I~

~
~.
r--
!:: . AIRPORTS AUTHORITY OF INDIA
~. .

~
~
r:'
F:
~
~
~ MEDICAL HELP BOOK
~
~
/ (For details see the Regulations)
rw
r-w
~
~
~ GENERAL ADMINISTRATION SECTION
(::. Issued - December, 2008
~ 1:' ~)
~
r7 u") ~~\"'\
~
I"W
 MEDICAL SCHEME HELP BOOK.

The Employee's Medical Attendance and Treatment Regulations are

given in brief as under:-

1) "Authorised .Medical Officer" means a Medical Officer appointed by .

the Authority.

., . . . .

2) . "City" m~ans the headquarters city ot town of the employee.

3) "Employee" means a whole time employee of the Authority.

. 4) "Family' means an employee's wife or husband, HS the case may

be, and :parents, children ( as per law), sister, widowed, widowed
daughter, minor brothers,
..
wholly dependent on .the .employee as
per the conditions of the dependency.

5) "Medical Attendance" means attendance > by 'i8.n Authorised

Doctor. .\

I
Conditions of Dependency

A member of the . family whose total income from all sources

including pension or stipend does not exceed Rs.1500 /- per month is
deemed to be wholly dependent on the employee.

. Recurring income frptn business, employment, property,

agriculture, houses, land.holdinga::retakert into account for the purpose
. of assessing income.

.
1
 A joint declaration incase .
where husband
.
and wife is employee in
the Authority is preferring claIm for medical expenses~' _.
The spouse of the employees employed in . Central Government,
State Government, PSU,. Local Body, Private Organization can choose
either of the facilities on the basis of a certificate from the employer.
If the. spouse is in receipt of fixed medical allowance, employee cannot
avail the reimbursement for the spouse.. A female employee has choice to
includepaten~s or parents-in-law for availirigmedical scheme.

The medicines are reimbursed only if these are admissible under

the Government list of medicines. The medical treatment. under normal
condition should be taken at the nearestempanelled hospital as per
entitlement. Credit facility is extended to the empaneiled nursing homes
y.
or hospitals. Claims for medical reimbursement should be submitted
within 3 mortths of the medical treatment. No reimbursement is r,

admissible for' diet charges, conveyance charges and char.ges incurred in

respect of an attendant at the hospital.

FOR OUT PATIENT TREATMENT:

Employee may receive medical treat:ment which is reimbursable to

the limit fixed from time to time and is one months basic pay plus DA of
the employee as on 1st April of the financial year. The cost of life saving
medicines are not
.
computed in the limit.
.
The ceiling is applicable for the
treatment availed by the employee. including dependents
.
other than the
treatment availed towards hospitalizatiOh. The Chronic cost incurred on
Disease are not included in limit for serving employees.

..
2

- ---
Grant of Medical advance is admissible for the following purposes:-

i) for in-pa~ient treatment in an emp~elled hospital/Nursing Home,

if credit facility' is not available.

ii) as an out-patient in the cases ofTBjCancer/9hronic

diseases.
iii) purchase, replacement, repair and adjustment of
admissible artificial appliances.(as per Govt. policy)

Medical advance is granted on the following conditions:-

1. Advance can be paid in one or more instalments.

ii In case pf serious illness and accident if the circumstances so
prevail. advance ,may be sanctioned on the application of the wife or
family member.
111. Advance is payable directly to the Hospital/ Nursing Home.
The Medical advance can be adjusted as under:-
If advance is paid directly to the hospital final settlement should
. . "be
submitted within one month of discharge from the hospitaf,

The List of Chronic Diseases is as under:-

1. Tuberculosis
2. Cancer
3. Ischiemic/Rheumatic Heart Diseases
4. Metabolic Diseases
5. Bronctional ASthama
6. Epilepsy
7. Pemphigus
8. Open Angle Glaucome
9. Retinal detachment
10. COPD
11. Broncheactsis
12. Cystic Fibrosis,
13. Sarcoidosis
14. Systematic Hypertension
3
 "
Ibt
....\ 9- ..

14.
. I
Systematic Hypertension
15. Cardiac Arrhythmias
16. Hemophilia
17. Crohn's Disease '.
18. Ulcerative Colitis
19. Hepatitis-B
20. Hepatitist
21. Nephrotic Syndrome
22. Chronic Renal' Failure
23. ReIfal
, Transplant
24. Pa.rkinsonism '
25. Hypothyroidism & Myxedema
26. Hyperthyroidsm (Throtoxicosis)
27. Thalasemia
,
28. Diabetic Mellitus (Replace Diabetes)
29. Aplastic anemia
30. HIV Infections (AIDS)
31. Schizophrenia
:E"
32. Osteo & all types of Arthritis
33. Cirrhosis of Liver
1£.'
34. Muscular Dystrophy
\.J
35. Ankylosis Spondylitis etc.
36. ShE (Systmatic Lupus Erythometosis) . ,

Note 1 The reimbursement for Chronic shall be made w.r.t.

/ circular No. AAI/ Admn.jChronicj2008 dated 05.02.2008 (as
attached). , ,

Note 2 :' The entitled medicines to be reimbursed for Rheumatlc

Arthritis are :-
(i) Corticosteroids;
(ii) Methotrexate etc.
(iii) Analgesics
Note 3 : No postoperative dressing charge except in case of Cancer
surgery shall be allowed for reimbursement.
TREATMENT OF RENAL FAILURE

The expenditure on Dialysis (Hemo-dialysis or continuous "''>

;~
,
"4
Ambulatory Peritoneal Dialysis) and also expenditure on procedures and ",
,.~~.'
'"
investigations at the time of dialysis will be treated as Indoor Treatment ,~
.
~
arid shall not form part of the domicile medical treatment. (Ref. Order t':}
, .
~;~
' '{"'
,.
.. , No.Pers-I/ 1006/StaffPay/2002/ 142-170 dated 13.02.2003). ,.:
~;.
4 , 'JJ'
"
 ANNEXURE..I
:~ .'

List of empanel.Hospitat at CHQ '.

S.No. I Nameof the Address of the Phone NO. & Fax No/Email.
Hospital/ClinicHomes Hospitals/Clinic ID

DELHIINEW DELHI
1. Anand Hospital B-52, New Krisl~naPark, 25506688,25624283
Dauli Piao Mandir, Fax:25624283
,j:,
. I
,. Vikaspuri, N.Delhi
. 2. Anand Diagn~stre Clinic K-23,Jangpura .Extn., Dr.Renu'Anand
N.Delhi..24' Tel/Fax: 24319775,24319776
3. Ayurveda Kendra B-5/100, Dr. Sudha Ashoken
Safdatjilllg Enclave, 26164327 ~26168450
New Delhi Fax 26160737
4. Ayushman Hospital Plot No.2, Sector.;.XII TellFax: 42811114-18
Dwarl<a, New Delhi - .

110075
5 Artemis Medicare . Artemis Health Institute 91-124-6767999
Services Pvt. Ltd. Sector-5 l' Fax:91-124-6767997
,
GUI'gaon. Emergency:6767000
6. Bapu.Nature Care Gandhi Njdhi, Dr.RukmatIi Nayar 2753360,
Hospital & Yogeshram . Patparganj" Delhi .
2795205,2795247 Fax: 2795254
7, Batra Hospital & Tughlakabad Industrial Mjr. GenI.C.M. Khanna.
Research Centre Area 29958747/2026 /Fax: 29957661
Mehrauli Badarpur
Road, N D \.J
8. Bhagat Hospital Janakpuri, Dr. C.M.Bhagat 28525502-03,
,\ '. New Delhi Fax: 28521300
9. BL Kapoor Memorial Sadhu Va.shwaniMarg, . 25719282,25724738
Not functioning. New Dev Nagar, Fax: 25724738
New Delhi
L 10.
building under
construction
Brahamshakti Hospital U-l1/78, Budh Vihar, 27531683,27537967,27537894
& Research Centre I New Delhi Fax: 27532092
II. Centre for Sight B-5/24, Safdarjung 41640000,41653401-07
Enclave, New Delhi Fax: 41651744
12. . Deepak Memorial 5, Institutional Area, Lt.Col.Shah
Hospital & Research VikasMarg Extn.Il 22155555,22154444,22373380,
Centre. , I Delhi Fax:22379260 .'

13. Delhi Nursi~g Home I-A, Ansari Road,

,Daryagan), N.D.
14. Dclhi Hospiud & DeJhi-Rohtak Road
., 01276-230607 ....

NurSlngHbri1e. Biihadu;garli (Haryal1a) Fax: 0 1276~233489' .'

15. . " Dharamshiia Cancer Vasuridhara Enclave, 2477772-71-70,2474633

'Hospitat&.Researcb. .Delhi ..., .. . Fax: 247'1773 .

Centre . ... . "

16, 3..nfuHt,Panchkuian 23538351;.,8. .

I. Delb~.iIeart'&Lung.
'.. '" .. ,.1 .. ',' ,", ".

Institute. .." 'Ro~d/:'. ... . ,.' . .' Fax.;23514489 .

New Delhi,.55

..
5
 17. Divya Prastha Hospital Main Road, Opp. 65717824,65493624'.
& Diagnostics Centre BaghwalaSchool Fax:25366267
Palam Colony (Dwarka)
New Delhi
18. Escorts Heart Institute Okhla Road, Gen. Tarsem Kumar
& Research Centre New Delhi-25 6825000-1, Fax : 26825013
19 Fortis Jessa Ram W.E.A, Karol Bagh 51503222 (5 lines)
Hospital & Fortis Group New Delhi-5 Fax:51503221
of Hospitals
20. Gujarmal Modi Hospital Saket, Gp.Capt.V.N.Seth /26963152,
, New Delhi 26854611,26852112-16,
i
I 26568110/Fax ; 2696380 I,
21. Hamdard Dawakhana Lal Kuan, Delhi . 23213733,23213287
22. Hemraj Jain Hospital & . Block C-l, Dr.OPJain 5511360, 5551507
Nursinf Home Janakpuri, N.D. Fax : 5543383
23. Holy Angels Hospital Basant Lok, M.Sherif26143411,26141229,
Vasant Vihar, 26142832,26142842
New Delhi Fax: 011-26145783
24. Holv Familv Hosoital Okhla Road, New Delhi Dr.Lobo-6845901 Fax: 6913225
25. IndiarrSpinalInjuries Sector-C, Vasant Kunj, 42255225 26122259 26137603
Centre New Delhi ax: 91-11-6898810
26. Indraprastha Apollo Sarita Vihar 26925858,26925801
Hospital Delhi-Mathura Road Fax:26823629
New Delhi
27 Jaipur Golden Hospital 2, Instl.Area Dy. Y P Munjal 27525988,
27525981 ..
Sector-III,Rohini, Delhi
Fax : 27518121,27522773
28. .Jeewan Nursing Home 2-B, Pusa Road, Dr. Vivek sabhwal /25861902
& Hospital New Delhi /25851939,2578 632,42430246,
42430247,42430298,42430249
29. Jeewan Mata Hospit.al Rohtak road, New Delhi- 23511474-77,30306191
5 Fax.91-11-23555353,23670347
30. Kalra Hospital Shri A-6 Kirti Nagar, New 25418088,25925010
Ram Heart Institute & Delhi Fax:25108119
Research Centre
31. Kolmet Hospital 7-B Dr. Yogesh Gautam 5752055-
Pusa Road 56-57,5754013-14,5755923,
New Delhi 5786165, Pager 9628019700
Fax : 5755924
32. Kottakkal Arya E-76, Dr.M.B.Vasudev
Vaidyasala South Extn-I 011-4621790,4628006
New Delhi Fax: 4621790 yS
33. Kukreja Hospital & C-l, Vishal Ericlave 2S416661,Z5164477,6545117ry :%;
Heart Centre Fvt. Ltd. Rajouri Garden, Fax:29 75005 '3.ol
New Delhi-27 . . b. An1. c,w.
34. Maharaja Agarsain West PunjabiBagh A P Choudhary
hospital New Delhi Ph.25226645-54Fax: 5418802
35. Majeedia Hospital Immar Campus, Dr. M J U Khan
J.N.Campus,Hamdard 26059670,26059671
\ Nagar, Fax : 6088874
Tughlakbad, Delhi

- -
I
36. Max Med Centre (1) N-ll 0, Pancheel 26499870
Park, New Delhi Fax:26499860

(2) HB Twin Tower, 27158844

Near TV Tower, Fax:27157229
Pitan\pura,New
Delhi-34
37 Mata Chanan Devi C-I, 25554702,25554487,25610009,
Hospital Janakpuri, Fax: 25544001
New Delhi
38. Max Balaji Hospital 108-A,Indraprastha 43033333
Extn. Patpar2anj,Delhi Fax:22235563
39. Max Eye & Dental Care S-347,PancsheelPark 26499880
NewDelhi . Fax:26499860..
40 Mool Chand Khariti Lajpat Nagar, .42000000-
Ram Charitable New Delhi Fax: 42000300
Hospital
41. M.G.S. Hospital Rohtak Road, 25226100-03,
West PunjabiBagh 25220 IJ 1-34
New Delhi Fax:25224529
42. Mohan Eye Institute II-B, , GangaRam 25787655,25852048,25781357,
HospitalMarg, ND - 60 25728969, Fax:.25813676
43. Metr.o Heart Institute 14, Ring Road, 26461157,26481355,26237962,
New Delhi-24 26237963!Fax-26481356
44. Metro Hospital & 21, CommunityCentre 22460000,22019857
Cancer Institute Preet Vihar Fax:22526671
Delhi
45. Max Devki Devi Heart 2, Press Enclave Road, 26515050
& Vascular Institute Saket,N.D Fax: 26510050
46 Max Super Specialty 1, Press EnclaveRoad 66115050,661f4545
Hospital Saket, New Delhi Fa:66115077 .
47 Med First Healthcare D-3/14, Opp. Vasant .26140058
ENT Centre vihar club,Vasant Villar,
48. Manav Rakshak Cancer 72, TaimoorNagar,New 26841444 Fax No.26841445"
Hospitals Pvt. Ltd."On FriendsColony,ND
Day care basis"
49. National Heart Institute 49-50, Community 26414075-4156-4157-4251
Centre,East of Kailash, Fax: 91-11-26225733
New Delhi- 65 .
50. Netrayatan, Dr. S-371, 29217000,29212828,29217674
Grover's Eye Greater Kailash - II Fax:29212828
Microsurgery & Laser New Delhi M.9810126466
Centre
51. Pushpawati Singhania Press EnclaveMarg, . Dr.Deepak Shukla29250383/
Research Institute. Sheikh Sarai,New Delhi 0383/9312 !Fax: 29250548
52 Pushpanjali Medical A.15, Pushpanjali 22372852-58,43075600
Centre Vikas Mar}?;Extit.,Delhi Fax:22372851,22371818
53. Rajiv Gandhi Cancer Sector.,.V, .. .Dir (Admn) Y.P.Bhatia
Institute & Research Rohini, Dir(Medical) KKPandey
Centre Delhi 7051011-7051030
Fax.:' 91-11-7051037
.54: RGStolie Urological GTeatr Kailash, Dr:Joshi, 6230641-43,
. Researh Institute " New Delbi. 6473599 Fax :6218143 .
55. .Roldaitd Hospitat 8.;33":34, 51222222
Qutab Institutional Area. Fax: 41688765
New Delhi - 110016

7
 56. Shroff Eye Centre, Kasturba Gandhi Marg, 23253880
Reimbusement on NewOelhi-ll0001 1 Fax:26482736
CGHS rates without A-9,KailashColony,NO
credit basis. '.
57. SanthigramKerala ,141, Avtar Enclave, A-6, 25261924,25283724,55667402
Ayurvedic Paschim Vihar,N.D. - 63 1
Fax: 011:-25277903

A2/32,Safdarjung 26169775,26169776
Enclave, New Delhi-29
58. Saroj Hospital, Sector 14, P K Bhardwaj
International Heart Main Madhuban.Chowk 27556276,275566683
Institute & Research Rohini, Delhi-l W085 Fax:27556275
Centre . !
59. Servants dePeople Lajpat Bhawan Col.M:Aul
Society Near Vikram Hotel, .6489844,6479601,6213815.
L.NA,Lajpat Nagar- Fax: -011-6222150
IV,N.D.
60. Sir Ganga
, Ram Hospital Old Rajinder Nagar, 25735205,25851463
New Delhi-60 Fax- 011-25751002
61. Sita.Ram Bhartia B-16, Dr. Gayatri - 26867435-38
Institute pCScience & Mehrauli Institutional 521111111 Fax: 26533027
Research Area, N.D.
62. St Stephans Hospital Tiz Hazari, 23957977,23958005
Delhi Fax: 3932412
63. Sukhda Hospital Pamposh Encalve, Dr.RK Gupta
Greater Kaislal1';l 26416440,26423073,26416475.
New Delhi-48 26426645, Fax: 26426645 .
64. Sunder La) .Jain Nursing Ashok Vihar Phase-III C K Munjal, 27411084,
Home Delhi 27457324,4\1030900
Fax: 27413186
65. Sri Balaji Action FC-34, A-4, 42888888
Medical flistitute . Pachim Vihar, New Fax: 25270725
Delhi - 63 .
66. The Heart Clinic 505 1,Netaji Subhash' Dr.M.KhaIi1ullah
I
Marg, Darya Ganj, New 3252598- Daryaganj
Delhi 3260276
67. Tirath Ram Shah 2, Battery lane, Dr A K Dubey
Chari Rajpur Road, Delhi 23953961 1Fax: 23953952
68. Umkal Healthcare Pvt. H-Block, 124-2637701,4777000
Ltd. Opp. Chancellor Club Fax:
Palam Vihar (Dwarka)
Delhi
69. Vasant Lok hospital Vasant Lok Community Dr.Asmat Karim
Centre, Vasant vihar, 26149422-23,26149470
N.D.57 Fax: 26149421
70. Venu Eye lnst. & 1/3 I, Sheikh Sarai InstI. Di".NeelamAsthana
Research Centre Area, . 29251951,29251155/56
Ph.'!l (Nr. PUST), 29250757,29254758/
New Delhi Fax:29;252370 "

71. Vidya Sagar Institute of No.1, Institutional Area, Dr~s.No.Choudhary

Mental Hclatb of Nehru Nagar, 29849010.
Neuroscience New DiIhi-55. Fax:26919916
MHANS.
72. Walia Nursing Home G.60, :Laxmi Nagar, Dr. A.S. Dave
Sbakarour,Delhi 22542294
..
8

- --
 73. Jeewan Mala Rohtak Road,New Delhi 23511474-77,30306191
-5 Fax-91-11..;23555353,23670347
FARIDABAD
74. Escorts Ltd Medical Near Neelam Bata Road, 0129-2416096
Centre N .I.T. Faridabad-121 001 Fax : 0129-254265060
.
75. Metro Heart Institute, Sector - 16A, Faridabad 129-2289190,2263590
-"-121001 Fax: 129-22635.89
-...-
GURGAON
76. Aryan HospiaIPvt. Ltd. Old Rly; Road, Gurgaon 95120-2330645,2330945,
2321845,3093347
Fax.95-124-2330745
77. Umkal Hospital & M.P. A-520, Sushant Lok-l 95124-4041288,4042266,
Heart Institute Gurgaon (Haryana) 2385657,2385658,9815644599
9818646]55
78. Shetla Hospital & Eye New Railway Road, 95120-4066695-96-97
Institute Pvt. Ltd. Gurgaon Fax':95120-2321989
79. Kalyani Hospital 354/2, Mehrauli Road 95-124-30101,95-124-303102
Gurgaon 95-124-3D3103,
2303103,2303102
80. Mahajan Nursing Home Blue Heaven Building
Gurgaon, Haryana -
81. Mama hospital 877/2, Mata Road, Old 0124/95124-2220595,
Home Guard office, 0124/95124-2220811
Gur.'1;aon Fax: 9811330616
82. MAX Alps Hospital '
Block-B, SushantLok-I 124-6623000 .
Gurgaon Fax: 124-6623111 --
83. Paras Hospital C-l, SushantLok, Tel/Fax:91-0 24-4585555,
Phase-I, Gurgaon 4049061-63
GHAZIABAD
.
',\

84. Narinder Mohan MohanNagar, 95-1;20-2940501 - 509

I Ghaziabad Fax: 95-120-2940546
85. Yashoda Super IIl-M Nehru Nagar 95-120-2940501-509
Speciality Hospital & Ghaziabad(UP)
Heart Institute Fax: 95-120-2940546
NOIDA
86. · Noida Medicare Centre Sector-30, Dr.Mta, 95-120-2453801-08
Ltd. Noida 2455550-04 Fax : 95 120-
2456586 .

87. MAX Mcd Centre A-364, Sec.19, Noida-- 91-4549999 Fax: 24549999
. 201301
88. . Metro Heart X-I Dr.DeepakTalwar ,

Sector-12 914533485,45334914533486,44
., '
. Noida 4255556 Fa-x: 4533487
89. Kailash Hospital & . , H.33, Sector-27, NOlda VijayaGatlju 95-120-2444444 &
. " ..
Research Ceiltre,Lt<l.. .. , 244442 /Fax95-12025522323
90. Fortis Hospital B';22,'Sector-62, Noida, 95-120-4229-5222.
.'. '.. .. ,. ,. .' .., . ,.: Fax: 4180-21,21 "

4
9
 Room Rent Entitlement of the emR!Qyees is as under:-

"
Sl. Revised Rom Rent ..
Pay Range Basic Pay
No. ...Rs. I erda ..
~

1. Upto Rs.11649 1- Upto Rs.12001-

2. Rs.11650-13350 1- Upto Rs.15001-
.'
3. Rs.13351-1 9400 1- Upto Rs.20001-
4. Rs.19401 & above Exc1uding GMslEDs Upto Rs.2250 1-
5. GMs) EDs & Equivalent Single AC Room
. . .

6. Chairman and Board Members As per Actual

In case of Institutionall Charitable Hospital). the minimum room

rent charged will be applicable 'as above or the minimum semi bed
charges being charged by the Institutional/ Charitable hospitals. (Ref.
Order No.Pers./Genl./ 1201/ 1/2001/222 dated 20.02.2003). .,
Dearness Pay (DP) will . not be taken into consideration for
entitlement of room rent charges for indoor treatment. (Refer Order
No.A-60011/25/2008-PP dated 17.07.2008).

Hospital should send original bills for settlement. This should

include discharge summary) date of admission & discharge) brief of the
diagnosis and the treatment given alongwith pathological reports.

..
10

-----
- - - - ---
 Treatment for soecified disease or chare:es for aid & aooliances etc.

AAI employees shall be eligible for reimbursement of

expenses / charges incurred on th~m or by their family members for
artificial medical appliances/aids duririg treatment for following cases at
par with the Central Govt. employees, subject to the condition that it
should be duly prescribed by the specialist of Govt/ AAI Empanelled
Hospitals,. The p~yment is to: be made direct to the supplier and not to
the employees.

1. Procurement/ Adjust-ment/Repair of Artificial Orthopedic

Appliances.
2. Procurement/ Adjustment/ Repair of Digital Hearing Aid.
. 3. Cost of Heart Pace Maker and Replac~mentof Pulse Generator.
4. Replacement of diseased Heart Valves, Artificial Electronic
Larynx.
\"'
5. Cost of knee and hip implants.
6. Cost of Neb'ulizer.
7. Cost of Oxygen Concentrator.

Treatment for specified disease or charges for aid & appliances:

The reimbursement may be made in full towards implants relating to Cardiac treatment
(Lifesaving implant) in case the patient has taken treatment from specialized panel hospital in
Cardiac related diseases. Regarding Orthopaedic treatment, the reimbursement will be as per
the rate of reputed Institutional Hospitaltob.e decided by the Medical Committee and all cases
are to be regulated accordingly. . .

. Treatment of Renal Failure

. . , .

. . '. . Expenditure. on Dialysis Ambulatory

(Hemo~dialysis or con~inuous
.:P~ritbriea1 Dialysis) .and also expendi,ttire on procedures and
":investigationsat the time: of dialysis will ,be treated as. indoor treatment
.:and shall not tormpart of the 'domicile medical treatment.

11
 Reimbursementof inve~ti2:ation char~es

, The single test costing less than Rs.500 / - ,.arepaid from employe.
.
annual ceiling. Whereas single test costing more than Rs.500 / - are nJi
included in the employee,s annual ceiling. It may also be noted th~ J .

claims in respect of such investigations will only be entertained ' ':

accompanied with Gopies of results / films and not merdy prescriptio
alongwith the cash receipts from the concerned laboratories. However,
the employees ar~ advised to get these tests carried out at the empanelled
hospitals/nursing homes, if the facility is available.

,'.
AAI 'RETIRED'EMPLOYEES'MEDIdAL BENEFIT SCHEME

Coverae:e: The retired employees and their spouse only subsequent to

their retirement on superannuation.

All retired employees who have completed a minimum period of ten

(10) years continuous service in AAI including the service rendered by
them inotherPSUs, Central/State Governments are entitled to join in
this Scheme subject to (Ref. office order No. pers/IR/ 1103/ 1/2000 dt.
7th February ~
2007):-
. -'

i) . The medical facilities to the employees who are separated@n

account of premature/voluntary retirement will be available only
after attaining the age of superannuation. '~

ii) If the spouse of a retired employee is employed in AAI or in any

other PSUs or Qovt. Department and medical attendance benefits
are available in that organization" then, iri that event, the medical
facility under the scheme will be available subject to the option of
availing benefits from either source only. .

Hi) Normally the medical facilities are available to the retired

employees and his/her spouse. In, addition, disabled/ spastic
children 'suffering from, incurable diseases with ,more than 60% of
deformity / disability and living with the retired employees will be
included as 'dependant'. ,

iv) The retired employees are ,allowed to charige the place 'of availing
treatment only once in life time. "

" '

, v) The scheme will apply to those employeescmiy .who are not getting
medical benefits from any other medical scheme after retirement
such as CGHS etc. ,'.,' ' ,

. . .'
, ' '

vi) Medical' expenses incurred, on:treatrilent '"~br~ad shall, not

ordinarily be admissible for reimbursement, subject to guidelines
or instructions issued in this behalf by tbe OPE or the Government
at any subsequent stage.
.,
12

--;--- -- ----
 r
\
CONTRIBUTION AND OTHER CONDITIONS:-
O'
'.
Grade Lump Sum Contribution
Group ~D Rs. 1000/-
Group-C Rs. 1350/-
Group-B & above Rs. 1750/-
DG M and above Rs. 2000/-
EDs and above' Rs. 2500/-

A nominal fee of Rs. 50/- for every thre.e years IS payable by

the retired employees for renewal of Membership.
'. ,
ENTITLEMENT OF REIMBURSEMENT:

Outdoor Treatment & Indoor Treatment

i) An eligible member of the scheme is entitled to reimbursement of

expenses towards Out Door Treatment subject to an annual ceiling
amount equivalent of the "Mean" of the starting stage and ending stage
of the scale of pay on the date of retirement. On revision of pay scale,
the annual ceiling amount will be enhanced appropriately with
prospective effect. In the event of death of the member or his spouse,
there will be no reduction in the entitlement limits for the outdoor
treatment. The OPD limit of retired employeeH has beeil increased by
25% of the said amount towards chronic ailment treatment expenditure.
As and when scales are revised by the Authority, benefit in the
corresponding scale will be applicable. (Refer Office'(' Order
A.60011/23j2002-PP
dated 17.05.2002).

ii) The mediCal rcicilities to the employees whO are separated on

.account of premature/voluntary retirement will be available only after
attaining the age of superannuation. .

iii) An eligible member may avail the consultation and treatment of

the doctor/specialist sitting in private OPD of the institutional hospitals
which are on panel.
The retired employees are allowed to avail medical facility from the
Govt. Hospitals/Municipal Corporation Hospitals/Institutional Hospitals
empanelled by AAI for serving employee as per their entitlement without
prescribing any monetary ceiling.

As per Offic.e.Order No.D.12019j20/2008/GS-III dated 6.10.2008

Para 9.1 of the (Retired Employees) Medical Benefit Scheme. has been
I modified and will be as under:- ..

I . I4Ithas now been decided that credit facility upto 75% of the
. expenditure. incurrecf/ expected . to be incurred' for Medical
Treatment/ Hospitalization will be extended to the AAI retired
employees on deposit. of 25% of the amount at the Hospital.
Henceforth, this will be available at all AAI empanelled Hospitals."

..
13

-- r- --- -- ----------
I

The reimbursement for Cancer treatment and Heart ailments (includes Cancer,
Ischiemic j Rheumatic Heart Disease, Systematic Hypertension & Cardiac Arrhythmias
issued vide Order No. D.12015j30j200l-GS-III dt. 13.12.0.7)for retired employees will,
be treated a~parwith serving employees. No. D.12019j20j2004 GS-III dt,,~3j12j2008.

How to become a Member of the Scheme on retirement:

Eligible and inter~sted employees have to register themselves by

filling up the Prescribed Form along with three Passport Size
Photographs of self and spouse with the respective Airport/Headquarters
of the Authority from where they wish to avail of the reimbursement
facility and obtai,ni the Identity' Card
.
for this purpose.

General

'Reimbursable ceiling limit for consultation fees, room charges for

various tests and immunization etc. will be as per the limits specified
from time to time under the medical rules to a serving employee of
similar rank within the overall annual ceiling as specified herein above.
As in case of s~rving employee a single test of more than Rs.500j- is not
covered in the outdoor limit. .

Note: The scheme and or the benefits there under shall Me liable to be
withdrawn and made in-operative in to at any time for misuse or abuse
of the benefits under the Scheme or for any other reEisons whatsoever.
The Scheme andj ot the benefits there under shall not be deemed to be
matter of right or contract or lien/ condition of employment. '.
I
-
.~

14

r-- --- - - ------

 cqmftq 'fq~1"'4~'" ~
AIRPORTS AUTHORITY OF INDIA

No. D.12019/20/2008/GS III 6thOct'2008

The Regional Executive Director

Airports Authority of India
NR/WR/ERISR/NER
Delhi 1Mumbai 1Kolkata 1Chennai 1Guwahati.

The Airport Director

Airports Authority of India
NSCSII,GHENNAI Ail1>.brt
Kolkata 1Chennai.

The Principal
Airports Authority of Ind ia
CATC, Allahabad.

The Executive Director

Airports Authority of India
FlU 1RCDU .
Safda~ung Airport.

The General Manager

Airports Authority of India
E&M Workshop 1CRSD
Safda~ung Airport.

Sub: AAIMedical Attendance & Treatment Reaulations -

Reimbursement of Medical charges.

The Consultation fee in respect of Doctors 1Specialists are revised with immediate effect:

Con'sultation Fee Home Visit

1. MSSS Rs. 1001-. Rs. 2501-

.; .2. MD. Rs.3001- . Actual

.3. . .QM( Super Specialist) . Rs. 500i-. Actual

'(i41.('JC{'<~~1
~~, ~ ~-9900~ ~: ~~~~~~':I.0 ~ : ~9-99-~~~~~~o
SafdarjungAirport,NewDelhi-110003 Phone: 24632950 Fax: 91-11-2462990
15

- -- --
 4. BAMS & Homeopathy Rs. 501- + Cost of Medicine

5. Dressing Rs. 501-(perminordres$ing) ,

Rs. 1001-(per major dressing) ,

OR actual whichever is less. '.

6. Injection Charges Rs. 501- per injection

In respect of OPD of empanelled hospitals,the amountcharged by the Doctorat OPD of

the empanelled Nursing Home 1Hospital will bereimbursed of actual basis.
~
'

This supercedss the earlier orders on the subject.

,
i .. ~ .'
,
'.' . '. ~
The issues with the approval of CompetehtAuthority. '~
~
~~
[P. G()yai] Mrs.
~
e.:

General Manager [Admn.] ~

4;;:

~
COpy to:
~
1. Sr. EAto Chairman. ~
2. PSto Member (Fin.) 1Member(Pig~)1Member(Ops) 1Member(P&A}1 CVO.
3. All HoDs at CHQ 1Operational Offices. INew Office Complex, SAP, New Delhi. G;
. . . ~ ' .

4. General Secretaryl President- AAEU. ' " ",

~
5. General Secretary 1President~AAIOA/IAAIOA/ATC Guiid 1ACOAI AAI EngineersGuild.
I G
~
~
C
C
~
C
"
'C;

,"~

~ I

~
~
.. ~
16

~
 AIRPORTS AUTHORITY OF INDIA
DIRECTORATE OF ADMINISTRATION
,.

No. AAIIADMN/CHRONIC/2008 51hFebruary 2008

CIRCULAR

Sub: Reimbursement - Chronic Diseases

In order to stre,amlinethe method of claim of 'chronic' diseases,"it has been decided to

followthe following procedure: ' . " , '

1. The patient, who is claiming the medical reimbursement, should give an advise from the
, specialistdeclaringthe natureof the diseasebasedonthe investigations.Whileadvising,
the specialist will also mention the following:

(i) Name of th~ disease

(il) Drugsto betaken "

(iii) Investigation reports

(iv) Period oftreatment, "
(v) Mediciries should be purchased on monthly basis. However, on exceptional
circumstances, medicines may be purchased for a maximum period of3 months duly
certified by our Medical Officer. ' " ~

2. Where the 'chronic' disease is continuing for a number of years, the'i>atient should attach an
advise I prescrip~ion from the specialist within 3 to 6 months,to ensure that the disease has
been reviewed by the specialist, who is prescribing the medicines.

3. All costs (Le. cost of medicinesl cost of feel cost of specific test of the disease) relating to
the diagnosis of the 'chronic' disease or follow up of the disease for the period specified by
the specialistwill be submitted by the patientand reimbursedby the Departmentof Finance,
where Clause 1 & 2 have been complied.

4. (a)' While submittingthe bills under the 'chronic' disease, only medicinesdirectly relatedto
, the diseaseshallbe coveredand medicineslikeAnti Biotic,Pain KillerandVitamins,
etc. not directly related to the 'chronic' ailment, shall not be covered under 'chronic'
reimbursement and shall be in the general medicalreimbursement.

" 4. (b) , " For cancer patients, one pan killer and one ha,ematiniclvitamin is covered for chronic
di$ease reimbursement. ','

. , , . ..
. '. '. . . . . .

, 5.Whilesubmitlingthemedical Claimfor 'chronic' disease;orilytheform, which is meant for,

, 'chronit'disease, istobesubmitted and all other-medicines not directly related to 'chronic'
.' dise8f3e,shou.ldbeseparately submitted in thE;! medicalr'eimbursement form for 'claiming,
the reimbursement ,", "

fI
17
 6. The above system is being implemented with immediate effect to avoid any delay in claiming
the medical reimbursement and hence all are requested to follow the above.

7. The initial claim shall be submitted to the Finance Department.

8. The claim shall be forwarded to AAl's Medical Officer for declaring the'specific medicines!
tests eligiblefor eachdisease. . '

9. The Medical Officer shall issue one certificate to Finance Department indicating the name
of the medicines!testsetc~for reimbursementunderchronichead,with a copyto the individual.

10. On the basiso,f thiscertific.ate, ,Finance Department shall pay the eligible amount to the
employee. In future bill!),iftheamendments are made by the treating Doctor,in such cases,
the case shall ag~in be forwarded to Medical Officer for review.

.~~
[MRS. P.GOYAL]
GENERAL MANAGER [ADMN]

Distribution:

1. All HoDs at RG Bhawanl Opera~ional Officesl New Ops Bidg., SAP

2. SM(Cash); RGBhawanl Operational Offices . .
3. SM (Medical),INA Colony .

..
18

---~ -
DENTAL CHARGES

DENTAL PROCEDURE RATE

Consultation Charaes .,
aDS 150.00 per visit
MDS 250.00 per visit
Dressing 50.00

Preventive Dentistrv
Scaling (full mouth) 350.00
Pit & Fissure sealants/tooth 250.00
. Fluorideappliqitionperquadrant 200.00
. , .. . .,

X-Ray
Inter Oral- Single Plate 100.00
Extra Oral 100.00
Full Mouth 500.00
Fillings
One Surface 250.00
Two Surface 350.00
Special Type (Composite :Filling) 350.00
SpecialType (Venae) . 500.00 .
. Glass lonomer filling. 25d.00

Minor-I .
Extraction per tooth 300.00
Operculectomy/Periocamotony 350.00
Franectomy 350.00
. ApicalCurettage 350.00
aiopsy 400.00
Abscess incision 250.00

Minor-II
Gingivetomy per segment-Gum Treatment - 500.00
Alveotom 500.00
Growth Removal 500.00
Pulpotomy 500.00
Fistulectomy/Fistula Close 500.00
Sialethetomy 500.00
Root Planing 500.00
Flap Surgery (Per s.egment) 1,000.00
Flag Surgery (full mO!Jth). . . 10,000.0
..
,.
. Maior-I .. .,.. .. ... .'
..

Removalof impa(#ioiil~eclomy . 800.00

.":-:

,..;.
,. Cy$tectomy ... ,. , . 800.00
.: ..

.. ':RQOtAmPutB.~C;>IJ.: .' " ,'800.00

..
., .. Root Canal.Tr~fn1.ent..:.. 1,200,00. .
. SeqyestrectoIW:' ",' . .. BOd.oo
,lmplahtlRepJantITtansplc)nt '. .. .' 800.00

19
 DENTAL PROCEDURE RATE
.

Maior-II .

Fixationof Fracture.of Jaw . 2,500.00

All extraction in one Jaw '
'.
.
2,000.00
GingivectomyFullMouth 2,000.00
Tumour Excision 2,000.00
, PeripheralNeurectomy 2,000.00

, Maior-III
TotalExtractions 3,000.00
Segmental ResectionofJaw . 2,50000
Ostectomy 2,500.00
CondylectomY. ,OOO.OO

Special Procedure
Resection of Jaw 8,000.00

Dentures
FullDenture 4,000.00
Partial Denture (First Tooth) 600.00
Partial Denture (AdditionalTooth) . '
300.00
Bridge per unit ifrequired while providingdenture 1,800.00

PHYSIOTHERAPYCHARGES

(i) Electro Physiotherapy 1st Modality \.J Rs.140.00

1st &2nd Modality Rs.240.00 G;
1st, 2nd & 3rd Modality Rs.300;00
More than 3 Modality Rs. '350.00 G:
G:
(ii) Exercise Therapy Short ease R.s.150.00
Long case Rs.240,00' ~
~
~
C
C;
C
,C
~
~
e
,
. ~
20
C
,
 RATES - AYURVEDIC TREATMENT
Ref. order No. D12014/1/04.GS.1II dated Jan. 20004

S. No. TEST NAME CHARGE

"
A.AY. PANCHKARMA THERAPY
1. ANTAH SNEHAN (PER KARMA) 150.00
2. BAHYASHEHAN (PER KARMA) 180.00
3. EKANGA PINDASWEDAN (PER KARMA) 120.00
4. GENERAL PIND SWEDAN (PER KARMA) 180.00
5. SHIRODHARA (PER KARMA) 200.00
6. SHIROVASTI KARMA (PER KARMA) 180.00
7. SHIROABHYANGA(PER KARMA) 150.00
8. UTTAR VASTI (PER KARMA) 180.00
9. KATIVASTI(PER KARMA) .'
. 180.00
10. SHODHAN NASYA(PER KARMA) 180.00
11. BRINGHAN NASYA(PER KARMA) 180.00
12. ANTAH SHODHAN (VIRECHAN) (PER KARMA) 1000.00
13. ,ANTAHSHODHAN (VAMAN)(PER KARMA) 1000.00
14. . SARWANGAPINDASWEDEN(PERKARMA) . . 250.00
15. SARWANGA VASHPASWEDAN (PER KARMA) 250.00
16. SARWANGA ROOKSHA SWEDEN (PER KARMA) 250.00
17. SARWANGASAMANYASHODHAN 180.00
18. SARWANGA TAILDHARA SWEDEN (PER KARMA) 600.00
19. DHOOMRA PANA(PER KARMA) 180:00
.
20. COMBINED PANCHKARMA (7 DAYS) 1800.00
21. COMBINED PANCHKARMA(15 DAYS) 2500.00
22. COMBINED PANCHKARMA(21 DAYS) 3000.00
23. TAKRA DHARA (PER KARMA) \.. 180.00
24.' . DRAW SWEDEN (PER KARMA) 180.00
25. UPNAH SWEDEN . . 120.00
2€). EKANGA POOKSHA SWEDEN 120.00
27; SHASHTHIK SHAll SWEDA FOR ADULT PKARMA 250.00
28. SHASHTHIK SHAll SWEDA FOR CHILDPKARMA 180.00
29. EKANGA SHODHAN (PER KARMA) 180.00
30. ANUWASAN VASTI (PER KARMA) 180.00
31. . NIRUHANVASTI(PERKARMA) 180.00
.
32. LEKHAN VASTI (PER KARMA) 180.00
. 33.' BRINGHAN VASTI(PERKARMA) 180.00
34. . plCCHA VASTI (PER KARMA) 180.00
35. ..PIZHICHIL (PER KARMA) 1000.00
. ,

, B. AYA. SHALYA KARMA THERAPY

1. '. KSHAR. KARMA(PERKARMA) . 400.00
.2. ' KSHAR SUTRAPARIVARTAN (PER KARMA) .
400.00
.
"'3. ,K$HARSUTRAMLIGATION FOR PILES ....... '.. .'. 1500.00
.4. . . VRINOPACHAR(PER KARMA) .' 60.00
' ; , . .
5: ,..'.' .:.... 300.00
.
'. .:, " AGNfKARMA{PER KARMA), '. ' , . ;

E).' ' SIRAVEDH(PER KARMA) . .' ......

.
300.00
. ," 7. ',GENJ;RA,-KARMASHALYA(PER KARMA}. ....... " 1000.00 .
.',8. .STHANI KSAMGYA
..' HARAN 500.00

21
9. JALOKA KARMA 500.00
10. KSHAR PICHU KARMA 200.00
11. KSHAR VARTI KARMA 200.00
12. PARIKARTIKAPRAKHAN KARMA (PER KARMA) 800.00
13 PARIKARTKAPASHCHAT KARMA (PER KARMA) . 400.00
14. KSHAR SUTRA SECONDRY THREADING (PER KARMA) 400.00
15. KSHAR SUTRA PRIMARY LIGATION (PER KARMA) 1500.00
16. KSHAR SUTTER SECONDRY LIGATION (PER KARMA) 400.00
17. KSHAR SUTTR/LIGATION FORPILES VATAJ 6000.00
18. , KSHARSUTTER/LIGATIONFORPILESPITTAJ ' , , ' 3500.00
19. KSHAR . SUTTER/OIGATION
. FOR PILES
.' KAPHAJ, 2500.00
20. BHAGANDARPRADHANKARMAVATAJ ' 6000.00
21. BHAGANDAR PRADHAN KARMA PITTAJ 3500.00 ~
22. 2500.00
23.'
BHARAND(\R PRADHAN KARMA KAPHAJ
PARIKARTKAPRADHAN KARMA VATIK, "
..
, ..

,' 2000.00
~
24. PARI KARTI KA PRADHAN KARMA PITTAJ ' 3000.00 ."
25. PARI KART IKA PRADHAN KARMA KAPHAJ 1500.00
,
~
C. STRIRO (PRASt,JTITANTRA) ~
1. UTTAR VASTI (PER KARMA) 200.00
2. PICHU DHARAN (PER KARMA) 100.00 ~
3.
4.
KSHAR KARMA {PER KARMA 150.00
100.00
~
VRINOPCHAR (STRI ROG) (PER KARMA)
5. GENERAL KARMA STRI ROG (PER KARMA) 100.00 ~
6. 120.00
7.
SHALYA NIRHARAN (PER KARMA) .. ,
~
VRANA SHODHARARTHA UTTARVASTI(PER KARMA) 2QO.00
8. STAN VIDRADHI ROPAN & BANDHAN (PER KARMA)' 120.00 ~
9. 250.00
10.
JALODARA TOYA NIRHARAN (PER KARMA
GARBNHASHAYADOSH HAR SNEHVASTI(PER KARMA)
'"
200.00
~
11. PHALVAHl SROTUS PARIKSHA{PER KARMA) 250.00 ~
12. STANVIDRADHIPATAN{PERKARMA) 250.00
13. GARBHASHAYAMUKHKALALEKHAN (PER KARMA)
,
. 300.00 ~
14. ONYARSH NIRHARA{PER KARMA) 300.00 ~
15. GARBHASHAYA
MUKHKALACHHEDAN(PERKARMA), . 500.00
16. GARBHASHAYAKALA LEKHAN (PE3R KARMA) 600.00 -.;;
17. 150.00
18.
GARBHASHAYAPARTAPINDA PURAN (PER KARMA)
YONI SWEDAN (PER KARMA) 120.00
~
19. YONIDHUPAN (PER KARMA) 120.00 ~
20. GARBHINI PARICHARYAKARMA{PER KARMA) 200.00
21. ' PRASAWOTTARSWASTHYAKARMA 400.00 ~
D. AY.MEDICINE(HOSP. MANU)
..
~
1. MEDICINE(ONCOUPON)- AFTER2 DAYSINOPD
'
5.00 ~
,'2,., , MEDICINE-COUPON-SUBSEQUENT/DAY IN IPO (N,H/SP) 40.00
~
'
, " .'

3. ' ,- ,"
,MEDICINE AFTER1 a DAYS, , '10.00
..
5.00
4.
5.
MEDICINE {ON COUPON) PERDAYINOPD
" .. , ,
60.00
'
~
RAJ RASAYAN(50 GMSr , .
' "

,',.
'

6. ' RAJ RASAYAN(100G,MS) " "

.. " 120.00 ~
7 VYAGHRI,HARITKI (200GMS) ,
, " ' ' ' 40.00
8. CYAVAN PRASH (500 GMS) ' ,
, '

80.00
9. CHYAVANPRASH{1 KG) 150.00 ~
22

~
 Subject: - SETTLEMENT OF MEDICAL CLAIMS

1. . The employeesshould make

..
an applicationfor
.
reimbursementof
.;....
medicalclaims. Medical
claimsmustbesubmittedwithin3 monthsof dischargefromthe Hospital.
'.
2. Alloriginalbills& Discharge slip should be attached. Treatments should be from empanelled
Hospital! Nursing Homes..

3. For availingcreditfacilities,the office shouldbe informedwithin24 hoursof hospitalisation.

No intimation is required for employees for claiming medical reimbursement.

, 4. The amount admissible will be on the basis.of employees' entitlement (room rent & limit
: ..," '.' . " .: .

fixed). Cost of medicines isr~imbursed in full.~xcept preparations classified as..food,

tonic, vitamins, disinfectant etc.

5. In case of surgery, surgical sundries like cotton,syringes, catheter tube, etc. are fully
reimbursedif nonusableagain. .

6. Blood transfusiOn is fully reimbursed.

. .

Diet or Attendantcharges are not reimbursed.

. . . . .
.. .8. Expenditure on investigations.& tastsdone in Hospital areTeimburSed if it is on advice of
the specialist.

9. Charges for registration are not reimbursable.

10. MedicalAdvandesrriay be given to serving employees for taking tre~tment, when credit
facilityis notavailable.The ChairmanAAIhas powerto givesuchadvanCes.Final settlement
should be submitted within one month of discharge from the Hospital.

11. The amount of medical advance

. is considered in cases where
. estimate is submitted and
given directly by the Hospital. The advance is to be given directly to the Hospital.

12. In cases of package ~earaO%.of advance can be given and the balance is payable on final
adjustment.

,13; The retired employees rn!Jstexercise their option at the station where they will submit Medical
claims. .

. .. .. . . . .- . . ..

14~. ChargesforYoga; Naturopathy,PhysiotherapyandAyurvedic tre~tmentare reimbursable

as per rates laid.down. . .. .. .

,
23
 APPLICATION FORM OF MEDICALADVANCE/CREDIT ADVICE

The General Manager P&A ~

Airports Authority of India
Operational OfficesJGurgaon Road,
New Delhi-110037
~
Sub: Grant of Medical Advance/Credit Advice '.
~
Sir, -.;
It is requested that I may be sanctioned Medical Advance/Credit Advice, The details are as under:
1.
~
Name 2. Emp. No.
3. Designation 4 BasicPay ~
5. Place of Posting 6. Patient Name & Age . ~
7. . Relationwithpatient ~. ResidentialAddress
~
9. Whether patient is De'pendant on employee
~
as per MI Medical Regulation. ~
10. Nature of Illness _
11. Name of Hospital from where
~
treatment is to be taken/taking from since ~
12. Whether Hospital is on panel: ~.....
13. Treatment advised by :
14.
~
Approximate expenditure as recommended
by concerned Doctor and.approved by hospital . ~
15. Amount of Advance Required:
~
16. Approximate period of hospitalization days from to
17.
C-.
Hospitalisation recommended by:
18. Details of previous medical advance/credit
\-' ~
facility, availed from Ml,if ay give detail
with date amount and name of hospital and
~
the advance drawn settled:
~
UNDERTAKING ~
I, HEREBY CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE, IN CASE OF ANY ~
DISCREPANCY,IAM AWARETHAT SUITABLE DISCIPLINARYACTION WILL BE INITIATEDAGAINST
ME, I AM ALSO AWARE THAT ROOM RENT, DOCTOR'S FEE AND OTHERGHARGES WILL E
REIMBURSED AS PER MY ENTITLEMENT UNDERMI MEDICAL RULESAND THAT I WILL SUBMIT
~
DISCHARGE SLIP OF THE PATIENTWHO IS DEPENDANT ON ME ON BEING DISCHARGED FROM e..
THE HOSPITALFAILINGWHICH THE TOTALAMOUNT WILL BE DEDUCTED FROM MY SALARY.
~
Thanking you,
Yours faithfully, ~
( . )
Date:
.
~
End.: 1. Recommendation,ofAMA.. . .. .
2. PreviousAdvise l Ptotoxid~ DetailedEstimate of Hospitalizationfor the patientgiven by Director ~
. ofcountersigned.byMedicafSupdt.of HospitalCOncerned.. . . .. . .
~
Note: Incomplete application arid not be considered. . .. .. . .

FOR OFFICE m~EONLY

~
Checked Recommended Approved
~
~
.. 24
f...
~
--
 APPLICATION FOR MEDICAL REIMBURSEMENT FOR THE
TREATMENT AVAILABLEIN NON-PANEL HOSPITAL/NURSING HOME

,
25
 c. Expenditure on room rent

d. Expenditure on Lab. Tests

e; Expenditure on procedures

12. What is the justification for relaxation

in the provision of the regulations

13. On how many occasions, the employee has

asked for such relaxations in the past for
himself or other dependents with details of
amount claimed and reasons in the following
Performa. ... .. .
J

,
Years . . Namesof For whom Amount Remarl
Hospital and the treatment claimed
Address taken

14. I certifythat the information furnished above is correct and best of knowledge. I shall be re~
sibleforincorrectdetails/information. . .

Signature
Name
Designation
.Deptt.

Date
I
Station

Encl: 1. 4.

2. 5.

.3. 6.

15. Verification. by Personnel Department that all the columns .are.filled by the applicant.

Signature of Clair

. ~ .'

. Recommendations qfAAIMedlcalOfficer: .
(IfaVailable). . .

.17. Recornmendation of.the RED/APD/HOD

..

26
 ~ ~
fCi"'I'14T1'1
Airports Authority of India

'.
~,:f ~./Ref.No.Cash / Med. /Chronic/ / ~lDate.. ......

The Incharge
~~ r~rctl«-ll ~
AAI Medical Centre

. ..~. : r~{Chlr('1Ch
. . {~} ~
'. .~ r~rchrttl ..("-'o..("J'
Subject : Medical claim for chronic diseases (for use of Fin. Dept.)

~/Sir,
~/_~ (~ . ~ CfiT
) ';fp:f ~ ;..........................................................................
~am (~CfiT ';fp:f it ~ -ij~ t) cfi'~ H~r~r~d~rqfr~~
~ ~ r~ fct>«-II ~ CfiTGJqJ~ .tl it (i)
fcn'cIT (ii) ...................................................

(ii) ,..; ~ -ij.~ t o~ m ..; , (~~ CfiT';fp:f)

CfIl
Frfi 1fiif;qft~ftq)i-q.~ fCfi<nTfGIT
tl (~fdr~f~~) .

. Shri/Smt./Kuniar(name of the employee with designation) ,.........................................

has submitted medical reimbursementclaim for the following drugs/tests/consultationfee in respect of
his/her (Name of the patient with relation to the employee) who is suffering
. fromthe diseaseviz (i) (ii) ; (iii) ~~,....................................
as mentionedin the pre~~riptionslip/test reports from (name of the Doctor/hospital)...............................
, : : ., ,..~ ,....... (copy enclosed).
~ ~. G:CfTrqfr~~
. .
-m .. ft
SI.No. DruaslTests/Consultation
Fee Cost
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
G:CfTCfIl cwr ~... / Total No; of Drugs
"
;~..:~, '...,
. ..
; ~ ; ;; : : .

~ :CfIl cwr'q;lWI / Totat cost of Drugs Rs.:... ~: ;;; : '..' :...........

.'tffi~ qft <wI. ~... I Total cost of Tests Rs" . : ~ :..;.: !; ,.:.............
~ 'q;lcwr./ Total
costofFee.Rs ;.:..., ; ;..: , ; :.............

.
27
2 3Wffi~ t fqj m 20.02.03~ rio-it 12015/30/2001-~ (III) ~ .~.~ ~ ~~ ~
rtt 31f~
.
Wl1Y ~~
rtt 7TURT ~~ rT.jr~~1 ~ ~-q.. ~ ~f1WPdUT
o~ ~ ~ rtt qft1m
~ ~
rtt ~I .
2. ~
Youare requested to indicatethe cost of drugs, test and consultationfee to be 6!xcludedfromthe
above medical reimbursementclaimfor the purpose of computingthe annual ceilingof the employee for ..,
outdoor treatment. .. . j
. .~
~ ~ ri~ crc:n ~ ~ tl
The claim is for the period from
.
to .............................
~
... ~
. ~~Sig. , , ;.~ e;;:

~~ (~ 3lj~) / In~Charge'(Cash Section).. ~

~
Reference Incharge (Cash Section)'s letter at pre-page.
~
~
.~ rio ; ~ : -q ~ ~ ~ tl ~ ~ 'R ~3lT,"tffi$T
~ ~~. 'R cxr:f~
rtt~ ~ ~ ~ ~ ~~I . ..:....
The disease mentioned at SI. No. .:..,..; ~ , ~;..are~f chronic in nature. The totelcost of drugs, . ~
tests & consultationfee spent for the chronic disease, in question, is Rs. ,: : . ~
( \.J )~
(~.~ rT.jr~~I.~ / AAIMedical Centre)

~'I1rtT (~ 3lj~ / Incharge (Cash Section)

~ llfm 'qCR/ RG. Bhawan)

.
28
 CERTIFICATE OF .cHRONIC DISEASE
(To attach at the time of submitting bills)

" Employee's Name & D~$,ignation

. Nameof the Patient

Agel Sex of Patient

Relation with the Employee

Contact No.

.'

,I
I

Name/s of the Chronic Disease/s :

1.

2.

.3.

Nameof the medicine/s prescribed I entitled

1. 4. 7.

.2. 5. .8.

.6. 9.

::liF~7' . .

~!1:~:':f~Name of the attending Specialist I Hospital:

.
~-
";,;t,.~
.' :('
. '.

..;I>~.- :_ :~,:-',~:. ':r>""~':

..,.. 'j" .
~L,. I .:... Period of Validity :'
':'~~.
. '. '.
..
:,

..

"

.'

29

___ ...1-
 ~

AIRPORTS AUTHORITY OF INDIA

. .
3
~
APPLICATION FOR ISSUE OF PHOTO IDENTITY '. -..I
CARDFOR RETIREDEMPLOYEES .,
.
- ..
~
Coloured Passport Coloured 'Passport
Size Photograph of Size Photograph ~
the employee of the employee
to be' pinned to be pinned ~

Fill up the fOITTlbelow ,

. in CAPITAL:
. LETTERS, with two sets
.
of coloured passport size photographs (one each set of
joint and single photograph are to be pinned with the
application form and on the back of it Name, Designation
and Employee No. is to be written with black Ball-pointed
(Specimen Signatue of the Employee in block) ..~
~
pen). .
~
One joint colour photograph One joint colour photograph
~
is to be pinned . is to be pinned ~
~
~
1. Name in full . ~
2. Date of Birth
I Date of Superannuation I .-l

3. Post Held ~
4. Last Pay Drawn & Basic Pay at ~
the time of Superannuation
&;:...
5. ResidentialAddress & Tel. No.T
~
~
6. Name of the Spouse I I Date .of Birth I
7. Blood Group Self Spouse
~
8. Allergic to drugs Self Spouse ~
9- Major Illness Self Spouse ~
10. Next of Kin (Name & Tel. No.) e..
11. Place of posting ..
. .
..~
Forwarded by Signature of the Retired Employee ~
~
Verified by [)epartmentof Personnel
Unit identification Number ~
~
A~thorised Signatory with Name ~
30 Membership Number
e-.:
c..
 AAI (RETIRED EMPLOYEES) MEDICAL BENEFITSCHEME
AFFLX JOINT OR SEPARATE
PHOTOGRAPH (SELF & SPOUSE)

APPLICATION FORM

1. . Name (in Block Letters)

2. Address

3. Post Last held with station

.4. Scale of Pay on the date of Retirement

.5. Date of Appointment inAuthority. .

..
6. Date of retirement/completionof tenure
. . .' . .. .' . .

7. Details of Service{Fumish details of minimum 10 yearSof service priortb the date of.
. retirement). .. . .. .

PERIOD OF POST HELD NAME & ADDRESS OF

SERVICE THE ORGANISATION

... 8. If employedanywhereafter retirement.

. (a) Nameofthe organisation ..

. .
. .
(c). Whetti~rany.Medical ...'
.
. t..' ~;. .. .. $che~e/B.enefit 10force in '. .
the organisation. .. . .. . .
i{softhe detaiis thEh:eof ' .

. . . ... .

,9. If doingany:bus;inessfdetailsthereof ..
and monthlyincome .

31 1_.

- ------
 10. Name ofthe Spouse

11. If the sp9use is employed, state

the monthly income and details of
medical facilities available to the
spouse ~
12. Detailsof lump sum contribution
sent along with application form .~
(Payment may please be made by
DD drawn in favour of AAI)
.
., D ...
( Ddraweebank,number,dateandamount)..,-J
~
.. ::]
I request that I and my spouse may be registered at. (AIRPORT ~
STATION)for the purpose of Medical Re-imbursement.. ~
,
~
I am aware of the terms & conditions governing the grant of medical facilities to retired em~ .......
ployees and hereby undertake to abide the same. ~
--.
I hereby declare that the information stated above is true to the best of my knowledge. In ~
c?se any of ~heabove information/d.eclarationisfou~d to be.wrongorfals~,the benefitswill imme~ ~
dlately be withdrawn apart from facing any other action which the Authonty may deem fit to take.. .
. . ~.~
-..;
........
-...
\.J

,\

"01
(Signature/Left Thumb) ~
Impression of the Applicant ~
Note:

Joint orSelf/SpousePassp()rtSize Photograph{s) {THREE COPIES)and lump sum contri- ~

bution must accompany the application.. .:.. . At!
[Contribution rates: .. .. ... ... - RS.10001-;GroupC- Rs.1350/- ~
.(for Group D
.. GroupB&Abov~Rs;1750/~ DGMSandabbve-Rs. 20001-&EDs andabo:ve-Rs..25001-plus ......
a nominalfeeofRs. 50/,.(FIFTY RUPEES ONLY)is payableonceinTHREE YEARSforremoval --.
of Membership, issueoHreshldentifytard etc.] ; ... .. ': ... .'. . .. ~
,
'. ~
..
.~
~
. '"
--...
32
 -

-.
The application received from ShrilSmt.

. hasbeenverifiedandadmittedto theAAI (RetiredEmployees).MedicalBenefitsSchemewith

effect from

Identity Card No. Date of Issue:

(SIGNATURE OF ISSUINGAUTHORITY)

33
r

-- ----