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ABSTRACT MEDICAL AID – New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners – Provision of Health Care Assistance to the Pensioners (including spouse) / Family Pensioners through the United India Insurance Company Limited, Chennai – Implementation – Orders – Issued. Read:-
In the Government Order read above, orders have been issued for launching a New Health Insurance Scheme, 2014 to provide health care assistance to the Pensioners (including spouse) / Family Pensioners on a CASHLESS basis, with provision to avail assistance upto rupees two lakh for a block period of four years and to implement the scheme through the Director of Treasuries and Accounts, Chennai after selection of a suitable Public Sector Health Insurance Company through National Competitive Bidding.
2. Based on the Government Order read above, the Secretary to Government (Expenditure), Finance (Pension) Department was nominated as Tender Inviting Authority and Tender Accepting Authority. The Commissioner of Treasuries and Accounts and the Director of Medical and Rural Health Services were also nominated as Members of the Committee for selection of a Public Sector Health Insurance Company through National Competitive Bidding. Accordingly, the Tender Inviting Authority has called for Open Tender by issue of Notice Inviting Tender on 24.01.2014. The Tender Accepting Committee, on 18-02-2014, has recommended to select the United India Insurance Company Limited, Chennai to implement the New Health Insurance Scheme, 2014 for Pensioners (including Spouse)/Family Pensioners.
3. After careful consideration, the tender has been awarded to the United India Insurance Company Limited, Chennai and the said Company has since entered into an agreement with the Government of Tamil Nadu for implementation of the New Health Insurance Scheme, 2014 for Pensioners (including Spouse) / Family Pensioners for a block period of four years from 1-7-2014 to 30-6-2018. This scheme shall also be administered through a
P.T.O.
: 2 : Third Party Administrator under the control of United India Insurance Company Limited, Chennai. The payment of premium shall be regulated as per the terms and conditions of the agreement between the Insurance Company and Government of Tamil Nadu.
4. The Government also direct that the implementation of the New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners shall be administered by the Director of Treasuries and Accounts, Chennai-600 015. The implementation procedure outlined in Annexure-I to this order shall be adopted.
5. The Pensioners / Family Pensioners shall uniformly subscribe a sum of Rs.150/- per month to the New Health Insurance Scheme, 2014. The subscriptions recovered from the Pensioners / Family Pensioners shall be credited into the following Revenue Receipt Head of Account.
“0075.00. OTHER MISCELLANEOUS GENERAL SERVICES
800. Other Receipts BY. Subscription from Pensioners / Family
Pensioners towards New Health Insurance Scheme (NHIS), 2014.
[D.P.C. 0075 00 800 BY 0004]”
6. The Government of Tamil Nadu shall pay the insurance premium along with the service tax to the Insurance Company on behalf of all the Pensioners / Family Pensioners as per the terms and conditions of the agreement entered into by the Government with the Insurance Company through the Director of Treasuries and Accounts. The expenditure on payment of insurance premium including service tax shall be debited to the following Head of Account under Demand No.50. Pension and Other Retirement Benefits:
“2075.00. MISCELLANEOUS GENERAL SERVICES
800. Other Expenditure
I. Non-Plan
IJ. New Health Insurance Scheme, 2014 for Pensioners / Family Pensioners.
10. Contributions.
2. Insurance Premium
[D.P.C. 2075 00 800 IJ 1022]”
7. The Director of Treasuries and Accounts, Chennai shall be the estimating, reconciling and controlling authority for the head of accounts opened in this order. The Director of Treasuries and Accounts, Chennai shall open the above Head of Accounts in their books of accounts.
: 3 : 8. The Director of Treasuries and Accounts shall send proposals to
Government for sanction of release of insurance premium including service tax payable to the Insurance Company from time to time as per the terms and conditions of the agreement.
9. The Director of Treasuries and Accounts, Chennai shall submit annual report to the Government in the month of July every year.
(BY ORDER OF THE GOVERNOR)
K.SHANMUGAM PRINCIPAL SECRETARY TO GOVERNMENT.
To The Director of Treasuries and Accounts, Chennai-600 015. The United India Insurance Company Limited, Chennai-600 006. All Secretaries to Government, Chennai-600 009. All Departments of Secretariat, Chennai-600 009. All Heads of Departments. The Secretary, Legislative Assembly Secretariat, Chennai-600 009. The Secretary to the Governor, Chennai-600 032. The Comptroller, Governor’s Household, Raj Bhavan, Chennai-600 022. The Governor’s Secretariat, Raj Bhavan, Guindy, Chennai-600 022. All District Collectors / All District Judges / All Chief Judicial Magistrates. The Accountant General (A&E) Chennai-600 018. The Accountant General (Audit-I) Chennai-600 018. The Accountant General (Audit-II) Chennai-600 018. The Accountant General (CAB) Chennai-9 / Madurai. The Pension Pay Officer, Chennai-600 006. All Pay and Accounts Officers. All Treasury Officers. All Sub-Treasury Officers. The Reserve Bank of India, Chennai-600 001. The Reserve Bank of India, Department of Government and Bank Accounts, Central Officer,
(Opp. to Mumbai Central Railway Station), Byculla, Mumbai-600 008. All Head Offices/Regional Offices of PSBs / All Public Sector Banks through the Director of Pension, Chennai-600 006. The Convener, State Level Bankers’ Committee-Tamil Nadu, Indian Overseas Bank, Central Officer, 703, Anna Salai, Chennai-600 002. All District Medical Officers. The Chief Internal Auditor and Chief Auditor of Statutory Boards, Chennai-2. The Secretary, Tamil Nadu Public Service Commission, Chennai-600 002. The Registrar General, High Court, Chennai-600 108. All Commissioners of Tribunal for Disciplinary Proceedings. Copy to: The Secretary to Chief Minister, Chennai-600 009. The Chief Minister’s Office, Chennai-600 009. The Special Personal Assistant to Minister for Finance, Chennai–600 009. The Private Secretary to the Chief Secretary to Government, Chennai-600 009. The Private Secretary to the Secretary to Government, Finance Department, Chennai-600 009. All Officers in Finance Department, Chennai-600 009. All Sections in Finance Department, Chennai-600 009. All Pensioners’ / Family Pensioners’ Associations. Stock File / Spare Copies.
-/ Forwarded : By Order /-
SECTION OFFICER.
: 4 : Annexure-I
IMPLEMENTATION PROCEDURE FOR NEW HEALTH INSURANCE SCHEME, 2014 FOR PENSIONERS (INCLUDING
SPOUSE) / FAMILY PENSIONERS.
The New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners shall be implemented by the Director of Treasuries and Accounts, Chennai-15 through the United India Insurance Company Limited, Chennai-600 006 / Third Party Administrator under the control of United India Insurance Company Limited, Chennai for a block period of four years. The guidelines governing the New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners are as follows:
1. COMMENCEMENT:
The scheme will commence from 1-7-2014 for a block period of four years i.e. upto 30-6-2018.
2. ENROLMENT:
The enrolment of the Pensioners / Family Pensioners under the New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners shall be compulsory.
3. EXTENT OF THE SCHEME:
(a) The scheme shall be applied to the following categories of existing/future Pensioners / Family Pensioners whose pension / family pension is paid out of the Consolidated Fund of Tamil Nadu and who draw their pension / family pension either directly from the Pension Pay Office, Chennai / District Treasury / Sub-Treasury through Banks under Pension Pilot Scheme or directly from Banks under Public Sector Bank Scheme:-
(i) State Civil Pensioners / Family Pensioners.
(ii) Teacher Pensioners / Family Pensioners.
(iii) Pensioners / Family Pensioners of All India Services belonging to the Tamil Nadu Cadre.
(iv) Pensioners / Family Pensioners of the State Government Employees who had drawn lumpsum payment on absorption in Public Sector Undertakings / Autonomous Bodies / Local Bodies / Co-operative Institutions and have become entitled to restoration of 1/3rd commuted portion of pension as well as revision of the restored amount.
Note: The State Government Employees who were permanently absorbed in the State / Central Owned Corporations, Boards and Autonomous Bodies whose terminal benefits were already settled for the service rendered under the State Government are not eligible under this scheme.
: 5 : (v) Divisible Family Pensioners where family pension is
granted to more than one family members.
(vi) Ex-Gratia Pensioners / Family Pensioners.
(vii) Pensioners / Family Pensioners who are in receipt of Special Pension under Extraordinary Pension Rules, Tamil Nadu and Compassionate Allowance.
(viii) Provisional Pensioners as provided in rules 60, 66, 69 & 69-B of Tamil Nadu Pension Rules, 1978.
(ix) Pensioners / Family Pensioners of former Travancore-Cochin State who drawing their pension on 1st November, 1956 in the Treasuries situated in the areas transferred to Tamil Nadu State on that date i.e. Kanniyakumari District and Shencottah Taluk of Tirunelveli District.
(b) This scheme is also applicable to the Government Pensioners / Family Pensioners of the above categories who are getting pension / family pension from the Treasuries / Sub-Treasuries and under the Public Sector Bank Scheme outside the State.
4. OPTION TO BE EXERCISED FOR CERTAIN CASES:
(a) The scheme is compulsory for all Pensioners / Family Pensioners. The following categories of Pensioners / Family Pensioners alone are entitled to exercise their option at the time of submitting the prescribed Form appended in the Annexure-IV to this order to the authorities concerned:
i) All India Service (AIS) Pensioner.
ii) A Pensioner who is a recipient of All India Service (AIS) Family Pension.
iii) If the spouse of the Pensioner is a State Government Employee.
iv) If both Husband and Wife are Pensioners.
v) If a Pensioner is also a Family Pensioner.
vi) If an individual draws more than one Family Pension.
(b) In respect of categories (i) to (iii) above, the subscription shall be recovered only from the Pensioners / Family Pensioners who has opted to avail the benefits under this scheme. In respect of categories (iv) to (vi) above, the subscription shall be recovered from one of the Pensioner / Family Pensioner as per the option exercised.
: 6 : (c) If no such option is received from the above said categories on
or before the completion of one month from the date of issue of this order, it shall be construed that the above said categories of Pensioners / Family Pensioners are willing to enroll themselves under this scheme. The option once exercised shall be final.
5. ACCREDITED TREATMENTS AND SURGERIES:
(a) The accredited treatments and surgeries for availing assistance under the New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners are listed in Annexure-II to this order.
(b) The coverage shall also include pre-existing illnesses which have been included in the accredited treatments and surgeries list.
6. APPROVED HOSPITALS:
(a) The hospitals approved by the United India Insurance Company Ltd., Chennai / Third Party Administrator under control of United India Insurance Company for undergoing accredited treatments / surgeries are listed in Annexure-III to this order.
(b) The additional list of approved hospitals to be included and list of deleted hospitals, if any covered under this Scheme will also be updated and hosted in the websites of Government of Tamil Nadu in Finance Department (www.tn.gov.in), the Treasuries and Accounts Department (www.tn.gov.in / karuvoolam) and the United India Insurance Company Limited, Chennai / Third Party Administrator (www.tnnhis2014.com) for ready reference from time to time on receipt of the same from the United India Insurance Company Limited, Chennai.
(c) The assistance will not be extended for any other treatment / surgeries undertaken other than those in the accredited treatments / surgeries / approved hospitals annexed to this order.
7. MEDICAL ASSISTANCE:
(a) The Pensioners (including spouse) / Family Pensioners can avail medical assistance upto a limit of Rupees Two Lakhs in a block period of four years from 1-7-2014 to 30-6-2018 on a CASHLESS basis for the accredited treatments / surgeries in the hospitals approved by the United India Insurance Company / Third Party Administrator under this Scheme.
(b) The benefit will be on a floater basis with a total coverage upto Rupees Two Lakhs individually or collectively for Pensioner (including spouse) and Family Pensioners during the said block period of four years with no restriction on the number of times of availing the accredited treatments / surgeries in the
: 7 : hospitals approved by the United India Insurance Company / Third Party Administrator under this Scheme.
(c) The scope of the scheme shall be to provide coverage for the eligible expenses incurred by the Pensioners (including spouse)/Family Pensioners on behalf of himself / herself or spouse for the accredited treatments and surgeries listed out in Annexure-III to this order.
(d) The United India Insurance Company / Third Party Administrator shall ensure that the patient i.e. Pensioners / Family Pensioners and spouse of the Pensioner who are eligible under this Scheme are given coverage for accredited treatments / surgeries including pre-existing illnesses in the approved hospitals upto the limit of Rupees Two Lakhs over a period of four years commencing from 1-7-2014.
(e) The Pensioners (including spouse) / Family Pensioners under this Scheme will not have to make any payment for the approved cost to the hospitals upto the limit of Rupees Two Lakhs. The hospitals approved by the United India Insurance Company / Third Party Administrator under this Scheme shall extend treatment to the Pensioners (including spouse) / Family Pensioners on a CASHLESS basis.
8. SUBSCRIPTIONS:
(a) A sum of Rs.150/- (Rupees One Hundred and Fifty only) per month shall be recovered as subscription from the pension / family pension of the Pensioner / Family Pensioner payable from the month of July 2014.
(b) In respect of Pensioners / Family Pensioners who drawing pension / family pension from the Pension Pay Office, Chennai / District Treasuries / Sub-Treasuries, the subscription shall be recovered by the Pension Disbursing Officers directly and credited into the relevant Revenue Receipt head of account as indicated in para-5 of the G.O.
(c) In respect of Pensioners / Family Pensioners who drawing pension / family pension directly from Banks under Public Sector Bank Schemes, the subscription shall be recovered by the Branch Manager of the bank concerned and the amount recovered shall be sent to the Director of Treasuries and Accounts, Chennai by means of a Demand Draft along with details of Name / PPO No. of the Pensioners / Family Pensioners. The Director of Treasuries and Accounts, Chennai shall credit the subscription into the relevant Revenue Receipts Head of Account as indicated in para-5 of the G.O.
(d) In respect of the State Government Pensioners / Family Pensioners who are getting pension / family pension from the Treasuries / Sub-Treasuries and under the Public Sector Bank
: 8 : Scheme outside the State shall send their subscription at the rate of Rs.150/- per month (i.e. Rs.1800/- in one lumpsum for every year on or before 31st July) for a block of four years commencing from 1-7-2014 to 30-6-2018 directly to the Director of Treasuries and Accounts, Chennai by means of a Demand Draft. The filled in Form prescribed in Annexure-IV to this order may also be sent along with Demand Draft. The Director of Treasuries and Accounts, Chennai shall credit the subscription into the relevant Revenue Receipts Head of Account as indicated in para-5 of the G.O.
(e) In respect of Provisional Pensioners, the subscription shall be recovered by the Disbursing Officers concerned directly and credited into the relevant revenue receipts head of account. The Pay and Accounts Officers / Pension Pay Officer, Chennai / Treasury Officers / Sub-Treasury Officers from whom provisional pension is drawn shall ensure that the subscription is being recovered towards this scheme.
(f) In respect of Divisible Family Pensioners, the subscription shall be recovered from each of the Family Pensioners separately.
(g) The Pension Disbursing Officers including the Branch Manager of the Bank concerned shall be held responsible for the prompt recovery of the subscription and remittance every month.
(h) The Pension Disbursing Officers including the Branch Manager of the Bank concerned should also send a monthly report to the Director of Treasuries and Accounts, Chennai about the deductions and remittances made towards subscription of New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners along with Pensioners / Family Pensioners.
(i) In the case of Divisible Family Pensioners, each of the Family Pensioners have to subscribe to the New Health Insurance Scheme, 2014 separately.
9. SUBMISSION OF FORM:
(a) The Pensioners / Family Pensioners / Provisional Pensioners at the time of retirement / sanctioning of Family Pension / Provisional Pension as the case may be, shall submit their filled in Form prescribed in Annexure-IV to this order to the following authorities:-
i) Pensioners / Family Pensioners attached to Pension Pay Office, Chennai.
: Pension Pay Officer, Chennai.
ii) Pensioners / Family Pensioners attached to Treasuries / Sub-Treasuries.
: District Treasury Officer / Sub-Treasury Officer concerned.
: 9 :
iii) Pensioners / Family Pensioners under the Public Sector Bank Scheme.
: Branch Manager of Bank concerned.
iv) Pensioners / Family Pensioners drawing outside State.
: The Director of Treasuries and Accounts, Chennai.
v) Provisional Pensioners : Pay and Accounts Officers / Pension Pay Officer, Chennai / Treasury Officers / Sub-Treasury Officers concerned for Self-Drawing Officers. Head of Office / Pay Disbursing Officers concerned for Non-Self Drawing Officers.
(b) The authorities concerned shall scrutinise the Forms and
furnish the certificate to the effect that the applicant is a Pensioner / Family Pensioner drawing pension / family pension through his/her office and that the monthly subscription amount is being recovered from the pension / family pension and credited into the revenue receipts head of account. A copy of the same may be furnished to the Pensioners / Family Pensioners duly signed by the authorities concerned. In respect of Pensioners / Family Pensioners drawing pension/family pension outside State, a copy of the same may be sent to the Pensioners / Family Pensioners duly signed by the Director of Treasuries and Accounts, Chennai.
(c) The Pension Drawing Officers including Branch Manager of Banks concerned shall send the Forms directly to the United India Insurance Company, Chennai / Third Party Administrator under the control of United India Insurance Company with due acknowledgement.
10. IDENTITY CARDS:
(a) The identity cards for availing treatment under New Health Insurance Scheme, 2014 for Pensioners (including spouse)/ Family Pensioners will be issued by the United India Insurance Company through the authorities concerned where pension / family pension are received based on the data provided by the authorities concerned. In respect of Pensioners / Family Pensioners drawing pension / family pension outside the State, the Director of Treasuries and Accounts, Chennai shall arrange to send the identity card directly to the pensioners / family pensioners outside the State.
(b) The United India Insurance Company / Third Party Administrator shall update the details of each Pensioners (including spouse) / Family Pensioners provided by the authorities concerned and arrange to issue new Identity Cards
: 10 : within the stipulated period with abstract of the details of Pensioners (including spouse) / Family Pensioners to get signature from the Pensioner / Family Pensioners.
(c) Prior to issue of Identity Cards by the United India Insurance Company, Chennai / Third Party Administrator, the Pensioners (including spouse) / Family Pensioners can avail treatment by furnishing a copy of the filled in Form prescribed in Annexure-IV submitted by the Pensioner / Family Pensioner and duly attested by the authorities.
(d) During the interim period of preparation and distribution of the new Identity Cards, the United India Insurance Company / Third Party Administrator shall accept copy of the filled in Form prescribed in Annexure-IV submitted by the Pensioner / Family Pensioner to the authorities concerned as valid identity for the purpose of availing benefits under this Scheme. This arrangement will be applicable only for such interim period, till the Identity Cards are made available.
(e) The United India Insurance Company / Third Party Administrator shall arrange to issue the new Identity Cards to the Pensioners / Family pensioners covered under this Scheme with the details of spouse within the stipulated period of 60 days. The United India Insurance Company / Third Party Administrator shall also arrange to issue the Identity Cards to the new Pensioners / Family Pensioners as and when the details of the Pensioners / Family Pensioners are furnished to the United India Insurance Company / Third Party Administrator. The authorities concerned shall be responsible to arrange to furnish data in the Form prescribed in the Annexure-IV to this order and get Identity Cards for their Pensioners / Family Pensioners. The authorities concerned shall also be responsible to surrender the Identity Cards of such of those Pensioners / Family Pensioners to the United India Insurance Company who die in harness.
(f) If there is any difficulty in getting identity cards, a representation may be submitted to the Director of Treasuries and Accounts, Chennai through Pension Pay Officer, Chennai and in other districts to the District Treasury Officers at the District Headquarters including Branch Manager of the Banks concerned. The representation received shall be sent to the United India Insurance Company for redressal.
(g) The Director of Treasuries and Accounts, Chennai-15 shall coordinate and monitor the progress of the work of the United India Insurance Company / Third Party Administrator for issuance of new Identity Cards to the Pensioners / Family Pensioners. Further, the United India Insurance Company / Third Party Administrator shall arrange to issue the Identity Cards to the Pensioners / Family Pensioners within the stipulated time.
: 11 : (h) The data furnished by the Pensioners / Family Pensioners
shall be the property of the State Government and should not be used by the authorities concerned for any other purpose without the prior permission of the Government of Tamil Nadu.
(i) The softcopy of the updated database of Pensioners / Family Pensioners shall be handed over to the Government of Tamil Nadu in Finance (Pension) Department, as and when the data compilations are completed and also to the Director of Treasuries and Accounts, Chennai-15 on monthly basis for calculation of actual annual premium.
(j) All the Pensioners (including spouse) / Family Pensioners covered under this Scheme shall get new Identity Card within the stipulated period without fail for availing medical assistance on a CASHLESS basis under this Scheme. In case of loss of Identity Card, a duplicate Identity Card can be obtained on payment of Rs.50/- by Pensioners / Family Pensioners to the United India Insurance Company / Third Party Administrator through authorities concerned. In turn, the authorities concerned shall arrange to obtain and issue the same to Pensioners (including spouse) / Family Pensioners within the stipulated time.
(k) The Director of Treasuries and Accounts, Chennai shall be the sole authority to sort out the discrepancies if any in the implementation of this scheme as and when brought to notice by the Pensioner / Family Pensioners concerned.
11. PROCEDURE TO BE FOLLOWED FOR AVAILING MEDICAL ASSISTANCE:
The procedure to be followed at the time of admitting Pensioners (including spouse) / Family Pensioners for accredited treatments / surgeries are as follows:
(a) The hospitals approved by the United India Insurance Company / Third Party Administrator under this Scheme alone should be approached for availing the benefits.
(b) The approved Hospitals shall be approached for the accredited treatments / surgeries to be undertaken on CASHLESS basis so that pre-authorisation is given by the United India Insurance Company / Third Party Administrator under the control of the United India Insurance Company Limited, Chennai. In case of emergency only, the approval of the United India Insurance Company / Third Party Administrator for the accredited treatments / surgeries undertaken in the approved hospitals shall be obtained for settlement on CASHLESS basis by the Pensioner / Family Pensioner during the period commencing from the date of treatment / surgeries as in-patient to the date before discharge from the hospital.
: 12 : (c) For claim assistance, the Pensioners / Family Pensioners
may contact through Toll Free Helpline No.1800 233 5544 [24 Hours] of the Third Party Administrator under the control of United India Insurance Company Ltd. and also may contact Coordinators of the Third Party Administrator under this scheme through Phone Numbers. Further, if there is any grievances for availing medical assistance, Pensioners / Family Pensioners may contact Nodal Officers of the United India Insurance Company Limited through Phone Numbers. The list of District wise/Other State Co-ordinators and Nodal Officers under the New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners are listed out in Annexure-V.
(d) The Identity Card of the Pensioners / Family Pensioners issued by the United India Insurance Company / Third Party Administrator or by production of the copy of Form prescribed in Annexure-IV shall be produced to the approved hospitals for the accredited treatments / surgeries. This arrangement of production of the copy of Form in Annexure-IV in lieu of Identity Card will be applicable only for such interim period, till the Identity Cards are made available.
(e) This Scheme is on a CASHLESS basis and no payment for approved cost need to be made by the Pensioners (including spouse) / Family Pensioners to the approved Hospitals. Claims for reimbursement of the payment, if any made shall not be entertained.
(f) The eligible charges which are entitled to under this Scheme should be ascertained for the accredited treatments / surgeries from the hospitals approved by the United India Insurance Company / Third Party Administrator should not be allowed to charge any excess amount.
(g) Any claim in deviation of the above procedure for reimbursement is liable to be rejected.
12. REDRESSAL OF GRIEVANCES:
(a) Any complaints about difficulty in availing accredited treatments / surgeries, non-availability of facilities, bogus availment of treatment for ineligible individuals, etc., shall be submitted to the Pension Pay Officer, Chennai and other districts to the District Treasury Officers at the District Headquarters. The complaints received shall be placed for decision of an Empowered Committee at District Level headed by the District Collector, having the Joint Director of Medical and Rural Health Services Department and the Pension Pay Officer, Chennai / District Treasury Officer concerned as the case may be and a official representative of the United India
: 13 : Insurance Company as member. In respect of Pensioners / Family Pensioners drawing pension / family pension directly from Banks under Public Sector Bank Schemes, the complaints if any shall be sent to the Director of Treasuries and Accounts, Chennai.
(b) An appeal against the decision of the District Level Empowered Committee may be preferred by the Pensioners / Family Pensioners to the State Level Empowered Committee headed by the Director of Treasuries and Accounts and having the Director of Medical and Rural Health Services as Member Secretary and an official representative nominated by the United India Insurance Company as members.
(c) The appeals shall be filed with the Director of Medical and Rural Health Services, the Member Secretary of the State Level Empowered Committee who shall place the appeals for a decision of the said Committee.
(d) Any dispute arising out of the implementation of this Scheme which remain unresolved at the State Level Empowered Committee shall be referred within fifteen days of award of State Level Empowered Committee to a High Level Committee, comprising of the Secretary to Government (Expenditure), Finance (Pension) Department, the Secretary to Government, Health and Family Welfare Department and the representative of the United India Insurance Company nominated for the purpose.
(e) The Civil Courts situated in Chennai shall have exclusive jurisdiction over any dispute, which remain unresolved by the above procedure and nothing aforesaid, shall prejudice the rights of the Government of Tamil Nadu to approach any other forum for dispute resolution permissible under Law.
13. The United India Insurance Company, Chennai shall furnish a Monthly / Quarterly / Annual report to the Government of Tamil Nadu in Finance (Pension) Department with the details of the number of claims (hospital wise), and the total amount disbursed (treatments and surgeries wise) and also to the Director of Treasuries and Accounts, Chennai-15. The Director of Treasuries and Accounts, Chennai-15 shall furnish a Annual report to the Government every year.
-/ True Copy /-
SECTION OFFICER.
: 14 : Annexure-II
LIST OF ACCREDITED TREATMENTS AND SURGERIES UNDER NEW HEALTH INSURANCE SCHEME, 2014 FOR PENSIONERS
(INCLUDING SPOUSE) / FAMILY PENSIONERS.
Sl. No. Name of Diseases, Treatments and Surgeries I. CARDIOLOGY AND CARDIO THORACIC SURGERY Heart Surgery including
1. (a) Coronary By-Pass Surgery (CABG) 2. (b) Valve Replacement and Other Valvulo Plastics 3. (c) Correction of all Congenital Heart Diseases 4. (d) Angioplasty and PTCA Stent 5. (e) Baloon Valvuloplasty 6. (f) Permanent and Temporary Pacemaker Implantation 7. (g) Embolectomies for Peripheral Artery Embolism 8. (h) Surgeries for Repair of Aneurysm 9. (i) Enhanced External Counter Pulsation Therapy (EECP) II. ORTHOPAEDIC SURGERY
10. (a) Total Hip Replacement 11. (b) Total Knee Replacement 12. (c) Surgeries for Correction of Fractures of Bones and Joints 13. (d) Arthroscopic Repair of Ligaments
III. NEPHROLOGY / UROLOGY 14. (a) Renal Transplantation 15. (b) Lithotripsy 16. (c) Surgeries for Prostrate Gland Problems 17. (d) Surgeries for Ureteric Problems 18. (e) Surgeries for Kidney Problems 19. (f) Surgeries for Urinary Bladder Problems
IV. ONCOLOGY 20. (a) Surgical Management of all Malignant Tumors 21. (b) Laser or Radiation Treatment of Malignancy 22. (c) Chemotherapy for Treatment of Malignancy
V. NEUROLOGY 23. (a) Emergency Life Saving Surgeries on Brain and Spinal
Cord 24. (b) Advanced Specialized Surgeries on Brain and Spinal
Cord such as Cerebrovascular Surgery (Aneurysm and Arteriovenous (Malformation), Surgeries involving base of the Skull and Synotactic Surgeries
25. (c) Surgery for Intractable Epilepsy 26. (d) Inter-vertebral Disc Prolapse related Surgeries 27. (e) Management of Cerebro-Vascular Accidents (Stroke)
: 15 : Sl. No. Name of Diseases, Treatments and Surgeries
28. (f) Surgery for all Congenital Malformations including
Hydrocephalus 29. (g) Management of Guillian Barre Syndrome
VI. OPTHALMOLOGY (i). Simple Surgery
30. (a) Any Cataract Surgery with or without Intra Ocular Lens (IOL) Implantation
31. (b) Surgery for Glaucoma (ii). Specialised Surgery
32. (a) Surgery and other procedures for Detachment of Retina. 33. (b) Vitrectomy 34. (c) Keratoplasty (Corneal Grafting) 35. (d) Laser treatment,-Krypton Laser, Dye Laser, Argon
37. Amputation of Legs, Arms, Toes and Foot VIII. GASTROENTEROLOGY
38. (a) Surgeries for various Gastro Intestinal Ulcers 39. (b) Gall Bladder and Liver Surgeries 40. (c) Surgery for Pancreatitis and Appendicitis 41. (d) Liver Transplantation 42. (e) Corrosive Strictures of GI Tract 43. (f) Laproscopic Cholecystectomy 44. (g) Surgeries for Perforation in GI Tract
IX. PLASTIC AND FACIO MAXILLIARY 45. Treatment of Acute Burns
X. E.N.T. 46. (a) Tonsillectomy 47. (b) Mastoidectomy 48. (c) Stapedectomy 49. (d) Injuries in Ear, Nose, Throat and Neck areas and its
Management XI. GYNAECOLOGY
50. (a) Surgery for Removal of Uterus 51. (b) Surgery for Removal of Ovaries and Ovarian Cysts
XII. THORACIC 52. Surgery for Lung Abscess, Pleural Effusion and
Pneumothorax XIII. GENERAL: OTHER SURGERIES
53. (a) Thyroid Surgery 54. (b) Surgery for various Hernias 55. (c) Surgeries needed in Accident and Trauma
: 16 : Sl. No. Name of Diseases, Treatments and Surgeries
56. (d) Management of Coma, Meningitis and Encephalitis 57. (e) Piles and Fistula 58. (f) All surgeries for correction of congenital deformities and
management of subsequent problems
59. (g) All Interventional Radiology Procedure for Vascular Problems
60. (h) All Interventional Radiology Procedures using Stents
MEDICAL CARE (i). Critical Care
1. (a) Acute Respiratory Distress Syndrome (ARDS) 2. (b) ARDS with Multi Organ Failure 3. (c) ARDS plus DIC (Blood & Blood Products) 4. (d) OP Poisoning requiring Ventilator Assistance 5. (e) Septic Shock (ICU Management) 6. (f) Metabolic Coma requiring Ventilator Support (ii). Haematology
7. (a) Hemophilia 8. (b) Snake Bite requiring Ventilator Support 9. (c) Treatment for Sickle Cell Anemia 10. (d) Bone Marrow Transplantation 11. (e) Stem Cell Transplantation
22. BHARATHI RAJAA SPECIALITY HOSPITALNo.20, G N Chetty Road, T.Nagar, Chennai-600 017.
044-30113011, 100
Cardiology, Cardiothoracic Surgery, General Surgery.
23. CANCER INSTITUTE [W.I.A]Canal Bank Road, Adayar,Chennai - 600 020.
044-24910754,22350241
Oncology.
24. CHENNAI EYE CARE HOSPITALNo-6,12th Cross Street,Dhandeeswaram Nagar,Velachery (Near Tansi Nagar Bus Stop), Chennai-600 042.
044-22435300 Ophthalmology.
25. CHETTINAD HOSPITALChettinad Health City, Rajiv Gandhi Salai, Kelambakkam-603 103.
044-47411042, 47411060 47411000, 47428455
General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
26. CSI RAINY MULTISPECIALITY HOSPITAL45, G.A Road, Near Kalmandapam, Chennai – 600 021.
39. DR. ARAVIND VISION CAREOld No:61, New No:3, Reddy Palayam Road, Mugappair West, Chennai - 600 037.
044-42605533 Ophthalmology.
40. DR. KAMAKSHI MEMORIAL HOSPITAL1, Radial Road, Pallikaranai, Chennai - 600 100.
044-66300300 General Medicine - Medical Care, General Surgery, Gynaecology , Oncology, Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Vascular Surgery, Plastic & Facio Maxilliary.
41. DR. RAI MEMORIAL MEDICAL CENTRE562, Anna Salai, Century Plaza, Teynampet, Chennai -600 018.
044-42132054 Oncology.
42. DR. RAVISHANKAR'S EYE CLINIC & NURSING HOME11, Hunters Road, Vepery, Chennai - 600 112.
General Medicine - Medical Care, General Surgery, Gynaecology.
50. GLOBAL HOSPITALS & HEALTH CITY439,Cheran Nagar, Perumbakkam, Chennai-600 100.
044-22777000 General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroentrology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
51. HALSTEAD SURGICAL CLINICNo:306, Poonamallee High Road, Kilpauk, Chennai-600 010.
0422-4316000 General Medicine - Medical Care, General Surgery, Gynaecology, Neurosurgery, Orthopaedic Surgery.
140. KOVAI HEART FOUNDATION (P) LTD.687/1, Trichy Road, Alvernia Convent Bus Stop, Ramanathapuram Pin- 641 045.
0422-2320789 Cardiology, Cardiothoracic Surgery.
141. KOVAI MEDICAL CENTER & HOSPITAL LTD.Post Box No.3209, Avinashi Road, Coimbatore - 641 014.
0422-4323602, 702
General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery, Orthopaedic Surgery.
: 27 :
Sl.No. Name of Hospitals and their Addresses Contact Number Specialities Available
(1) (2) (3) (4)
LIST OF APPROVED HOSPITALS UNDER NEW HEALTH INSURANCE SCHEME, 2014
FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.
142. KURINJI HOSPITAL522/3, Udayampalayam Road, Behind EB Sub Station, Nava India, Sowripalayam Post, Coimbatore - 641 028.
0422-4327777 General Surgery, General Medicine - Medical Care, Gynaecology.
143. LAKSHMI MEDICAL CENTRE AND HOSPITAL18/121, MTP Road, Thudiyalur, Coimbatore -641 034.
0422-2644133 General Surgery, General Medicine- Medical Care, Gynaecology , Genitourinary Surgery, ENT.
0424-2256434 Nephrology / Urology, General Surgery.
228. ERODE ORTHOPAEDIC SURGERY CENTRE803, EVN Road, Near Railway Station, Erode-638 001.
0424-2276201, 2276202
Orthopaedic Surgery.
229. HCG CANCER CENTRE547, Perundurai Road,Erode-638 011.
0424-2262035, 4021845
Oncology.
230. IRT-PERUNDURAI MEDICAL COLLEGEKunnathur Road,Sanatorium-638 053.
0424-220910, 220913,220915, 220914
General Medicine - Medical Care, General Surgery, Gynaecology , ENT, Gastroenterology, Neurology Plastic & Facio Maxilliary, Vascular Surgery, Orthopaedic Surgery.
04295-220406 General Medicine - Medical Care, General Surgery.
233. KMCH HOSPITAL15, Palaniappa Street,(Near Government Hospital), Erode-638 009.
0424-2264141, 4323702, 2256456
General Medicine- Medical Care, General Surgery, Gynaecology , ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery, Orthopaedic Surgery.
234. KOVAI MEDICAL CENTER68, Perundurai Road,Erode - 638 011.
0424-2262838, 2264141 2256677
General Medicine - Medical Care, General Surgery, Gynaecology , ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery, Orthopaedic Surgery.
044-27432240 General Medicine - Medical Care, General Surgery, Gynaecology.
258. SRI VENKATESWARA HOSPITALNo.2/27, Gandhi Street, Railway Station Road, Singaperumal Koil - 603 204.
044-27464555 General Medicine - Medical Care, General Surgery, Gynaecology.
259. SRM MEDICAL COLLEGES.R.M Nagar, Kattankulathur-603 203.
044-2745603 General Medicine - Medical Care, General Surgery, Gynaecology, Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
04652-232532 General Medicine - Medical Care, General Surgery, Gynaecology.
265. BINU MEDICAL CLINICErumbili Junction, Colachal, Ritapuram Post, Kanyakumari - 629 159.
04651-228899 General Medicine - Medical Care, General Surgery, Gynaecology.
266. DR. J.MATHIAS HOSPITALK.P. Road, Nagercoil - 629 001.
04652-279731, 278137, 279733, 279466
General Surgery, Gynaecology.
267. DR. JAYAHARAN MEMORIAL HOSPITAL63, Court Road,Nagercoil - 629 001.
04652- 222664 General Medicine - Medical Care, General Surgery, Gynaecology.
268. DR. JAYASEKARAN HOSPITAL AND NURSING HOMEK.P. Road,Nagercoil - 629 003.
04652–230019 General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
269. DR.GOPALAPILLAIS JAWAHAR HOSPITALR.V.Puram, K P Road, Nagercoil-629 001.
04652-223244 General Medicine - Medical Care, General Surgery, Orthopaedic Surgery, Gynaecology.
: 35 :
Sl.No. Name of Hospitals and their Addresses Contact Number Specialities Available
(1) (2) (3) (4)
LIST OF APPROVED HOSPITALS UNDER NEW HEALTH INSURANCE SCHEME, 2014
FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.
04652-252253 General Medicine - Medical Care, General Surgery, Gynaecology.
292. SREE MOOKAMBIKA INSTITUTE OF MEDICAL SCIENCESVelayuthan Pillai Memorial Hospital Complex, Padailam, Kulasekharam-629 161.
04651-280742; General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
General Medicine - Medical Care, General Surgery, Gynaecology, Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Orthopaedic Surgery, Vascular Surgery, Oncology.
General Medicine - Medical Care, General Surgery, Gynaecology, Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
346. RAJEEV HOSPITAL47, Anna Nagar,Madurai-625 020.
0452-4395797 General Surgery, General Medicine - Medical Care, Gynaecology.
347. S.P. HOSPITAL, ORTHOPAEDIC SURGERY AND SURGICAL CENTREHIG 34, 80 Feet Road, Anna Nagar,Madurai - 625 424.
0452-4395510 General Medicine - Medical Care, General Surgery, Gynaecology , Orthopaedic Surgery.
348. SANDHYA HOSPITAL146, Arappalayam Main Road, Madurai - 625 016.
0452-3040002 General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroentrology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
: 40 :
Sl.No. Name of Hospitals and their Addresses Contact Number Specialities Available
(1) (2) (3) (4)
LIST OF APPROVED HOSPITALS UNDER NEW HEALTH INSURANCE SCHEME, 2014
FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.
350. SHENBAGAM HOSPITAL PVT. LTD.15, 16th Cross III Street, Anna Nagar,Madurai - 625 020.
0452-4393003, 06
General Medicine - Medical Care, General Surgery, Gynaecology.
General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
413. J.S HOSPITAL5-A, Ramakrishna Road, Salem - 636 007.
0427-2317264 General Medicine - Medical Care, General Surgery, Gynaecology.
XVII. RAMANATHAPURAM DISTRICT
: 44 :
Sl.No. Name of Hospitals and their Addresses Contact Number Specialities Available
(1) (2) (3) (4)
LIST OF APPROVED HOSPITALS UNDER NEW HEALTH INSURANCE SCHEME, 2014
FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.
414. KAMALA HOSPITALSree Krishna Complex, 256, Second Agraharam,Salem - 636001.
0427-2260468 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio M illi415. KIRUBA HOSPITAL
Rajaji Road, Salem - 636 007.
0427-2315160, 2317260, 2318460
General Medicine - Medical Care, General Surgery, Gynaecology , Neurology.
416. KURINJI HOSPITALTeejay Hospital Road, Five Road,Salem-636 016.
0427-2433304 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio M illi417. LONDON ORTHOPAEDIC SURGERY
HOSPITALOpp. to Anna Park, Near Four Roads, Omalur Main Road,Salem - 636 009.
0427-2353033 Orthopaedic Surgery.
418. LOTUS EYE CARE HOSPITAL LTD.52/2, Peramanur East, Salem - 636 007.
0427-246464, 2413868
Ophthalmology.
419. MANIPAL HOSPITALDalmia Board, Bengaluru Highway, Salem - 636012.
0427-2346600 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary.
420. NATHAN SUPER SPECIALITY HOSPITALAdvaith Ashram Road, Opp. Holi Flower School,Salem-636 016.
0427-4264101,2442303
Orthopaedic Surgery, Plastic & Facio Maxilliary, General Medicine-Medical Care.
421. PRANAV HOSPITAL108/38, Brindavan Road, Opp New Bus Stand, Salem - 636 007.
0427-2336788 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary.
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery.
425. SALEM MEDICAL CENTRENo.50, Kannankurchi Road, Hasthampatty,Salem-636 007.
0427-2418213 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio M illi426. SHANMUGA HOSPITALS & SALEM
CANCER CENTER24, Sarada College Road, Salem - 636 007.
0427-2315293, 2319469
General Surgery, General Medicine - Medical Care, Gynaecology , Oncology.
427. SKS HOSPITALS INDIA PVT. LTD.Alagapuram, Opp New Bus Stand, Salem - 636 004.
0427-4033007, 4033191
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio M illi
: 45 :
Sl.No. Name of Hospitals and their Addresses Contact Number Specialities Available
(1) (2) (3) (4)
LIST OF APPROVED HOSPITALS UNDER NEW HEALTH INSURANCE SCHEME, 2014
FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.
428. SREE VASANTHAM HOSPITAL52/1, Sankagiri Main Road, Opp. Police Commissioner Office, Near Annathapatty Bus Stop, Salem - 636 006.
0427-2465114 General Medicine - Medical Care, General Surgery, Gynaecology.
429. SRI GOKULAM HOSPITAL3/60, Meyyanur Road, Salem - 636 004.
0427-2448171, 76
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio M illi430. SRI GOKULAM SPECIALITY HOSPITAL
202, BengaluruByepass Road,Salem - 636 004.
0427-2448171 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary.
431. SRI PALANIANDI MUDALIAR MEMORIAL HOSPITALNo.29, Cuddalore Main Road, Ammapet Bazaar,Salem - 636 003.
0427-2244500 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Cardiology, Cardiothoracic Surgery.
432. SRI SHELLAPPA HOSPITAL239, Rajaram Nagar, Near Gandhi Stadium,Salem - 636 007.
0427-2421271, 2421266
General Medicine - Medical Care, General Surgery, Gynaecology , Orthopaedic Surgery.
0427-3982000 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Cardiology, Cardiothoracic Surgery.
XIX. SIVAGANGAI DISTRICT 438. APOLLO HOSPITALS
Madurai Main Road, Managiri Street,Karaikudi - 630 307.
04565-232940, 233980
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Cardiology, Cardiothoracic Surgery.
439. MULTICARE HOSPITAL384,120 Feet Road,Near New Bus Stand,Karaikudi-630 003.
04565-235901 General Medicine - Medical Care, General Surgery, Gynaecology.
440. PADMINI UROLOGY CLINICOpp to LIC, V.O.C.Road,Karaikudi-630 301.
04565-238326 Urology.
: 46 :
Sl.No. Name of Hospitals and their Addresses Contact Number Specialities Available
(1) (2) (3) (4)
LIST OF APPROVED HOSPITALS UNDER NEW HEALTH INSURANCE SCHEME, 2014
FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.
0431-2773857 General Medicine - Medical Care, General Surgery, Gynaecology.
531. ASSURED BEST CARE HOSPITAL (P) LTD. (ABC HOSPITAL)No.1, Annamalai Nagar , Main Road , Trichy - 620 018.
0431-2760859, 2750238, 2750239, 4077111
General Surgery, General Medicine-Medical Care, Gynaecology, Orthopaedic Surgery, Nephrology, Neurology,Plastic & Facio Maxilliary, Genitourinary Surgery.
532. ATLAS HOSPITAL34/1, V.N Nagar, Near Chathiram Bus Stand, Trichy - 620 002.
0431-2701248 General Medicine - Medical Care, General Surgery, Gynaecology.
533. CHENNAI MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE (SRM GROUP)Irungalur, Mannachanallur,Trichy - 621 105.
0431-2011218,3058633
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery.
534. CHILD JESUS HOSPITALPost Box No 17, Cantonment, Trichy-620 001.
0431– 2415816 General Medicine - Medical Care, General Surgery, Gynaecology.
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery.
549. KAVERI MEDICAL CENTRE AND HOSPITAL1, KC Road, Tennur,Trichy - 620 017.
0431-4022535 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery, Cardiology, Cardiothoracic Surgery.
0431-2415665 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery.
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery.
582. RAMS MULTI SPECIALITY CENTRE82,Murugapalayam Main Road, Opp. Bharath Petrol Bunk, Avinashi Road, Tirupur - 641 603.
0421-2200456 General Medicine - Medical Care, General Surgery, Gynaecology , Orthopaedic Surgery.
583. REVATHY MEDICAL CENTRE10, Kumar Nagar (West),Tirupur--641 603.
0421-4332211 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery.
584. SRI KUMARAN HOSPITAL774,P.N.Road, Near New Bus Stand, Tirupur - 641 602.
0421-4330000 General Medicine - Medical Care, General Surgery, Gynaecology.
585. THE EYE FOUNDATIONHarvey Road, Tirupur - 641 602.
0422-4242000 Ophthalmology.
586. VASAN EYE CARE HOSPITAL83, Perumanallur Road, Nesavalar Colony, Opp. to Bharat Petrol Pump, Tiruppur-641 602.
0421–3989000 Ophthalmology.
: 56 :
Sl.No. Name of Hospitals and their Addresses Contact Number Specialities Available
(1) (2) (3) (4)
LIST OF APPROVED HOSPITALS UNDER NEW HEALTH INSURANCE SCHEME, 2014
FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.
XXX. VELLORE DISTRICT 587. CHRISTIAN EYE HOSPITAL
Schell Campus Arni Road, Vellore - 632 004.
0416-2283174, 2282593, 22820202
Ophthalmology.
588. CHRISTIAN MEDICAL COLLEGE & HOSPITALIDA Scudder Road, Vellore - 632 004.
0416-2283174, 2282593, 22820202
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery.
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Cardiology, Cardiothoracic Surgery.
: 59 :
Sl.No. Name of Hospitals and their Addresses Contact Number Specialities Available
(1) (2) (3) (4)
LIST OF APPROVED HOSPITALS UNDER NEW HEALTH INSURANCE SCHEME, 2014
FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.
FORM FOR FURNISHING PENSIONER / FAMILY PENSIONER DETAILS
[UNDER NEW HEALTH INSURANCE SCHEME, 2014
FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.]
1. (a) PPO No. :
(b)Name of Pension Disbursing Office
:
(c) Scheme Type : Pilot / PSB 2. PPO No.OAC/UST (in the case of
Pensioners who are getting payment outside the State)
:
Treasury / Sub Treasury / Pension Pay Office, Chennai / Public Sector Banks with Branch Name through which Pension/Family Pension is drawn.
:
3. Name of the Pensioner / Family Pensioner * (in BLOCK LETTER)
:
4. Name of the Spouse in case of Pensioner (with Joint Photograph).
:
5. Bank & Branch with Account No. from where the Pension / Family Pension is drawn.
:
6. (a) Permanent Address (in BLOCK LETTERS) (Duly furnish District & PIN Code)
:
(b) Present Address :
7. Contact Details : (a) Phone No. with STD Code : (b) Mobile No. : (c) E_Mail ID (if available) :
8. PAN No. (if available) :
9. Post held by the Pensioner at the time of Retirement.
:
Photo
1) Photo in case of Family Pensioner.
2) Joint Photograph in case of Pensioner.
: 61 : 10. Office / Department from which
the Pensioner retired. :
11. Original Pension : Rs. Commuted Amount : Rs.
Provisional Pension : Rs.
Pension Drawn Particulars (whichever is applicable)
Family Pension : Rs. 12. Date of Birth (with proof)
(a) Pensioner / Family Pensioner : (b) Spouse (in case of Pensioner
only) :
13. Date of Retirement of Pensioner :
14. Details of Legal Heir (a) Name : (b) Relationship : (c) Phone / Mobile No. : (d) E_Mail ID
(for communication purpose). :
Certified that the above particulars furnished by me are correct.
Signature/Thumb Impression of the Pensioner / Family Pensioner.
Certified that the above particulars are verified with the pension
records available with this office and found correct. The subscription is also being recovered and remitted into the relevant revenue receipts head of accounts.
Signature of the Pension Disbursing Officer including Branch Manager of Banks.
Name :
Designation :
Date :
Seal :
: 62 : ANNEXURE*
NEW HEALTH INSURANCE SCHEME,2014 FOR PENSIONERS (INCLUDING SPOUSE)/ FAMILY PENSIONERS.
Name of the Pensioner : Category of Pensioner :
Pension Payment Order No. : Bank & Branch :
OPTIONS TO BE EXERCISED
[The scheme is compulsory for all Pensioners / Family Pensioners. The following categories of Pensioners / Family Pensioners alone
are entitled to exercise their option.]
Sl.
No. Categories OPTION
[Yes/No] Remarks
1. All India Service (AIS) Pensioner.
[Applicable] / [Not Applicable]
2. A Pensioner who is a
recipient of All India Service (AIS) Family Pension.
[Applicable] / [Not Applicable]
3. If spouse of the Pensioner is
a State Government Employee. Details of Spouse.
[Applicable] / [Not Applicable]
(a) Name of Spouse. :
(b) Office of Spouse. :
(c) Designation of Spouse. :
(d) NHIS, 2012 ID Card No. of the Spouse.
:
4. If both Husband and Wife are Pensioners. Details of Spouse.
[Applicable] / [Not Applicable]
(a) Name of Spouse. :
(b) Spouse’s PPO No. :
(c) Whether the NHIS, 2014’s subscription is deducted from the spouse.
:
* This annexure is to be filled and handed over to the authorities concerned only by the above categories of Pensioners / Family Pensioners.
N Y
NY
NY
NY
NY
: 63 :
Sl. No. Categories OPTION
[Yes/No] Remarks
5. If a Pensioner is also a Family Pensioner. Details of Family Pensioner.
[Applicable] / [Not Applicable]
(a) PPO No. :
(b) Place of PDO. :
(c) Bank with Branch. :
(d) Account No. from where Family Pension is drawn.
:
6. If an individual draws more than one Family Pension. Details of Other Pension from which recovery should not be done.
[Applicable] / [Not Applicable]
(a) PPO No. :
(b) Place of PDO. :
(c) Bank with Branch. :
(d) Account No. :
Y N
Y N
Certified that the above particulars furnished by me are correct.
Signature/Thumb Impression
of the Pensioner / Family Pensioner.
Certified that the above particulars are verified with the pension records available with this office and found correct. The subscription is also being recovered and remitted into the relevant revenue receipts head of accounts.
Signature of the Pension Disbursing Officer
including Branch Manager of Banks. Name :
Designation :
Date :
Seal :
-/ True Copy /-
SECTION OFFICER.
: 64 :
Annexure-V
LIST OF CO-ORDINATORS AND NODAL OFFICERS UNDER NEW HEALTH INSURANCE SCHEME, 2014 FOR PENSIONERS
(INCLUDING SPOUSE) / FAMILY PENSIONERS.
Contact for Insurer
UNITED INDIA INSURANCE COMPANY LIMITED Divisional Office: 010600, 5th Floor, PLA Rathna Tower,
212, Anna Salai, Chennai 600006
Contact for Claims Assistance
Third Party Administrator (Under the control of UIIC Limited)
MD India Healthcare Services (TPA) Pvt. Ltd. (New Health Insurance Scheme, 2014 for Pensioners (including
spouse) / Family Pensioners)
Head Project Office
No. 27, Laxmi Tower, Third Floor, Dr. Radhakrishnan Salai, Mylapore, Chennai 600 004
(Landmark – Yellow Pages)
TOLL FREE (24 Hours) HELPLINE NUMBER
1800 233 5544
List of Hospitals available on website: www.tnnhis2014.com
: 65 : COORDINATORS OF THE TPA–MD INDIA HEALTHCARE SERVICES
(TPA) PVT. LTD. UNDER NEW HEALTH INSURANCE SCHEME, 2014 FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.
Chief Coordinator Dr. Shaheeth Peeran Project Office 7373069030 Coordinator Mr. Vijay Babu Project Office 7373069020
Sl. No. District Name of District
Coordinator Mobile No
1 Ariyalur Mr. Prakash 7373703141 2 Chennai Mr. Jayachandran 7373703202 3 Coimbatore Mr. Rajesh 7373703142 4 Cuddalore Mr. Arul Murugan 7373703143 5 Dharmapuri Mr. Santhosh Kumar 7373703144 6 Dindigul Mr. Jaffer 7373069010 7 Erode Mr. Sabari Raja 7373703147 8 Kanchipuram Mr. Chandra Mohan 7373703148 9 Kanyakumari Mr. Christopher 7373703149 10 Karur Mr. Murugesan 7373703134 11 Krishnagiri Mr. Govindarajan 7373703155 12 Madurai Mr. Nagendran 7373703197 13 Nagapattinam Mr. Rajesh 7373703115 14 Namakkal Mr. Raja 7373703171 15 Perambalur Mr. Sasikumar 7373703173 16 Pudukottai Mr. Antony Alexander 7373069019 17 Ramanathapuram Mr. Ravichandran G 7373703174 18 Salem Mr. Vasanth 7373703175 19 Sivagangai Mr. Jeyakumar 7373069011 20 Thanjavur Mr. Kalaimani 7373069036 21 Theni Mr. Md. Kabir 7373069012 22 The Nilgris Mr. Lokesh Kumar 7373069016 23 Thirunelveli Mr. Subramanian 7373069013 24 Thiruvallur Mr. Sudharsan 7373069017 25 Thiruvannamalai Mr. Suresh Kumar 7373703182 26 Thiruvarur Mr. Venkatesan 7373069020 27 Thoothukudi Mr. Dhanasekar 7373069014 28 Tiruchirapalli Mr. Veeramanikandan 7373069018 29 Tiruppur Mr. Manoj Kumar 7373069038 30 Vellore Mr. Mohan 7373703183 31 Villupuram Mr. Elumalai 7373703184 32 Virudhunagar Mr. Suresh Kumar 7373069015 33 Pondicherry Mr. Arul Murugan 7373703143 34 Bengalaru Mr. Suresh Srinivasan 09342440441 35 Thiruvanandapuram Mr. Praveen Kumar 09388620100 36 New Delhi Mr. Gurvinder Nalwa 09313070470
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PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS
Nodal Officer K. Ramakrishnan Divisional Manager 94444 18897
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