(1) Where a Government servant is entitled under rule, 7 free of charge to treatment in any hospital any amount paid by him on account of such treatment shall on production of a certificate in writing by the authorised medical attendant in this behalf be reimbursed to him by the Government.
(2) (a) The refund of the cost of preparations which are not medicines but are primarily foods, tonics toilet preparations or disinfectants is not admissible under these rules.
1[(b) List of items for which refund is not admissible under these Rules shall be those published by the Director General of Health Service, Government of India, from time to time] 1.
1 Substituted in Notification No.GAD 14 OMR 63 dated 29th February 1964.
Provided that the cost of any therapeutic substance included in such list, which is prescribed by the authorised medical attendant as absolutely essential for the recovery of the patient shall be reimbursed by Government, if the State Government after consultation with the Director of 2[Health and Family welfare Services]2 is satisfied that such therapeutic substance was absolutely essential for the recovery of the patient and makes an order to that effect.
2 Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 1983.
(c) Sales-tax paid by Government servants while purchasing special medicines from the market is refundable under the rules. Packing and postage charges paid by Government servants for purchasing special medicines from out stations are not refundable.
(d) If an ambulance is used to convey a patient to a place of treatment or to convey a patient from one hospital to another hospital for purposes of certain/medical examinations, etc., the charges incurred by the Government servant on that account are refundable.
(e) Charges for sterilisation of instruments used in connection with operation performed on Government servants and their families are not payble by them, as it is the duty of the Hospital authorities to keep all the surgical instruments sterilised and in order.
3[(f) In cases where, for lack of facilities at a Government hospital or in the laboratory attached to it, skiagrams of ECG's are taken at a private laboratory or hospital, the charges incurred thereon shall be refundable at the rates prevalent in Government hospitals]3.
3 Substituted in Notification No.GAD 1 SMR 74 dated 28th October 1974.
(g) Charges recovered for operations performed on Government servants, who get admitted to a ward higher than that what they are entitled to are reimbursable to them.
4[(h) the cost of Ayurvedic, Unani and Homoeopathy medicines is also refundable. The lists of items for which refund is admissible under these rules in respect of Ayurvedic, Unani and Homoeopathic medicines shall be those published by the Director of Indian Systems of Medicine and Homoeopathy.
Provided that the cost of any therapeutic substance not included in such list but is prescribed by the authorised medical attendant as absolutely essential for the recovery of the patient shall also be reimbursed by Government, if the State Government after consultation with the Director of Indian System of Medicine and Homoeopathy is satisfied that such therapeutic substance was absolutely essential for the recovery of the patient and makes an order to that effect] 4.
4Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 1983.
(i) (A) Refund in respect of a full set of dentures where necessary shall be allowed upto a maximum of one hundred rupees once during, the entire service of a Government servant;
(B) Refund in respect of replacement of teeth in cases other than those falling under sub-clause (A) shall be allowed as and when necessary.
Provided that no refund under clauses A and (B) shall be allowed where the dentures of or teeth are made of any material like Gold, Silver etc.
1[(C) Refund in respect of scaling and filling of the teeth or for any treatment taken for diseases connected with teeth shall be allowed]1.
1 Inserted in Notification No. DPAR 1 SMR 81 dated 29th October 1981
(j) In the case of 2[Government servants whose monthly pay does not exceed Rs.8200/- in accordance with the Karnataka Civil Services (Revised Pay) Rules, 1999]2expenses incurred for procuring artificial appliances including travelling expenses and hospitalisation charges, if any, are reimbursable provided that the officer-in-charge of the medical institution where the Government servant has undergone the treatment certifies that such appliances were absolutely essential for the treatment of the Government servant.
2 Revised as per KCS (Revised Pay) Rules, 1999 3[(k) the cost of blood purchased for being administered to the patient on the advise of the authorised medical attendant shall be refundable on production of a certificate by the authorised medical attendant] 3 3Inserted in Notification No.GAD 18 OMR 63 dated 3rd March 1965 4[(1) Refund in respect of the cost of spectacles, where necessary, shall be allowed thrice during the entire service of the Government servant, subject to the condition that the amount claimed in each case does not exceed a maximum of three hundred rupees]4.
4Substituted in Notification No.GAD 2 SMR 75 dated 13th February 1976.
Explanations.- For the purpose of this clause 'artificial appliances' means"
(i) Prosthetic appliances of all kinds for the upper and lower limbs;
(ii) spinal braces or spinal supports including spinal belts;
(iii) cervical collars of all kinds, such as, of plastic, leather or stainless steel with leather coverings;
(iv) leather and metallic splints devised for correction of deformities and providing support for upper limbs;
(v) bracerage of all kinds including callipers, knee cage, knock knee and bow legs splints made of metal and leather; and
(vi) orthopaedic shoes, boots and splints used for correction of deformities of feet and legs.
1[(m) Refund in respect of the cost of Polio boots shall be allowed only at intervals of not less than three years and may be claimed only three times in respect of an individual. Refund in respect of machinery appurtenances like crutches, limb supports etc., shall be allowed only if they are purchased from a Medical College/Hospital (Rehabilitation Department), of from the Artificial body (Parts) Centre at Pune or from any other Centre/Organisation recognised and approved by Central or State Government for such purposes. Both in the cases of Polio boots and machinery appurtenances the refund is subject to their being certified by concerned specialists as essential and is admissible only to those officers whose monthly pay does not exceed Rs.8200/- if it is in accordance with the Karnataka Civil Services (Revised Pay) Rules 1999]1.
1Inserted in Notification No. DPAR 1 SMR 79, dated 16th July 1980.
*[(Artificial Limb Centres at Bangalore and Mangalore in respect of artificial limbs are recognised)] *.
*G.O.No.DPAR 4 SMR 85 dated 8th January 1986.
2[(n) Refund in respect of purchase of hearing aid shall be allowed to the extent of rupees three hundred once during the entire service of a Government Servants subject to the following conditions:
(i) The benefit of reimbursement of charges towards purchase of hearing aid will be admissible to the Government servant only and not to the members of his family:
(ii) The reimbursement of charges will be admissible on the basis of the certificate issued by the Head of the ENT Department in a Government Hospital. The certificate should specify that the Government servant is required to use hearing aid for his right/left ear;
(iii) The Government servant should make use of the hearing in the course of the discharge of his normal official duties] 2.
2 Inserted in Notification DPAR 4 SMR 80 dated 3rd March 1981.
3[(o) Refund in respect of purchase of pacemaker shall be allowed subject to the condition that the officer incharge of Medical Institution where the Government servant has undergone treatment certifies that implantation of pacemaker was absolutely essential for treatment of the Government Servant] 3.
3 Inserted in Notification No. DPAR 6 SMR 82 dated 20th September 1983.
4[(3) Notwithstanding anything contained in these rules, the reimbursement of the Medical expenses in respect of the treatment taken in the authorised hospitals and medical institutions specified in the Schedule-I shall be subject to the ceiling limits specified in column 3 of Schedule-II and Schedule-III in respect of treatment he availed specified in column 2 thereof respectively] 4.
4 Inserted in Notification No. DPAR 1 SMR 2000 dated 22nd January 2001.