TAMIL
NADU GENERATION AND DISTRIBUTION CORPORATION LIMITED
(ABSTRACT)
TANGEDCO – Tamil Nadu
Electricity Board Pensioners' Health Fund Scheme - Financial assistance for
treatment availed in Hospitals outside Tamil Nadu - Amendment - Proposal.
(SECRETARIAT BRANCH)
(Per) FB TANGEDCO
Proceedings No.50 Dated the
5th September, 2012.
Aavani-20,
Thiruvalluvar Aandu
2043.
READ:
1. (Per) B.P.(FB) No.11
(SB), dated 06.03.2008.
2. (Per) FB TANGEDCO Proceedings No.13
(SB), dt.18.12.2010.
3. (Per) FB TANGEDCO Proceedings No.14
(SB), dt.18.12.2010.
4. (Per) FB TANGEDCO Proceedings No.15
(SB), dt.18.12.2010.
*********
PROCEEDINGS:
The
Tamil Nadu Electricity Board Pensioners' Health Fund Scheme was introduced in
TANGEDCO (erstwhile TNEB) based on the Tamil Nadu Pensioners' Health Fund Scheme
and whenever the Government have made any amendment to the Tamil Nadu
Pensioners' Health Fund Scheme, the TANGEDCO also made the amendments to the
TNEB Pensioners' Health Fund Scheme, so as to extend the same benefits to the
Pensioners/Family Pensioners of TANGEDCO. Previously, there was no specific
guidelines given for taking treatment outside the State of Tamil Nadu. Hence, the pensioners were
allowed reimbursement only for the treatments taken within the State of Tamil Nadu. During the
year 2008, when a pensioner, who had undergone eye surgery in Aravind Eye
Hospital/Pondicherry had represented to reimburse the cost of treatment
incurred by him, though the treatment was taken outside the State. The case was
placed before the Board for taking a decision. Even though there was no
specific orders from the Government, the proposal was approved by the Board and
it was resolved that in all such cases, 50% of the cost of treatments may be
paid subject to the ceiling. Accordingly, necessary orders were issued in the
Board's Proceedings first read above. Subsequently, the Government in
G.O.Ms.No.477, Finance (Pension) Department, dated 30.09.2009 have issued
orders that the claims for medical assistance from the pensioners in respect of
ineligible treatments as well as eligible treatments taken in unaccredited
institutions, both within the State as well as outside the State, shall also be
eligible for sanction of assistance under the Tamil Nadu Pensioners' Health
Fund Scheme. The said G.O. was adopted in TANGEDCO vide TANGEDCO Proceedings
second read above.
2.
The ceiling limit on the claims from the Pensioners/Family Pensioners is fixed
at the rate of 75% of the cost of treatments or Rs.1,00,000/- whichever is
less, under the Tamil Nadu Electricity Board Pensioners' Health Fund Scheme
vide (Per) (FB) TANGEDCO Proceedings No.13 and 14 (SB), dated 18.12.2010. The
same ceiling limit is applicable on the orders issued in (Per) FB TANGEDCO
Proceedings No.15 (SB), dated 18.12.2010 which provides pensioners to take treatments
in the Hospitals within or outside the State. Hence, it has been proposed to
cancel the earlier orders issued in (Per) B.P.(FB) No.11 (SB), dated 06.03.2008
and also to incorporate a condition on the maximum ceiling limit, in the
TANGEDCO Proceedings fourth read above. The said proposals have been approved
by the Board.
3.
Accordingly, the TANGEDCO hereby orders that
(i) the
earlier orders issued in (Per) B.P.(FB) No.11 (SB), dated 06.03.2008, be
cancelled;
and
Contd..
..2..
(ii) the following sentence may be added at
the end of para-4 of (Per) (FB) TANGEDCO Proceedings No.15 (SB), dated
18.12.2010:
"subject to the
maximum ceiling limit of Rs.1,00,000/- or 75% of the cost of treatments,
whichever is less".
4. The above orders shall come
into effect from the date of issue of these orders.
5.
The receipt of these proceedings shall be acknowledged in the slip enclosed.
(BY ORDER OF THE BOARD)
A.S.PASUPATHI,
SECRETARY.
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