Health, Medical & Family Welfare Department Strengthening of Employees Health Scheme Orders - Issued G.O.Rt.No.353 Dated: 12.05.2023

 Health, Medical & Family Welfare Department Strengthening of Employees Health Scheme Orders - Issued G.O.Rt.No.353 Dated: 12.05.2023 

Read the following

1. G.O.Rt No.79, HM&FW(M2) Department, Dated.21.01.2014.

2. G.O.Rt No.150, HM&FW(1.1) Department, Dated.04.12.2014.

3. G.O.Rt No.345, HM&FW(1.1) Department, Dated.21.08.2018. 

4. From the CEO, Dr. YSR Aarogyasri Health Care Trust, Mangalagiri, e_file No.2042551,     dt.11.04.2023.

ORDER:

During the meeting convened by the Chief Secretary to Government on 14.03.2023 with the Employees Associations, certain requests were put forth for Strengthening of Employees Health Scheme. Accordingly, the CEO, Dr.YSR Aarogyasri Health Care Trust has furnished the proposals in the ref 4th read above. 

AP EHS, Medical Reimbursement New Modifications Guidelines 2023 with Dental Procedures New Rates

► ఎంప్లాయీస్ హెల్త్ స్కీమ్ (EHS) స్కీం బలోపేతానికి  GO.Rt . No. 353 Dt. 12.05.2023 విడుదల. 

► రూ.2 లక్షలపైన ఖర్చయ్యే 25 రకాల ప్రొసీజర్స్ కి మెడికల్ రీయింబర్స్మెంట్కు అవకాశం కూడా కల్పిస్తూ ఉత్తర్వులు..

► ప్రస్తుతం ఉన్న 14 కేంద్రాలతో కలిపి అన్ని 26 జిల్లాల కేంద్రాలలో దీర్ఘకాలిక వ్యాధులకు ఔట్ పేషెంట్ సర్వీసెస్ అవకాశం కల్పిస్తారు.  

► EHSకు అర్హులైన ఉద్యోగులకు ఏరియా ఆస్పత్రుల్లో క్లినిక్స్ ఏర్పాటు చేయనున్నారు.

► డెంటల్ ప్రొసీజర్ ధరలను పెంచుతూ ఉత్తర్వులు.

► గతంలో తొలగించబడిన 204 ప్రొసీజర్స్ (వ్యాధి రకాలు) లో మెడికల్ రీయింబర్స్మెంట్కు అవకాశం కల్పిస్తూ ఉత్తర్వులు.

After careful examination of the matter and keeping in view of the request made by the Employees Associations, Government hereby issue the following orders:

procedures under EHS having package prices above 2 lakhs will be permitted under Medical Reimbursement also with the same package price as upper ceiling, as an exception to G.O.Rt.No.79, HM & FW (M2) department, dated:21.01.2014 (the details of 25 Procedures are appended as Annexure-A to this order). 

Permitted to start Outpatient services for chronic ailments at all 26 Districts in addition to the existing 14 centres in Teaching hospitals/Area Hospitals or District Hospitals with an initial set up cost not exceeding Rs.2 lakhs from the available EHS funds.

Dispensary system will be provided for EHS beneficiaries by setting up clinics at AHS for consultation, diagnostics, medicines and referral system to higher centres.

Government hereby permit the following package rates for 4 Dental procedures:

The deleted 204 procedures under Medical Reimbursement Scheme shall be continued with EHS package rates as the ceiling in supersession of orders issued in G.O. Rt.No. 345, HM & FW (1.1) department, dated.21.08.2018.

The Chief Executive Officer, Dr.YSR Aarogyasri Health Care Trust, AP, Mangalagiri, Guntur District shall take further necessary action in the matter.

This order issues with the concurrence of the Finance (FMU, HM&FW) Department vide their U.O.No. FIN01-FMUOBES (HMF2)/11/2023-FMU-HMFW, dt.08.05.2023.

Download EHS G.O.Rt.No.353 Dated: 12.05.2023

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