(1) An officer shall be eligible for reimbursement of medical expenses actually incurred by him in respect of himself and his family on the following basis, namely:
(a) Medical Expenses On and from 1-11-1999 reimbursement of medical expenses to an officer in the grade specified in column 1 of the Table below and his family may be made on the strength of the Officer's own certificate of having incurred such expenditure supported by a statement of accounts for the amounts claimed subject to the limit specified in column 2 thereof:
Table Grade Reimbursement limit p.a.
1 2 Junior Management and Rs. 2225/- Middle Management Grade Senior Management and Rs. 3000/- Top Executive Grade Note :
(i) An officer may be allowed to accumulate unavailed medical aid so as not to exceed at any time three times the maximum amount provided above.
(ii) For the year 1999 the reimbursement of medical expenses under the medical aid scheme shall be enhanced proportionately for two months, i.e. November and December, 1999.
Explanation :
‘Family’ of an officer for the purpose of this regulation shall consist of spouse, wholly dependent children and wholly dependent parents only.
(b) Hospitalisation Expenses :
(i) On and from 1-11-1994, hospitalisation charges will be reimbursed to the extent of 100% in the case of an officer and 75% in the case of his family members in respect of all cases which require hospitalisation.
Reimbursement on the basis of bills, vouchers, etc., of expenses incurred shall be subject to ceilings determined from time to time in accordance with the guidelines of the Government.
(ii) The Officers or members of their families (as the case may be) are expected to secure admission in a Government or Municipal Hospital or any private hospital, i.e., hospitals under the management of a Trust, Charitable Institution or a Religious Mission. But in unavoidable circumstances the Officers or their family members or both may avail themselves of the services of one of the approved private Nursing Homes or private Hospitals approved by the Bank. Reimbursement in such cases should, however, be restricted to the amount which would have been reimbursable in case the patient was admitted to one of the hospitals mentioned above.
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(iii) On and from 1-11-1994, medical expenses incurred in respect of the following diseases which need domiciliary treatment as may be certified by the recognised hospital authorities and bank's medical officer shall be deemed as hospitalisation expenses and reimbursed to the extent of 100% in case of an officer and 75% in the case of his family members :
Cancer, Leukemia, Thalsamea, Tuberculosis, Paralysis, Cardiac Ailment, Leprosy, Kidney Ailment, Epilepsy, Parkinson’s Disease, Psychiatric Disorder and Diabetes.
(iv) on and from 1st November, 1999 in addition to diseases mentioned in para (iii) above, the following diseases shall also become eligible for domiciliary treatment, other conditions remaining unchanged:
Hepatitis-B, Hemophilia and Myaestheniagravis.
Note:
The cost of medicines etc. in respect of domiciliary treatment shall be reimbursed for the period stated in the Specialist's prescription. If no period is stated, the prescription for the purpose of reimbursement shall be valid for a period not exceeding 90 days.
(2) Notwithstanding the medical benefits (including hospitalisation etc.) listed in sub- Regulation (1) above and in complete substitution of the same, the Board may decide to retain in an unaltered form, medical benefits (including hospitalisation, etc.) as available in the Bank on the appointed date and if the Board so decides, all officers shall be eligible for reimbursement of medical expenses only as per the terms and conditions obtaining in the Bank on the appointed date for grant of medical benefits (including hospitalisation, etc.).
(3) Medical Aid and Hospitalisation facilities shall also be admissible to the officers who are placed under suspension.
Residential accommodation :