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No.

14017/412005-AIS-I1
Government of India
Ministry of Personnel, P.G. & Pensions
Department of Personnel & Training

North Block, New Delhi - 110001


Dated 41hJanuary, 2010

Office Memorandum

Subject:- Incentives of AIS officers sewing in the NE cadre -Health


care, regarding

The undersigned is directed to refer to the sub-ject cited above and


to say that the question of extending the facility of providing health care
in Army and Cantonment Hospitals on payment basis to all AIS officers
and their families while serving in the North-East Region, has been
engaging the attention of the Government for some time. Accordingly,
Ministry of Defence has issued necessary instruction to all Military
Hospital in the NE region to provide medical care to All India Service
officers and their families as non entitled civil gazetted officers and charge
hospital stoppage rates (HSR). A copy of the Ministry of Defence' letter No.
9(1)194/D (Mel), dated the 1 lLhAugust, 2005;ssued in this regard is forwarded
along with enclosures for information and necessary action.

Deputy Secretary to Government of India


Encl: As above.

Copy to :
1. Chief Secretaries of all the State Government s/UTs.
2. All the MinistriesIDepartments.
3. Secretary, Ministry of Home Affairs
4. Secretary, Ministry of Environment and Forests
5. PMO (Shri Amit Agrawal, Director).
6. Cabinet Secretariat (Shri M. Sarangi, Additional Secretary). 1
7. PS to MOS(PP)/PPS to Secretary(P)lPS to AS(S&V).
9/ NIC, DOPT for putting on website vide path (Home
Page>Circulars/Reports>Services Division
9. Guard File
s [\)I q 9 . / ' d ( ~ e t l )
tiovcrnincnt dl' India
.
Ministry of Defencc
New Delhi, the 1brc Aug 2005
'l'he L)irector Geucrill
Armed Grces Medical Services
New Delhi (25 copies)
- .
Subect : - HOSP~TALSTOPPAGES AND INVESTIGATIONCHARGES FOR
PRIVATE WORK FQRNON-ENTITLED ClVlLIANS

I am tli~.cctcdto rcrer lo Al~pe~~dix


5 oT khc Rcyulations for tllc Mcdical Scrviccs
of the Armed Forccs-1983 and to convey the sa~lctionof the I'residel~i io thc raws Tor
recovery of hospital stoppages, fees for medical examitlation and fees to be charged by
armed forces Tor investigations and dental work in respect of non-entitled persons, as per
the Annexure to this letter. The revised rates will come in-to force wilh immedirte effect.
'The validity period of these rates is five years or till the same are revised through a
subseque~itorder, wl~icheveris earlier.

2. Regulations for n~edicalservices of the Armed forces -1983 may be deemed to be


nnlended accordingly.

3. 'Tiis letter will supersede all govt. lcttcrs issucd on the subject.

4. Tl~isissues with the concurrence of the Ministry of Finance-ide their


11.0.No. 732/1'13/05. . .
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Y o ~ ~l'aithf'll
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@'&
(R C Raturi)
U ~ ~ dSecretary
er to the Govt. of India
. . . . . , . . . . .. . .. . . . & ., . . . . . .
\ .

Copy to 1 . . . . . . . .,. .
. . , TheCDA, New Delhi,.The,DADS ~ e w , D e l h i
The Sr Dy DADS Pune & Meerut b

The Dy DADS, Mee~ut,Bombay & Dehradua


The CsDA ( 0 ) Pune, (WC)Meerut, SC Pune, (AF) Dehradu~l,(CC), Meerut, (EC)
Patna, (NC) Jammu, (Navy) Bombay
DFA(N), DFA(AG), DFA (AF)
DGMS (Army) - 20 Copies DGMS (Navy) & DGMS (Air) - 10 Copies each
DGNCC, SCD (I) Bombay, Ord Factory Board
DGh[;MS (L)G 3C) - for ncccsslu-y action to a~nc~rd
t l ~ cILMSAP - 19x3
Copy signed in ink to :- All CsDA
Annexure to GOI. MOD letter
-- -- '9a) /Q4 /DCMed) dated 11.8.0)'
HOSPITAL STOPPAGE RATES IHSRI FOR NONENTITLED CIVILIANS WHO ARE GOVT
SERVANTS
I ~ara~o. I Categories of civilian penomel &tea per Diem in 1 'I
. ,
1983 1
(1) (2) (3)
41 (a) i) Civilians' paid fmtn Def senices estimntes, including Def
Accounting Dept stafl and Def civilians undcr MOD having
their HQs in Delhq irrespective of Ule fact whether Uley are
entitled to medical benefits under the CGHS or not
Excluding :
(a) Industrial personnel with less than one year of service
@) Employees of ord and clothing factories
(c) NavilYAir Force civilian personnel associated with
Ordnance factories
Hospital charges at the, rates. shown against each of the
following categories will be charged,"
(a) Gazetted officers 800.00
@) Non Gazetted officers 400.00
42 Civilian Gazetted offtcers in Ordnance factories 800.00
43 Civilian Gazetted officers other than :-
(a) Industrial personnel with less than one year of service
(b) Employees of ord and clothing factories 400.00
(c) NavaYAir Force civilian personnel associated wit11
Ordnance factories
44 Personnel of Defence Account6 Deptt. when admitted for purposes 400.00
.of medical examination, preparatory to their being brought before
a Service Medical Board with a view to determining their fitness
1 or otherwise for further entinuance in m i c e in the Defence
1 Accounts Department. 1
45 Personnel of NCC: Those attach@ to.units of regular armed forces As per corresponding
I ' .(a).Other than tho& belonging to Tamil Nadu personnel of the.Armed
.: (b). Those belonging to TN forces
.:- :L)Mcersward ; ; . . , ., ., :. . . 800.00
: ' JCOs ward . ..,
. . . : . .: ..... . . , 400.00
- ORward . , . . ., . 200.00
46 . . State G m employees admitted under reciorocal arran~ementg
, :Cnzened mcers :.,., :.. ..:.:>.. . . . 800.00 ,
- Non Gazetted.officers ,.: 400.00
47 Emplovees of the state Govt not under reci~rocalarrnn~?einen@
(a) Offtcers Ward 1600.00
@) JCOs Ward .. ,, . .. ! , , 800.00
(c) OR Ward 1 400.00
48 I C ~ v l l ~ aNno n Gazetted OfTicers -.
- ~~~

(a) Industrial personnel with less Lhw one year of service


(b) Employees of ord and clothing factories 200.00
(c) NavoUAr Force civilian perso~ulel associated with Ordnance

49
factories
Nor, entitled civilians of non-.!2azened c l a s s e e r than those p&d
I
,' \
JCOs/on Ward . .: - ..

* Any investigations
carried out will bc
charg@ extra as per the

(b) Appeal ~ e d i c aBoard


l (AMB) commission in h e
Armed rorces including
Auxiliary Air Force
and Territorial Army
are admitted to Armed
forces Hospitals under
provisiotls of para
. . .. , ..

1600.00
. . .. . . -. !, :.,;, ,, '. 18 _.. . .. .
. .. ,. .
. .. . ,..
.
" ,
.
,. . ,
...~,,.. '.., . .. .. . .
(b) 1 ~ 0 Ward
s
.:.I

, , , ,
- \

. ..?..
.. ~
, . 800.00
. ., . . . .

(c) OR ward 400.00


65 Hospital stoppages in non-dieted hospitals - when personnel
referred to in para 2, 25, & 48 of Appx. V of RMSAF 1983 ilre
admitted to non-dieted hospitals, hospital stoppages win be
recovered at half the rates laid down in these paras.
66 Hospital stoppages for non entitled c u e s and ex-service men 200.00 I

, admitted in MH Pund Convalercent wing of ALC h u e (clddren below 12


years will be charged
-
half the rates)
67 Non entitled TI3 patients:
Personnel of Armed Police Battalions & a l h d uII1t.S serving with
the Army in J&K on border . . defence:,.dutics, when admitted io MH
(CTC)Pune
- Officers' ward . . 1600.00
. , . -,
. JCOs Ward . . , ,,..
'

.I
,

800.00
- ORward 400.00
69 Chuges for ooera~ion:-
Civilians of all categories @nras 41 to 67)
operation (of general surgery) in addition to
3
under.
(a) Major operalion (Over 2 hours) 26,500.00

(b) Major operatio11(2 lus or below) 11,000.00

(c) Minor operatior1 (without GA) 2,650.00


-
-
RMSAF Para 72 of Appx 5 FEES TO BE CEARGES BY ARIIEDFORCES DENTAL SERVICES FOR
PVT WORK
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
upper or lowcr denture)
(d) Where metallic bmces are given tlrc additional charges
for each such skeleton as per the following rales (1)
I Each oartial olale 500.00
(IT) Each full plate ) 750.00
(e) Over denture (each jaw) (Acryl~c) 1 750 00
(f) Each repa~rof denlure (Acrylic ) 1 10000

I
30. ORTHODONTIC APPLIANCES
(a) Each Removable appliances (Aclylic ) 300.00
., ..
. .
(b). Each re~ovable,qpliances
. . . with.expansion
,. . . . _-
screw 450.00
- (Acfylic)' ." . , . ,
. ... . . . .. .
~~

-~ (c) .Fixed ortho appliance each jaw 3000.00


I (d) Each re~cntionupylianccs (Acryl~c) / 200.00
31 I DEhTAL X-RAY(A)INTRA ORAL X-RAY
(11) Occlusal dental X-ray film each
(111) Bitc wing dcr~lalX-ray film eacll
1 1 EXTRA ORAL X-RAY I
) Each film as per charges laid down 1n S ~ M E hospitals

Note :- 1. The abo:e charges for dental treatment arc inclusive of any local Anaesthetics uscd.
7
'

charges will be extra as laid down for senice hospitals. .


2. ~ e n e r~naesthesia
i
RMSAR Para 75 of Appx 5 - FEES TO BE CHARGED BY AUMED FORCES FOR PRIVATE WORK
INVESTIGATIONS

Ser Nature of work donflature of supplies Raten in Rupees


Nn
(I) I (2) (3)
1 Unne Examination (rouline) 25.00
2. 1 Stool examination(rnutine) 25.00
l'

Wall Scrapping
I
W . MICROBIOLOGY
84 Throat Swab for direct slnear examination 25.00
85
86
Tliroat swab for cultural examination
Throat swab for direct , culture and A S T
90.00
135.00 -.
113 ,Wasernku~reaction i n C.S.F 90.00
.. . ...~ . . .~ .. . .
114 Rose Waalar tesl i . ..
90.00
11 5 Pdul Bunneltest 90.00
I I6 Electrophoretic pallern of serum lmmnoglobulins 180.00
117 1 Imlnunological test for pregnancy 1 135.00
118 1 Aschiem Z o ~ ~ d atest
k : Qualitative 1 135.00
133 1
\V:lscnlian Ant~genpcr I cc 1 5.00
134 KII;UIantigen per 1 cc 1 5.00
1 135 thgh t~trescrulns per 1 cc ( 10.00
1 136 Opacliy Lubcs Brown 1 sct 1 55.00
1 107 Subcultures per 1 [ub 10.00
13% Scnu11. Haemagglutination Group Aper 1111 L0.00
139 Seru~n,Haelna~gul~tinatiOni: Group B per mI 10.00
140 Casoni Anti~enfor 250 (ml) 1125.00
141 Oxcell suspension (for 50 ml) 1440.00
112 Guinaepig kidney ernulsion (for 50 1111) 1890.00
143 Cepllalin cholesteol working solutio~l(1 cc of concel~trutedsolution plus 25.00
30 cc ol distilled water) P

144 Ceplralin Cholesteol ( ~ o n c e n t r a t e d ) I 810.00


145 Tluornboplastin (H~unanBrain) 65.00
ELECTRO CARDIOGRAPHY: -
1. I
Routine ECG . ' '-" .. ". . I ( 60.00
2. ECG Double Master ' " . : 1 286.00
. . . . ...........
. . :d . . .
, , ,.: , . .

1. ~
NEUROLOGICAL EXAMINATION ':I

2 . 1 EMG Charges
1 ''
..........

225.00
I
. . . . .., . , . .......
. ,,
. . .-. . . . . .. .. .. . . . .
. . . 8.

PHYSIOTHERAPY

. .

IlECOVERY OF CFIARGES FOR BLOOD TRANSIWSION


1 1 Onc bonlc of blood -
Rll ~osluve -
9
ADDITIONAL ITEMS NOT 1NCLUI)ED IN RMSAR 1983

@)
1 with contrast I 1
1
I Witliout contrast 1 5000.00
@) One region body, chest, abdomen, pclvic 5000.00
1 (d) One region body, cliest, abdomen, pelvic 8000.00

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


I @) TWO sites 2000.00
(c) Three sites 3000.00
...

RMSAF 76 of ~ p p 5r - FEES FOR MEDICAL EXAMINATION OF NON-ENTITLED PERSONS

.-Para Cateaorieu Rates in Rupees


No.
76. Fees 011 account of Exanlinatio~~
of
Employees Tor work inlwith Service Eslt
Civ PCIS 01Regt Inst beforc 100.00
10
@) Civ pels of Pvl owncd cstablislunellt 100.00
wllose products/premises are used by
Armed Forces
(c) Civs of restaurants in Cantt
(I). Before employment 250.00
p
p
(11) Periodic exam 125.00
(d) Clnrges for Lab investigation of civs
eluployed with Registered Inst . .
1 (I) , Sputum for AFB
(11) "Stool Routine exall1
OII) HBsAg 50.00
.. , , .

RMSAF Para 77 of Appx 5 - Charees for Radioloeical invevtieation and treatment of No11Eutitlcd Patients
11
KMSAP Pars 79 of AI)I)X5. Tile medical exam of pilots and aircrew orciv aviation for Ule issue and renewal
oflicer~scsis carrled out by IAF Med o f i s under arrangclnenls made by DG Civil aviation. The following are Ule
Ices payable by the candidalcs
. ..
l ~ t ~Exam
al Subs~ouentExam
(I) Class I1 (All categories) - 350 250
(1I)Class I ( d o - ) 1200 1100
Investigation cllarges wlll be charged extra as per the rates given in column (2) above

s s
Serial No. 1 .Categories of civilian ( Rates per diem in rupees I
1 . .
~ersonnel
( 1 - -1. (2) (3)
I Oflicers Ward 1600.00
. .

I N o t e H3o u p i t a lI stoppages
OR ward 400.00
will be rrcovercrl hy Arrued Forces hospital8 direct from government servants,
who io turn, will claim reimbursement from the Guvernn~ent,us admissible under CS (MA) Rules

Tlle rales wlll be halved in case of cluld~c~i


~111de.rtwelve years of age

HQuLLIn case of wives and otl~erdependent members of U I family


~ thc rates 01i1ospital stoppages will be based
on the ~ ~ ator wluch
d admitted

Nole Sanlc as note 1of para 53 C of Appendix V of RMSAF. San~eas note 6 below
Note Non entitled civilians who are not Govt servants when admitted to t l x Armed forces hospitals will be
accoinmodated as sltown in Uus chart:
. .
.
Tyoeof Ward ,. . Pav Ranre
. . . .. .. ,. , ... , .. , , ',,St. **'
OAicers' Ward .... . . . , : Rs. 13501 and above
ICOS' wurd' Rs. 10501 toRs. 13500
OR'S Ward . . Rs. 10500 and below

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 pyments for the hospital
I
stoppages during their stay in the hospital , , : , '..
>. -. . .
. . . < ..
Nole The 'hospitul stoppages recovered u n d e r this para will cover for the accommodation. rouline
irlvesligations and routine procedures, including the diet. Tl~isincludcs the services of specialist on UIC advice of
the MO ilc provided the specialist resides in the station iilld no -. - . extra expenditure Lo the stale is involved
in wlli~igherhnlthem. Howevcr, the charges for laboratory investigations. ollier tllan rouline. X - Ray
~~mnination, ECG examinallon and other special investigations and procedures will be charged extra in addition
to the l~ospilalsloppages as per llie rates prescribed for uon entitled patients.
-.

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