Employees Health Fund Scheme
has been concerned at the distress caused to families of Govt. Employees ,
when the employee is struck by a major ailment and the remedies are also very
expensive, causing great hardship to the Govt. employees. Hence the Govt.
have decided to constitute a “Govt. Employees Health Fund” to provide
financial assistance to Government employees to meet the expenses for certain
advanced surgeries / treatment. Accordingly the scheme was constituted in
the G.O. Ms.No.18 Finance Department Dated 09.01.1992 and streamlined in G.O.
Ms.No.400 Finance (salaries) Department Dated:- 29.08.2000.
can avail assistance as advance
can avail assistance as reimbursement of expenditure
can avail Loan facility
for all Government Employees
working under emergency provisions
of All India Service of the Tamil Nadu cadre
who are drawing Medical allowance
employees, irrespective of the pay are eligible for assistance
a month’s subscription by an employee would make him entitled for availing
scheme is basically a self financing scheme and the source to meet out the
expenditure for assistance are
Contribution Rs.40,00,000/- per annum
subscription from the employees at Rs10/- p.m. from December 1998
assistance is admissible for treatment / surgery for the disease mentioned in G.O.
Ms.No.400 Finance (Salaries) Department Dated:- 29.08.2000 at the
accredited private Hospital. GO.Ms. No. 377 dated
13th October 2005 (Updation in Ms. No 400 Finance (Salaries) Department Dated:- 29.08.2000
maximum assistance admissible is Rs.1,00,000/- or 75% of the actual
expenditure whichever is less (G.O. Ms.No.236 Finance Dated:- 30.03.1995)
cancer treatment assistance under this scheme may be allowed for any No. of
times not exceeding maximum ceiling of Rs.1,00,000/-.
all other normal cases assistance can be availed twice, not exceeding the
maximum ceiling of Rs.1,00,000/-
case of eye surgeries (Twice) maximum assistance is Rs.30,000/- not
exceeding the overall ceiling of Rs1,00,000/-.
Loan Facility to a maximum of Rs.1,00,000/- is also allowed for the treatment in
foreign countries. This will bear 10% interest.
to receive the claim
employee shall prefer the claim to the sanctioning authority through his / her
office in the prescribed format (vide Govt.Letter No.46490 Finance (Salaries) / 98 – 99 Dated:-
11.08.1999) along with original vouchers, within 60 days from the date of
discharge from the Hospital.
authority & format for sanction
The District Level Officers in the Pay Scale 15,600 – 39,100 + Grade Pay Rs. 6,600/- and above are empowered to sanction Assistance under Tamil Nadu Government Employees Health Fund Scheme.
Order should be in the format prescribed by the Govt. in Letter
No.46490 Finance (Salaries) / 98 – 99 Dated:- 11.08.1999 along with a annexure prescribed in Govt. Lr.No.70939 Finance (Salaries) Dept. Dated:-
of Sanction orders
sanctioning authority shall forward the sanction orders to the O/o Special
Commissioner of Treasuries and Accounts, Pannagal Buildings, Saidapet, Chennai.
of Sanction orders
sanction proceedings along with the annexure prescribed in the format are
scrutinized in light of the rules and regulations of the Tamil Nadu
Government Employees Health Fund Scheme through Computer.
scrutiny the payment will be made to the individual by way of Cheques in
case of Chennai City Offices and Demand Draft in the case of other Districts
in Tamil Nadu. The Cheques or Demand Draft shall be sent to the
sanctioning authority for disbursement to the individual in case of
payments are made directly to the accredited private Hospitals by means of
Cheque / Demand draft through the sanctioning authority.
Proceedings with defects are returned to the sanctioning authority with
Computer printouts containing audit objection for due rectification
New Health Insurance Scheme
TNGEHF Scheme ceases to operate with effect from 10.6.2008 in lieu
of a cashless scheme "New Health Insurance scheme" introduced for the
Government Employees with effect from 11.6.2008 as per Govt. Letter
No.10063/Finance (Salaries)/ 2009-1 Dated 7.3.2009.
However, the spill over medical reimbursement claims under TNGEHF Scheme
sanctioned by the sanctioning authorities for the period of
treatment taken upto 10.6.2008 are scrutinized and cheques are
issued after scrutiny.