Medical Rules 1961
Understanding the Maharashtra State Services (Medical Attendance) Rules, 1961, and their application for healthcare reimbursement.
Overview of Medical Rules 1961
The Maharashtra State Services (Medical Attendance) Rules, 1961, were formulated to regulate the medical attendance and treatment of government servants and their families. These rules lay down the framework for medical reimbursements, eligibility, and procedures.
Key Highlights
- Eligibility: Applicable to all government servants under the rule-making control of the Government of Maharashtra, including their dependent family members.
- Authorized Medical Attendant (AMA): Treatment must generally be taken from or prescribed by an Authorized Medical Attendant designated by the government.
- Treatment Facilities: Covers treatment in government hospitals, recognized hospitals, and in specific emergencies, private hospitals.
- Reimbursable Expenses: Includes accommodation, nursing, medicines, blood transfusions, specialist consultations, and surgical operations as per prescribed rates.
Important Guidelines
Claims for medical reimbursement must be submitted in the prescribed format within a specific timeframe (usually within 6 months from the date of completion of treatment).
Original bills, cash memos, discharge summaries, and the essentiality certificate signed by the treating doctor are mandatory for claim settlement.
Need Help Navigating the Rules?
Our experts at Vinod Care Services can guide you through the compliance and documentation required under the Medical Rules 1961.