Employees Health Care Fund Scheme & Implementation
To download GO MS NO 184, dt.14.08.2012 Click here
To download GO MS NO 186, dt.14.08.2012 Click here
The AP Government,
have decided to provide comprehensive health care to all Government Employees,
Pensioners, and their family members, on cashless basis, through an
appropriate scheme in lieu of the present medical reimbursement system under ‘The
Andhra Pradesh Integrated medical Attendance Rules, 1972 (APIMA Rules, 1972)’.
2. After holding a
series of meetings with the Joint Action Committee of Employees, Pensioners
Associations and A.P. Secretariat Employees’ Co-ordination Committee representatives,
and based on the inputs received during these meetings, Government
issued orders in the
G.O. 1st read above
constituting a Technical Committee headed by
Commissioner, Health
& Family Welfare and Chief Executive Officer, Aarogyasri Health
Care Trust (CEO-AHCT)
as its Member-Convenor to analyse all aspects of the scheme
and make
comprehensive recommendations for its effective implementation. In acceptance
of the recommendations of the Technical Committee, orders were issued in
the G.O. 2nd read above,
constituting a State Level Committee (SLC) headed by Special
Chief Secretary to
Govt., HM&FW Dept., with eight (8) more official members, including
CEO-AHCT as
member-Convenor and the representatives of Services Associations, to
examine the
recommendations of the Technical Committee, and to offer recommendations on all
the modalities to be adopted finally for launching of the Scheme.
3. The State Level
Committee met on 22-11-2011, 19-01-2012 and on17-02-2012, and based on the
decisions taken in the meetings, the CEO-AHCT submitted a ‘draft Scheme’ to
Government vide his letter 3rd read above.
4. The salient
features of the Scheme based on the earlier decisions were discussed with the
representatives of the various Services Associations on 03-08-2012 in the meeting
convened by the Principal Secretary to Government, Health, Medical and Family
Welfare Department and a consensus has been arrived at on the salient features
of the Employees
Health Care Fund Scheme (EHF) and on the ‘Operational guidelines relating to
the issue of Identity Cards to all the beneficiaries under the Scheme’.
5. Government, after
careful examination of the matter, have decided to
approve the ‘Employees Health Care Fund Scheme (EHF)’ and hereby issue the
following orders for implementation of EHF.
i) AHCT will be the
implementing agency as a service provider for the Scheme,
initially for a
period of two (2) years.
ii) The salient
features of the Scheme are given in the annexure to this
Government Order.
iii) A Steering
Committee headed by the Chief Secretary will monitor the Scheme and review its
implementation from time to time. Principal Secretary-Finance, Secretary(Services)
GAD, Principal Secretary-Medical and Health, Commissioner Family Welfare,
Director of Medical Education, Director of Health and Family Welfare,
Commissioner of APVVP, Director of Treasuries and Accounts, Pay and Accounts
Officer, and representatives of employees and pensioners associations as
identified by GAD Services Department will be members, and Chief Executive
Officer-AHCT the member-convenor for this committee.
iv) Government Order
on the Operational guidelines for concerned officers under the
control of Director
of Treasuries and Accounts (DTA), Pay and Accounts Officer (PAO), Secretary to
Government-Information Technology and Communication department (Secretary
IT&C), Commissioner Civil Supplies and Ex-Officio Secretary to Government
(Civil Supplies and Consumer Affairs), District Collectors and Heads of
Departments (HoD) for enrolment of beneficiaries, and operation of the Scheme
by the Chief Executive Officer, Aarogyasri Health Care Trust will be issued
separately.
v) The EHF will be
jointly funded through monthly premium contribution by the State Government
employees including the State Government pensioners to the extent of 40
percent, and Government to the extent of 60 percent. The CEO-AHCT will separately
furnish the detailed estimates based on the fund forecast for this year.
vi) AHCT
will
ensure maximum coverage of employees and pensioners through the District
Collectors and the HoDs concerned, so that EHF can be launched on 1st
November 2012 for implementation of
the Scheme in the entire State.
6. The Chief
Executive Officer Aarogyasri Health Care Trust, Director of Treasuries and
Accounts, Pay and Account Officer, District Collectors, Secretary IT&C, Commissioner
Civil Supplies, and all Heads of Departments shall take necessary further action
in the matter accordingly.
7. This order issues
with the concurrence of Finance (Expr. M&H.1) Department vide their U.O.
No.7581/260/A1/Expr.M&H-1/2012, dated: 14-08-2012.
In the G.O.
184 orders have been issued approving the ‘Employees Health Care Fund Scheme
(EHF)’enlisting the salient features of the Scheme. It was also mentioned in the said G.O. that
Government Orders on the Operational guidelines for concerned
officers under the control of Director of Treasuries and Accounts (DTA), Pay
and Accounts Officer (PAO), Secretary to Government Information Technology and
Communications department (Secretary IT&C), Commissioner Civil Supplies and
Ex-Officio Secretary to Government (Civil Supplies and Consumer Affairs),
District Collectors and Heads of Departments (HoD) for enrolment of
beneficiaries, and operation of the Scheme by the Chief Executive Officer,
Aarogyasri Health Care Trust will be issued separately.
2. Government after careful examination,
keeping in view the convenience of the beneficiaries under the scheme, the
following orders are hereby issued.
A. ENROLMENT
OF BENEFICIARIES
- Beneficiaries shall mean the
categories of beneficiaries covered under EHF.
- AHCT will be the service provider
and implementing agency; Heads of Departments and District Collectors will
be responsible for enrolment of State Government employees, State
Government pensioners and their dependents.
- All HoDs and District Collectors
will ensure that the Drawing and Disbursing Officers (DDOs) working under
them as well as the District Treasury Officers / Sub-Treasury Officers
concerned shall follow the process detailed below.
- The information as available at
present with the treasury offices under HRMS with DTA will be utilised to
the extent possible for enrolment.
- The data shall be collected in
the HRMS Enrolment System (HRMS-ES) application maintained by AHCT as a
single point of contact for the beneficiary. The web address will be provided
separately by 10-09-2012 for enrolment.