AP EHS GO MS NO 174 for Cashless medical treatment to Employees, Pensioners…AP government issues GO MS No 174 for Cashless medical treatment to the state Govt Employees, Pensioners and their dependent family members under Employees Health Scheme. Beneficiaries Covered under the scheme is Serving employees and Retired employees.
Employees Health Scheme Cashless medical treatment CoverageThe Employees Cashless medical treatment coverage under the scheme is as follows:-
a) Serving employees:
- All regular State Government employees. A State Government employee will have the meaning as defined under Fundamental Rules.
- Provincialised employees of local bodies.
b) Retired employees:
- All Service Pensioners
- Family pensioners
- Re-employed service pensioners
Following categories will not be covered under AP EHS scheme.
a) Those who are covered under other insurance schemes such as CGHS, ESIS, Railways, RTC., Aarogya Bhadratha of Police Department and Aarogya Sahayatha of Prohibition & Excise Department;
b) Law officers (Advocate General, State Prosecutors, State Counsels, Government Pleaders and Public Prosecutors);
c) Casual and Daily paid workers;
d) Biological parents if adopted parents exist;
e) All independent children; and
f) AIS officers and AIS pensioners.
The following family members are entitled to avail of the Employees Health Scheme.
a) Dependent Parents (either adoptive or biological; but not both);
b) One legally wedded wife in case of a male employee/service pensioner;
c) Husband in case of a female employee/service pensioner) and
d) Dependents of family pensioners shall also be eligible as in the case of service pensioners.
Under AP EHS Employees Health Scheme employees will get benefits like In-Patient Treatment for the listed therapies under all specialities in the empanelled hospitals and necessary follow-up treatments of surgical or medical ailments. In Outpatient Treatment for identified chronic diseases pre-defined long-term (chronic) diseases will be provided in notified hospitals.
The employees, pensioners and their dependent family members will be eligible for a sum of Rs.2.00 lakhs (Rupees two lakhs only) per episode of illness with no limit on the number of episodes as existing in APIMA Rules, 1972. However, in the cases where the cost of treatment exceeds Rs.2.00 lakhs, cashless treatment will continue.
Detailed operational guidelines required from time to time will be issued by Government and made available in the website http://www.ysraarogyasri.ap.gov.in/ or www.ehf.gov.in. Read Go ms no 175, 176 and 174 for Final Therapy Prices and Cashless medical treatment Notification of the ‘Employees Health Scheme.
AP EHS – Download GO MS No 174, 175 and 176 on AP Employees Health Scheme Guidelines for Issue of Health Cards here.