area not
covered in Central Government Health Scheme (hereinafter
referred to as CGHS in short). At the time of his superannuation, he
availed the only ... medical reimbursement, in case of
retired employees not covered under the CGHS Scheme at the time
.
of their superannuation because of non-availability
2018]
In Shiva Kant Jha (supra), the petitioner was CGHS beneficiary
having a CGHS Card valid for whole life for medical treatment in
Private Ward ... petitioner therein submitted two sets of his
medical bills under the CGHS for reimbursement on account of his
treatment done in November
with the approval of CGM. However, the amount will
be restricted to CGHS rates. Emergent cases are those involving accidents,
serious nature of disease ... with the approval of CGM but the claim
will be restricted to CGHS rates.
6. The Hon'ble Supreme Court in Shiva Kant
January, 1995, the wife
was employed with the Central Government Health Scheme (CGHS) at
Jaipur, was at Jaipur and the husband who was employed with ... wife
was working on ad hoc basis as a doctor in CGHS and
which fact was never disclosed;
(i) on receiving the letter, the wife
used in these rules but not defined, and defined in the Code/CGHS and shall have the meanings respectively assigned to them in the Code ... CGHS
case the beneficiary of this scheme is also the beneficiary of CGHS/other health scheme, the beneficiary has to exercise option for availing
Court, submitted that most of the claims are
31
reimbursed only through CGHS sources as per the
package rates of CGHS. However, there ... received occasionally where reimbursement is
done from two sources i.e. from CGHS and from the
insurance companies. Such claims are first processed
by insurance
Bamcef Cghs Ltd vs M/S Hanuman Promoters & Ors on 29 May, 2019
Author: Prathiba M. Singh
Bench: Prathiba M. Singh
$~
* IN THE HIGH ... 2011 & I.A. 2870/2019 (for delay)
BAMCEF CGHS LTD ..... Petitioner
Through: Mr. Jitendra Jain, Mr. Brijesh Yadav
& Mr. Pranay Jain, Advocates
Kuldeep Singh Kanwar
... Petitioner
Versus
Additional Director, Central Government Health Scheme (CGHS),
Chandigarh and others
... Respondents
CORAM : HON'BLE MR.JUSTICE G.S. SANDHAWALIA ... reimbursable as he was not processing a valid Central Government Health
Scheme (CGHS) Token Card at the time of treatment.
3. It is not disputed
settled at
Mathura which admittedly is not a Central Government Health Scheme
(CGHS) covered city. Based on the representations made by retired
employees residing ... CGHS covered areas, the Ministry of Health
and Family Welfare vide O.M. dated 05.06.1998 gave a one-time option
to the employees post retirement
