GOVERNMENT OF TELANGANA
ABSTRACT

    Telangana State - Health, Medical and Family Welfare Department – Comprehensive health coverage to the working and retired journalists in Telangana – Notification of “Working and retired Journalists Health Scheme” – Orders – Issued.

HEALTH, MEDICAL & FAMILY WELFARE (A2) DEPARTMENT

G.O.MS.No. 64

Dated: 22-7-2015

Read the following:-

  1. G.O.Ms.No.203.GA (I&PR.I) Department, dated: 27-7-2004
  2. G.O.Ms.No.174, HM&FW (M2), Department, dated: 1-11-2013
  3. G.O.Ms.No.32, HM&FW (A2I) Department, dated: 03-11-2014
  4. From the Commissioner, I&PR Department, Hyderabad Lr.No.001042/MR/2014, dated 26-08-2014.


  1. In the G.O.1st read above, the then Government of Andhra Pradesh issued orders for implementation of Group Medi - claim policy, as health insurance scheme, for the working journalists. After review and examination of the scheme, the Government has decided to provide comprehensive health coverage to the working and retired journalists in Telangana similar to the Employees Health Scheme introduced in the G.Os2 and 3rd read above.

  2. Government after careful examination, hereby approve the “Working and retired Journalists Health Scheme”, which will ipso facto replace the existing Group Medi-claim policy launched in the G.O.1st read above.

  3. Government also hereby issue the following guidelines for implementation of ‘Working and retired Journalists Health Scheme.

I COVERAGE:

The coverage under the scheme is as follows:-

I.1 Beneficiaries Covered:

  1. The Scheme will be applicable to the Working and Retired Journalists. The Commissioner, Information & Public Relations Department will compile the details of eligible journalists for coverage under the scheme.
  2. Option will be given to the journalists, who are having white ration cards to choose either this Health Scheme or Aarogyasri Health Scheme, but they are not allowed to avail both the Schemes.

I.2 Family Members:

The following family members are entitled to avail of the Working Journalists Health Scheme.

I.2.1 Dependency will have the following meaning:

II. BENEFITS COVERED:

II.1 In-Patient Treatment:

  1. The scheme will provide inpatient treatment for the medical and surgical procedures, similar to those being provided to the Government employees, in the empanelled hospitals.

  2. Inpatient treatment Package includes the following services:

  3. End-to-end cashless inpatient services from the time of reporting of the patient, including professional services, investigations, medicines, Implants, consumables, diet and ten(10) days post-discharge medication, including treatment of complications, if any, up to thirty (30) days postdischarge for those patients who undergo listed therapies offered through Network Hospitals.

II.2 Follow-Up Services

Follow-up services will be provided for a period of one year through fixed packages to those patients who require long term follow-up therapy in order to get optimum benefit from the procedure and avoid complications. Followup packages include consultation and medication.

II.3 Ward Entitlement

During inpatient treatment, the beneficiary is entitled to stay in Semi private ward.

III. FINANCIAL COVERAGE:

IV. NETWORK HOSPITALS:

  1. Empanelment

    The existing network hospitals (NWHs) already empanelled with the Aarogyasri Health Care Trust (AHCT) under Employees Health Scheme will serve the 'Working and retired Journalists Health Scheme'.

  2. Hospital Payments

    Payments under the Scheme will be based on package prices already approved by Government under Employees Health Scheme. The period from the date of reporting to hospital to 10 days after the date of discharge from the hospital will be treated as part of the package.

  3. Penal Actions

    Empanelled hospitals resorting to irregularities or misuse will be blacklisted and the entire amount recovered besides launching criminal action.

V. IMPLEMENTATION MECHANISM:

  1. Implementing Agency:

    Aarogyasri Health Care Trust will be the implementing agency for Working and retired Journalists' Health Scheme ", leveraging on the experience it has gained in running Aarogyasri Scheme as well as the newly introduced Employees Health Scheme.

  2. Nodal Agency:

    The Commissioner, Information & Public Relations, Telangana will be the nodal agency. The details of Journalists covered under the Scheme will be collected by the Information & Public Relations Department and forwarded to the Aarogyasri Health Care Trust, which in turn, will feed the data and generate the health cards.

  3. Penal Actions

    Any irregularities or misuse committed by the beneficiaries coming to the notice of Government or AHCT will entail forfeiture of benefits under the Scheme in the future, besides penal action as per law.

  4. Operations

V. HEALTH CARDS:

The details of Journalists covered under the Scheme will be collected by the Information & Public Relations Department and forwarded to the Aarogyasri Health Care Trust, which in turn, will feed the data and generate the health cards.

The journalists shall download the cards from the Aarogyasri Health Care Trust website.

The aadhaar number / aadhaar enrolment number shall be the identity number for the Health Coverage.

VI. REVIEW:

  1. The scheme will be reviewed, in all aspects, after six months by the Committee to be constituted by the Government. The Commissioner, I&PR shall take necessary action for constitution of the Committee.

  2. Detailed operational guidelines required from time to time will be issued by Government in Health, Medical and Family Welfare Department, and made available in the Aarogyasri Health Care Trust website.

  3. Chief Executive Officer, Aarogyasri Health Trust and the Commissioner, Information & Public Relations Department shall take further necessary action in the matter.


(BY ORDER AND IN THE NAME OF THE GOVERNOR OF TELANGANA)



SURESH CHANDA
PRINCIPAL SECRETARY TO GOVERNMENT

To
The Chief Executive Officer, Aarogyasri Health Care Trust, Telangana,Hyderabad.
The Director o Medical Education, Telangana, Hyderabad.
All the District Collectors in the State.
All Network Hospitals through CEO, Aarogyasri Health Care Trust.
All Network Hospitals through CEO, Aarogyasri Health Care Trust.
The Commissioner, I&PR Department.
All Heads of the Department of HM&FW Department.
Copy to:
The Accountant General, Telangana, Hyderabad.
The Director of Treasuries and Accounts, Telangana, Hyderabad.
The Pay and Accounts Officer, Telangana, Hyderabad.
PS to all Ministers / PS to all Special Chief Secretaries / Principal Secretaries
/ Secretaries to Government.
SF/SC.

// FORWARDED :: BY ORDER //

SECTION OFFICER