TAMIL NADU GENERATION AND DISTRIBUTION CORPORATION LTD. (ABSTRACT) MEDICAL AID — New Health Insurance Scheme, 2012 - Provision of Health Care Assistance to the Employees of Government Departments, Organisations covered under this Scheme and their eligible Family Members through the United India Insurance Company Limited, Chennai - Implementation in Tamil Nadu Generation and Distribution Corporation Ltd. - Orders - Issued, (SECRETARIAT BRANCH) (Per.) CMD TANGEDCO Proceedings No.194 Dated the 1" August 2012 Aadi-17, Thiruvalluvat Aandu 2043, READ 1) (Per.) B.P. (Ch) No.89 (S.B.) dt. 21.5.2008, 2) G.O.Ms. No.243, Finance (Salaries) Department, dt. 29.6.2012. 3) From Commissioner of Treasuries & Accounts Letter Re.No.17705/2012/NHIS dated 09.07.2012. PROCEEDINGS: Based on the orders of the Government, the Tamil Nadu Electricity Board introduced the New Health Insurance Scheme.to provide health care assistance to the ‘Tamil Nadu Electricity Board employees and their eligible family members with Provision to avail assistance upto rupees two lakh with effect from 11.6.2008 and is in operation for the block period of four years upto 10-6-2012 2. In the Government Order second cited, 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, Public Sector - Undertakings, Statutory Boards, Local Bodies, State Government Universities, Willing State Government Organisations/Institutions and their eligible Family Members with provision to avail assistance upto Rupees Four lakh for a block of four years, The United India Insurance Company Ltd., Chennai has executed an agreement with the Government for implementation of the New Health Insurance Scheme, 2012 for a block period of four years commencing from 1-7-2012 to 30-6-2016. 3. The Government also direct that the implementation of the New Health Insurance Scheme, 2012 shall be administered by the Commissioner of Treasuries and Accounts, Chennai-600 015. 22 4. The Employees and their eligible Family Members covered under this Scheme shall avail assistance upto the limit of Rupees Four Lakh in a block period of four years commencing from 1-7-2012 to 30-06-2016 on a CASHLESS model for the approved treatments and surgeries in the hospitals approved by the Insurance Company/ Third Party "Administrator under this Scheme. The benefit will be on a floater basis i.e, the total coverage upto Rupees Four Lakh can be availed of individually or collectively by the Employees and their eligible Family Members during the said block period with no restriction on the number of times of availing. 5. The empioyees in Tamil Nadu Generation and Distribution Corporation Ltd., drawing pay in regular time Scales of Pay and Special Time Scales of Pay and their eligible Family Members are covered under the New Health Insurance Scheme, 2012. The Employees working on Consolidated Pay/Fixed Pay / Honorarium, Daily Wages, Contract basis, Re-employment, Temporary basis are not covered under this Scheme. 6. In the Government order cited, the Government have issued implementation procedure for New Health Insurance Scheme 2012 is outlined in Annexure-I. ‘The List of Diseases, treatments and surgeries under the broad based specialists approved under the New Health Insurance Scheme, 2012 are listed in Annexure-I. The List of hospitals approved by the United India Insurance Company Ltd/Third Party Administrator under the New Health Insurance Scheme, 2012 are listed in Annexure-IH. In addition to these hospitals, the employee families will be also eligible for treatment in other institutions to be approved by the Insurance Company and Third Party Administrator. The List of Nodal Officers of the United India Insurance Company Ltd, situated in the District Headquarters and Toll free Helpline number are listed in the Annexure-IV. The lists of approved treatments and surgeries, approved hospitals and the addresses of the Offices situated in the District Headquarters are also hosted on the websites of Government of Tamil Nadu in Finance Department (www.tn.gov.in/ departments/_finance.html), Treasuries and Accounts Department (www.tn.gov.in/ karuvoolam) and the United India Insurance Company Limited, Chennai / Third Party Administrator (www.mdindiaonline.com). The additional list of hospitals included and list of deleted hospitals, if any covered in this Scheme will also be hosted in the above websites for ready reference from time to time on receipt of the same from the United India Insurance Company Limited / Third Party Administrator. The guidelines regarding identity cards are listed in Annexure-V. The certificate to be issued in Lieu of Identity card under the New Health Insurance Scheme, 2012 is furnished in Annexure VI. Form for furnishing Data of Employee and their eligible Family Members for insurance coverage under New Health Insurance Scheme, 2012 to Insurance Company/Third Party Administrator is in Annexure VII. 7. Accordingly the following orders are issued: i. The enrolment of the employees under the New Health Insurance Scheme, 2012 shall be compulsory. ‘The monthly subscription under the New Health Insurance Scheme, 2012 will be Rs.150/- per month and recovery shall commence from the salary for the month of July 2012 onwards. 3aa iv. vie vii. ‘The employees in Tamil Nadu Generation and Distribution Corporation Ltd:, ~ drawinig pay in regular Time Scales of Pay and Special ‘Time Scales of Ray ‘and their-eligible Family Members ate covered «under the New: Health Insurance Scheme, 2012. = : The employees working on Consolidated Pay/Fixed Pay/Honorarium, Daily Wages, Contract, basis, Re-employment ete. are’ not covered under this scheme. ‘The following’ family members. of the employee shall be covered under the New Health Insurance Scheme, 2012 {@) legal spouse of the employee; (b) Children of the employee —tll they get employed or married or attain the age of 25 years whichever is earlier and dependent on the employee. (6) the parents of the Empioyee, in the ease of unmarried employee until the employee gets married. Under the Scheme, in respect of legal spouse cases the total assistance for the Family will be limited to Rupees four lakhs only ard the employee's contribution shall be recovered either from:Husband or from wife who is younger in age i.e. younger of the two. The employees and their eligible family. members shall avail: assistance upto the limit of Rupees four lakh in a block of four years commieneing from 1-7-2012 to 30-6-2018 on a CASHLESS model for the approved treatments and surgeries in the hospitals approved by the Insurance Company/Third Party, ‘Administrator under this scheme. The benefit will be on.a-floater. basis i.e. the total coverage upto Rupees Four Lakh can be availed. of individually or collectively by the Employees and their eligible ‘Family Members during the said block period with no restriction onthe ‘number of times of availing. ‘The annual premium under the scheme shall be Rs.1,860/- per employee plus service tax @ 12.36% (ie. the employee’s subscription of Rs.1800/- + the employer's contribution of Rs.290/-) of Rs.2,090/- per: employee. shall be remitted within one month {rom 1-7-2012 and for Second, Third and Fourth years; the Annual premium including Service Tax as applicable shall also be remitted on-or before 31° July of the respective year in the relevant head of account... This amount should be paid by.the Tamil Nadu Generation and Distribution Corporation Lid. in Advance for thé whole year. The additional expenditure over and above|the subscription: paid by. employees drawing pay. in regular time Scales will be borne by the respective employer-organisation od4 viii. .The Pay Drawing Officers shall furnish the details of the. Employees and their eligible Family Members as per the guidelines regarding Identity Cards in the Annexure-V to this order on or before 31-7-2012. ix. The Identity Card of the Employee issued by the Insurance Company / Third Party Administrator or the Certificate in lieu of Identity Card as in the Annexure-VI to this order shall be produced to the approved hospitals for the approved treatments / surgeries. This arrangement of Certificate in lieu of Identity Card will be applicable only for such interim period, till the Identity Cards are made available. During the interim period of preparation and distribution of the New Identity Cards, the Insurance Company / Thitd Party Administrator shall authorise acceptance of the existing Identity Cards already issued under the Scheme for 2008-2012 for time being i.e. upto 30-09-2012. 8. The Chief Financial Controller will arrange for advance annual premium Rs. 1860/- per employee plus service tax @ 12.36%, under the following head of account to the Government Account, and Statutoi 0075.00. OTHER MISCELLANEOUS GENERAL SERVICES 800. Other Receipts Bo. Subscription of Employees of Public Sector Undertakings and Statutory Boards towards New Health Insurance Scheme (NHIS) (D.P.C, 0075 00 800 BO 0004)” 9) ‘The receipt of the TANGEDCO’s Proceedings shall be acknowledged. (BY ORDER OF THE CHAIRMAN CUM MANAGING. DIRECTOR) AS.PASUPATHI, SECRETARY. To Alll Chief Engineers, (w.e.) ‘The Director (Finance TANGEDCO. (w.e.) The Director (Generation). (w.e.) The Director (Distribution). (w.e.) Alll Superintending Engineers. (w.e.) ‘The Secretary/TANGEDCO/Chennai-2. (w.e.) ‘The Chief Engineer/Personnel. (w.e.) The Chief Financial Controller, General/Revenue, TANGEDCO. (w.e:) The Industrial Relations Adviser. (w.e.) Copy t ‘The Chairman cum Managing Director’s table. (w-e.)‘The Managing Director/TANTRANSCO/Chennai, (w.e.) All Directors/TANGEDCO. (w.2.) All Directors/TANTRANSCO. (w.e.) ‘The Superintending Engineer/Chairman and Managing Director's Office. (w.e.) ‘The Chief Medical Officer/TANGEDCO Dispensary, Cheninai-2. All Deputy Secretaries/Secretariat Branch. (w.e;) The Deputy Chief Engineer/Administrative Branch. (w.<.) The Chief Internal Audit Officer/Audit Branch/Chennai -2. (Ww.e.) All Senior Personnel Officets/Administrative Branch. (w.e.) ‘The Under Secretary/ Wage Revisior/Secretariat Branch. (w:c.) The Legal Adviser/TANGEDCO/Chennai -2; (w.e.) ‘The Industrial Relations Officer/TANGEDCO. (we) ‘The Assistant Personnel Officer/Tamil Development for Publication in the TNEB Bulletin (2 copies). (w.e.) Al Officers and Sections / Secretariat Branch, TANGEDCO. (w.e.) All Branches/TANGEDCO. (w.¢.) Tamil Nadu Electricity Workers! Federation. (1.e.} Tamil Nadu Electricity Board Accounts & Executive Staff Union. (w.e.) Tamil Nadu Electricity Board Workers Progressive Union (LPF), (w:e,) Central: Organisation of Tamil Nadu Electricity Employees (COTEE). (wie. Minsara Pitivu-Anna Thozhir Sangam. (w.e.) ‘Tamil Nadu Minvariya Janatha Thozhilalar Sangam. (w.2.) Tamil Nadu National Electricity Workers' Federation (2-Groups). (w.0. ity Board Engineers’ Sangam. (w.e.} ity Board Finance & Accounts Officers Association. (wie: ) Bharathiya Electricity Employees Federation. (1.¢.) ‘Tamil Nadu Electricity Board Card Billing Staff Unsion. (w.<.) Tamil Nadu Electricity Board Dr.Ambedkar Employees Union. tw.e.) TRUE COPY//FORWARDED::BY ORDER/ uate SECTION OFFICER.& Annexure-I IMPLEMENTATION PROCEDURE FOR NEW HEALTH INSURANCE SCHEME, 2012. ‘The New Health Insurance Scheme, 2012 shall be implemented by the Commissioner of Treasuries and Accounts, Chennai-15 through the United India Insurance Company Limited, Chgnnai-600 006 / Third Party Administrator under the control of United’India Insurance Company Limited, Chennai for a block period of four years commencing from 1-7-2012, 2. The following Employees and their eligible Family Members are covered under the New Health Insurance Scheme, 2012:- (a) The Employees of Government Departments drawing pay in regular time Scales of Pay including Teaching and Non-Teaching Staff of Aided Educational Institutions. (b) The Employees of Government Departments drawing pay in the Special Time Scales of Pay like Noon Meal Workers and Village Assistants. (c) The Employees of Local Bodies, State Public Sector Undertakings, Statutory Boards and State Government. Universities drawing pay in regular time Scales of Pay and Special Time Scales of Pay. (@) The willing Organisations / Institutions registered under the Tamil Nadu Registration of Societies Act, 1975 covered under the previous Scheme for the year 2008-2012. (€) The Employees on deputation to other departments and Employees recruited through Employment Exchange on regular basis and (9 The Employees of the Tamil Nadu Hindu Religious & Charitable Endowments Board drawing pay in regular Time Scales, 3. The Employees appointed on the following terms are not covered under this Scheme: (a) Consolidated Pay/Fixed Pay / Honorarium, (b) Daily Wages. (c} Contract basis. (d) Re-employment. {e) Temporary basis under 10(a)(i) of the T.N. State and Subordinate Services recruited through Employment Exchange and () Outsourcing.7 4. The following Family Members of the Employee shall be covered under the New Health Insurance Scheme, 2012: () Legal Spouse of the Employee; (i) Children of the Employee - till they get employed or married or attain the age of 25 years whichever is earlier and dependent on the Employee; (iii) Parents of the Employee, in the case of unmarried employee until the Employee gets married. 5. The Diseases, Treatments and Surgeries under the Broad Based Specialties approved under the New Health Insurance Scheme, 2012 are listed in the Annexure-II to this order. The scope of the scheme shall be to provide coverage for the eligible expenses incurred by the Employee on behalf of himself / herself or any eligible his / her Family Members for the treatments and surgeries as approved in the above list. The coverage will include the cost of medicines, laparoscopic or open surgeries, doctor and attendant fees, room charges, diagnostic charges, dietary charges availed in the approved hospitals. Transport Charges shall be excluded, The coverage shall also include pre-existing illnesses which have been included in the above said list. 6. The hospitals already in Tamil Nadu Government Employees Health Fund Scheme and approved by the Insurance Company / Third Party Administrator under the New Health Insurance Scheme, 2012 are listed in the Annexure-III. The Employees and/or their eligible Family Members for assistance shall get admitted in any one of the approved hospitals, by production of the Identity Card issued by the above Insurance Company or by production of the Certificate as in the Annexure-VI_issued by the Drawing and Disbursing Officers in Government Department / Pay Drawing Officers in Organisations covered under this Scheme which will be valid upto issue of New Identity Card by the Insurance Company, as the case may be. During the interim period of Preparation and distribution of the New Identity Cards, the Insurance Company / Third Party Administrator shall authorise acceptance of the Identity Cards already issued under the Scheme for 2008-2012. The additional lists of approved hospitals and deletion of approved hospitals if any, shall be issued from time to time on receipt of the same from Insurance Company. The updated list of approved hospitals may be verified with the websites of the Government of Tamil Nadu in Finance Department and the United India Insurance Company Limited, Chennai '/ Third Party Administrator under the control of United India Insurance Company Limited, Chennai then and there. 7. The Insurance Company / Third Party Administrator shall arrange to issue the new Identity Cards to the Employees covered under this Scheme with the details of eligible Family Members of the respective Employees within a period of 60 days from 1-7-2012. The Insurance Company / Third Party Administrator shall also arrange to issue the Identity Cards to the newly recruited or absorbed employees in service on their appointment or absorption as the case may be as and when the8 details of the employees are jurnished to the Insurance Company / Third Party Administrator. The Drawing and Disbursing Officers in Government - Departments / Pay Drawing Officers in Organisations covered under this Scheme shall be responsible to arrange to furnish data in the prescribed format and get Identity Cards for their employees. They shall also be responsible to surrender the Identity Cards of such of those employees who retire on superannuation, die in harness or otherwise cease to be in service to the Insurance Company. The Identity Cards in such cases shall be surrendered by the Employee or their Family Member to the Drawing and Disbursing Officers in Government Departments and Pay Drawing Officers in Organisations covered under this Scheme, 2012, as the case may be. .__ 8. The Commissioner of Treasuries and Accounts, Chennai-1S shall monitor the progress of the work of the Insurance Company / Third Party Administrator for issuance of new Identity Cards to the employees. The guidelines regarding Identity Cards as in the Annexure-V shall be followed by the Employees, the Drawing and Disbursing Officers in Government Departments / Pay Drawing Officers in Organisations covered under this Scheme, 2012, the Insurance Company/Third Party Administrator and the Commissioner of Treasuries and Accounts ‘as the case may be. The Insurance Company / Third Party Administrator shall arrange to issue the Identity Cards to the employees within the stipulated time. 9. The Insurance Compariy / Third Party Administrator shall ensure that the patient i.e. Employees and their Family Members who are eligible under this Scheme are given coverage for approved treatments / surgeries including pre-existing illnesses in the approved hospitals for this purpose upto the limit of Rupees Four Lakh over a period of four years commencing from 1-7-2012, The benefit will be on floater basis ic. the total coverage upto Rupees Four Lakh can be availed of individually or collectively by the Employees and their eligible Family Members during the said block period with no restriction on the number of times of availing. ‘ 10. The Employee and their eligible Family Members under this Scheme will not have to make any payment for the approved cost to the hospitals upto the Rupees Four Lakh limit. The hospitals approved by the Insurance Company / Third Party Administrator under this Scheme shall extend treatment to the Employees and their eligible Family Members on a CASHLESS model. 11. The procedure to be followed at the time of admitting Employees and / or their eligible Family Members for approved surgeries / treatments are as follows: . (2) The hospitals approved by the Insurance Company/Third Party Administrator under this Scheme alone should be approached for availing the benefits. (b) The approved Hospitals, the Liaison Officers of the United India Insurance Company Limited / Third Party Administrator and the Toll Free Helpline No.1800 233 6666 of Insurance Companyq / Third Party Administrator shall be informed for the approved treatments / surgeries to be undertaken so. that pre-authorisation is given by the Insurance Company / Third Party Administrator under the control of the United India Insurance Company Limited, Chennai. (c) The Identity Card of the Employee issued by the Insurance Company / Third Party Administrator or the Certificate in liew of Identity Card as in the Annexure-VI to this order shall be Produced to the approved hospitals for the approved treatments / surgeries. This arrangement of Certificate in lieu of Identity Card will be applicable only for such interim period, till the Identity Cards are made available. During the interim period of preparation and distribution of the New’ Identity Cards, the Insurance Company / Third Party Administrator shalt authorise acceptance of the existing Identity Cards already issued under’ the Scheme for 2008-2012 for time being ie. upto 30-09-2012. (@) This Scheme is on CASHLESS basis and no payment for approved cost ‘need to be made by the Employee or their cligible Family Members to the approved Hospitals, (c) The eligible charges which are entitled to under this Scheme should be ascertained for the approved treatments / surgeries and the hospitals approved by the Insurance Company / Third Party Administrator should not be allowed to charge any excess amount. () Any claim jin deviation of the above procedure for reimbursement is liable to be rejected. i2. The Insurance Company shall furnish a Weekly / Monthly / Quarterly / Annual report to the Government of Tamil Nada in Finance (Salaries) Department with the details of the number of claara (hospital wise), and the total amount disbursed (diseases, treatments ani cneeries wise) and also to the Commissioner of Treasuries and Accounts, Chennai-15, 18. Under this Scheme even if the legal spouse is covered under the Heed lovee’, the total financial assistance for the Family will be limited to Rupees Four Lakh only. In such cases, the employee's coniribution shall be recovered from only one of the employees as per the option exercised in this regard (from the younger of the two). 24. Any complaint about any difficulty in availing treatments, non- availability of facilities, availing of bogus treatment for ineligible individuals, etc., shall be submitted to the Commissioner of Treasuries and Accounts in Chennai and the Joint Director of the Medical and Rural Health Services Department at the District Headquarters. 15. The complaints received shall be placed for a decision of the District Level Empowered Committee headed by the Distant eat10 having the Joint Director of Medical and Rural Health Services Department and the District Treasury Officer as members. 16. An appeal against the decision of the District Level Empowered Committee may be preferred by the-employees to the State Level Empowered Committee headed by the Commissioner of Treasuries and Accounts and having the Director of Medical and Rural Health Services as Member Secretary and an Official representative nominated by the Insurance Company as members. 17, The appeals shall be filed with the Director of Medical and Rural Health Services, the Member Secretary of the State Level Committee who shall place the appeals for a decision of the said Committee. 18, Any dispute arising out of the implementation of this Scheme which remain unresolved at the State Level Empowered Committee shall be referred within fifteen days of award of State Level Empowered Committee to a High Level Committee, comprising of the Secretary to Government, Finance (Salaries) Department, Secretary to Government, Health and Family Welfare Department and the Representative of the Insurance Company nominated for the purpose. 19. The Civil Courts situated in Chennai shall have exclusive jurisdiction over any dispute, which remain unresolved by the above procedure and nothing aforesaid, shall prejudice the rights of the Government of Tamil Nadu to approach any other forum for dispute resolution permissible under Law. -/ True Copy /- 4 Ya let —3yele- SECTION OFFICER.Ne Annexure-II LIST OF DISEASES, TREATMENTS AND SURGERIES CLASSIFIED UNDER THE BROAD BASED SPECIALITIES SLNo. Name of Diseases, Treatments and Surgeries 1. CARDIOLOGY AND CARDIO THORACIC SURGERY Heart Surgery including 1. (a) Coronary By-Pass Surgery (CABG) 2. (b) Valve Replacement and Other Valvulo Plastics 3. (©) Correction of all Congenital Heart Diseases 4. (4). Angioplasty and PTCA Stent 5. (€) _ Baloon Valvuloplasty 6. (Permanent and Temporary Pacemaker Implantation 7 (g) _ Embolectomies for Peripheral Artery Embolism 8. (h) Surgeries for Repair of Aneurysm % () Enhanced External Counter Pulsation Therapy {EECP) I. ORTHOPAEDIC SURGERY 10. (a) _—_Total Hip Replacement 11, (b)_—_ Total Knee Replacement 12. (c) Surgeries for Correction of Fractures of Bones and Joints 13. (@)_—_ Arthroscopic Repair of Ligaments I, NEPHROLOGY / UROLOGY 14, (a) Renal Transplantation 18. (b)_ Lithotripsy 16. (c)_ Surgeries for Prostrate Gland Problems 17. (d)_—_ Surgeries for Ureteric Problems 18. (e) Surgeries for Kidncy Problems 19. ()_—_ Surgeries for Urinary Bladder Problems Iv. ONCOLOGY 20. (a)_ Surgical Management of all Malignant Tumors +" (bl) Laser or Radiation Treatment of Malignancy (c)__ Chemotherapy for Treatment of Malignancy ——————$ ——ee——E—eeeE—e—EeeeEeEeeEemewespvecy__dName of Diseases, Treatments and Surgeries V. NEUROLOGY 23. (a) Emergency Life Saving Surgeries on Brain and Spinal Cord 24. (b)_— Advanced Specialized Surgeries on Brain and Spinal Cord such as Cerebrovascular Surgery (Aneurysm and Arteriovenous (Malformation), Surgeries involving base of the Skull and Synotactic Surgeries 25. (c)_ Surgery for Intractable Epilepsy 26. (d) __Inter-vertebral Disc Prolapse related Surgeries 27. (e) Management of Cerebro-Vascular Accidents (Stroke) 28. —(f)_—_ Surgery for all Congenital Malformations including Hydrocephalus 29. (g)_-- Management of Guillian Barre Syndrome VI. OPTHALMOLOGY (i), Simple Surgery 30. (a) Any Cataract Surgery with or without Intra Ocular Lens (IOL) Implantation 31. (b) Surgery for Glaucoma (ii), Specialised Surgery 32. (a)_—‘ Surgery and other procedures for Detachment of Retina. 33, (b) _Vitrectomy 34. (c)__Keratoplasty (Corneal Grafting) 35. (d)_—_ Laser treatment,-Krypton Laser, Dye Laser, Argon Laser,Photo Coagulation. 36. (e)_Liner Accelerator Theraphy (for Senile Macular Degeneration }. VII. VASCULAR SURGERY 37. Amputation of Legs, Arms, Toes and Foot VIII, GASTROENTEROLOGY 38. (a)_—_- Surgeries for various Gastro Intestinal Ulcers 39. (b)— Gall Bladder and Liver Surgeries 40. {c)_ Surgery for Pancreatitis and Appendicitis 41. (d)_—_ Corrosive Strictures of GI Tract 42. (e)__ Laproscopic CholecystectomyWw Name of Diseases, Treatments and Surgeries Pee farce Bees crc ems mnnennmnnemeeereestoceee meena TX. PLASTIC AND FACIO MAXILLIARY 44. ‘Treatment of Acute Burns xX ENT. + 45. (a) Tonsillectomy 46. (b)’ Mastoidectomy 47. (c) Stapedectomy 48. (d)_ Injuries in Ear, Nose, Throat and Neck areas and its Management XI, GYNAECOLOGY 49. (a) Surgery for Removal of Uterus 50. (b) Surgery for Removal of Ovaries and Ovarian Cysts XI. THORACIC 51. Surgery for Lung Abscess, Pleural Effusion and Pneumothorax XIII, GENERAL: OTHER SURGERIES 52. (a) Thyroid Surgery 53. {b) Surgery for various Hernias . 54. (c)_~- Surgeries needed in Accident and Trauma 5S. (d) _ Management of Coma, Meningitis and Encephalitis 56. (e)_—Piles and Fistula 87. (All surgeries for correction of congenital deformities and management of subsequent problems 58. (g)_Alll Interventional Radiology Procedure for : Vascular Problems 59. (h)_ All Interventional Radiology Procedures using Stents MEDICAL CARE (i). Critical Care 1. (a). Acute Respiratory Distress Syndrome (ARDS) 2. (b) ARDS with Multi Organ Failure 3. {c) ARDS plus DIC (Blood & Blood Products) 4. (@) OP Poisoning requiring Ventilator Assistance 5. (e) Septic Shock (ICU Management)t a SLWo. Name of Diseases, Treatments and Surgeries 6. () Metabolic Coma requiring Ventilator Support (i), acmatology 7 (a) | Hemophilia 8. (b) | Snake Bite requiring Ventilator Support % (c)- Treatment for Sickle Cell Anemia 10. {a) __ Bone Marrow Transplantation 11. (@)_ Stem Cell Transplantation (iii). Pulmonology 12. Massive Hemoptysis (iv). Gastroenterology 13. {a) Acute Pancreatitis (severe) 14. (b)_-— Obscure GI Bleed 15. (c)_Cirthosis with Hepatic Encephalopathy 16. (a) _ Cirrhosis with Hepato Renal Syndrome 17. (@)_ Corrosive Oesophageal Injury 18. () Acute Pancreatitis with Pseudocyst (Infected) 19. (g) Oesophageal Perforation 20. (h)__ Oesophageal Varices, Variceal Banding 21. (i)_~— Oesophageal Varices, Sclerotherapy (v). Cardiology 22. (a) Acute MI (Conservative Management without Angiogram) 23, (b) Acute MI (Conservative Management with Angiogram) 24. (c)__ Acute MI with Cardiogenic Shock 25. (d)_—_ Acute MI requiring IABP Pump 26. —(e)_-Refractory Cardiac Failure 27. () Complex Arrhythmias 28. — (g)_— Simple Arrythmias 29. (h)__ Pericardial Effusion, Tamponade (vi). Nephrology 30. (a), Acute Renal Failure-(ARF) 31. (b)_—_—‘Nephrotic Syndrome 32, (c)_—- Chronic Renal Failure 1 (CRF } 33. (d) __ Hemodialysis/ Peritoneal Dialysis16 eee SLNo. Name of Diseases, Treatments and Surgeries (vii). Neurology 34. (a)_Neuropathies (GBS) 38. (b)__ Immunoglobulin Therapy ~ IV 36. (c)_ Chronic Inflammatory Demyelinating — Poly Neuropathy (CIDP) 37. (d)__ Hemorrhagic Stroke/Strokes 38. (e)_Ischemic Strokes 39.) Neuromuscular (Myasthenia Gravis) 40. (g)_Neuroinfections -Pyogenic Meningitis 41. (h) ‘Tb Meningitis 42, (i) Neuroinfections Viral __ Meningoencephalitis (Including Herpes encephalitis) 43. (@) | Management of COMA 44, (k)_‘ Cavernous Sinus Thrombosis 45. (l)_—_- Rhinocerebral Mucormycosis (viii). Rheumatology 46. (a) SLE (Systemic Lupus Erythematosis) 47. (b) Vasculitis (x). Endocrinology 48. (a) _—_ Infectious. Emergencies due to Uncontrolled Diabetes 49. (a) Hyper Osmolar Non Ketotic Coma 50. (e)._- Management of Endocrinal Disorders 51.) Hypopitutarism 52. {g) Pituitary - Acromegaly 53. (h) — Cushings Syndrome 54. (i) ‘Delayed -Puberty Hypogonadism (ex.Turners leinfelter synd) -/ Trae Copy /- Nhe ashe ‘SECTION OFFICER.le: Annexure-III LIST OF APPROVED HOSPITALS *- UNDER NEW HEALTH INSURANCE SCHEME, 2012. Name of the Accredited Hospitals already in Tamil Nadu Government Employees Health Fund Scheme. ae Name of the Hospitals Address Contact Numbers + [arowonoserais 21, GREAMSROAD,OPPTOGREANS | O44 20206022, 2920200, ENTERPRISES LTO. tain cHEanA- 400008 25299300 2 | WAYAGROUP OF ROSPITAL® | NaK HLA, VADNPALAN ose 24807221, 24802165 ‘nga 3 | MADRAS MEDICAL MISSION “FA.DR 1 NAGAR MOCAPPAR, | 04-2656100%, 26565081 Caen tnsr “4 | SRIRAMACHANDRA HOSPITAL | sRAMACHANORANAGAR,PoRUR, | 04424769027, 91-98 chenastors 5 | Ks. HOSPITAL PRIVATE LIMITED " | NEWNO1H2, POONAMALLEE HIGH | 044. 26419519, ROAD, CHENNALADOOBA 6 | Tawunaou UROLOGICAL TBNELSON MANICKAM ‘044-23743600 RESEARCH CENTRE PVT LTD. ROADAMNUIKARAY, 123743300 (HENNA SOD 028, 7 | THE Guest HosPrraL 372, PH ROAD, KLPAUK, (044-2641 2420 ‘HENNA 300 Of 8 | THE VOLUNTARY HEALTH RAI GANDHI SALALADYAR, (044-22842071-73 SERVICES (CHENNALEOD 113 9") THE HEART INSTITUTE, VUAVA | NSK SALA, VADAPALAN, (044-23629028 HEALTH CENTER (CHENNAI -€00 026; 23623028 10. | CANCER INSTITUTE [WALA] CANAL BANK ROAD, ADYAR, (044.24910754 CCHENNAL- 6000020 24911528 11 | Fortis MALAR HOSPITAL ‘52, GANDHINAGAR, TSTMAN ROAD, | 044-4289 2222 ‘CHeNNa 0020 42. | HARVEY HEALTHCARE LIMITED | 542,TTK ROAD, ALWARPET, 044-24811721-24 CCHENNALSO008 13, | oR RAIMEMORIAL MEDICAL ‘582, AANASALAL CENTURY PLAZA, | 044-42132054, 24340594 CENTRE, ‘THEYNANPET, CHENNA00018 24349860 14 | ASWENE SOUNDRAHOSPITAL & | 24, KASTURI PANGAN ROAD, ‘044. 2499078, RESEARCH CENTER ‘TEMUNPET, CHENNAL E0018 24990825 46 | SUGAM HOSPITAL 348, THRUYOTTIUR HIGH RO, (044-25739890 25733280 TTHRUVOTTVUR, CHENNAISDI019 | 25737430 46 | BILLROTH HOSPITAL, 49, LAKSHIM TALKIES ROKD, SHENOY} 044. 26641777, NAGAR, CHENNA-200030 2e6a4ass 17 | survaHosrrat, 32, NROAD, TRUVALLUR -602001 | 044-27662780 78 | CHENNAI KALIAPPA HOSPITAL | S2:NDMAN ROAD, RA PURAM, 044-24861111 INOW BILLROTH HOSPITAL] (CHENNAI -600028, 19. | SANKARANETHRALAYA (MEDICAL | 18,COLLEGE ROAD, HEWal-600008 | o44-28271616, 26233566, RESEARCH FOUNDATION} 28311913 20 | DR.AGARWAL'S EYE HOSPITAL _ | 19, CATHEDRAL ROAD, ‘044. 26112811 uD (CHENNAT-€00 665Iz Si. fe. Name of the Hospitals Address Contact Numbers 21 -] EYERESEARCH FOUNDATION | tdosisK SALA cHENNAL-600005 | 44.24830638 Iuavat 22 | MN. EYE HOSPITAL 718, THROAD, WASHERVANPET 4e-25956003, ‘CHENNAL800 624, 23 | PREMS EYE CLINIC 120-A, BAZAAR ROAD, SAIDAPET, 044-2432736 ‘CHEN e00013 24 | RAIAN EVE CARE HOSPITAL (P) | §, DYODHAYA EAST NSTREET, ‘044. 28340500701 up, TTNAGAR, CHENNAL-BC0017 28 | MoT HosPrTaLs ‘utt2, Moun POONAMALLEE ROAD, | 044-22492208 TMANAPAKAM, CHENNA!- 600089 26 | DEEPAM HOSPITAL (P)LTD ‘327, MuTHURANGaN ROAD, WEST | 044.22261917, 22263917, “TlgaRaMt, CHENNAY 600085 22285248 22266248, 27 | DR_RAVISHANKAR'S EYE CLINIC & | 11, HUNTERS ROAD. VEPERY, ‘004. 25528128 NURSING HOME (mEWNA-e00 112 26 | SATISHEYE HOSPITAL 48 (NEW NO: 57), ORES ROAD, (044-26424035, 26426464 KIUPAUX, GHENHA-620 010, 29. | APPASAMY HOSPITAL 23, FRENDS AVENUE, ARUMAKKAN, | 044-32973001, 92023092, ‘CHENNA- 600108 32939099 30. | UDHI EYE HOSPITALS ‘4. MURRAYS GATE RO, ALWARPET, | 04442180842 -45 (CHENNAY-€00 018 . ‘34 | KUMARANHOSPITALS PVTLTD | 214,?H. ROAD, KLPAUK, 044-2641 1260 enna e00010, 32 | Amarr HOSPITAL, 310.uint smREET, sowcAREPET, | 044.26206706, 25295135 ‘OveNNA 620078 33. | UMAEvE cUNIG Pvr LTD ‘957, tovaManRoaD, anwanacer, | 044-26263199 (CHEN - 600040, 34 | RG STONE UROLOGY & {SBURDRANNASALALOPP NEW BUS | 944-65856521-25, LAPAROSCOPY HOSPITAL ‘STAND SAIDAPET,CHENNALED0O1S 35. | FRONTIER UFELINE S00, AMBATTUR INDUSTRIAL (044-28567200, 52017575 DR. KM. CHERIAN HEART ESTATE RD, MOGAPPAR, FOUNDATION (CHENNAL £00701 38 | DeVaKI HOSPITAL LTD. NO.148 Luz CHURCH ROAD, (044-42838938, 26993749 MYLAPORE, CHENNALEOO 00, 37 | DR. RABINDRAN'S HEALTH CARE | 212,MTH, ROAD. AMBATTUR (044-26874247 26570608 CENTRE PVT LTD (CHEN - 600055, 55474242 36 }ICAREEVE CARE EYE HOSPITAL | zoz0HaNLMARKOL STREET, RADHA | 044-22232820, 22654736 NAGAR, CHRONPET, CHENNA: 502044 39° | BALA HOSPITALS (PRIVATE) 1, LAWYER JAGANNATHAN 040-20623111 UsITED STREET, GUINDY CHENNA\-600082, 40 | SEN HOSPITAL 18, BUNDER GARDEN STREET, 048. 25580806 42769724 PERANBU®, CHENNAI 600011 41 | SANKARA EYE HOSPITAL 1, THIRD CROSS STREET, SR 044. 22484789, 22405209 SANKARA NAGAR, PAMIAL, (CHENNAI 600025 42_| DR. KAMAKSHI MEMORIAL {RADIAL ROAD, PALLIARANAL ‘4. 22489200 66300300 HOSPITAL : (CreNwa 200100 43 | KK EVECARE AND RESEARCH — | 34, GANDMIROAD, WEST TAWBARAM | 084-27381790, 22081811 CENTRE Crema stn 45 ssen6e98ar cre ceneraeanesinieeennt 18 Name of the Hospitals Address Contact Numbers 44 | ratnivaneve cume 23, ARULAIUNDAM STREET, 044.24640002, 24640800 {SAH INOME, CHENNAI 600604 45 | MEDINDIA HOSPITALS 83 vouLUvaRKorraw mon noas, | 044-2891 1001, 28319475 NUNGANBAKKAM,Chenatst0 coe 48 | GKUPPUSAMY NAIOU MEMORIAL | NETHALIROAD,PAPPANAICIAN 04222248000, HOSPITAL PALAYAM CompaToREsti 057. | 2243s01-508 47 | KOVAI MEDICAL CENTER & POST BO NO.ae AVANASHI ROAD. | 0422-4329800, HOSPITAL LiMiTED COMBATORE. Bt Ot 48 | KaHoserrat x.Govinoasamy | 5 Govr. aars COLLEGE ROAD, ona2-22i2121-29 NAIDU MEDICAL TRUST ‘COMBATORE-6#1 O18 2218007-09. 49 | PSG InstiTuTE OF MEDICAL | AymusHi ROAD, PEELANEDU, 0422-2570170 SCIENCES AND PSG HOSPITALS | CONBATORE-S4 Oot 2598821 0 | ARVIND Eve HOSPITAL & AVINASI ROAD, 10422-4360400, POSTGRADUATE INSTITUTE OF | COMBATORE 641014 2550400 OPHTHALMOLOGY 51 | COMBATORE KIDNEY CENTER — | PULAKULAMROAD, NEAR LaKGHAN | o42a-2512008 MS, COWBATORE atts 2staaer 82] SREERAMAKRISHNA HOSPITAL | 396, sAROJNNAIDU STREET 0422-4800000, ‘omasrore -sriade 4500123 (C-SRNURSING HOME 1212, TIHSTREET EXTENSION, 0472-2524762 (GANOHPURAM, COMBATORE 64 O12 54 | KONGUNAD HOSPITALS (P)LTD | 79, 1THSTREET. TaTAGAD, 9422-4316000, COMBATORE Gator 2494369, 86 | SRILAVANYA GENERAL HOSPITAL | KALVEERANPALAvAM (0422-2429131 CCOWMBATORE 4 Ot 98 | SANKARA EVE CENTRE {716 sATHY ROAD.SWVANANON | 0422.25664501 (SRIKANGHIKAMAKOTI MEDICAL} PURADCOMBATORE SuoNe TRUST) a | sw noserraL S49 BAR NAGAR, SAT ROAD, 0422-252526, COMBATORE 681 Of2 4389966, 88 | K:.V.R GROUP HOSPITAL aRavaNa GURU ROAD, sABA | o422-2445461, 2445917 Covawy, consaroRe sort B4azissert 59 [LOTUS EYE cARE HOSPITAL LTD | syavnusia RoAo, ci AcROOROME | oxza 2azeass Zorasee POST, COMBATORE e401, 2) 18:10, | Z)042 2562101 26s06%1 COWLEY BROWN RO, RS PURA, CConearoRE a40n2 60] THE Eve FouNDATION, NOS#2-ADLROKD, RS PURAN, 0422-2544242, 2544243, COIMBATORE Comaarore actos 4366534 61 | LALITHAA HOSPITAL 820 100F7 ROAD, ‘0422-245953, 2480608 COMMBATORE: e412 62 | SV. UNITED HOSPITAL PVT. LTD, | 77158 NEHRU NAGAREXT 0422-2628628 KALAPATTIROAD COMBATORE 41014 3 | sHeELAcunie 46, EAST POWER HOUSE ROAD, 0422-2498961, 4334600 COMBATORE -6t1 O12 64 | GaNca meDical ceNTeR & 2 SWARNAMBIGAILAYOUT,RAM | 04222236050 HOSPITALS LIMITED. NAGAR, COMBATORE -t41 008 98 | RichMOND HOSPITAL 127 TROHY ROAD. OPP ICI ‘0422-2309630, 2303680, BANK COMEATORE 4 OT 2303603igi si. ict ‘Name of the Hospitals Address Contact Numbers 66 | ST. MARY'S HOSPITAL ‘CHURCH ROAD, PODANUR (0422.2610832, ComeaTORE - 23, 2611995 67 | VEDANAYAKAM HOSPITAL 52, OLD NO.153, EAST EASHYAKARALU | 0422-2540066, (PRIVATE) LIMITED. ROAD, RSPURAN COMBATORE. | 4354465 8 | OsKHosPrraL 1, KaTIIR NAGAR, KANGEVAN ROAD, | 0421-2421350, TIRUPUR. COIMBATORE - 641604 2422011 69° | SREE ABIRAMI HOSPITAL (P)LTD | 33, nADUKKARAIRD, SUNDARAPURAN, | 0422-2672972, 2873277, ‘COMBATORE - 681 O28 2574999 70 | JSP. HOSPITALS (F) LTD ‘,KANCHEEPURAMMIGHROAD, | 044-27426829, 27428851 (CHENGALPATTU 808002 71 | VIDHYA NURSING HOME 1148, J0 x nacaa. 27429621 SrenSALPATTU, 809001 72 | KRISHNA HOSPITAL NO8,OLDNO17A, HOSPITAL ROAD, | 04142-204711-14 (CUDDALORE-67 ot 73 | cry HosPrTAL, 4981, GANDHLI NAGAR, TRiCHY RO, | 451. 2436060, PAVALAM TRAUMA CENTER DINDictt 624 COs 2435050 74 | PRIVA HOSPITAL 22, NETHAINAGAR, DNDIGUL RO, | 04545-25117 ALAN! - 624601 75 | KV. HOSPITAL & ISWARYA 728, ONOUGLL ROAD, 04545, 242880, 243730, FERTILITY CENTER PALANI- 826601 240077 76 | RAJA RAJESHWARI NURSING. 48, THRUVALLUR SALAL SPENCER | O41 - 2422442 fo 444 HOME| ‘COMPOUND, DINDUGUL -624 008, 77 | RAMAKRISHNA NURSING HOME | DR. KM NALLASAMY BULDIG, 0424-2258177 654, POWER HOUSE ROAD, ERODE -698 78 | APPOLLO IDAYAM HOSPITAL, 16, PALANIAPPA STREET, o424.2256056 (NOW CALLED AS IDAYAM (NEAR GOVERNMENT HOSPITAL), HOSPITAL) ERODE 638 08. 78 | LOTUSHOSPITAL @RESEARCH | POONDURAIMANROAD,ERODE-2 | o424-2282626 CENTER LTD ‘80. | ARASAN EYE HOSPITAL 25, ANNAMALAI LAYOUT, OPPO 0424. 2227010-21 ROYAL THEATRE, ERODE - 632001 81 | SENTHIL MULTI SPECIALITY ‘547, PERUNOURA: RO, RODE -6300"1 | 0424- 2260575 HOSPITAL, a2 | BEAN SINGH EVE HOSPITAL (p) | #27319C. M5. ROK, 04882. 237403 up, \VETOORNINADAN, NAGERCOR, Fax 04882.231171 ANYAKUMARI-£25 003. 83 | DR. MATHIAS HOSPITAL DDRMATHIAS NAGAR 278137, 320174, NAGERCOR-622001 84 | P.S.MEDICAL TRUST HOSPITAL | THALAKULAM wanvakunlanl-czeane | o4@s1-222200,222522, 222386, 291161 85 | DR. JAYASEKARAN HOSPITAL AND | , ROAD, NAGERCON 629 03, (04862-290018 2021 NURSING HOME | 86 | THIRAVIAM ORTHOPAEDIC 2994, TIRUNELVELI HIGH ROAD, (94852-276607, HOSPITAL, THEREKALPUTHOOR, 278186,277887 THIRUPATHSARAM PO, NAGERAOL, ANYAKUMARI OST 62801 87 | KRISHNAKUMAR ORTHOPAEDIC | pxtvarwpuRAN cHUNKAN KDA | 04852-251922, 231418 HOSPITAL POST, NAGERCOL, KANNIYAKUMAR) DisTricT-29.07ao SL | Name of the Hospitals Address Contact Numbers (0 | MEENAKSHI MISSION HOSPITAL & | LAKEAREA MELUR ROAD, (0452-2580749 4392741 RESEARCH CENTER MADURAI 2507 29 | ARVIND EYE HOSPTIAL ‘LAOANAGAR waDURASE25 20, | 9452-4956100 9 | APOLLO SPECIALITY HOSPITAL | 320 xNUA SALA, NaNANANEPaDUR | 044.24396170 / 24969455 Contax crear eoote 91 | THE CHRISTIAN MISSION EAST VELISTREET, WADURA-62500T-| 0452-2526458, 233418, HOSPITAL 2326012, 2526204 92 | THe wsrmuTe oF ORTHOPAEDIC. | 4648 KK NAGAR, 0452-28508, 2660012 RESEARCH AND ACCIDENT ‘axoueaas ca. SURGERY #3 | quarry cane HosPrTal LTD | sz saRvOoAvAwamno, cus | o#s2. 2600076, 2600620 Nica MADURA-625018 ‘94 | MADURAI KIONEY FOUNDATION? | 334 MARKETROAD,ANNANAGAR, | ©452-2520645, 2630071 ‘SUMATHY HOSPITALS AND, innouRAl 42500, INSTITUTE OF SUPER SPECIALITIES 95 | SHENeAGAMHosPrTaL pvTLTO | ts16NoR4cROSsaRO STREET, | 0482-<289000, 2524501 L ANeUNAGAR KORA 23020 96 | MADURAIKIONEY CENTRE AND | 96,62 SVAGANGA/ROAD, 0452.2504508 TRANSPLANTATION RESEARCH | NADURAISES G2, INSTITUTE @7 | MADURA CITY HOSPITAL N34 SivAGANGAI ROAD, CrP TO | 0452-28008, 2560043, MUXPROJECT, MADURA 20 2seare 96 | ANBU HOSPITAL 120, KAWARAIAR SA, 0462.2510287, 2911659 TEPARULAM AMOUR 62509 9 | vikea HosPrraL a New vicram | oro,vesTuamao,awanacan, | oasazaa4esn 2501227 HOSPITAL abun 20 z 100 | JAWAHAR HOSPITALS “4. UAINRORD. KX NAGAR, 0452-43977, 2560022 uxouRatas 20 101 | VADAMALAYAN HOSPITALS SA, VALLABAL ROAD, chowetenan, | 0452-2592506 6 LINES) oural-2 102 | SP. HOSPITAL, ORTHO AND ‘G94, 80 FEET ROAD, AIWATAGAR, | 0452-4985610, 6525500 SURGICAL CENTRE, MADURA 25 0. 403 | SriKRisHNAEYE HOSPITAL —— | T3.esoun souraamnstacer, | oxs0a.221978, 205178, PUOUKOTIA-822001 28581 554s 104 | TMS. EYE HOSPITAL Si RW COLONY saRADACOLIEGE | 427-2516055 FO, SALEM- 603007 105 | SHANMUGA HOSPITALS & SALEM | 24 sARADACOLLEGE ROAD, 0427-25182, 2316409, CANCER CENTER SALE 68007 z519654 106 | SRIGOKULAM HOSPITAL 160. MEWYANUR ORD saLEMoauIon, | 27 2448171-76 107 | SRI PALANIANDI MUDALIAR Z2.GUDOALORE WANN ROAD, o*er-2244s00 MEMORIAL HOSPITAL Ameer, SALEM 696 008 | 4108 | SKS HOSPITALS INDIA PVT LTD | 23 aRNDAVAN ROMD,aLAGAPURAM, | 0427, <039000, 2033000, L SALEU-69800¢ 4033004 tos | DR. AGARWAL'S EVEFOSPITAL | 1147, GANOHIRO,SALEW-eoeur | 0427. eaveaaa,zara000 op [ 110 | UnAvaKannsSION HOSPRAL [yar swam aniRON, or 08269087 VEERAPANDIPOST, SALEM 698 38 + —Al. NG, | Name of the Hospitals Address, Contact Numbers Jo. 141 | VINODHAGAN MEMORIAL 210012-TRIY ROAD, o7362.200691, 200790, HOSPITAL (®) LTO THANAVOR 61007 34962 686, “412 | SB, HOSPITAL Ind STREET, RAAPPARAGAR, 962.706872, 254859 OROLOGY AND FERTILITY NEDICAL COLLEGE ROAD, RESEARCH CENTRE, THANIATUR ST O07 113. | SUNDARAMARULRAHJ HOSPITAL | 1s/58.1EvARAJ ROAD, (0461-2320081 Totton EmIoHTemaee | oxbt-avoarva-zvoceTt 127 | KAVERI MEDICAL CENTRE ANO | 1.KORORD Ten, (0694-4022595, 4077777 HOSPITAL TiRUCHRAPALLA2D 7 128 | MARUTHI HOSPITALS 95, ATABRANAN STREET, 0851-2785458 TENOR, TRUCHRAPALLEEQ O17 128_| DEEPAM NURSING HOME S2.SHOP RoHO, UTR TACHA. | O«st-a7eBHA0 130. | PANNGER NURSHING HOME i THRUTHANTON! (0499-2761519, 2760567 GAO WORTUR TRI 2009 1s1_| SUDARSANA HOSPITAL 1180 PALAVANERZAIR, oesi-a7ei474 WoRtiR Tae 182 | INDIRA SESHADHRI NURSING | s,coLECTORSoFFIcERoAD AA | onat-2aonre0 HOME Coxon, Tce“ 133. | VASANS EYE HOSPITAL 154 soROSS TALLANAGAR AN | oxst-4080000 ROAD, TRICHY-82008,Name of the Hospitals dae Address. Contact Numbers 0431-2780238, 2780239 184 | ASSURED BEST CARE HOSPITAL | NOT, AMNAWALAINAGAR, WANRD, (P)LTO, (ABC HOSPITAL) TRUCHY 620018 138 | SRIBALAM HOSPITAL, CCHEnnalTRUNACROAD, TRUVANA | 0431-2290300 Owl, TRICHY-620005 196 | VIVEKANANDA EYE HOSPITAL | S40, VANATHARAYADALAYA (04176-226886, 223771 STREET, VETTAVALAMROAD, TRUVASNAMALA- 606802 197, | ‘SRI RAMANA MAHARISHI EYE 51-6 SOMAVARANLA 04176-220620 HOSPITAL ‘STREET, THIRUVANNAMALLAL 608601, ET 130 | LIONS EYE HOSPITAL VANDAVPALAIKANGALANHERRY | 04966-240088 POST, THRUVARUR 610101 139 | ARAVIND EYE HOSPITAL 5371, PERIVAKULAM ROAD, 04848-252668, 259258 “THEN 625691 140 | CHRISTIAN MEDICAL COLLEGE & | 1D SCUDDER ROAD, POST BOXNOS, | oai6-2222102 HOSPITAL VELLORE - 632004 141 | CHRISTIAN MEDICAL COLLEGE | scHELL CAMPUS, ARNIROAD, oat6-2a32e21, 2222115, EYE HOSPITAL ‘VELLORE 612001 142 | THIRUVENGDAM HOSPITAL {7-1 RANAMOORTHY ROAD, (04562. 242865, 267565 VRUDHUNAGAR 626001 143 | PRASHANTH MULTISPECIALITY | 77,HaRsuNGTONROAD,cHETPET, | oaa.agar7777, zes69170, HOSPITAL Chen -e00031 2636351015 144 | PATERSON CANCER CENTRE NSK SALA, VADAPALAN o44-24724202 |__| muavay (CHENNAI 200026 145. | BALAKRISHNA EVE HOSPITAL & | 118, SASTRIICROSS STREET, KavER! | o4a-2adso5Ta, 3z550z60 EYE RESEARCH CENTER RO, SAIDAPET-PO, CHENNAI GOODS 146 | KR ENT HOSPITAL & RESEARCH | 274, POONAIALLEE HIGH ROAD, 044 26411464 26411987 INSTITUTE (P) LTD, IUPAUR, CHENNAY-600 010 26411612 | 147 | SRIKUMARAN HOSPITAL T74P-NROKD, NEAR NEW BUS STAND, | 0421-2478787, 4330000, “TRUPUR 641802 148 | ARVINTH HOSPITAL ‘7, RANGAR SanwaTH STREET, 04206, 282893, 251393, aakeal. 637 001 149 | RAMAKRISHNA NURSING HOME | 2021,VIVEKANANOA 2774851, 4040444,404 NAGAR WORAIVUR.TRICHY-6=0003. | O588 160 | RETNA GLOBAL HOSPITAL £95), PATTABIREMAN STREET, 0431-2791450, 2791460, TENHUR, TRICHY -620 17 161 | RANA MATERNITY HOSPITAL ‘AA01S5SALA ROAD, THILLATNAGAR, | 0431-2769570, 2767506 TRUCHIRAPPALL! 182 | C.S.1.8ELLPINS INDRANI 58, TIRUCHENDUR 0462.2879811 / 2576778, CHELLADURAI MISSION HOSPITAL | ROAD PALAYAMKOTTALG2TO02 2576778 183 | JANET NURSING HOME 2B, RENGANATHAPURAM, 0431-2792804 2702543, PUTHUR,TRUCHRAPALU -620017 164 | ROYAL PEARL HOSPITAL 12.980 CROSS STREET, THRLAI | 0431-2768061, 2764801 NAGAR EAST, TRICHY -6200%6, 2782080 155 | THILAK HOSPITAL feaz oevan coLony, sst cross | o439-2760288, 2767277 ‘TILLAINAGAR, TRICHY- 6200, Iad Name of the Hospitals ‘Address Contact Numbers 168 | VELAN EVE HOSPITAL 17, SRINWASAPURAM,KARUR-esa001 | 04924- 260716 187 | VPN EYE HOSPITAL 25, NEELA WEST STREET, (04985: 221144, 221344 NAGAPATTINAM - 611001 158 | GEMHOSPITAL INDIA PYTLTD | 45, PANKAIA MLL ROAD. (0422-2824108 FRaManarhacunane ‘CONBATORE.#31 025 369. | SENTH HOSPITAL an, RaR LAYOUT. NeTruPaLavalno, | 04222548222 163 | LOTUS EYE CARE HOSPITAL LTD | NO.) GAIALAKSHIMITHEATRE 0421-4346060, 4346161 PUR, COMBATORE 641002 * Additional List of Hospitals approved by the United India Insurance Company Limited, Chennai / Third Party Administrator under the control of United India Insurance Company Limited under this Scheme will be notified shortly. -/ True Copy /- ce SECTION OFFICER.24 Annexure-IV LIST OF THE NODAL OFFICERS OF THE UIIC LTD. SITUATED IN THE DISTRICT HEADQUARTERS AND TOLL FREE HELPLINE NUMBER" UNITED INDIA INSURANCE COMPANY LIMITED, Divisional Office: 010700, First Floor, Silingi Building, 134, Greams Road, Cherinai-600 006. Third Party Administrator (Under the control of UIC Limited) MDIndia Healthcare Services (TPA) Pvt. Ltd. (New Health Insurance Scheme, 2012 for Employees of Government Departments and Organisations covered under this Scheme) Head Project Office No.27, Laxmi Tower, Third Floor, Dr. Radhakrishnan Salai, Mylapore, Chennai-600 004. {Landmark - Yellow Pages) TOLL FREE (24 Hours) HELPLINE NO. 1800 233 5666 Nodal Officers of the United India Insurance Company Limited under New Health Insurance Scheme, 2012. Chief Nodal Officer | Dr.S.Valaguru | Regional Manager | 94428 84340 Nodal Officer K.Ramakrishnan | Assistant Manager | 94444 18897 S] omer Noaaloncer] oenignaton | ganict 7_| Anyalur P.Stalin Branch Manager ‘96007 79261 2 | Chennai K Ramakrishnan, | Assistant Manager 94444 18897 3 | Coimbatore NK Ashok Kumar | Sr. Divisional Manager | 90470 12341 4 | Cuddalore ~~~*| MAnbalagan, Sr. Divisional Manager | 94438 10845 si Drarop kainate | swron nerage RNa GeoTAI76I| 6 | Dindigui ‘A Thangayyan Divisional Manager (94431 22464 7 | Erode ReRajan ‘Sr. Divisional Manager | 98431 84492 @ | Kancheepuram N.Ravichandran Divisional Manager 04444 92475 9 | Kanniyakumart M.Muthuswamy ‘Sr Divisional Manager | 9443971935. a5 Contact hee District Nodal Gificer Number 10_| Karur K Balasubramaniam _| Divisional Manager 98945 65100 11_| Krishnagin WikBudhan Sr, Divisional Manager _| 94437 76887 72_| Madurai KRevi Sr. Divisional Manager| 94431 88803 15_| Nagapattinam ‘Svadivelu Divisional Manager 94422 62172 14_| Namakkal T Nanjappan ‘Sr Divisional Manager _| 94422 46611 16 | Nilgiris John Thomas Divisional Manager (94434 78730 16_| Perambalur PStalin Branch Manager ‘96007 79261 17_| Pudukkottai DiAsokan Branch Manager 96947 09680, 78 | Ramanathapuram | KKalaimani Divisional Manager 94437 9755 19_| Salem ‘S Rangarajan Sr. Divisional Manager | 00443 22223 20 | Swaganga Adeyaral Branch Manager 94898 00011 21_| Thanjavur ‘SAlugura] Branch Manager [9402s 61621 22 | Theni ‘S.Thangamani Branch Manager (94422 52195 23_| Thoothukudi KAnnadural Divisional Manager 94422 33705 24_| Tiruchirapalli D Antony Raj Divisional Manager 94432 06064 26 | TiruneWvell B Swaminathan Divisional Manager (94433 43493 26_{ Tiwvalur ‘AUmapathy Branch Manager 96001 19034 27_| Tiwannamalai ‘A Sundarajan Branch Manager 94441 12116 28_ | Tirwvarur D.Shanmugam Divisional Manager 98424 91421 29_| Tiruppur Vasantha Divisional Manager 97880 52192 30_| Veliore GRejendiran [Divisional Manager 04425 38305 31_| Vilupuram MP.Dudu Branch Manager 04453 90410 32_| Virudhunagar KParamasivan Divisional Manager 94434 36372 | 33] Puducherry, ‘Lawrence: _| TPA - Coordinator 73730 05036 34 | Bengalura V.G.Venkat TPA - Coordinator 83413 16538 35 | Thiruvananthapuram | Annie Twinckle TPA - Coordinator 93450 73807, 36_[ New Delhi Dr Atul Arora “TPA - Coordinator 93143 01508 Coordinators of the TPA - MDIndia Healthcare Services (TPA) Pvt. Ltd. under New Health Insurance Scheme, 2012. Chief Coordinator | Anzil Lawrence | Project Office 7373005036 Coordinator M. Vijay Babu | Project Otfice 7373004787 ee ee | | Aryalur Kalai Selvan B. TPA- Coordinator | 6883178328, f 2 | Chennai Vijay Babu TPA-Coordinator | 7373004978 3 [coimbatore Saravanakumar TPA- Coordinator | 0422-2477151 4 | Cuddalore Subash Chandra Bose | TPA-Coordinator | 73730040262b ia District eee Designation heed 3_| Dharmapun Mahendiran V. TPA-Coordinator_| 9760958518 8] Dindigul Padmanaban TPA - Coordinator 9789766020 7 | Erode Sivakumar R. ~~ | TPA - Coordinator 9791242136 8_| Kancheepuram Senthil Kumar ~_[TPA- Coordinator | 7373004701 © _[ Kanyakumari Suresh Kumar | TPA- Coordinator | 9066472612 70 [Karur Felix TPA” Coordinator | 7708855244 71_| Krishnagir Esakkiyappan TPA- Coordinator_| 7373004060 12_| Madurai Palani TPA - Coordinator 98426 65577 13_| Nagapattinam Duraimurugan P. TPA - Coordinator 9894920090 14 | Namakkat Bakiaraj TPA - Coordinator 9842656100 15 | Nilgiris Saravenakumar TPA - Coordinator 7373004919 16 _| Perambalur Gopinath D. TPA - Coordinator 9966958520 17_| Pudukkotai Parameeswar TPA- Coordinator | 9004036689 18 | Ramanathapuram [Usman Ali, TPA - Coordinator 9940074070 19 | Satem Jameer TPA - Coordinator 9344004413, 20 | Sivagangai Vijaya Adhappan TPA- Coordinator | 8508800822 21_| Thanjavur Vivekanandan TPA-Coordinator_| 7373004063 22 | Theni Sarfraz. TPA - Coordinator 9994529880, 23 4 Thitwvalur Karthick A. TPA - Coordinator 9790958532 24 | Thoothukudi Ukkirapandi TPA - Coordinator 9597702445, 25 _| Tiruchirappalli Rajamanickam TPA - Coordinator 9443828860 26 | Tiruneiveli Esaki TPA - Coordinator 9003857067 27_| Tirupur Murugan TPA- Coordinator} 9843766867 [Ge Tiruvannamalai Fayaz Ahmed A.K, TPA - Coordinator 9944000146, 29 | Tiruvarur : Vivekanandhan TPA - Coordinator 9865959420 30 TVeliore Selvaganesh TPA - Coordinator 9629546868, [Cat [Wiupparem Mulhiunarayanan K.__| TPA Coordinator | 8760056607 32_[ Virudunagar Rabik Raja TPA Coordinator _| 9965407260 33_| Puducherry Lawrence: TPA - Coordinator 73730 05036 34 _| Bengaluru V.G.Venkat TPA - Coordinator 93413 16538 35_| Thiruvananthapuram | Annie Twinckie TPA - Coordinator 93490 73897 36_| New Deihi. Dr. Atul Arora TPA - Coordinator 93113 01508 * List of Addresses of the Offices of the United India Insurance Company Limited / Third Party Administrator at District Headquarters under this Scheme will be notified shortly. -/ True Copy /- , \ . alec Bie SECTION OFFICER.at Annexure-V GUIDELINES REGARDING IDENTITY CARDS For implementation of the New Health Insurance Scheme, 2012, it is essential that the existing database of the Employees and their eligible Family Members are updated and the data is being validated to enable the Insurance Company / Third Party Administrator to issue the new Identity Cards for availing benefits in a block period of four years with effect from 1-7-2012 to 10-6-2016. . 2. For the Employees who are already having Identity Cards issued under the previous block period 2008-2012, the guidelines detailed below shall be followed for issue of new Identity Cards:- (a) The existing database available in Government will be provided to the Insurance Company / Third Party Administrator. (b) The Insurance Company / Third Party Administrator in turn shall generate the Forms by using the data in the prescribed format as in the Annexure-VII to this order for the existing Employees with the details of their eligible Family Members. The Insurance Company / Third Party Administrator shall send the generated Forms to the Drawing and Disbursing Officers in Government Department / Pay Drawing Officers. in Organisations covered under NHIS, 2012 for updating the details. (o) The Drawing and Disbursing Officers in Government Department'/ Pay Drawing Officers in Organisations covered under NHIS, 2012 shall distribute the generated Forms to the employees for furnishing the latest details with any.addition and deletion. (d) Each employee shall furnish the latest details of himself/herself and their eligible Family Members along with the recent Passport size Photographs in the prescribed Form distributed to them. (e) The Drawing and Disbursing Officers in Government Departments and the Pay Drawing Officers in Organisations covered under NHIS, 2012 shall collect the prescribed Forms from their employees. After verification, the Forms shall be countersigned and sent to the Insurance Company. / Third Party Administrator. Dofore sending the Forms, the copy of the same shall be maintained by the Drawing and Disbursing Officers in Government Departments and the Pay Drawing Officers in Organisations covered under NHIS, 2012 for future reference.3B () The Insurance Company / Third Party Administrator shall update the details of each employee and their eligible Family Members provided by the the Drawing and Disbursing Officers in Government Departments and the Pay Drawing Officers in Organisations covered under NHIS, 2012 and arrange to issue new Identity Cards within the stipulated period to the Drawing and Disbursing Officers in Government Departments and the Pay Drawing Officers in the Organisations covered under NHIS, 2012 with abstract of the details of employees, () The new Identity Cards will be distributed to the employees through the Drawing and Disbursing Officers in Government Departments and the Pay Drawing Officers in the Organisations covered under NHIS, 2012 with due acknowledgement. 3. For the Employees who are newly recruited or absorbed employees in service and Employees who are not furnished the details of the eligible Family Members so far, the guidelines detailed below shall be followed for issue of new Identity Cards:- (a) Each employee shall furnish details of himself/herself and their cligible Family Members along with the recent Passport size Photographs in the format prescribed in the Annexure-VII to this order immediately to the Drawing and Disbursing Officers in Government Departments and the Pay Drawing Officers in the Organisations covered under NHIS, 2012. (b) After verification, the Forms shall be countersigned and sent to the Insurance Company / Third Party Administrator. Before sending the Forms, the copy of the same shall be maintained by the Drawing and Disbursing Officers in Government Departments and the Pay Drawing Officers in Organisations covered under NHIS, 2012 for future reference. {c) The Insurance Company / Third Party Administrator shall arrange to issue Identity Cards at once to the newly recruited or absorbed employees in service covered under this Scheme for availing of the benefits with abstract of the details of employees. (d) The Identity Cards will be distributed to the employees through the Drawing and Disbursing Officers in Government Departments and the Pay Drawing Officers in the Organisations covered under NHIS, 2012 with due acknowledgement. s 4. The Identity Cards shall be issued by the Insurance Company / Third Party Administrator within a period of sixty days from the Bate cf commencement of the Scheme. During the interim period of preparation and distribution of the new Identity Cards, the insurance Caranarisi / Thieta4 under the Scheme for 2008-2012 or a Certificate prescribed in the Annexure-VI authenticated by the Drawing and Disbursing Officers in Government Departments / Pay Drawing Officers in - Organisatioris covered under this Scheme as valid identity for the purpose of availing benefits under this Scheme. This arrangement will be applicable only for such interim period, till the Identity Cards are made available: 5. The data furnished by the employees shall be the property of the State Government and should not be used for any purpose without the prior permission of the Government of Tamil Nadu. 6. The softcopy of the updated database of Employees and their eligible Family Members shall be handed over to the Government of Tamil Nadu in Finance (Salaries) Department, as and when the data compilations are completed and also to the Commissioner of Treasuries and Accounts, Chennai-15 on monthly basis for calculation of actual annual premium, 7. The Commissioner of Treasuries and Accounts, Chennai-15 shall coordinate with the Insurance Company / Third Party Administrator to issue Identity Cards to all the employees within the stipulated period and monitor the progress of the works. All Drawing and Disbursing Officers in Government Departments and the Pay Drawing Officers in Organisations covered under NHIS, 2012 shall contact. the Commissioner of Treasuries and Accounts, Chennai-15 for any delay in getting Identity Cards to their employees. 8. The following date schedules shall be adhered to in the collection of the details of Employees and their eligible Family Members and to issue new Identity Cards to the employees: fa) for the Em) es _who are alrea havin, Identity Cards issued under the previous block period 2008-2012: Generated Forms in the prescribed format as in| 97 or Before the Annexure-VII to this order with the details of Employees and their eligible Family Members shall be handed over to the Drawing and Disbursing Officers in Govt. Departments and Pay Drawing Officers in the Organisations covered under NHIS, 2012 by. the Insurance Company / TPA. (b) | For the Employees who are newly recruited or absorbed employees _in service and Employees who are not furnished the details | 05 or Sacre of the eligible Family Members so far: Forms in the prescribed format as in the Annexure-VII to this order shall be provided by the Drawing and Disbursing Officers in Govt. Departments and Pay Drawi Organisations covered under NHI: employees.30 (b) Updated / Filled Forms shall be furnished to the Insurance Company / Third Party “07: Administrator by the Drawing © and| 94-07-2012 Disbursing Officers in Govt. Departments and : Pay Drawing Officers in the Organisations covered under NHIS, 2012. (a) |New Identity Cards shall be issued to the| 31-08-2012 Employees through the Drawing and Disbursing Officers in Govt. Departments and Pay Drawing Officers in the Organisations covered under NHIS, 2012 ‘by the Insurance Company / Third Party Administrator. 9. All the Employees in Government Departments and Organisations covered under this Scheme shall get new Identity Card within the stipulated period without fail for availing medical assistance on cashless model under this Scheme. In case of lost of new Identity Card, a duplicate Identity Card can be obtained on payment of Rs.50/- by employee to the Insurance Company / Third Party Administrator. -/ True Copy /- Hb aLe eh SECTION OFFICER.3l Annexure-VI CERTIFICATE TO BE ISSUED IN LIEU OF IDENTITY CARD UNDER ‘THE NEW HEALTH INSURANCE SCHEME, 2012. CERTIFICATE (New Health Insurance Scheme, 2012 ordered in G.0.Ms.No.243, Finance (Salaries) Department Dated: 29-6-2013) Ref.No. Certified that Thiru/Tmt./Selvi is employed as in and his/her eligible Family Members as detailed below are eligible for treatments / surgeries covered winder the New Health Insurance Scheme, 2012. The Identity Card under the New Health Insurance Scheme, 2012 is yet to be supplied by the.United India Insurance Company Limited, Chennai / ‘Third Party Administrator. This certificate is issued to enable the Employee and their eligible Family Members under the above scheme for availing approved treatments / surgeries in the empanelled’ hospitals approved by the Insurance Company / Third Party Administrator. The approved hospitals concerned shall provide CASHLESS health care coverage as envisaged under this Scheme:32 a Details of the Employee and their Family Members under New Health Insurance Scheme, 2012: BL Age as | Relationship | yarital | Employment | Stamp size Name on tothe Bian Photo No. 4-8-2012 | Employee 1 Self 3. * The Drawing and Disbursing Officer in Government Department / Pay Drawing Officers in Organisations covered under this Scheme shall also be furnished Data of Employee and their eligible Family Members for insurance coverage under New Health Insurance Scheme, 2012 to Insurance Company at once to get Identity Card 1s per the format prescribed in the Annexure-VI to this order. Signature of Drawing and Disbursing Officer in Government Departments Signature of Pay Drawing Officers in Organisations covered under this Scheme. Name Designation Date Seal 5 ~/ True Copy /- i Male ele10. 1. 12. BB Annexure-VII NEW HEALTH INSURANCE SCHEME, 2012 for Employees of Govt. Departments and Organisations covered under this Scheme Form for furnishing Data of Employee an: ‘Members for insurance coverage under New Health Insurance Scheme, 2012 to Ii ¢ Company/Third P: Name of the Employee * Contact Mobile No. Yin case the spouse is employed, the details of the spouse shail also be furnished in the same format separately. Designation Pay Drawn Particulars Head of Account in which the Govt. Employee's contribution is being recovered. ‘Type of Office Govt. / PSU & SB / Local Bodies / Universities / Organisations / Institutions, Office in which Employed Date of Birth Date of Appointment Date of Retirement Designation of Drawing & Disbursing Officer & Code Pay Drawing Office attached [PAO / Treasury / Sub-Treasury with Address for Govt. Employees] {Others ~ Address of the Office Employee Code :** "*GPFICPSITPF No. for Govt. Employees Employee Code of other érganisations, it any ‘assigned shall be indicated along with the Identification of the Organisation ir eligible Family Administrator. : Pay inPB + Grade Pay = Total + *[4 : 13, Details of the Employee and their eligible Family Members under the NHIS, 2012 5] ame | aac | RaUSSHIP T marta! | Employment | Stamp size Ne. refer] eet | Status |" state | Photo 1 Self aL _ Signature of the Employee. Certified that the above particulars are verified with the Service Register of the Employee. Signature of Drawing and Disbursing Officer in Government Departments Signature of Pay Drawing Officers in Organisations covered under this ‘Scheme, Name Designation Date Seal -/ True Copy /- SECTION OFFICER.