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5.         The child was taken to Government ENT Hospital Hyderabad.  A team of doctors examined the child and opined that she was fit to undergo "Cochlear Implant Surgery" which would help her in better hearing and good speech development.  They also recommended cochlear implant for good future prospects.  The Superintendent of hospital proposed to perform the surgery on 09.07.2005 and issued estimation certificate for the expenditure involved to the tune of Rs.9,55,500/-.  A workshop on "Cochlear Implant Surgery" was conducted at the said hospital on 08th to 10th July, 2005.  It was attended by ENT surgeons of Apollo Hospital, Madras and foreign delegates.  The complainant informed the fourth opposite party about the advise of Superintendent of Government ENT Hospital at Koti and applied for the advance.  As the medical advance was not sanctioned, the complainant raised personal loans to meet the expense of the hospital.  "Cochlear Implant Surgery" was conducted on the complainant's daughter on 09.07.2005 at the cost of Rs.9,62,904/-.

19.       It may be noted that petitioner has placed on record one Office Memorandum dated 12.06.2009 issued by Government of India, Ministry of Health and Family Welfare.  Relevant portion of the Office Memorandum is reproduced as under  

"Subject:        Reimbursement of the cost of cochlear implant to beneficiaries under CGHS/Central Services ( Medical Attendance) Rules, 1944     The undersigned is directed to state that the Ministry of Health and Family Welfare has been received requests from CGHS beneficiaries and beneficiaries  under Central Service ( Medical Attendance) Rules, 1944, requesting for permission to be given for a dependant family member to undergo cochlear Implant surgery.  Each request for considered 'on merits' of each case and permission granted by the Central Government Health Scheme in each case.  This was mainly because there were no guidelines for considering requests for cochlear implant surgery.  The Ministry of Health and Family Welfare, therefore, had the matter considered the matter by a Committee of specialists and it has been decided to permit the beneficiaries under CGHS and Central Services ( Medical Attenance) Rules, 1944 undergo cochlear implant surgeries, as per the guidelines outlined below
1.         XXXXXXX
2.         XXXXXXX
3.         Implant Centres and Standing Committee :
Cochlear implant surgery should be allowed only in Government hospitals / Centres having proper post operative rehabilitation.  These centres should have well trained speech therapist related to cochlear implant The reimbursement for cochlear implant surgery will be permitted only after the request has been approved and recommended by a standing committee, comprising of the following:
1.         Addl. DG, CGHS / DDG (M) ( as the case may be)        Chairman
2.         HOD, ENT, Dr. R M L Hospital                                          Member
3.         HOD, ENT, Safdarjung Hospital                                        Member
4.         HOD, ENT, LHMC and Smt.. S.K. Hospital                     Member   The request for cochlear implants should be accompanied by complete clinical details and report of relevant investigations as below and independent opinion from two ENT specialists of Government Hospitals undertaking cochlear implant surgery about indications for cochlear implant surgery."