MEDICAL REIMBURSMENT Forms, Tariff lists, Recognised hospitals

All Government Employees/ Pensioners have to show your Employee / Pensioners ID card at the hospital at the time of admission


GUIDELINES FOR SENDING MEDICAL REIMBURSEMENT PROPOSALS

Forms and Certificates

1.APPLICATION FOR MEDICAL REIMBURSEMENT-APPENDIX-2
2.CERTIFICATE-A (OP)
3.NON DRAWAL CERTIFICATE
4.DECLARATION (DEPENDENCY)CERTIFICATE
5.EMERGENCY ADMISSION CERTIFICATE
6.ESSENTIALITY CERTIFICATE
7.CHECKLIST

CGHS TARIFF LIST

NIMS TARIFF LIST

Recognized Hospitals

for more details and for following GO's Related to Medical Reimbursment visit
http://dme.ap.nic.in/

Related List of Govt. Orders available @ Medical Reimbursment Website

• Andhra Pradesh Integrated Medical Attendance Rules, 1972 G.O. Ms. No.105 APIMA Rules - certain amendments to Go Ms 74  
• Go. Ms 74 APIMA Rules 1972- Recommendations for revision Accepted G.O.102 Death Relief  
• Go Ms 397 Enhancement of Medical Reimbursement to pensioners Go Ms 68 PRC Recommendations  
• Go. Ms 29 - Allowances PRC recommendations Go Ms 38 Private hospital within and outside state  
• Go. Ms 152 - Maternity leave enhancement to 180 days Go. Ms 162 Guidelines for recognition of private Hospitals  
• Go. Ms No. 180 - Scrutiny of Medical Bills - MLA, Ex MLAs Go. Ms 346 Scrutiny of bills upto Rs. 50,000  
• Go. Ms 579 - Admission and treatment - Pensioners - NIMS ans SVIMS Go. Ms 155 Leave Rules - Enhancement of EOL for certain diseases  
• Go. Ms.136 - Relief in case of death of family pensioners Go.Ms 52 Special Leave - Hysterectomy  
• Go Ms 87 - Inclusion of Family Pensioners GO Ms 97 - Fixation of Bed strength for Super Specialty Hospitals  
• GO Ms 106 - Guidelines for recognition of Private Hospitals- Amendment Go Ms No 299 - Medical Officers - MLA qtrs dispensaries  
• Go Ms No 342 - Proposal Medical Officers of MLA qtrs dispenaries - Amendment Go Ms No 477 - Guidelines for Recognition of Private Hospitals - Prescribing MOU  
• Go Ms No 601 - Sanction of Medical reimbursement upto 3rd spell

Old Govt. Orders 

• Go Memorandum No. 2113- Instructions regarding treatment of open heart surgery cases - out of state Go Ms No 98 - Raising of maximum ceiling limit from Rs.75,000 to Rs.1,00,000 for major ailments  
• Go Ms No 175 -Admissibility of Medical Expenditure with 20% cut without referral from NIMS SVIMS in cases of emergencies Go Ms No 445 NIMS-Reimbursement of Expenditure �Simplification of procedures  
• Go Ms No 544 - SVIMS -Eligibity for medical Reimbursement Go Ms No 580-Medical Treatment Cardiac Surgery
• Go Ms No 1274 - APIMA Rules 1972 - Amendments