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Tamil Nadu Government Pensioners’ Health Fund Scheme, 1995 – Enhancement of Subscription

MANUSCRIPT SERIES

GOVERNMENT OF TAMIL NADU
2012

FINANCE (PENSION) DEPARTMENT
G.O.No.7, Dated: 6th January, 2012
(Margazhi-21, Thiruvalluvar Aandu 2042 )

Tamil Nadu Government Pensioners’ Health Fund Scheme, 1995 – Enhancement of Subscription – Orders – Issued.

Read the following:-

1. G.O. Ms. No. 562, Finance (Pension) Department, dated:11.07.1995
2. G.O. Ms. No. 404, Finance (Pension) Department, dated:09.10.2001
3. G.O. Ms. No. 188, Finance (Pension) Department, dated:09.05.2008
4. G.O. Ms. No. 474, Finance (Pension) Department, dated:30.09.2009
5. G.O. Ms. No. 475, Finance (Pension) Department, dated:30.09.2009
6. From the Director of Pension, Chennai – 6 Letter No RC.51168/2011/Bills, Dated 24.08.2011

*******

ORDER:

The Government in their order first read above had constituted a fund called “Tamil Nadu Government Pensioners’ Health Fund” with effect from 01.07.1995 to provide financial assistance to pensioners for undergoing specialised treatment / surgery, when they are affected by major ailments.

2. In the Government Order third read above the subscription recoverable from the pensioners was enhanced to Rs.50/-per month with effect from 01.04.2008 and the maximum limit was enhanced to Rs.1,00,000/- or 75% of the actual cost of treatment, whichever is less.

3. In the Government order fourth read above, the Tamil Nadu Government Pensioners’ Health Fund Scheme, 1995 was extended to the spouse of the pensioners with effect from 17.02.2009, subject to the maximum limit of Rs.1,00,000/- or 75% of the actual cost of treatment, whichever is less, for both the pensioner and spouse combined together and the contribution recoverable from the pensioners’ monthly pension was enhanced from Rs.50/- to Rs.100/- per month with effect from 01.09.2009.

4. In the Government Order fifth read above, the scheme was extended to the family pensioners including teacher family pensioners, with effect from 01.09.2009 for whom subscription to the fund was fixed at Rs.75/- per month on their option to enroll under the scheme.

5. Though initially the scheme was introduced as a financially self sustaining one, the receipt of funds under the scheme by way of subscription collected from the pensioners was not sufficient to meet the claims received from the pensioners resulting in a backlog of pending applications for sanction of assistance under the scheme. Owing to extension of the scheme to the spouse of the pensioners and family pensioners and also due to the extension of the facility for those pensioners/ family pensioners who have undergone treatment/ surgery even in unaccredited hospitals, claims received under the scheme increased enormously, leading to a deficit of more than Rs.4crores per month which has to be supported by the Government and so far around Rs.80crores has been sanctioned by the Government as additional grant to the fund from the inception of the scheme.

6. In order to avoid the ever increasing additional burden to the Government and to make a breakeven point, the Government, after careful examination decided to enhance the subscription recoverable from the pension of the State Government pensioners. Accordingly Government direct that the subscription from the pensioners shall be enhanced from Rs.100/- per month to Rs.150/- per month with effect from 01.01.2012 i.e. from the pension payable for the month of January, 2012. The Government also direct that the subscription recoverable from the family pensioners shall be enhanced from Rs.75/- per month to Rs.100/-per month with effect from 01.01.2012 i.e. from the family pension payable for the month of January, 2012. 7. There shall be no change in the other terms and conditions of the scheme.

(BY ORDER OF THE GOVERNOR)

K. SHANMUGAM,
PRINCIPAL SECRETARY TO GOVERNMENT

Click here to get original GO Copy

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Comments

  1. V. Loganathan says:

    The Govt. must be liberal towards its Pensioners & Health Fund Scheme subscription must be atleast on par with serving employees Health Fund Subscription or it should be restored to prior to 1-1-2012 level. The Pensioners Health Scheme should be treated as Social Security measure towards its Pensioners in appreciation of their service to the Society. Will the Govt. consider this demand on humanitarian ground?

  2. G.Chandru says:

    One Response to “Tamil Nadu Government Pensioners’ Health Fund Scheme, 1995 – Enhancement of Subscription private hospital

  3. joemel fernando says:

    The pensioners’ after submitting the claim form with all the required documents and evidence are not able to receive the claim amount within a stipulated time, but dragged for years and still waiting to get their reimbursement.
    It is really pathetic in old age after undergoing treatment and in poor state of health they are forced to visit Director of pension office several times without any proper response.Is there any relief for then in this old age?

  4. K.V.Parasurama Reddy says:

    Sir, My ppo No. 156751.My claim for Rs. 17390/= towards my medical treatment expenses was duly recommended by the Assistant treasury officer Vellore vide in his letter K.Dis No 1315 / 3013 / A1 , dated : 08-07-2013.for sanction and early payment. But so far not sanctioned. Hence I request you sir, kindly sanction and early to get my medical amount. Pl. reply soon.

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