MEDICAL ATTENDANCE RULES
The Andhra Pradesh Integrated Medical Attendance
1. Short title :--These rules may be called the "Andhra
Pradesh Medical Attendance Rules,1972.
2. Extent of Application :-(a) They shall extend to the
whole of the State of Andhra Pradesh.
(2) These rules also apply to persons who are entitled to medical
attendance under the Secretary of State Services (Medical
Attendance) Rules, 1938, the All India Services (Medical
Attendance) Rules, 1954 and also to the Andhra Pradesh State
Higher Judicial Officers who are to be treated on par with the
I.A.S. and I.P.S. Officers, but only to the extent to which they
are not inconsistent with these rules. .
3. Definitions :- In these rules unless there is anything
repugnant in the subject or context -
(1) "Government Servant" means a whole time Government Servant
employed under the Government of Andhra Pradesh and includes such
servants employed under State Governments with whom reciprocal
agreements in respect of medical attendance have been entered
into, but does not include part time or honorary workers ;
(2) "Hospital" means a Government Hospital and includes any
Special Hospital in the State or any other Medical Institution
recognised by the Government.
Note :-Non-gazetted Officers and Employees of the local bodies
drawing salaries not exceeding Rs. 300 per mensem in the greater
Hyderabad city are permitted to take treatment for their families
in the Maternity and Child Welfare Centres of the Corporation of
Hyderabad only in emergencies and get reimbursement of the
expenses incurred by them, the emergency being certified as such
by the Medical Officer in charge of the Centre;
(3) "Registered Medical Practitioner" means a person
registered under the Madras Medical Registration Act, 1914
adopted to Andhra State; and the Andhra Ayurvedic and
Homoeopathic Medical Practitioners' Registration Act, 1956 and
the Medical Act No. 1 of 1312 Fasli of the erstwhile Hyderabad
(4) "Authorised Medical Attendant" means a Medical Officer
attached to the Government Hospital or Dispensary in the State
who has been nominated by the Government, from time to time, to
Serve as Authorised Medical Attendant for the State Government
[A list of Authorised Medical Attendants, appointed by the
Government is given in Appendix I to these Rules.]
(5) "Patient" means a Government Servant or any member of his
family and to whom these rules apply and who has fallen ill ;
(6) "Station" means the town or place in which the Government
Servant and other entitled person falls ill ;
(7) "Family" :-(a) In the case of a male Government Servant,
family means his parents, wife, legitimate children including an
adopted son and step Children residing with and wholly dependent
on him ;
(b) In the case of a woman Government Servant it means her
parents, husband and children residing with and wholly dependent
(i) The word 'wife' includes more than one wife.
(ii) The claims for reimbursement of expenses in respect of
parents should be accompanied by declaration in the proforma
I, .................................................. (full name
and designation) hereby declare that my
father/mother.....................has no property or income of
his/her own and that he/she is wholly dependent on me.
Signature and date.
(iii) A married daughter who is under the protection of her
husband does not come within the definition of "family" for
purposes of these rules.
(iv) The deserted, divorced, or widowed daughters who are
residing with entirely dependent on the Government Servants and
Employees of local bodies drawing salaries not exceeding Rs. 300
per month are eligible for medical concessions allowed to
Government Servants under these rules.
(v) Their family for purpose of these rules will include adoptive
parents who are wholly dependent on the Government Servants but
does not include the real parents, though they are wholly
dependant on the Government Servants once the adoption is
effected]. [G.O.Ms.No. 123, Health, Dt. 25-11-76 & G.O.Ms.No.
718, Health, Dt. 18-7-1975]
(vi) Medical reimbursement bills of the Member of the State
Legislature can be presented directly to the District Treasury or
Sub-treasury as the case may be, from which they are authorised
to draw their salaries; on the basis of essentiality certificate
issued by the Authorised Medical Attendant without insisting for
the countersignature of the District Medical and Health Officer,
or Superintendent as the case may be.]
[Inserted by G.O.Ms.No.418, H&M, Dt. 26-6-1979]
(8) "Well-to-do-person" means a person who is in receipt of
an annual income of Rs. 1,200 or more or who is a member of the
family of such a person and actually dependent on him.
4. Medical Attendance :-(1) Medical Attendance in respect of
a Government Servant whose pay is not less than Rs. 500 p.m.
(i) Attendance in a hospital or at the consulting room of the
Authorised Medical Attendant or at the residence of the Govt.
(ii) All pathological, bacteriological, radiological and other
methods of examination for the purpose of diagnosis, as are
available in any Government Hospital within the State and are
considered necessary by the Authorised Medical Attendant ;
(iii) Any consultation with a Specialist in Government employ
within the State or other Medical Officer similarly in Government
employ within the State or that the Authorised Medical Attendant
may certify to be necessary to such extent and in such manner as
the Specialist or Medical Officer in consultation with the
Authorised Medical Attendant, determine.
(2) Medical Attendance in respect of any other Government
(i) Attendance at a Government Hospital or at the consulting room
of the Authorised Medical Attendant or in case of illness which
compels the patient to be confined to his residence, at the
residence of the Government Servant;
(ii) All methods of examination for purposes of diagnosis that
are available in the nearest Government Hospital.
(iii) Any consultation with a Specialist or other Medical Officer
stationed in the State that the Authorised Medical Attendant may
certify to be necessary, to such extent and in such manner as the
Special Officer may, in consultation with the Authorised Medical
Attendant, determine ;
(3) There will be cases of not infrequent occurrence in
which, it will be proper for the medical officer to visit the
Government Servant in receipt of salaries under Rupees one
hundred at their residences. The Government trust to the good
sense and good feeling of the medical profession in preference to
laying down any precise rules for such cases.
(4) It should be distinctly understood that a medical officer
will not be expected to attend a Government Servant at his
residence unless the patient is unable to wait upon the medical
officer either at the latter's residence or his consulting room
or till such time as may be appointed by the Medical Officer for
the purpose ;
(5) Medical Officers who are Authorised Medical Attendants to
the Government Servants, should not charge any consultation or
other fees from the Government Servants for the Medical
Attendance rendered to them.
5. Medical Treatment :-Medical Treatment means use of all medical
and surgical facilities available at the Government Hospital in
which the patient is treated and includes :-
(1) Employment of such pathological, bacteriological,
radiological or other methods of investigation, etc., as are
considered necessary by the Authorised Medical Attendant ;
(2) Supply of such medicines, special or ordinary vaccines,
sera or other therapeutic substances as are ordinarily available
in Government Hospitals in the State ;
[Note :-Wherever a Government Servant consults an Authorised
Medical Attendant/ Specialist in the latter's consulting Room and
medicines were prescribed, the Medical Officer of the Secretariat
Dispensary is authorised to issue medicines to the Government
servant and their families of the prescriptions given by the
Authorised Medical Attendant, Specialist although they are not
attached to the Secretariat Dispensary. In case the medicines
prescribed by the Authorised Medical Attendant/Specialist are not
available even at the Secretariat Dispensary, the Government
Servants may purchase the medicines outside and get the amount
spent thereby reimbursed later as per rules. The Medial Officer,
Secretariat Dispensary, is not ordinarily bound to purchase and
supply the medicines. He will, however, stock all the necessary
medicines in the dispensary to meet the requirements.] [Added by
G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978]
(3) Supply of such medicines, vaccines, sera or other
therapeutic substances as are not ordinarily available in
Government Hospitals as the Authorised Medical Attendant may
certify in writing to be essential for the recovery or for the
prevention of deterioration in the condition of the patient.
(i) The refund of the cost of preparations which are not
medicines but are primarily foods, tonics, toilet preparations or
disinfectants is not admissible under the rules. Prescription of
expensive drugs, tonics, laxatives or other elegant and
proprietary preparations for the use of Govt. Servants and
members of their families when drugs of equal therapeutic value
are available in hospital and dispensaries is prohibited. List of
items for which refund is not admissible under the Medical
Attendance Rules are given in Appendix II.
(ii) Sales Tax paid by Government Servants while purchasing
special medicines from the market is refundable under the Rules.
Packing and postage charges paid by Government Servants for
purchasing special medicines from out-stations are not
(iii) All claims for refund of expenses incurred on account of
the purchase of the special medicines should be preferred in the
manner indicated in Appendix III.
[Note :-Bills for small amounts upto Rs. 157- at a time need not
be countersigned by the Authorised Medical Attendant. In such
cases, Essentiality Certificate should specifically mention the
names and quantum of medicines required. Also, that certificate
should be marked as cancelled while the bill is submitted so that
it cannot be used again.]
[Added by G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978]
(4) Treatment of confinement cases of a Government Servant and
includes prenatal and post-natal treatment.
Note :- The pre-natal and post-natal treatment can be had at the
Government Medical Institutions in the State where facilities are
available and where no such facilities are available the case
should be referred to the concerned nearest Government specialist
by the Authorised Medical Attendant. These treatments should be
treated as "other treatment" for which a woman Government Servant
or the wife or other members of a male Government Servant are
entitled. (G.O.Ms.No. 1466, Health, Dt. 31-8-1965)
(5) Such accommodation as is ordinarily provided in the
Hospital and is suited to the status of a Government Servant with
reference to his pay as indicated below :-
(i) Government Servants drawing "A"class ward.In case
Rs. 500 and above p.m. accommodation in"A"
class ward is not
(ii) Other Government Servants "B"class ward(cement
drawing Rs. 250-499 p.m. or wooden partitioned
(iii) Government Servants Rs. "C"class ward(curtained
100-244 p.m. drawing cubicles).
(iv) Government Servants General ward.
drawing below Rs. 100 p.m.
(G.O.Ms.No. 1382, Health, Dt. 9-4-1964)
(6) Such nursing as is ordinarily available provided in the
hospital and is suited to his status and includes such special
nursing as the Authorised Medical Attendant may certify in
writing to be essential for the recovery or for the prevention of
serious deterioration in the condition of the Government Servant.
If at all a Government Servant requires extra nursing he may
engage an attendant at his own cost.
(7) Such diet as is ordinarily provided to other patients in
Note :-This concession is applicable only to the Non-Gazetted
Officers and Employees of local bodies drawing pay not exceeding
Rs. 300 and members of their families.
(8) Blood transfusion service.
(9) Provision of ambulance service wherever necessary for the
transport of the patient to the Hospital.
Note (1) :-Charges paid to hospital, ambulance or to the
ambulance of a social service organisation (if there is no
ambulance attached to the local Government Hospital) are
reimbursed on production of a certificate from the medical
attendant that the use of ambulance was necessary.
(G.O.Ms.No. 1466, Health, Dt. 31-8-1956)
Note (2) :-[The cost of artificial limbs, hearing aids,
corrective glasses, artificial teeth and invalid chairs, charges
are reimbursable to the eligible patients who are entitled to the
facilities for sanction of medical reimbursement].
(Subs, by G.O.Ms.No. 175, H.M. & F.W., Dt. 7-3-1990 w.e.f. 1-3-
Note (3) :-Under Rule 5 (9) cost of pace marked and its
replacement charges are reimbursable.
(G.O.Ms.No. 502, Health, Dt. 8-8-1978)
6. Persons entitled to free medical treatment :-(i) The following
persons are entitled to free medical attendance :-
(a) All Government Servants under the rule making powers of
the Government of Andhra Pradesh subject to the conditions
specified in these rules, Government Servants are entitled to
free medical attendance irrespective of whether they are on duty
or on leave, anywhere in the State.
(b) Employees of the Local Bodies (Zilla Parishads,
Municipalities, Panchayat Samithis and Panchayats) drawing
salaries not exceeding Rs. 3007- p.m.
The Employees of Zilla Grandhalaya Samsthas drawing pay not
exceeding Rs. 3007 - p.m. are eligible for free medical
attendance in the Government Hospitals in the State.
(G.O.Ms.No. 915, Health, Dt. 8-7-1975)
Note (1):-Families of Government Servants and Employees of Local
Bodies drawing pay not exceeding Rs. 3007- p.m. are eligible to
free medical attendance and the rules shall apply mutatis
mutandis to them as they apply to the Government Servant himself.
(2) All the N.G.Os. and members of Local Bodies drawing pay
not exceeding Rs. 300/- p.m. and members of their families when
admitted to State Government Medical Institutions are exempted
from payment of diet charges and the entire cost of special and
expensive drugs administered to them.
(3) Employees of Local Bodies who are drawing more than Rs.
300 p.m. as they will be treated as members of the public and
charges collected from them as per rules.
(4) Law Officers viz., (Advocate-General, State Prosecutor,
State Counsel, Government Pleader and Public Prosecutor),
President, Chairman and Members of Local Bodies, Reserve Bank of
India and Currency Officers and Retired Government Servants are
not entitled to free medical attendance.
Note :-These rules are applicable to the Local Bodies Employees
who are drawing pay not exceeding Rs. 300/-.
(G.O.Ms.No. 699, M.& H, Dt. 23-7-1976)
(c) Members of the State Legislature.
(d) Village Officers and Servants.
(e) Officers of the Hind Kusht Nivaran Sangh working in
Government Medical Institutions.
(f) Honorary Medical Officers, House Surgeons and House
Physicians employed in Government Hospitals in the State,
Students of Government Medical Colleges in the State, Nurse
Pupils, Auxiliary Nurse-Midwives and Health Visitors undergoing
training and Gramsevak Trainees.
Note :-Students in Medical Colleges include also the students
undergoing courses in such colleges, such as Sanitary Inspectors,
Auxiliary Health Workers, etc.
(g) Persons appointed under emergency provisions in the posts
carrying a fixed or time scale of pay, only so long as they
continue in service during the period of their treatment in a
Government Medical Institution.
(h) Retired and re-employed pensioners (Gazetted and Non-
Gazetted), (i) Government Servants under suspension.
(j) Menials in the service of both the Government and Local
Bodies who are paid from contingencies on monthly basis.
(k) The work-charged establishment of all departments. Note \-
Casual and daily paid workers are not eligible for free medical
(1) The staff employed in the Office of the State Welfare
Advisory Board, Hyderabad and the Welfare Extension Projects in
the districts drawing a pay not exceeding Rs. 300 p.m. and their
families will be given the same privileges in respect of medical
attendance, treatment and accommodation including the diet
charges and administration of special and expensive drugs as are
allowed to the employees of local bodies drawing pay not
exceeding Rs. 300 p.m.
(m) The disabled personnel from the Defence Services will be
given free treatment including diet and specialised treatment in
the general wards of Government Hospitals irrespective of their
(n) Sportsmen representing the State of Andhra Pradesh in Inter-
State tournaments at Government expenses, shall be entitled to
the privileges under Rule 10 of the Chapter on par with State
Note :-If any such personnel are admitted in A, B and C class
warqs or in other special wards, the usual charges should be
levied, but the Government will be prepared to consider the grant
of concessions in individual cases on the recommendation of the
Director of Medical and Health Services.
(a) Telangana System of giving free treatment to the patients
in General wards is extended to all Government Hospitals in the
(G.O.Ms.No. 80, Health, Dt. 24-1-1976)
(b) All Freedom Fighters who are drawing pension either from
State Government/Central Government/Union Territory
Administration in respect of their income and their dependants
are eligible for free medical treatment and accommodation in
Government Hospitals on par with members of the Legislature.
(G.O.Ms.No. 652, M.&H., Dt. 8-7-1976)
(ii) Rulers of the Merged States and their families and their
(a) The rulers of the Merged States and their families will be
treated on par with the members of the Secretary of State
Services for urposes of free medical attendance and treatment and
the provisions of the Secretary of State Services (M.A.) Rules,
1938 except those relating to travelling allowance and
reimbursement of any cost incurred in respect of the medical
advice obtained by them will apply to them.
(b) The personal staff of the Rulers of the Merged States and