THE ALL INDIA SERVICES (MEDICAL ATTENDANCE) RULES, 1954

Rule 4. Medical Attendance and treatment of families of members of the Services. -

Government of India Decisions

1. Reimbursement of expenses entitled for the treatment availed at any place where an officer or his family fall ill:-

A question arose whether an officer was entitled to reimbursement of expenses incurred on the treatment of his wife or delivery even though she was treated at a place outside the State of his posting.

2. According to rule 7(1) (a) read with rule 4, an officer and members of his family are entitled to medical attendance and treatment at any place where they fall ill irrespective of the consideration whether that place is within or outside the State in which the officer is posted. The officer is therefore, entitled to reimbursement of the expenses, if it is otherwise admissible.

[G.I. MHA letter No. 7/1/60-AIS (III), dated 05-03-1960.]

2. Medical attendance and treatment at any Government hospital at a station other than his AMA is attached, is permitted:-

It will not be inconsistent with this rule, if an officer is permitted to have medical attendance and treatment of the members of his family at any Government hospital at a station other than that in which his authorised medical attendant is attached. In such cases, it would only be necessary that the medical officer of the other hospital is also declared by the State Government as authorised medical attendant under rule 2(a).

[G.I. MHA letter No. 7/12/60-AIS (III), dated 14-07-1960.]

3. Reimbursement on ‘Confinement’ in a hospital on account of abortion is admissible:-

‘Confinement’ in a hospital on account of abortion is to be treated as confinement on account of child-birth under sub-rule (3) and as such reimbursement of medical charges is admissible in connection with the treatment of the wife of a member of the Service on that account.

[G.I. MHA letter No. 7/26/60-AIS (III), dated 27-10-1960.]

4. Reimbursement of prescription made by AMA during his visit to the officer’s residence or on social call: -

A question arose, whether, in case, where the authorised medical attendant prescribes medicines, for the member of an officer’s family during the course of visit to the officer’s residence on his way to the hospital or on social call, reimbursement of the expenses could be permitted, even though the conditions in proviso to sub-rule (1) were not satisfied.

2. Rule 2(k), read with this rule cannot be interpreted to mean that an authorised medical attendant cannot prescribe medicines at any place other than at a Government hospital or his consulting room, if he chooses to do so. There should, therefore, be no objection to the reimbursement of the expenses.

[G.I. MHA letter No. 7/17/60-AIS(III), dated 02-08-1960, and 02-02-1960 read with letter No. 7/9/61-AIS(III), dated 05-08-1960.]

5. Members of the family of an AIS officer are entitled medical attendance at government cost on the scale and conditions allowed to the member of Service if treatment is taken in any Government Hospital only, though the member of Service is entitled to treatment in any private hospital: -

Under sub-rule (1) the members of the family of an All India Service Officers are entitled to medical attendance and treatment at Government cost on the scale and conditions allowed to the members of the Service provided the treatment in such cases is taken in a Government hospital. Accordingly, reimbursement of medical expenses will be admissible if a member of the family of an All India Service officer is sent for treatment in a Government hospital only, outside the State under the proviso to rule 7(1) (c). The members of the Service themselves are, however, entitled to treatment in any hospital private or Government outside the State under the above-mentioned proviso.

2. In accordance with the provisions of sub-rule (1), the provisions of rule 14 are also applicable to the members of the family of an All India Service Officers.

[G.I. MHA letter No. 7/26/61-AIS(III), dated 23-12-1961.]

6. Travelling allowance to the attendant of a family member of a member of Service will be the actual single railway fare by which the patient travels of a lower class the attendant actually travels:-

Under this rule read with rule 7(3), travelling allowance will be admissible to the attendant accompanying a member of the family of an All India Service officer also provided that such patient travels to consult a specialist in a Government Hospital only.

2. The travelling allowance admissible to the attendant accompanying the patient will be the actual single railway fare of the appropriate class by which the patient travels or of a lower class by which the attendant actually travels for the rail journey and actual cost of transit not exceeding the travelling allowance admissible to the member concerned for the journey by road.

[G.I. MHA letter No. 7/10/62-AIS(III), dated 17-11-1962.]

7. Presence of the member of Service is not necessary at the place of the ordinary residence of his/her members of the family for their treatment of claim:-

Under sub-rule (1), a member of the Service is entitled to claim reimbursement of medical charges incurred by him for medical attendance and treatment given to the member of his family at the place of their ordinary residence, which is different from his headquarters. The presence of the member of the Service at such a place either on leave or on duty is not necessary.

[G.I. MHA letter No. 7/11/62-AIS(III), dated 16-10-1963.]

8. No limit on the amount of reimbursement by the controlling officer has been prescribed:-

The Government of India have held that no limit has been prescribed for the amount upto, which the controlling officer can allow reimbursement either under the All India Service (Medical Attendance) Rules, 1954, or under the Central Service (Medical attendance) Rules, 1944. However, sanction of the Government will be necessary if the claim is admitted in term of rule 14(4) of the AIS (M.A.) Rule 1954.

[G.I. MHA letter No. 7/2/65-AIS(III), dated 20-04-1965.]