G.O.Ms.No.309, Dated 14.08.2012 New Health Insurance Scheme

Govt of Tamilnadu, Finance (Salaries) Department, G.O.Ms.No.309, Dated 14.08.2012.

MEDICAL AID– New Health Insurance Scheme, 2012 for Government Employees and Organizations covered under this Scheme – Implemented – Constitution of an Accreditation Committee for empanelment of
hospitals and also to monitor the quality of treatment - Orders - Issued.
Read:-
1. G.O.Ms.No.139, Finance (Sal.)Department, dated 27-04-2012.
2. G.O.Ms.No.243, Finance (Sal.)Department, dated 29-06-2012.


ORDER:
In the Government Order first read above, orders have been issued for implementation of the New Health Insurance Scheme, 2012 to provide for health care assistance to the Employees of Government Departments
and Organizations covered under this Scheme and their eligible Family Members with provision to avail assistance upto Rupees Four Lakh for a block of four years. In the Government Order second read above, orders have been issued for implementation of the New Health Insurance Scheme, 2012 through United India Insurance Company Limited, Chennai for a block period of four years commencing from 1-7-2012 to
30-6-2016.
2.During the review meeting on the implementation of the New Health Insurance Scheme, 2012for Employees of Government Departments and Other Organizations covered under this scheme, the issues of monitoring quality of treatment and empanelment of hospitals as per the prescribed minimum qualifications were discussed. As per the tender conditions, the Insurance  Company should have accredited hospital network in all districts of the State of Tamil Nadu and these hospitals should have the standards as prescribed under rule 6 of the New Health Insurance Scheme Rules, 2012 and this shall be adhered to by the Insurance Company / Third Party Administrator. After deliberation of the review meeting, it was decided that to ensure the
standards prescribed in the New Health Insurance Scheme Rules, 2012, the Insurance Company / Third Party Administrator has to inspect the hospitals and ensure the standards prescribed under rule 6 of the New
Health Insurance Scheme Rules, 2012. For the approval of such hospital accreditation, an Accreditation Committee may be constituted.

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Download G.O Ms.No.306 Dated 13.08.2012