Medical attendance rules

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their  families will be given the same privileges in  respect  of

medical attendance, treatment and accommodation as are allowed to

Government   Servants  under  the  rule-making  powers   of   the



7. Arrangements tor Free Medical Attendance :-(1) All  Government

Servants  and  other  entitled personnel are  eligible  for  free

medical  attendance in the Government Hospitals in the State  and

to the extent specified in Rule 4 above.


(2) Persons entitled to treatment free of charge in any hospital,

shall  produce before the hospital authorities an  identification

certificate  signed  by the Department or by a  Gazetted  Officer

dealing  with establishment matters or by the Head of the  Office

in which they are working in the following form :-




                   Identification Certificate


Name of the Officer/Official...........................




Accommodation to which the

Officer/Official is entitled

in Government Hospital................................


Station -:


Date :


                               Signature and Designation the Head

                                       of the Department/Office


In  emergency  cases the above certificate will not  be  insisted

upon  at the time of admission, but the same should  be  produced

within a period of one week.


(3)      In any station where there may be an  Assistant  Surgeon

and  where  there may not be proper hospital  accommodation,  the

duty of such officer should be to attend at their own  residence.

The  Upper  subordinate grades of Government  Servants  including

clerks  whose  appointments are not gazetted  the  latter  paying

conveyance  hire should they reside more than two miles from  the

official  residence of the medical attendant. If the distance  is

such  as to entitle the medical officer to travelling  allowance,

the  amount  is payable by the Government. Should  the  case   be

reported as serious the Civil Surgeon will visit the patient.


(4)     The Medical Officer employed in the following classes  of

Institutions should render free medical attendance to  Government

Servants  at the stations where there are no  Government  Medical



(i) Local Fund and Municipal Institutions for which a  percentage

contribution  is  given  towards  the  pay  of  medical  officers

employed therein.


(ii) Local Fund and Municipal Medical Institutions in respect  of

which  the  Government meet one half of  the  annual  maintenance



(iii)  Local  Fund  and  Municipal  Taluk  Headquarters   Medical

Institutions  in respect of which the Government meet the  entire

or  a  portion  of the salaries of  Government  Medical  Officers

employed in them.


(iv) In places where there are no Government Hospitals, but where

there  are local fund or private hospitals, or dispensaries,  the

Non-Gazetted  Officers and Employees of the Local Bodies  drawing

less  than  Rs.  300/- per mensem and  their  families  may  take

treatment  stratightaway  in  such  institutions  and  that   the

expenditure as incurred by them in that connection including  the

cost  of  special and expensive drugs purchased by  them  on  the

prescription  of  the  doctor in charge of  the  institution,  be

reimbursed  subject  to the production of relevant  vouchers  and

subject  to the scrutiny of the relative bills by the  authorised

medical attendant.


At places where there are no Government or Non-Government Medical

Institutions, Non-Gazetted Oilicers and Employees of Local Bodies

drawing  less  than Rs. 3007- per mensem and their  families  may

avail  themselves  of  the services of local  private  doctor  in

emergencies  where there is no sufficient time for them to go  to

the  nearest  Government  Medical  Institution.  The  expenditure

incurred  by them in that connection will be reimbursed  to  them

subject to the production of relevant vouchers and subject to the

relative  bills by the District Medical Officer concerned and  to

his  certifying  that  the  amount  claimed  is  reasonable   and

expenditure  incurred was necessary. In non-emergent  cases,  the

entitled  personnel  serving in places where  there  are  neither

Government   Medical  Institutions  nor  Non-Government   Medical

Institutions  should go to the Government Medical Institution  or

the Non-Government Medical Institution at the nearest station for



                        (G.O.Ms.No. 208, Health, Dt. 9-2-1955)


(v) (a) The N.G.Os. and the Employees of Local Bodies in stations

where   there  are  no  Government  or   Non-Government   Medical

Institutions  who  seek treatment in an  emergency,  under  Local

Private   doctors   should  in  addition  to   the   essentiality

certificate from the private doctors produce a certificate in the

form   given  hereunder  from  the  nearest  authorised   medical

attendant immediately after they are in a fit condition to travel

to  the  nearest  authorised medical  attendant  who  will  judge

whether  the essentially certificate issued by the local  private

doctor in such cases is a genuine one or not.


"I certify that there are no Government or Non-Government Medical

Institutions            available             in             the



"I     also    certify    that    I    examined    the    patient



and  consider  that  the case in question  is  an  emergency  one

requiring immediate treatment under a local private doctor."



                                       Signature of authorised

                                            Medical Attendant.


(b)     The local private Registered Medical Practitioner  should

prescribe the drugs contained in the lists in Appendix IV as  far

as possible.


                        (G.O.Ms.No. 1585; Health, Dt. 21-9-1956)


8.       Free  of  charges  :-(1)    A  Govt.  Servant  shall  be

entitled free of charges :- (i)     to treatment-


(a)      in such Government Hospital, at or near the place  where

he  falls  ill as can in the opinion of  the  authorised  medical

attendant, provide the necessary and suitable treatment, or


(b)     if  there be no such hospital as is referred to  in  sub-

clause  (a), in such hospital, other than a Government  Hospital,

at  or near that place as can, in the opinion of  the  authorised

medical attendant, provide the necessary and suitable treatment,


(ii)     to  anti-rabic  treatment  at  the  nearest   Government

Hospital providing such treatment.


(2) Where a Government Servant is entitled under sub-rule(l) free

of charge, no treatment in any hospital any amount paid by him on

account of such treatment shall on production of a certificate in

writing  by  authorised  medical  attendant  in  this  behalf  be

reimbursed to him by the Government.


9.(1) If the authorised medical attendant is of the opinion  that

owing  to the absence or remoteness of a suitable hospital or  to

the severity of the illness, a Government Servant cannot be given

treatment  as  provided in clause (1) of Rule 6,  the  Government

Servant may receive treatment at his residence.


(2)    A Government Servant receiving treatment at his  residence

under sub-rule (1), shall be entitled to receive towards the cost

of such treatment as he would have been entitled, free of charge,

to  receive under these rules; if he had not been treated at  his



(3)     Claims for sums admissible under sub-rule (2),  shall  be

accompanied by a Certificate in writing by the authorised medical

attendant stating-(a) his reasons for the opinion referred to  in

sub-rule  (1) ; (b) the cost of similar treatment referred to  in

sub-rule (2).


10.     Treatment  outside  the State but within  India  :-(1)  A

Government Servant and other entitled personnel in or  travelling

on  duty,  or on leave, in any place in the  territory  of  India

outside  Andhra  Pradesh  receives  any  medical  attendance  for

himself  or for the members of his family, any reasonable  amount

paid by him on account of such treatment shall, on production  of

a certificate in writing of the medical attendant, be  reimbursed

to him by the Government.


(2)    The Government Servants of this State [and their families]

residing  outside the State on official work and falling  ill  or

otherwise  requiring  medical  attention should  consult  and  be

treated  by  the  "Medical Attendants" authorised  to  treat  the

officers  of equal rank of that State. For the purpose  of  these

rules,  such medical attendants shall be the  Authorised  Medical

Attendants  of  the  State.                           (G.O.Ms.No.

2445, Health, Dt. 16-8-1961)


               [Added by G.O.Ms.No. 1274, M&H (Kl), Dt. 29-12-78]


[Note  :-The  Government  recognise the All  India  Institute  of

Medical   Sciences  and  Wellingdon  Hospital,  New  Delhi,   for

treatment  of the employees of Andhra Pradesh and the members  of

their families at New Delhi, and also those visiting New Delhi.]


            [Added by G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978]


(3)     For  receiving  treatment  outside the  State  but  in  a

Government  medical institution of that State (on the  advice  of

the  Authorised  Medical  Attendant)  prior  permission  of   the

Director of Medical and Health Services should be obtained.


                        (G.O.Ms.No. 1792, Health, Dt. 7-6-1963)


(4)     For  receiving treatment outside the State  but    in  an

institution  other than a Government Hospital of that  State  (on

the advice of the Authorised Medical Attendant) prior  permission

of the Government should be obtained.


10.(A) Treatment for Kidney transplantation and Coronary  By-pass

Surgery   by  private  hospitals  within  the  State  :-(1)   The

Government  servants and other entitled personnel  for  treatment

under  the  Rules shall be permitted by the Director  of  Medical

Education  to  undergo Kidney transplantation  operation  in  the

Mahaveer Hospital, Hyderabad and Coronary By-pass Surgery in  the

Durgabai Deshmukh Hospital, Andhra Mahila Sabha, Hyderabad-on the

letter of advice given by the Authorised Medical Attendant in the

Osmania  General Hospital, Hyderabad or the Nizam's Institute  of

Orthopaedics and Specialities, Hyderabad, respectively where  the

above operations are done.


(2)     The  Authorised  Medical  Attendant  in  the   Government

Hospitals  mentioned in sub-rule (1) will issue letter of  advice

only if the said hospital cannot cope with the work load and  the

treatment  of the patients cannot wait till the operations  could

be performed in the said Government Hospital; and


(3)     Those  who  obtain prior permission of  the  Director  of

Medical  Education  and  get admitted to  the  private  hospitals

mentioned in sub-rule(l) for Kidney transplantation and  Coronary

By-pass  ^Surgery  will  be eligible  for  reimbursement  of  all

admissible  expenditure including charges for  accommodation  and

also  for an advance as per the estimates given by the  concerned

hospital undertaking the operation".


              (Inserted by G.O.Ms.No. 317, M&H (Kl), Dt. 7-5-1986)


11.    Consultations with Specialists or Colleagues :-(1) If  the

authorised  medical attendant is of opinion that the case of  the

patient  is  of  such serious or special nature,  as  to  require

medical attendance by some person other than himself or that  the

patient  requires anti-rabic treatment, he may with the  approval

of  the  Director of Medical Services (which  shall  be  obtained

before-hand  unless  the  delay involved entails  danger  to  the

health of the patients)-


(a)      send  the  patient to the nearest  Specialist  or  other

Medical  Officer as provided in clause (c) of Rule 2 by whom,  in

his opinion medical attendance is required for the patient or  in

the case of anti-rabic treatment, to the nearest place where such

treatment is available ; or


(b)     if  the  patient  is  too  ill  to  travel,  summon  such

specialist or other Medical Officer to attend upon the patient.


(2)     A patient sent under clause (a)    of sub-rule (1)  shall

on  production  of  a certificate in writing  by  the  authorised

medical  attendant in this behalf, be entitled to travelling

allowance  for the journeys to and from the headquarters, of  the

Specialist or other Medical Officer or the place where he is sent

for anti-rabic treatment.


(3)    A Specialist or other Medical Officer summoned under  sub-

rule (1), shall on production of a certificate in writing by  the

Authorised  Medical  Attendant  in this behalf,  be  entitled  to

travelling allowance for the journey to and from the place  where

the patient is and also daily allowance according to rules.


12.     Travelling Allowance :-(1) T.A. for  journeys  undertaken

under  Rule 10 shall be at the rates admissible to  a  Government

Servant when on tour.


(2)  A  member  of the family of a Government  Servant  shall  be

entitled  to  travel by a class by which the  Government  Servant

himself is entitled to travel.


13.     Medical  Attendance Charges :-(1)  Charges  for  services

rendered   in  connection  with  but  not  included  in   medical

attendance on, or treatment of a patient entitled to free medical

attendance or treatment under these rules, shall be determined by

the authorised medical attendant and paid by the patient.


(2) If any question arises as to whether any service is  included

in  Medical attendance or treatment, it shall be referred to  the

Government; the decision of the Government shall be final.


14.    Treatment under Indian System of Medicines :-The following

procedure  is  prescribed for getting re-imbursement of  cost  of

medicine  purchased  by  the persons  entitled  to  free  medical

attendance or treatment including   State Gazetted Officers  when

treatment is taken under the indigenous system of medicine either

in the Government Institutions or under private doctors :


(1)     The  bills  relating  to the  modern  medicine,  if  any,

prescribed  by  the  Medical Officer in  private  or  local  fund

institutions  or by the private practitioner will be  scrutinised

by   the authorised medical attendant of the entitled persons  in

cases  where  the  treatment was received, in  a  local  fund  or

private  institution of indigenous medicine and by  the  District

Medical  Officer  concerned  in cases  where  the  treatment  was

received from a private practitioner of indigenous medicine.


(2)     The  bills relating to the indigenous  medicine  will  be

scrutinised  by the medical officer or officers concerned of  the

three respective systems of medicine (Ayurveda, Sidha and  Unani)

employed   in  the  Government  Ayurvedic  Hospital,   Charminar,

Hyderabad to be nominated by the Special Officer of the  Medicine

Department with the approval of the Government.


(3)  If the bills relate to both modern and  indigenous  medicine

they  will  first  be  scrutinised  by  the  authorised   medical

attendant,  or the District Medical Officer, as the case may  be,

in regard to the modern medicine, and then by Medical Officers or

Officers  of  the  Government Ayurvedic  Hospital,  Hyderabad  in

respect of the indigenous medicine.


(4)     The claims in respect of treatment under Indian  Medicine

system  be  sanctioned by the Special  Officer  (Indian  Medicine

Department)  after due scrutiny, wherever claims  are  admissible

under rules. (G.O.Ms.No. 105, Health, Dt. 15-1-1963)


Note  :-(1) Claims for refund of expenses should be preferred  as

detailed in Appendix III.


(2) A list of items for which refund is not admissible under  the

rules is given in Appendix II.


15.  Medical Attendance for Honourable Speaker,  Deputy  Speaker,

Honourable  Chairman, Deputy Chairman, Ministers, etc.,  :-(1)  A

Minister  or  the  Speaker  of  the  Andhra  Pradesh  Legislative

Assembly  or  the  Chairman of  the  Andhra  Pradesh  Legislative

Council  and the Members of his family shall be entitled free  of

charge,  to  accommodation in hospitals maintained by  the  State

Government  and also to medical treatment and attendance  on  the

same  terms and conditions as are applicable to the  officers  of

the  Indian  Administrative  Service  under  All  India  Services

(Medical Attendance) Rules, 1954.


(2)    A Minister or the Speaker or the Chairman and the  members

of  his  family  shall be required  to  furnish  the  certificate

prescribed  in  clause (a) of sub-rule (3) of Rule 8 of  the  All

India Service (Medical Attendance) Rules, 1954 in respect of  his

claims for re-imbursement of the medical expenses allowable under

the said rules for treatment at his residence under circumstances

referred to in Rule 1 of the said rules.


Explanation  :-For the purposes of this rule 'family'  means  the

wife,  son, daughter (including a validly adopted  son,  step-son

and  step-daughter,  father, mother, brother and  sister  of  the

Minister,  or  the  Speaker or the Chairman,  residing  with  and

wholly  dependent on him and not self-supporting  relations)  but

does  not include a married daughter or sister who is  under  her

husband's protection.


(G.O.Ms.No. 165, Health, Dt. 3-2-1960 and G.O.Ms.No. 255, G.A.D.,

Dt. 1-3-1961)


(3)    A Minister and the members of his family will be  entitled

free of charges, to accommodation in hospitals maintained by  the

State Government and also to medical treatment and attendance  on

the  same terms and conditions as are applicable to  the  highest

category  of  servants employed under the  Government  of  Andnra

Pradesh, the highest category of Government Servants who get  the

maximum  concessions and benefits in the matter of  free  medical

attendance  and treatment in Government Hospitals, provided  that

the Minister and members of this family shall be entitled to  the

supply of diet free of charge.


(4)    The Deputy Speaker of the Legislative Assembly, the Deputy

Chairman  of  the Legislative Council, Chief Whip,  Chairman  and

Vice-Chairman  of  the  Regional  Committee,  the   Parliamentary

Secretaries, if any, the Members of the Legislative Assembly  and

Council  who  do  not  hold any of the  offices  referred  to  in

Sections 3-A to 5-A of the Andhra Payment of Salaries and Removal

of Disqualifications Act, 1953, (Andhra Act III of 1954) and  the

members  of  the families of all those mentioned above  shall  be

entitled,   free  of  charge,  to  accommodation   in   hospitals

maintained by the State Government and also medical treatment and

attendance on the same terms and conditions as are applicable  to

the Gazetted Officers of the State Government.


16.     Medical Attendance for very important  personages  :-Very

important personages, if they fall sick during their visit to and

stay  in  Andhra  Pradesh should be provided  with  free  medical

assistance  which  should  cover apart from  treatment  which  is

neither  prolonged nor specialised and such as a  hospital  would

ordinarily provide.


                       (G.O.Ms.No. 2761, Health, Dt. 15-10-1963)


17.     Medical  Attendance to Members of  State  Legislature  :-

Members  of the State Legislature and members of  their  families

are  eligible  for free medical facilities as are  given  to  all

Gazetted Officers of the State Government.


They will accommodated in the paying rooms on par with Grade  III

Officers (as defined in the Andhra Pradesh Travelling  Allowances

Rules,  i.e., Gazetted Officers drawing pay between Rs.  750  and

1,000)  of the State whenever they are admitted for treatment  in

the Government Hospital in the State.


18.    Medical Attendance for Officers of the AH India  Services,

Andhra  Pradesh State on Higher Judicial Officers :-Rule 15  will

apply  for  purposes of "Medical Attendance" on officers  of  the

Indian Administrative and Police Services and their families  and

officers of the Andhra Pradesh State Higher Judicial Services and

their families.


Note  :-The Officers of the Andhra Pradesh State Higher  Judicial

Service  will  be treated on par with the members of  the  Indian

Administrative and Police Service.


19.    Treatment of T.B. :-(1) Rules regulating admission of T.B.

patients  in  Government T.B. Institutions and  other  Government

Medical  Institutions  where there are T.B. wards  are  given  in

Appendix V.


(2)     The following private Hospitals which are in  receipt  of

grants  from  the State Government are  recognised  as  treatment

centres  for  the Non-Gazetted Officers and  Employees  of  Local

Bodies drawing pay not exceeding Rs. 300 P.M. and their families.


(i)     The U.M.T.B. Sanatorium, Madanapalle.

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