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 :-
GOVERNMENT OF ANDHRA PRADESH
Name of the Officer/Official...........................
Accommodation to which the
Officer/Official is entitled
in Government Hospital................................
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
(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
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
(b) The local private Registered Medical Practitioner should
prescribe the drugs contained in the lists in Appendix IV as far
(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
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
(G.O.Ms.No. 165, Health, Dt. 3-2-1960 and G.O.Ms.No. 255, G.A.D.,
(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
(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
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
(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.