provide medical care to All India Serviceofficers and their families as non entitled civil gazetted officers and chargehospital stoppage rates (HSR). A copy of the Ministry of Defence' letter No.9(1)194/D (Mel), dated the 1lLhugust, 2005;ssued in this regard is forwardedalong with enclosures for information and necessary action.

    Encl: As above. Depu ty Secretary to G overnment o f India

    Copy to :1. Ch ief Secretaries of all the State Go vernm ent s/UTs.2. All the MinistriesIDepartments.3. Secretary, Ministry of H om e Affairs4 . Secretary, Ministry of Environment and Forests5 . PM O (Shri Amit Agrawal, Director).6. Cabinet Secretariat (Shri M . Saran gi, Ad ditional Secretary). 17. PS to MO S(PP)/PPS t o Secretary(P)lPS to AS(S& V).9/ NIC , D O PT for putting on w ebsite vide path (Hom e

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    s [ \ ) q 9 . / ' d ( ~ e t l ) .tiovcrnincnt dl' IndiaMinistry of DefenccNew Delhi, the 1brc Aug 2005'l'he L)irector GeucrillArmed G rces Medical ServicesNew Delhi (25 copies) . -Subect : - H O S P ~ T A L TOPPAGES AND INVESTIGATIONCHARGESFORPRIVATE WORK FQRN ON-EN TITLED ClVlLIANS

    I a m tli~.cctcd o rcrer lo A l~ p e ~ ~ d ixo T khc Rcyulations for tllc Mcdical Scrviccsof the Armed Forccs-1983 and to convey the sa~ lction f the I'residel~i io thc raws Torrecovery of hospital stoppages, fees for medical examitlation and fees to be charged byarmed forces Tor investigations and dental work in respect of non-entitled persons, as perthe Annexure to this letter. The revised rates will come in-to force wilh immed irte effect.'The validity period of these rates is five years or till the same are revised through asubseque~it rder, wl~ich ever s earlier.2 . Regulations for n~edical ervices of the Armed forces -1983 may be deemed to bennlended accordingly.3 . 'Tiis letter will supersede all govt. lcttcrs issucd on the subject.4. T l~ is ssues with the concurrence of the Ministry of Finance-ide their11.0.No. 732/1'13/05. . .

    , . Y o ~ ~ r s'aithf'll y.

    . . . . . . . . . . . . (R@'&Raturi). . . . .. I . . , . . . . . . I U ~ ~ d e recretary to the Gov t. of India. . ... . . . . . . . . . . . . . . . . .. . & , \ .. . .Copy to 1 . . . . . , . .

    . . , TheCDA , New Delhi,.The,DADS ~ e w , D e l h iThe Sr Dy DADS Pune & Meerut bThe Dy DADS, Me e~ u t, ombay & DehraduaThe CsDA ( 0 ) Pune, (WC) eerut, SC Pune, (AF) De hradu ~l, CC), Meerut, (EC)Patna, (NC) Jammu, (Navy) BombayDFA(N), DFA(AG), DFA (AF)DGMS (Army) - 20 Copies DGMS (Navy) & DGMS (Air) - 10 Copies eachDGNCC, SCD (I) Bombay, Ord Factory BoardDGh[;MS (L)G 3C) - for ncccsslu-y action to a ~ n c ~ r dl ~ cLMSAP - 19x3

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    Annexure to GOI.MOD letter- - - '9 ) /Q /DCMed) dated 11.8.0)HOSPITAL STOPPAG E RATES IHSRI FOR NONENTITLED CIVILIANS WHO ARE GOVTSERVANTS

    ~ a r a ~ o . Categories of civilian penomel 1 &tea per Diem in 'I1983 1(1)

    41 (a)

    4243

    44

    1

    . ,

    (2)i) C ivilians' paid fm tn Def senices estimntes, including DefAccounting Dept staf l and Def civilians undcr MOD havingtheir HQs in Delhq irrespective of Ule fact whether Uley areentitled to medical benefits under theCGHS or not

    (c) OR Ward 1 400.0048 I C ~ v l l ~ a no n Gazetted OfTicers -.

    (3 )

    Excluding :(a) Industrial personnel with less than one year of service@) Employees of ord and clothing factories(c) NavilYAir Force civilian personnel associated withOrdnance factoriesHospital charges at the, rat es. shown against each of thefollowing categories will be charged,"(a) Gazetted officers@) Non Gazetted officersCivilian Gazetted offtcers in Ordnance factoriesCivilian Gazetted officers other than :-(a) Industrial personnel with less than one year of service

    (b) Employees of ord and clothing factories(c) NavaYAir Force civilian personnel associated wit11Ordnance factoriesPersonnel of Defence Account6 Deptt. when admitted for purposes.o f medical examination, preparatory to their being brought beforea Service Medical Board with a view to determining their fitnessor otherwise for further entinuance in m i c e in the Defence

    As per correspondingpersonnel of the.Arm ed1 Accounts Department. 1

    .

    46 . .

    47

    800.00400.00800.00

    400.00

    400.00

    45 I Personnel of NCC: Those attach@ to.units of regular arm ed forces. ( a ) .Other than ho& belonging to Tamil Nadu' (b). Those belonging to TN. : - :L)Mcersward ; ; . . , . ., :. . .: JCOs ward . . . . .., : . .: .... . ,- ORward . , . . ., .State G m mployees admitted under reciorocal arra n~e me ntg

    , :Cnzened mcers :.,., :.. ..:.:>.. . . .- Non Gazetted.officers ,.:Emplovees of the state Govt not under reci~r oc al rrnn~?einen@(a) Offtcers Ward@) JCOs Ward . . , . . ! , ,

    49

    forces800.00400.00200.00800.00 ,400.00

    1600.00800.00

    I

    - ~~ (a) Industrial personnel with less Lhw one year of service(b) Employees of ord and clothing factories(c) NavoUAr Force civilian perso~ulelassociated with OrdnancefactoriesNor, entitled civilians of non-.!2azened c l a s s e e r than those p&d

    200.00\,'

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    JCOs/on Ward . : - . .

    * Any investigationscarried out will bccharg@ ex tra as per the

    (b) Appeal ~ e d i c a l oard (AMB) commission in h eArmed rorces includingAuxiliary Air Forceand Territorial Armyare admitted to Armedforces Hospitals underprovisiotls of para. . .. , ..

    1600.00..

    65

    66,

    . . . . . . . .. . -. !, :.,;, ,, '. 18 " _ . . . . . , . .. . ,... ., . . , . . . ..:.I ...~,.. ' . . , . ..(b) 1 ~ 0 s ard , , , , - \ , .. .~ . . ? . .

    . ,. . . .(c) OR wardHospital stoppages in non-dieted hospitals - when personnelreferred to in para 2, 25, & 48 of Appx. V of RMSAF 1983 ilreadmitted to non-dieted hospitals, hospital stoppages win berecovered at half the rates laid down in these paras.Hospital stoppages for non entitled c u e s and ex-service menadmitted inMH P u n d C onvalercent wing of ALC h u e -half the rates)

    67

    .

    69

    800.00

    400.00

    200.00 I(clddren below 12years will be chargedNon entitled TI3 patients:Personnel of Armed Police Battalions & a l h d uII1t.S serving withth e Army in J& K on border defence dutics, when adm itted io MH. .(CTC) une :,.

    - Officers' ward ' . ,, . - , . JCOs Ward .I . , ,,..

    - ORwardCh ug es for ooera~ion -

    1600.00800.00400.00

    Civilians of all categories @nras 41 to 67)operation (of general surgery) in addition to

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    RMSAF Para 72 of Appx 5 - FEES TO BE CEARGES BY A R I I E DFORCES DENTAL SERVICES FORPVT WORK

    326,500.0011,000.002,650.00-

    under.(a) Major operalion (Over 2 hours)(b) Major operatio11(2 lus or below)(c) Minor operatior1 (without GA)

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    4

    (a) Partial (Acrylic) one to three teeth(b) Each ad&tional arlificial toot11 30.00(c) Eleven to fourteen teeth denture (Acrylic) (full 450.00

    (IT) Each full plate ) 750.00(e) Over denture (each jaw) (Acryl~c) 1 750 00(f) Each r ep a~ r f denlure (Acrylic ) 1 10000

    upper or lowcr denture)(d) Where metallic bmces are given tlrc additional chargesfor each such skeleton as per the following rales (1)I Each oartial olale

    I30. ORTHODONTIC APPLIANCES

    500.00

    -~I (d) Each re~ cntio n pylianccs (Acryl~c) / 200.0031 I DEhTAL X-RAY(A)INTRAORAL X-RAY

    . , ... .-

    (11) Occlusal dental X-ray film each(111) Bitc wing dcr~ la lX-ray film eacll1 1 EXTRA ORAL X-RAY I) Each film as per charges laid down 1n S ~M E hospitals

    (a) Each Removable appliances (Aclylic )(b).Each re~ ov ab le ,q pli an ce s ith.expansion screw. . . ,. . . . _-(Acfylic)' ." . , . , . .. . . . .. . ~(c) .Fixed ortho appliance each jaw

    Note :- 1. The abo:e charges for dental treatment arc inclusive of any local Anaesthetics uscd.72 . ~ e n e r inae sthe sia hargeswill be extra as laid down for se ni ce hospitals. .

    300.00450.003000.00

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    RMSAR Para 75 of Appx 5 - FEES TO BE CHARGED BY AUMED FORCES FOR PRIVATE WORKINVESTIGATIONSSerN n( I) I (2)1 Unne Examination (rouline)2. 1 Stool examination(rnutine)

    Nature of work d o n f l a t u r e of supplies(3 )25.0025.00

    Raten in Rupees

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    l

    Wall Scrapping

    8485

    IW . MICROBIOLOGYThroat Swab for direct slnear examination 25.00

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    117 1 Imlnunological test for pregnancy 1 135.00118 1 Aschiem Zo ~~ d akest :Qualitative 1 135.00

    11311411II6

    ,Wasernku~eaction i n C.S.F.. . ...~ . .~ .. . .Rose Waalar tesl i

    . ..Pdul BunneltestElectrophoretic pallern of serum lmmnoglobulins

    90.0090.0090.00180.00

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    133 1 \V:lscnlian A n t~ gen cr I cc 1 5.00134 KII;UIantigen per 1 cc 1 5.00135 thgh t ~ t r e crulns per 1 cc ( 10.00136 Opacliy Lubcs Brown 1 sct 1 55.0010713 %139140141112143

    NEUROLOGICAL EXAM INATION '. . . . . . . . . .1 .~. 1 EMG Charges ' ' 1 225.00, . . . . . . . .. . . . . . . . . . . . . . -.

    144145

    I . . , . . . . . . . .8. . .PHYSIOTHERAPY

    . .

    Subcu ltures per 1 [ubScnu11. Haem agglutination G roup A per 1111Seru~n, ae lna~gul~t ina t iOni :roupB per mICasoni An t i ~e nor 250 (ml)Oxcell suspension (for 50 m l)Gu inaepig kidney ernu lsion (for 50 1111)Cepllalin cholesteol working solu tio~l1 cc of concel~tru ted olution plus

    I lECOVERY OF CFIARGES FOR BLOOD TRANSIWSION1 1 Onc bonlc of blood - Rll ~ o s lu ve -

    10.00L0.0010.001125.001440.001890.0025.00

    ELECTRO CARDIOGRAPHY: -1. I Routine ECG ' ' - " . ". . I ( 60.002. ECG Double Master ' " : . 1 286.00........... . . .. . . . . . : , , ,.: , . .

    30 cc oldistilled water)Ceplralin Cholesteol ( ~ o n c e n t r a t e d ) ITluornboplastin (H ~u na n rain)

    810.00P5.00

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    9ADDITIONAL ITEMS NOT 1NCLUI)ED IN RMSAR 1983

    1 with contrast I 1I

    RMSAF 76 of ~ p p r - FEES FOR MEDICAL EXAMINATION OF NON-ENTITLED PERSONS

    (a) Single siles . ,.. . , ,

    Witliout contrast 1

    I @) TWO sites

    5000.00@) One region body, chest, abdomen, pclvic1 (d) One region body, cliest, abdomen, pelvic

    2000.00

    5000.008000.00

    (c) Three sites .. . 3000.00

    Rates in Rupees

    100.00

    Para-No .76.

    CateaorieuFees 011 account of Exanlinatio~~fEmployees Tor work inlwith Service EsltCiv PCIS 01Regt Inst beforc

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    RMSAF Para 77 of Appx 5 - Charees for Radioloeical invevtieation and treatment of No11Eutitlcd Patients

    10@) Civ pels of Pvlowncd cstablislunelltwllose products/premises are used byArmed Forces

    100.00

    (c) Civs of restaurants in Cantt(I). Before employment(11) Periodic exam 250.00125.00pd) Clnrges for Lab investigation of civseluployedwithRegistered Inst . .1 (I) , Sputum for AFB(11) "Stool Routine exall1OII) HBsAg 50.00

    . . , , .

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    1 1KMSAP Pa rs 79 of AI)I)X . Tile medical exam of pilots and aircrew o rc iv aviation for Ule issue and renewaloflicer~scss car rled out by IA F Med of i s under arrangclnenls made by DG Civil av iation. The fo llowing are UleIces payable by the cand idalcs. . .

    l ~ t ~ a lxam Sub s~ou ent xam(I) Class I1 (All categories) - 350 250(1I)Class I ( d o - ) 1200 1100Investigation cllarges wlll be charged extra as per the rates given in column (2 ) above

    s sSeria l No. 1 .Categ ories of civilian ( Rates per d iem in rupees I

    I 3 I OR ward 400.00NoteHoupi tal s toppages wil l be rrcovercrl hy Arrued Forces hospital8 direct from government servants,who io turn , will claim reimb ursement from the G uve rnn ~en t, s admissible unde r C S (MA) RulesTlle rales wlll be halved in case of c l u l d ~ c ~ i111de.r twelve years of age

    1( 1 - - 1 .I

    H Q u L L I n case of wives and otl~er ependent members of U I ~amily th c rates 01i1ospital stoppag es will be basedon the ~ ~ a r do wluch admittedNole anlc as note 1of para 53 C of Appendix V of RMSAF. S an ~e s note 6 belowNote Non entitled civilians who are not Govt servants when admitted to tlx Armed forces hospitals will beaccoinmodated as sltown i n Uus chart:.

    ~ e r s o n n e l. . (2 )Oflicers Ward. .

    . .T y o e o f W a r d ,. . P av R an re. . . . . , , . ,. . .. . ,. , ' , , S t . * * 'OAicers' Ward .. . .. . . : Rs. 13501 and aboveIC O S ' w u rd ' Rs. 10501 toR s. 13500

    OR'SWard . . Rs. 10500 and below

    (3)1600.00

    Nore Civilian beneficiaries anlong the no11 entitled cases when admitted for the purposes of tubectomy.vasectomy, IUD i n s d o n and post operative complications will not bc asked to makc pym en ts for the hospitalstoppages during their stay in the hospital , , : , '.. I>. -. ... . . < ..

    Nole Th e 'hospitul stoppages recovered u n d e r this para w ill cover for th e accommodation. roulineirlvesligations and routine procedures, including the diet. Tl~isncludcs the services of specialist on UIC advice ofthe MO ilc provided the specialist resides in the station iilld no -. extra expend iture Lo the sta le is involvedin wll i~igh e r h n l t h e m . Howevcr, the charges for laboratory investigations. ollier tllan rouline. X - Ray~ ~ m n i n a t i o n ,CG examinallon and other special investigations and procedures will be charged extra in additionto the l~osp ilal loppages as per l l ie rates prescribed for uon entitled patients. -.