THE ORISSA MINING CORPORATION EMPLOYEES’ MEDICAL ATTENDANCE RULE, 1976 (AMENDED)
Transcription
THE ORISSA MINING CORPORATION EMPLOYEES’ MEDICAL ATTENDANCE RULE, 1976 (AMENDED)
THE ORISSA MINING CORPORATION EMPLOYEES’ MEDICAL ATTENDANCE RULE, 1976 (AMENDED) (Compiled: October, 2005) ORISSA MINING CORPORATION EMPLOYEE’S MEDICAL ATTENDANCE RULES 1976. The Board of Directors of the Orissa Mining Corporation Limited hereby make the following rules namely: The Orissa Mining Corporation’s Employees’ Medical Attendance Rules, 1976 1) Short Title: These Rules may be called the Orissa Mining Corporation’s Employees’ Medical Attendance Rules 1976. 2) Date of commencement: These Rules shall come into force with effect from the 19th July 1976 and shall supercede all rules and regulations, orders and instructions issued earlier on the subject. 3) Scope of application: These rules shall apply to all the employees including probationers (*1) non-permanent employees & Accounts Trainees and members of their families as hereinafter defined except the people who are working on daily wage basis and those who are casual labourers. 4) Definitions: In these unless there is anything repugnant in the subject or context: a) “ a u t h o r i s e d m e d i c a l a t t e n d a n t ” means: i) a medical officer employed as such by the Corporation either on whole time or part time basis; ii) a registered medical practioner who is approved as such by the Corporation for the purpose of affording medical attendance under these rules and included as such in the panel of names of doctors maintained for the purpose by the Corporation; iii) a medical officer of the Government of Orissa not below the rank of an Assistant Surgeon where a Medical Officer of the Corporation is not available; and iv) a Superintendent/Deputy Superintendent/ Senior Kaviraj of an Ayurvedic/ Homoeopathic Hospital recognized by the State Government. Amendment: - ( The Board of Directors in their 254th meeting held on 05/02/1987 has approved to amend Rule 4 (a (IV)), as per office order number 4977/O.M.C/1987 dated: 09/03/1987) Authorised Medical Attendant Means: i) Deputy Superintendent and Ayurvedic Medical Officers of Ayurvedic hospital, Balangir. ii) Deputy Superintendent and Ayurvedic Medical Officers of Ayurvedic hospital Bhubaneswar. iii) Principal, Professor and Reader of Gopabandhu Ayurvedic Medical, Puri and Superintendent and Deputy Superintendent of hospital at Gopabandhu Ayuvedic Medical,Puri. iv) Principal-cum-Superintendent of GHMC Bhubaneswar. v) Homepathic medical officers attached to the hospital at Bhubaneswar. vi) Lecturers of GHMC, Bhubaneswar of those hospitals/colleges, Gopabandhu Ayurvedic Mahavidyalaya, Puri, Ayurvedic Hospital attached to GAM, Puri, Ayurvedic Hospital, New Capital, Ayurvedic Hospital, Balangir, Homeopathic Medical College, Bhubaneswar, Homeopathic Hospital attached to the GHMC, Bhubaneswar and all inspectors of Ayurvedic and Homeopathic. Superintendent of Ayurvedic institutions, Bhubaneswar, Deputy Director, Homeopathic and Chief Medical Officer, Homeopathey, are declared as authorised medical attendant. (*1)Incorporated in 309th Board meeting held on 27.9.97 and order No.31358 dt.23.10.97. 2 b)“ m e d i c a l a t t e n d a n c e ” means the professional advice and care during sickness, convalescence or injury afforded by an authorised medical attendant at the place where the employee is living or at a hospital or a dispensary or a clinic including such pathological, radiological, or other methods of examination for purposes of diagnosis and prevention as may be considered necessary by the authorised medical attendant and also such medical and surgical treatment as can be suitably given to the patient at his residence or at the hospital, dispensary or clinic and consultation with a Specialist or other medical expert who is either serving under the State Government or running a private practice as may be certified as necessary to such extent and in such manner as the Specialist or the medical expert may, in consultation with the authorised medical attendant determines. c)“ P a t i e n t ” means an employee of the Corporation or a member of his family to whom these rules apply and who has fallen ill. d) “ F a m i l y ” means an employee’s wife or husband as the case may be and parents, children and stepchildren who are wholly dependant upon the employee. e) “ T r e a t m e n t ” means the use of all medical and surgical facilities available at the hospital or dispensary at which an employee is treated and includes: i. the employment of such Pathological, Bacteriological, Radiological or other methods as are considered necessary by the authorised medical attendant; ii. supply of such medicines, vaccines, sera or other therapeutic as are ordinarily available in the hospital; iii. such accommodation as are ordinarily provided in the hospital and is suited to his status; iv. such nursing as is ordinarily provided to in-patients by the hospital; v. specialist consultation wherever necessary as in the opinion of the authorised medical attendant and/or attending doctor; vi. supply of such medicines, vaccines or other therapeutic substances not ordinarily available in the hospital but which the authorised medical attendant may certify in writing to be essential for the recovery or for the prevention of serious deterioration in the condition of the employee; vii. treatment of eye diseases; viii. dental treatment including removal of odontemes and impacted wisdom tooth, gum boil, pyorrhea and gingivitis of teeth; ix. confinement and maternity treatment in respect of married female employees and wives of the employees; x. pro-natal and post natal treatment in respect of married female employees and wives of the employees; xi. necessary prophylactic treatment in case of Typhoid, cholera and tuberculosis etc.; f) ” h o s p i t a l ” includes a hospital or a dispensary maintained by the State Government, a hospital or dispensary maintained by a local body in the State, a hospital or dispensary maintained by a charitable institution and aided and/ or recognised by State Government or a dispensary maintained by the Orissa Mining Corporation Ltd. g)“E m p l o y e e ” means the employee of Orissa Mining Corporation Limited. 3 5. Medical Attendance and Admissibility of Travelling Allowance: a) Medical attendance should ordinarily be availed of at a hospital, dispensary or clinic of the authorised medical attendant. When the place at which the patient falls ill is not the headquarters of the authorised medical attendant, the patient shall be entitled to travelling allowance for the journey to and from such headquarters. b) In case where the patient is too ill and not in a position to go himself or be escorted to the hospital, dispensary or clinic the authorised medical attendant may be requested to visit the patient at his residence for necessary consultation. In such cases the authorised medical attendant is entitled to travelling allowance for the journey to and from the place where the patient is. c) Application for travelling allowance under clause (a) above shall be accompanied by a certificate in writing by the authorised medical attendant stating that medical attendance was necessary, and if the application is under clause (b) above that the patient was too ill to travel. d) If the authorised medical attendant is of opinion that the case of a patient is of such a serious or special nature as to require medical attendance by some person other than himself: i) send the patient to the nearest Specialist or other Medical Officer as provided in clause (e) of rule 4 by whom, in his opinion, medical attendance is required for the patent, or ii) if the patient is too ill to travel, summon such specialist or other medical officer to attend upon the patient. For consultation with specialist outside the headquarters, the patient must obtain prior permission of Chairman A patient send under clause (i) of sub-rule (d) above shall, on production of a certificate in writing by the authorised medical attendant, in this behalf, be entitled to travelling allowance for the journey to the headquarters of specialist or other medical officer. The above provisions will apply to the family members of the employee also. A specialist or other medical officer summoned under clause (ii) of sub-rule (d) above shall on production of a certificate in writing by the authorised medical attendant in this behalf be entitled to travelling allowance for the journey to and from the place where the patient is. e) If the authorised medical attendant is of the opinion that it would be unsafe for the patient to make the journey to the specialist unattended, the medical officer may either himself accompany the patient to the destination or arrange that some other person should do this. In that case the attendant, if an employee of the corporation, shall be deemed to have been travelling on duty and may draw T.A for the outward and return journey; if not an employee of the corporation, shall be entitled to actual travelling expense. f) When the service of the authorised medical attendant is not readily available, the patient may consult any other qualified registered medical practitioner in the locality and avail of necessary medical treatment. In such cases for the purpose of reimbursement of the consultation fee the cost of medicine purchased on his advice in requirement of the circumstances, the claims on such counts should be countersigned by the authorised medical attendant in addition to that attending doctor, unless exemption is granted by drawing and disbursing officer. In such cases also the employee is entitled to, wherever necessary, travelling allowance or conveyance allowance from the place of his residence to the place of the doctor and back. 4 Amendment: - (The Board of Directors in their 184 TH meeting held on 15/12/1977 has approved to amend Rule 5 (f), as per office order number 18.13.4/O.M.C/1977 dated: 27/12/1977) “When the services of the authorised medical attendant is not readily available, the patient may consult any other qualified registered medical practitioner in the locality and avail of necessary medical treatment. Claims in such case are to be preferred in Rule-14 provided that the essentiality certificate is signed by the attainding doctor and counter signed by the authorised medical attendant.” g) An employee of the Corporation or a member of his family is entitled to reimbursement of expenses on medical treatment incurred outside the State on production of certificate in writing from the authorised medical attendant on this behalf and necessary vouchers together with travelling allowance for outward journey and return journey. 6. Reimbursement of ambulance charges: When an employee or a member of his family carried in an ambulance from his/her residence to the hospital or from one hospital to another hospital, the ambulance charges paid to the prescribed rate are reimbursed to the concerned employee on production of a certificate from the Superintendent of the hospital to which the ambulance is attached, that journey in ambulance car was essential. The ambulance charges should not be reimbursed if the ambulance does not belong to the State Government or a local fund or any recognized hospital. 7. Reimbursement of charges paid for accommodation in nursing home, cottage and cabins Charges paid for special accommodation in nursing home, cottage and cabin attached to the State Government hospitals by the employee of the Corporation and member of their families shall be reimbursed provided except emergent cases prior approval of Chairman has been obtained for such accommodation. 8. Reimbursement of the cost of blood and blood transfusion charges. Blood transfusion charges paid to a State Government institution or any other local organization recognised by the State Government for the supply of blood to patients and the cost thereof, is reimbursable to an employee of the Corporation or a member of his family. Where such institutions or organiasation do not exist or blood of the type required for the employee or a member of his family is not available with them, there should be no objection to the purchase of blood plasma from a Chemist or to obtaining blood from a private doctor and the cost thereof will also be reimbursed to the employee on production of certificate from the authorised medical attendant to the effect that supply of blood required was not available from the State Government institution or a recognised organisation and that the price paid for the blood was reasonable. 9. X-Ray examination. X-Ray examination charges paid to a State Government institution is reimbursable to an employee of the Corporation or members of his family, where such government institutions do not exist; the employee and members of their family are permitted to have their X-Ray examination done in a private clinic. In such case the cost of reimbursement shall be limited to the amount charged by a State Government institution. 5 Amendment:As per the approval of the Board of Directors in their 280th meeting held on 26.02.1991 and circulated vide this O/O No 5646 dtd 22/03/1991 the following provision relating to scanning is incorporated in the M.A.Rules. i. Scanning should be done on the recommendation of the concerned Medical Officer/Sr.Medical Officer of O.M.C Ltd, or the attending physician not below the rank of Asst.Surgeon in a govt. Hospital/ PHC or a Asst.Professor of any Medical College Hospital. ii. The charges towards scanning of any type will be considered for reimbursement in favour of a Corporation employee conducted either in a Govt. Hospital or a Private clinic on the basis of actual expenditure incurred by him subject to a maximum of Rs.1500.00(Rupees One Thousand Five Hundred )only on production of receipt or voucher with essential certificate duly signed/ countersigned by the concerned treating physician and authorised Medical Officers as provided under rule 14 of O.M.C MA Rules, 1976. Amendment: - (The Board of Directors in their 184 th meeting held on 15/12/1977 has approved to amend Rule 9, as per office order number 18134/O.M.C/1977 dated: 27/12/1977) “X-Ray examination may be done by the employee and members of his family in Govt. institutions or private clinics and charges paid for the same may be reimbursed limiting the amount charged by a State government institution.” Amendment: - (The Board of Directors in their 335th meeting held on 05/09/2002 has approved to amend clause 9, as per office order number 17767/O.M.C/2002 dated: 16/10/2002.) (a) The existing provision under clause 9 relating to X-Ray examination, 9(a (i)) and 9(a (ii)) relating to scanning of the said rules are hereby amended by incorporating different tests along with there permissible rates for reimbursement as per list enclosed in Annexure-A subject to following conditions. i. The employee has to avail the investigations available in the O.M.C hospital / Dispensary and if these are done outside, the charges shall not be reimbursed except in case of emergencies where the tastes have been done on advice of doctors of Govt. institutions. ii. The reimbursement towards cost of routine pathological / clinical and X-Ray investigations shall be allowed to an employee if he/she is advised for such tastes by O.M.C doctor or by the doctors treating the patient at Govt. hospital. iii. In case of sophisticated investigations like C.T. Scan, Ultra Sound, MRI Scan, Endoscopies, Harmony Assay, Serum Electro Phoresis, Immunological tastes, Organ Profiles etc. The reimbursement shall be allowed if the employee is advised for tastes by a specialist of O.M.C (if available) or else by a Specialist in Govt. hospital/ Govt. medical college hospital where to the patient has been referred by medical officer of O.M.C. 6 iv. Reimbursement as stipulated in Para-(ii) and (iii) above shall be allowed at the rates as in Annexure-‘A’ provided the investigation are not available in Govt. Hospital /Govt. medical college free of cost or the said investigations are not readily available there. b. Kalinga Hospital at Bhubaneswar is treated as a referral hospital for O.M.C employees. Reference can be made by a specialist of O.M.C or the medical officer of O.M.C hospital / Dispensary or doctor in Govt. hospital under whom the patient is being treated, taking into account the gravity of the patient’s condition. Ammendment: As per the approval (post-facto) of the Board of Directors in their 340th meeting held on 22/11/2003 and circulated vide o/o no 24202 dtd 21.10.2003. i. Kalinga Hospital at Bhubaneswar is declared as referral Hospital of first choice against similar choices available out-side the state, for O.M.C employees, for treatment of diseases related to kidney, heart, lungs, and neuro-surgery. For no other diseases reference shall be made to Kalinga Hospital. ii. Reference of a patient, if necessary, for better/ specialized treatment can be made by the specialist of O.M.C hospital or medical Officer of O.M.C hospitals/Dispensaries, either to Capital Hospital, Bhubaneswar or the Medical colleges and Hospitals i.e. SCB Medical College and Hospital, Cuttack, MKCG Medical College and Hospital, Berehampur, and VSS Medical College and Hospital, Burla. But in ordinary course such reference should be made to nearby District HQ hospitals, first. iii. Nursing Home facilities can be availed of by the employees of O.M.C on prior approval of the competent authority subject to the condition that the reimbursement will be restricted to the amount charged for similar facilities at Govt. Hospitals. c. The relieved employees who are under order of transfer shall be entitle to get medicines and treatment facilities at his previous station for a maximum period of 3 (three) months from the date of relieve, however the family members of relieved employee will continue to get medicines and treatment facilities at employee’s previous station so long as they continue to stay at the said station. (a (i)) X-RAY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Plain X-Ray MCU & RGU Sinogram HSG Barium Meal Desophsgus (Shallow) Barium Meal (Stomach & Duodenum) Barium Meal Follow Through Barium Meal appendix & S / Inten. Barium Meal Small Inten. Barium Enema Chest 7 80.00 350.00 450.00 400.00 350.00 350.00 450.00 600.00 600.00 600.00 80.00 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. L.S. Spine D.L. Spine Skull Mastoid Hand IVP IVR P.N.S KUB Ankel Hip Joint / Hip Joint Lat Abdomen Angiogram C.S. Spine Knee Joint Pelvis Foot Thigh Wrist Joint Shoulder Clevicle Throat Leg Fore arm Elbow Head Barium Swallow Mandible Orbit Fistula Gram Famur Coccyx Histo Salpingogram Myelogram Sialogram Dorsal/Tharasig Spine (AP Lat.) Gastro Graffin Barium Study Humeres Aplat L.S. Spine Plain Neck Sinogram Small Part Plain T.Tube Clalongiogram 8 100.00 80.00 80.00 90.00 90.00 1100.00 800.00 90.00 80.00 90.00 80.00 80.00 2000.00 100.00 90.00 80.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 200.00 80.00 90.00 350.00 90.00 90.00 350.00 1500.00 350.00 80.00 1050.00 80.00 2000.00 80.00 400.00 1450.00 350.00 (a (ii)) C.T. SCAN Sl. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. Subject Abdomen (Plain) Abdomen (contrast) ABD + PELVIS (Plain) ABD + PELVIS (Contrast) Brain (Plain) Brain (Contrast) Brain & PNS (Plain) Brain & PNS (Contrast) Brain & Neck (plain) Brain & Neck (contrast) Brain & Pituitary (Plain) Brain & pituitary (contrast) Brain & Orbit (Plain) Brain & Orbit (contrast) C.T. Guided Biopsy Hip Joint (plain) Hip Joint (Contrast) Lower Estimity (plain) Lower Estimity (Contrast) MYELO (Serivical) MYELO (Thoracic) MYELO (L. Lumber) L. Spiral Neck Orbit (plain) Orbit (Contrast) Pelvis (Plain) Pelvis (Contrast) PNS (Plain) PNS (Contrast) Pituitary Gland Spine Cervical (Plain) Spine Cervical (Contrast) Spine Lumber (Plain) Spine Lumber (Contrast) Spine Thoracic (Plain) Spine Thoracic (Contrast) Thorax (Plain) Thorax (Contrast) Whole Body C.T. Scan For all 3D Volumetric MPR TMJ (Plain) Upper Abdomen Lower Abdomen (Contrast) 9 Charges in Rupees (Rs.) 2450.00 2600.00 3100.00 4500.00 1400.00 1650.00 1450.00 2500.00 3500.00 3900.00 1800.00 2100.00 2000.00 2000.00 1900.00 1900.00 2350.00 2000.00 2200.00 4000.00 4000.00 4000.00 2000.00 1700.00 2000.00 1950.00 2500.00 1450.00 2000.00 2100.00 2000.00 2700.00 2000.00 2700.00 2600.00 2700.00 2200.00 2600.00 7000.00 500.00 1450.00 2800.00 2800.00 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. Whole Abdomen (Contrast) Any Spine MYLO Spine Any Joint 3D of any part up to 3D of any part up to 3D with study Any Extra Slice C.T. Orbit PN Sinus C.T. Petrus Brain + Sinus Brain + Petrus C.V. Junction SELLA Brain + SELLA KUB Plain Small Part Plain 5500.00 2200.00 3350.00 2800.00 3000.00 4000.00 600.00 1450.00 1450.00 1450.00 2000.00 2000.00 1450.00 1450.00 2000.00 2400.00 1450.00 10.Rates of consultation charges, injections, pathological and bacteriological tests. (a) Consultation fees of authorised Medical Attendants of the Corporation at Bhubaneswar and at places other than Bhubaneswar are as follows: 1) Authorised Medical Attendants stationed at Bhubaneswar. i) For first consultation at the Doctor’s Clinic. Rs. 5/ii) For each subsequent consultation at Doctor’s Clinic. Rs. 3/iii) For first consultation at the patient’s residence. Rs. 8/iv) For each subsequent consultation at the patient’s residence Rs. 5/2) Authorised Medical Attendants stationed at places other than Bhubaneswar. i) For first consultation at the Doctor’s Clinic. Rs. 4/ii) For each subsequent consultation at Doctor’s Clinic. Rs. 2/iii) For first consultation at the patient’s residence. Rs. 5/iv) For each subsequent consultation at the patient’s residence Rs. 3/3) (a)The Rs. 2/- rate of consultation fees of Kavirajas and D.A.M.S Hakims and Homeopaths is (b) Specialists consultation charges are reimbursable wherever the attending doctor has recommended such consultation subject to maximum of Rs. 16/- for the first consultation and Rs. 10/- for each subsequent consultation by the Specialist. (c) Injection charges to the extent shown below, limited to maximum of 15 injections for a course of treatment are reimbursable if treatment had been availed from doctor other than a Corporation doctor. Kinds of injection Intra-Venous Intra-Muscular Subcutaneous Rates for each Rs. 3/Rs. 3/Rs. 2/- 10 (d) Where there is no Government Hospital or Dispensary for pathological and bacteriological test free of charge, Corporation will reimburse the cost of such tests in respect of its employees and members of their families at the following rates: URINE a) Routine examination Rs. 2/b) Quantitative examination of sugar, albumen etc. Rs. 3/c) Bacteriological (Culture) Rs. 5/STOOL a) Microscopical b) Bacteriological (Culture) c) A and B combined d) Occult Blood Rs. 2/Rs. 6/Rs. 8/Rs. 2/- SPUTUM a) Routine or concentration method. b) Anaerobic Culture c) Serticity test for each isolated organism except Tuberculosis. Rs. 3/Rs. 8/Rs. 6/- BLOOD a) Differential count b) Total Leukocyte count c) Total R.B.C. d) E.S.R. e) Hb% [Hemoglobin] f) V.D.R.L. g) Sugar a] Fasting} b] P.P. } h) Cholesterol i) Urea/N.P.N. Rs. 2/Rs. 2/Rs. 2/Rs. 4/Rs. 1-50/Rs. 4/Rs. 8/Rs. 8/Rs. 16/- Amendment: - (As per decision of the Board of Directors in their 184th meeting held on 15/12/1977 has approved to amend Medical Attendance Rules 10(a), as per office order number 18.13.4/O.M.C/1977 dated: 27/12/1977 said Rule has been amended) (1) Consultation fee of the authorised medical attendant of Corporation at Bhubaneswar and places other than Bhubaneswar are as follows: i) For first consultation at the Doctor’s Clinic. Rs. 5/ii) For each subsequent consultation at Doctor’s Clinic. Rs. 3/iii) For first consultation at the patient’s residence. Rs. 8/iv) For each subsequent consultation at the patient’s residence Rs. 5/- 11 (2) The rate of consultation fees of Kavirajas and D.A.M.S. Hakims and Homeopaths is Rs. 2/- Amendment: - (As per decision of the Board of Directors in their 335th meeting held on 05/09/2002 has approved to amend Medical Attendance Rules 10(d), as per office order number 17767/O.M.C/2002 dated: 16/10/2002 said Rule has been amended) The existing provisions under Clause 10(d) relating to pathological tastes of Urine, Stool, Sputum and Blood of the said rule are here by amended by incorporating different tastes along with there permissible rates for reimbursement as per list enclosed in Annexure-‘X’. HEMATOLOGY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. Bonemarrow Test HAM Test Comment on peripheral smear DEC provocation for MF DLC (DC) TLS/TWBC (Total WB count) Hemoglobin/HB % Absolute Eosinophil Count Absolute Granulocyte Count Nasal Smear Eosinophil Sputum Smear Eosinophil Platelet count RBC total count Fetal Erythrocytes Fetal HB MCH MCHC MCV L.E. Cell (Glass Bead) L.E. Cell (Qualigens) PCV ESR (Westergreen / Wintrobe) Malaria Parasite (MP) Malaria Parasite (Chemical Test) Micro Filaria Reticulocyte Count Sickling Test Sidero Cytes Grouping ABJ & RH Typing Coomb’s Test Direct Coomb’s Test Indirect Prothrombin Time (with INR ) P.T. APTT/PTT B.T.(Bleeding Time) C.T.(Clotting Time) Coagulation Time (Lee White) Hess Test 12 150.00 100.00 15.00 40.00 15.00 15.00 15.00 20.00 50.00 25.00 40.00 15.00 15.00 60.00 120.00 10.00 10.00 10.00 80.00 200.00 15.00 20.00 15.00 150.00 15.00 20.00 20.00 60.00 20.00 100.00 120.00 70.00 75.00 10.00 10.00 60.00 40.00 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. Clot Retraction Test Anti A Titre Anti B Titre Clot Solubility Complete Blood Count (CBC/CBP) Factor VIII Assay Coagulation Profile (Without Factor VIII) TPHA VDRL (RPR) VDRL CSF VDRL Quantitative Widal Slide Widal Tube Weil FELIX TOXO IgG TOXO IgM TOXO Plasma R.A. Factor R.A. Factor with Titre A.S.O. A.S.O. With Titre C.R.P. C.R.P. With Titre C.R.P. Quantitative Hesag/AB (Australia Antigan) BLOOD CLINICAL CHEMISTRY 63. Albumin 64. A.G. Ratio 65. Ammonia 66. Aldolace 67. Alcohol 68. Amylase EPS 69. Amylase Pancreatic 70. Amylase Indian 71. Antioxidant Total 72. Antioxidant: 1.Gluthathione 2.Super oxide Dismutaxe 73. Alkaline Phosphatase 74. Acid Phosphatase (T+P) 75. Acit Phosphatase Prostatic 76. Apoliooproteane Ai 77. Apoliooproteane B 78. Bilirubin (T+D) 79. Bilirubin (Total) 80. Bilirubin (Direct) 81. Bile acids 82. Bicarbonate (Total CO2) 83. Calcium Total 13 70.00 100.00 100.00 60.00 60.00 1500.00 1000.00 200.00 30.00 50.00 80.00 30.00 80.00 200.00 300.00 400.00 140.00 50.00 150.00 100.00 150.00 80.00 150.00 300.00 80.00 50.00 150.00 400.00 200.00 150.00 300.00 250.00 120.00 1000.00 250.00 200.00 50.00 200.00 60.00 250.00 250.00 60.00 40.00 40.00 450.00 75.00 70.00 84. 85. 86. 87. 88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. 108. 109. 110. 111. 112. 113. 114. 115. 116. 117. 118. 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129. 130. 131. 132. Calcium Free or Lonised Copper Ceruloplasmin Chloride Cholesterol Total Cholesterol Free Calculi Urine Cihymotrypsin Creatinine Creatine (Urine 24sbrs) Creatinine Creatinine Kinase (CPK) CK-MB/CK-NAC Creatinine Cholineasterase Acetyl Cholineasterase Butyl Ooferittin Fructose Fructosamine Glucose (FBS, PPBS, PGBS, RBS) G.T.T. (With Graph) Galactose G.B.P.D. Screening Qualitative G-6 P.D. Quantitative GAMA G.T. G.L.D.H. Globulin SGOT (AST) SGPT (ALT) Glycohemoglobinion exchange Glycohemoglobinhaplc/Others HH% HDL Cholesterol Alpha – BBDH (LDH –1 Iso enzyme) Iron TIBC ICTERIC INDEX LDH (Total) LIPASE LACTATE LITHIUM LAP (leucime Arylamibase) LIPI-bs Total L.D.A. Cholesterol LACTATE DEHYDROGENASE Estradiol L.D.H (Cardinc) Glycosylated HB% L.D.L Cholesterol Magnesium 14 250.00 200.00 750.00 50.00 50.00 200.00 500.00 250.00 50.00 70.00 120.00 200.00 200.00 120.00 200.00 200.00 450.00 450.00 250.00 20.00 170.00 250.00 150.00 320.00 150.00 100.00 50.00 50.00 50.00 160.00 400.00 60.00 250.00 100.00 150.00 80.00 150.00 250.00 100.00 100.00 300.00 250.00 60.00 150.00 350.00 350.00 160.00 60.00 150.00 133. 134. 135. 136. 137. 138. 139. 140. 141. 142. 143. 144. 145. 146. 147. 148. 149. 150. 151. 152. 153. Non Protein Nitrogen (N.P.N) Non Esterified Fatty Acid OSMOLARITY blood Phosphores Protein Total PH of blood Potassium Sodium SMA-12 SMA-27 Thymolturbidity Triglyceride Troponin-Chemical Troponin-Strip Urea Urea Nitrogen Urea Clearance Uric Acid VANDEN BERGH 200.00 VLD-cholesterol Zinc 60.00 400.00 200.00 60.00 50.00 50.00 30.00 60.00 800.00 1500.00 80.00 80.00 900.00 750.00 50.00 60.00 150.00 60.00 80.00 30.00 170.00 COMBINED / MISCLENIOUS TASTE 154. LFT (Lever Function 200.00) 155. LIPED profile 156. ELECTROLYTES 200.00 200.00 240.00 ELECTROPHORESIS 157. CPK Isoenzeyme 158. CSF Protein 159. Serum Protein 160. LDH Isoenzyme 161. Urine Protein 162. Urine Protein 163. LIPID 164. Hemoglobin 165. HPIC/Chromaiorgraphy of Abnormal Hb 166. SERUM immunofixation 167. URINE immunofixation 1700.00 1400.00 400.00 1700.00 1400.00 70.00 500.00 500.00 450.00 2400.00 3000.00 IMMUNOLOGY /SEROLOGY 168. Anti – Borreliaburgdorferi IgG + IgM (lyme disease) 1600.00 169. 170. 171. 172. 173. 174. Aldesyde Chopra ANA Elisa ANA IF ASOT BRUCELLA AGGLTN HCG (BETA) – 500 80.00 450.00 1000.00 280.00 250.00 50.00 15 175. 176. 177. 178. 179. 180. 181. 182. 183. 184. HCG 300 or less (BETA) HCG CARD (BETA) Devis HLAB 27 HAPTOGLOBIN HELICOBACTER PEY LDRI IgG or IgM each ROSE WAALER SYPHILIS IgG or IgM Tb A60 IgG or IgM each Tb K38 da Tb Mycodat (LAM) VIRUS MYCOPLASM, PARASITE 185. ANTI HIV (I+II) 186. ANTI HIV P24 IgG 187. Western Bolt (Aids) 188. TORCH (IgG+IgM) 189. RUBELLA IgG 190. CMV IgG 191. CMV IgG 192. HSV IgM 193. CHSV IgM 194. Only (G+M) of any above 195. Anti variclellazoster IgM 196. IMFECTOUSMONONUCLEOSIS 197. Epsten Barr Virus IgG of IgM 198. MEASLES Virus IgG or IgM 199. Mumps Virus IgG or IgM 200. MYCOPLASMA 201. CHLAMYBIA IgG or IgM 202. CHLANYBIA Antigen 203. AMOEBIASIS Serology 204. LEISHMANIASIS Ab 205. ECHINOCOCCOSIS IgG 206. CYSTICERCOSIS IgG 207. Malaria Parasite F 208. Plasmodium Falciparum and VIVAX Antigen Test 209. Tubercular IgG 210. Brain Tumer 211. BRCAST (MASTOCTOMY SPL. HISTD-Pathology) 212. Breast Nodule (Mastoctomy Spl. HISTD-Pathology) 213. Endroscopic Biopsy 214. ENDO Mentrium HEPATITIS Sl. No. 215. 216. 217. 80.00 100.00 900.00 400.00 800.00 120.00 500.00 500.00 300.00 250.00 250.00 1500.00 3000.00 1000.00 400.00 300.00 400.00 300.00 400.00 600.00 800.00 150.00 800.00 700.00 700.00 500.00 500.00 1000.00 600.00 800.00 400.00 600.00 150.00 250.00 500.00 200.00 300.00 200.00 200.00 120.00 Charges in Rupees (Rs.) 800.00 800.00 1000.00 Subject Anti HAP IgG Anti IgM Anti HAP 16 218. 219. 220. 221. 222. 223. 224. 225. 226. 227. 228. 229. 230. 231. 232. 233. 234. 235. 236. 237. 238. 239. 240. 241. 242. 243. 244. 245. 246. 247. 248. 249. 250. 251. 252. 253. 254. 255. 256. 257. 258. 259. 260. 261. 300.00 400.00 1000.00 1500.00 1000.00 1500.00 1000.00 1000.00 1000.00 1500.00 1000.00 1000.00 1000.00 1200.00 800.00 2200.00 3500.00 1000.00 700.00 700.00 400.00 1000.00 450.00 900.00 700.00 500.00 700.00 350.00 400.00 700.00 700.00 1000.00 600.00 800.00 700.00 450.00 400.00 400.00 1100.00 1100.00 1000.00 300.00 3500.00 1500.00 Anti Hbe Ag. Anti HBEAG Anti Hbc Ag IgG or IgM HEPATITIS B PROFILE HCV HCV RNA By PCR Anti HCV IgG Anti HCV Total HDV Ag Anti HDV Total Anti HDV IgM Anti HEV Total Anti HEV IgM Allergy Screen Allergy Individual Allergy Panel (Food) Allegy Profile ANCA Anti J01 Ab Anti Centromere Ab Anti ds-DNA Anti Mitochondrial Ab Anti Thyroid Perosidase Ab Anti Thyroglobulin Ab Anti Histone Ab Anti SC1-70 IgG Anti SM Ab (IF) Anti SMAg IgG Anti Speram Ab Anti SSS IgG Ro Anti SSA IgG La Anti RNP Complex IgG Anti Cordiolipin Ab IgG Anti Cordiolipin Ab IgG or IgM Beta-2-Microlobulin Sirculating Immune Complex C3 C4 Cd4 cdb Gliadin Ab IgG or IgA Immuneoglobucin G or M or A Panel Reactive A B (Pra) Protein C Functional RIA / ELISA / TDM 262. AFP 263. 17-ALPHA-OH-Progesterone 264. ACTH 400.00 450.00 650.00 17 265. 266. 267. 268. 269. 270. 271. 272. 273. 274. 275. 276. 277. 278. 279. 280. 281. 282. 283. 284. 285. 286. 287. 288. 289. 290. 291. 292. 293. 294. 295. 296. 297. 298. 299. 300. 301. 302. 303. 304. 305. 306. 307. 308. 309. 310. 311. 312. 313. Androstennedione Alpha-1 Antitryosim ADH Aldosterone ACE (ANG COMVENZ) ACETAMINOPHEN AMIKACIN AMPHETANINE ANTIEPILEPTIC DRUGSHPLC Beta HCG Benodiazepine and Metabolites Beta-12 Calcitonin CEA Cortisol 17-OH Corticostreoids CA 15-3 (Breast) Ca 125(ovary) CA-19-9 (Pancreatic) CA-72.4 (Gastric) Sifra 21 (lung) Carbanazepine C-Peotide Cryoglobulin C Cyclosporine DHEA S04 Digoxin 17-Deoxycortisol Dysopyranide Estradiol Estriol Conj Estriol Unconj Eptoin Erythropoinrin Aprritin Folic acid FSH Gastrin Growth Harmone (HGH) Glucagon Gentamicin Insulin Impramine IgE LH Lithium Lidocaine Methotrexate MEGX 550.00 850.00 1500.00 550.00 1000.00 800.00 800.00 300.00 850.00 400.00 300.00 1000.00 1050.00 400.00 350.00 1300.00 1050.00 950.00 1050.00 1050.00 1050.00 650.00 650.00 600.00 1050.00 450.00 450.00 700.00 800.00 350.00 800.00 800.00 650.00 1000.00 550.00 100.00 220.00 660.00 400.00 700.00 800.00 400.00 430.00 750.00 200.00 100.00 800.00 800.00 2600.00 18 314. 315. 316. 317. 318. 319. 320. 321. 322. 323. 324. 325. 326. 327. 328. 329. 330. 331. 332. 333. 334. 335. 336. 337. 338. 339. 340. Myoglobin Netilmicin Ostrioid Protactin PSA Phenobarbitone Plasma Regin Progrsterone Procainamide Paracitamol PTH (Intact) Quinidine SHBG Sandimmune Level Testrolterone Tesrosterone Free Tricyclic Antidepressants Tobramicin Transferrin T3 T3 free T4 T4 Free TSH TSH Ultrasensitive Balorois Acid Tuberculosis IgM 100.00 800.00 650.00 300.00 450.00 650.00 1150.00 330.00 800.00 800.00 850.00 800.00 1300.00 650.00 350.00 450.00 800.00 950.00 1100.00 160.00 250.00 160.00 250.00 200.00 400.00 650.00 700.00 CYTOLOGY / HISTOPATHOLOGY 341. Histopathology each section 342. Cytopathology (Any side) 343. FNAC 344. Cytohoremonal Assessment 345. PAP Smear 346. BARRY BODY (Sex Chromatin) 347. Fluid Cytology 348. Gall Blader Histopathology 100.00 100.00 100.00 120.00 100.00 120.00 100.00 200.00 CLINICAL PATHOLOGY 349. Amniotic Fluid Complete 350. Amniotic Microbubble (Shake Test) 351. Amniotic Fluid Fetal Cells (BBS) 352. Bronchial wash 353. Cerobro Spinal Fluid Complete (CSF) 354. CSF Culture and sensitive test (C/O) and cytology 355. Ear discharges C/S 356. Effusions C/S 357. Eye specimens C/S 358. Faeces/Stools C/S 160.00 60.00 80.00 80.00 100.00 100.00 120.00 130.00 120.00 160.00 19 Nasal, Nasopharynx C/S Skin, Pustules, Blisters and pus C/S Sputum (AFP) C/S Throat Swab C/S Urine C/S Urogenital Specimen C/S Additional Anti biotic each Cryptococcus India Ink Gram Stain / Swab Smear Prostatic Smear Skin Mantous Test Skin Casoni Test Sputum Gram Stain Skin / Hair / Nail / Fungus and Pus Fungus Culture Semen C/S Ceribro Spinal Fluid Chemical (CSF) Cervical Mucus Arborisation (Fem) Colonisc Wash Deodenal Fluid Analysis Gastick Fluid Analysis Hydrocele Fluid Analysis Pancreatic Fluid Analysis Periodical Fluid Analysis Peritoneal (Ascitic Fluid) Pleural Fluid Analysis Synovial Fluid Analysis Gastik Fluid Analysis Seminal Fluid Analysis Seminal Fluid Fructose Post Coital Test 120.00 100.00 100.00 100.00 70.00 120.00 10.00 60.00 25.00 60.00 30.00 80.00 25.00 40.00 100.00 100.00 50.00 80.00 80.00 160.00 160.00 160.00 250.00 160.00 160.00 160.00 160.00 160.00 30.00 120.00 60.00 MICROBIOLOGY 390. 391. 392. 393. 394. 395. 396. 397. 398. 399. AFB Sputum (By Conc.) M.Tube AFB Ear Lobe (M. Lepraecy) AFB Skin (M.Lepraecy) AFB other materials NM.Tb Conjuctival Swab Bacteria Blood C/S Aerobic (Anaerobic C/S) Bone Maroo C/S Albert’s Stain AntiNuclear AntiBody AntiMycobalterial Antibody 40.00 60.00 50.00 60.00 30.00 160.00 160.00 25.00 100.00 200.00 STOOL / FAECES 400. 401. 402. 403. Stool Stool Stool Stool 15.00 60.00 40.00 10.00 359. 360. 361. 362. 363. 364. 365. 366. 367. 368. 368. 369. 370. 371. 372. 373. 374. 375. 376. 377. 378. 379. 380. 381. 382. 384. 385. 386. 387. 388. 389. Examination RE & ME FE Concentration Saline Concentration Occult Blood 20 404. 405. Stool Occult Blood (Imported Reag) Stool Sugar 100.00 10.00 URINE ANALYSIS Sl. No. Subject 406. Urine for RE & ME 407. Urine For Citone bodies 408. Urine Protein / Albumin 409. Urine Protein 24 Hours 410. Urine Sugar 411. Bence Jone protein 412. Urine BS / BP 413. Urine (Pregnancy / Gravindes / HCG) Test 414. Urine Urobilinogen 415. Urine for SP Gravity / PH 416. Vaginal Wash and Slide 417. Urine for Chyle Test Charges in Rupees (Rs.) 10.00 10.00 10.00 100.00 10.00 10.00 10.00 40.00 40.00 10.00 60.00 60.00 URINE CHEMISTRY 418. ALCOHAL 419. AMPHEMINE 420. 5-ANINOLEVUAINIC ACID 421. BENCE GONES PROTEIN 422. BARBITURATE 423. CATECHOALAMINES 424. CALCIUM 24 HOURS 425. CHLORIDE 24 HOURS 426. CREATININE 24 HOURS 427. COPPER 24 HOURS 428. CORTISOL FREE 429. COCAINE 430. 17-OH CORTICOSTEROIDS 431. DAISTASE 432. F.D. 433. GLOCOSE 24 Hours 434. 5 H.I.A.A. HPLC 435. HOMOVANILIC ACID 436. HEMOGLOBIN URIA 437. 17-KETESTEROIDS 438. METANEPHRINE 439. MORPHINE 440. MICRO LABIUN ESTIMATION 441. MICRAL STRIP TEST 442. OPIATES 443. OXALATE 300.00 300.00 1300.00 80.00 360 1200.00 120 80.00 80.00 120.00 300.00 350.00 1200.00 270.00 470.00 60.00 1200.00 1200.00 50.00 1200.00 1200.00 350.00 200.00 140.00 400.00 1000.00 21 444. 445. 446. 447. 448. 449. 450. 451. 452. 453. 454. 455. 456. 457. 458. 459. 460. 461. PROTEIN 24 Hours PCP PH OF URINE PHOSPHORUS 24 Hours PORPHYRIN PURPHOBILINOGEN QUALITATIVE PURPHOBILINOGEN QUANTITATIVE POTASSIUM SODIUM SPECIFIC GRAVITY INH, PZA, ETH AND RFM (Each) THC URIA 24 Hours URIC ACID 24 Hours VANILYA MANDELIC ACID (VMA) VMA BY HPLC URINE MICRAL TEST (FOR URINARY ALBOMIN FOR 24 Hours) URIC ACID 60.00 350.00 10.00 120.00 300.00 120.00 700.00 75.00 60.00 10.00 60.00 350.00 100.00 140.00 800.00 1000.00 140.00 60.00 M.R.I 462. Any Part of Body (Plain) 463. Any Part of Body (Contrast) 6000.00 8500.00 ECHO-CARDIOGRAPHY 464. Echo (CWC) 465. Echo (CW/ OC) 466. TMT (Trade Mill Test) 467. EMG 468. EEG 469. ECG 470. Endroscopy (Upper G.I.) 471. Endroscopy (Stomach) 1200.00 850.00 800.00 600.00 350.00 150.00 150.00 400.00 ULTRA SOUND 472. 473. 474. 475. 476. 477. 478. 479. 480. 481. 482. 200.00 600.00 300.00 200.00 300.00 200.00 300.00 300.00 600.00 300.00 300.00 Abdomen Abdomen Doppler Abdomen + BBST (PAS) / Hoale Abdomen Pelvis (TAS) Abdomen + Obstetrics (TAS) ABD Pelvis (TAS) Foll Study (TAS) Foll Study (TVS) OBST Doppler OBST TAS OBST PVS 22 483. 484. 485. 486. 487. 488. 489. 490. 491. 492. 493. 494. 495. 496. 497. 498. 499. OBST (GS) Orbit Doppler Pelvis Doppler Pelvis TAS Pelvis TVS Per. Vasc. Doppler Carotid Doppler Varico Doppler Renal Doppler Lower Limb Upper Limb Feto Placanta Orbit CUB Breat Neck / Thyroid Craniun Crinial 400.00 600.00 600.00 300.00 600.00 600.00 450.00 1200.00 1200.00 1200.00 500.00 500.00 200.00 200.00 200.00 200.00 200.00 11. Antirabic Treatment Any employee of the Corporation who has been bitten by a rabic animal may be granted special casual leave not exceeding one month to enable him to proceed to a pasture center for treatment. In case additional leave is necessary in favour of any employee undergoing antiratbic treatment beyond one month of special casual leave, he may be granted regular leave in continuation of the Special Casual leave subject to the recommendation of the authorised medical attendant. He may be granted the actual traveling expenses to the nearest pasture center and back, he may also be granted an advance of one month’s pay, which will ordinarily be recovered in three equal monthly installments. If a member of the employee’s family is bitten by a rabic animal and the employee has difficulty in finding at once any means of sending him or her to the nearest pasture center in that State, he may be given an advance equivalent to one month’s pay with prior approval of Chairman or an authority who has been so authorised by Chairman by an order issued in this behalf, to be recovered in three equal monthly installments. 12. Facilities to T.B. Cancer, Leprosy etc. patients: Concession of medical attendance and treatment and reimbursement facilities which are admissible to the State Government employees and members of their families suffering from serious diseases like tuberculosis cancer, leprosy, poliomyelitis etc will also be available to the employees of the Corporation and their family members subject to prior approval of Chairman 13. Grant of advances for medical attendance and treatment: With a view to providing immediate relief to the employees of the Corporation in the matter of meeting the initial expenditure in connection with medical attendance and treatment of themselves and their family members pending necessary reimbursement, they may be granted advance on the terms and conditions mentioned below: a) The advance will be admissible only when an employee or a member of his family is being treated as an inpatient in a hospital for treatment of any disease or as an outpatient at a hospital for treatment of T.B., Cancer, Leprosy, mental diseases, poliomyelitis and such other diseases requiring prolonged and costly treatment. 23 b) The application for an advance should be supported by a certificate from the concerned medical officer that the patient is treated as an inpatient in a hospital or, in cases of diseases mentioned in the preceding clause as an out-patient at a hospital, indicating in the said certificate the duration of such treatment and anticipated cost thereof which would otherwise be admissible under the rules. c) The advance to out-patients should not in any circumstances be allowed in cases of diseases other than those mentioned in clause (a) above. d) The amount of advance in each case be limited to six month’s pay of the employee concerned or Rs. 1000/- or such other amount as the medical officer/specialist in-charge of the patient may recommend, whichever is the lowest. Provided that in cases of treatment outside the State, an advance up to a maximum of Rs. 2500/- or as certified by the medical officer in charge of the patient, whichever is less, may be sanctioned in favour or an employee by the Corporation with the prior approval of Chairman Amendment: - (The Board of Directors in their 279th meeting held on 27/12/1990 has approved to amend the Rule 13(d), as per office order number 1696/O.M.C/1991 dated: 23/01/1991) The amount of advance in each case be limited to six months pay of the employee concerned or Rs. 3,000 (Rupees Three Thousand) or such other amount as the medical officer/Specialist in charge of the patient may recommend which ever is less. Provided that in cases of treatment outside the the State, and advance up to a maximum of Rs. 5,000 (Rupees five Thousand) or as certified by the medical officer in charge of the patient which ever is less, may be sanctioned in favour of an employee by the Corporation with the prior approval of Chairman-Cum-MD Other provisions and conditions of rule 13 of O.M.C Medical Attendant Rule, 1976 will remain unchanged. Amendment: - (Subsequently the Board of Directors in their 292th meeting held on 29/9/1993 approved to amend Rule 13(d), vide office order number 27111/O.M.C/1993 dated: 13/10/1993) The amount of advance in each case be limited to six months pay of the employees concerned or Rs. 3,000/(Rupees Three Thousand) only or such other amount as the medical officer, specialist, attending the patient may recommend which ever is less, with the prior approval of the CMD, OMC Ltd. The C M D , OMC Ltd is however empowered to grant a higher amount as recommended by the medical officer/Specialist attending the patient at his discreation in special cases. Provided that in case of treatment outside the State, an advance upto a maximum of Rs. 5,000/-(Rupees Five Thousand) only or as certified by the medical officer attending the patient which ever is less, may be sanctioned in favour of an employee of the Corporation with the prior approval of the CMD, O.M.C. 24 The C M D , O.M.C is however empowered to sanction higher amount towards advance/expenditure in special cases for treatment of an O.M.C employee outside the State in any hospital of repute where specialized treatment is available, on the recommendation of the Professor and Head of the department of different referral medical college/hospital of the State / Director of medical education and training, Orissa. Other provisions and conditions of Rule 13 of O.M.C medical attendant Rule, 1976 will remain unchanged. Enhancement under Rule 13(d): In partial modification of the office order No.27111/O.M.C/93 dated:13/10/93 the General Manager(Mining) / Senior Manager (Mining) who are holding independent charge of Regions are hereby delegated with powers to grant medical advance in respect of all employees of their region as Stated below: “The amount of advance in each case be limited to six months pay of the employee concerned or Rs. 3,000/-(Rupees Three Thousand) only or such other amount as the medical officer/specialist attending the patient may recommend, which ever is less. Approval of Chairman-Cum-M.D will be required for sanction of higher amount beyond Rs. 3,000/(Rupees Three Thousand) or any advance for treatment outside the State. e) Ordinarily not more than one advance should be granted in respect of the same illness or injury. If, however, the concerned medical officer in charge of the patient, on reconsideration, certifies that the estimated cost of the treatment would be much more than previously certified, either on account of longer duration of the treatment than previously anticipated or due to the fact that the patient requires costly treatment which was not in view at the time of issuing the original certificate, a second advance may be sanctioned by Chairman provided that total amount of the advance does not exceed the limits specified in clause (d) above. (i) Normally the amount of advance should be adjusted against subsequent claim for reimbursement of the expenditure as admissible and balance if any, recovered from the pay of the employee concerned in not more than 6 equal monthly installments starting from the pay bill for the month in which the employee draws duty pay and/or leave salary on average pay after the treatment is over, or on the death of the patient, as the case may be allowed to be effected in longer number of monthly installments with the prior approval of Chairman In the event of death of the employee before the unadjusted balance of the advance is fully recovered from his pay bills, the same shall be recovered from the gratuity and arrear dues, if any, payable to his family members as admissible under the rules. In the case of temporary employees such outstanding amount is recoverable either in the manner indicated above or from their sureties. In cases requiring prolonged treatment, reimbursement of medical expenses may continue to be allowed to employees to the extent otherwise admissible under the rules and the advance already sanctioned in such cases should not be adjusted so long as a certificate from the concerned medical officer-in-charge of the patient is produced to the effect that the patient is required to continue treatment and that the anticipated cost of future treatment will not be less than the amount of advance already granted to him/her by the Corporation. In a case, however, where the anticipated cost of further treatment as certified by the concerned medical officer-in-charge of the patient falls short of the amount of advance, adjustment of the advance, to the extent of the difference between the amount of the advance f) (ii) 25 and the anticipated cost of further treatment may be effected from the reimbursement claim of the officer. The balance amount, if any, may be recovered as at clause (i) above. (iii) Unless claim for medical reimbursement is preferred within three months of the expiry of the duration of the treatment as certified by the concerned medical officer the medical advance or any unadjusted portion thereof as may be outstanding shall be recovered from the employee concerned from arrears, if any, payable to him or from his future pay bill or other dues in not more than six monthly installments. g) The advance under these orders will be admissible to the employee whose pay does not exceed Rs. 750/- per month. In case of treatment outside the State the advance would, however, be admissible to all employees irrespective of the amount of their pay. Amendment: (As per decision of the Board of Directors in their 242 TH meeting held on 28/02/1985 at 11 A.M. has approved to amend Medical Attendance Rules 13(g), said Rule has been amended) For grant of an amount of Rs.1000 as medical advance to the employees of O.M.C. Ltd. for their attendance and treatment inside the State, provisions have been made in the Rule 13(g) of O.M.C. Medical attendance Rule, 1976 with the following restrictions. “ The advance under these orders will be admissible to the employees whose pay does not exceed Rs.750 per month.” But at present we are receiving prayers from all categories of employees for grant of the above advances. After careful consideration it is felt that the benefit of medical advances should be extended to all categories of employees irrespective of their scale of pay in view of increase in the cost of medicine and treatment. In view of this the Board of Directors are requested to approve this proposal and allow to delete the Sub-Rule (g) of Rule 13 of O.M.C. Medical Attendance Rules, 1976. h) i) Where an employee has withdrawn any amount from his provident fund deposit for the purpose of medical treatment of himself or of any member of his family after the concerned medical officer has given the certificate for advance for the medical treatment, there shall be a corresponding reduction in the amount of medical advance to be granted to him. In case of a temporary employee the grant of an advance under these orders shall be subject to the production of surety from a permanent employee. 14. Reimbursement of cost of Medicines Claims preferred by an employee of the corporation for medical charges including consultation fees, medical treatment charges and cost of medicines are to be reimbursed to the extent as may be admissible under these rules. Claims should invariably be supported by treatment, together with the essentiality certificate (Annexure – II) signed by the authorised medical attendant. The claims should be submitted by the employees to the concerned officer under whose control he is employed for reimbursement by the drawing and disbursing officer. Cost of Ayurvedic and Homeopathic medicines purchased for the treatment in Ayurvedic and Homeopathic Hospital recognized by the State Government is reimbursable subject to the condition that the medicines are admissible for reimbursement (Annexure V) and the concerned prescriptions are either signed by the authorised medical attendants i.e. Superintendent / Deputy Superintendent / Senior Kabirajas or countersigned if the prescriptions have already been signed by other medical officers of the above institutions. Medical treatment charges billed by a recognized hospital whether for inpatient or outpatient treatment is reimbursable in full. Cost of 26 medicines as prescribed by the attending doctor is reimbursable excepting those specified in the list given in Annexure appended to these rules. Medical and maternity charges confinement and prenatal and postnatal charges in respect of married female employees and wives of employees are reimbursable provided the of the area. In a Dispensary maintained by the Orissa Mining Corporation no medical and maternity charges are paid by the married female employees and wives of employees for the purpose of confinement, prenatal and postnatal treatment. Amendment: (The Board of Directors in their 184th meeting held on 15/12/1977 has approved to amend Rule 14, and the same was circulated vide this office order number 18.13.4/O.M.C/1977 dated: 27/12/1977 ) To substitute the following in place of sentence “Claims………medical attendant…” “Claims should be supported by vouchers, receipts for medical expenses as charged by the attending Doctor and each cash Memos showing purchase of medicines for medical treatment, together with the Essentiality Certificate (Annexure-II) signed by the authorised medical attendant.” Amendment: (The Board of Directors in their 254th meeting held on 05/4/1987 approved to amend Rule 14, and the same was circulated vide this office order number 4977/O.M.C/1987 dated: 09/03/1987) (i) Gopabandhu Ayurvedic Mahavisdyalaya’s,Puri Ayurvedic Hospital attached to GAM,Puri Ayurvedic Hospital, New Capital, Ayurvedic Hospital,Bhubaneswar (ii) Homeopathic Medical College, Bhubaneswar Homeopathic Hospital attached to the GHMC, Bhubaneswar are declared as authorised medical institutions for the purpose of treatment and reimbursement of the cost of medicines to the Corporation employees and members of their families. Cost of Ayurvedic and Homeopathic medicines purchased for treatment in Ayurvedic and Homeopathic hospital, institutions, referred to above each reimbursable on the prescriptions of those authorised medical attendance as indicated under rule 4(a (iv)) above or on the prescription of any other medical officers of the aforesaid hospitals/Deputy Superintendent of the said institutions. Or other existing relevant provision will remain unchanged. Amendment: (The Board of Directors in their 290th meeting held on 26/3/1993 has approved to add Sub Clauses in Medical Attendance Rule 14, and the same was circulated vide this office order number 9763/O.M.C/1993 dated: 12/04/1993) (a) For the medical treatment/Operations relating to maternity, confinement pre-natal, post-natal and for any other diseases of O.M.C employees and their family members in private nursing homes/Clinics will not be ordinarily be allowed. (b) When the referral Government hospital/Medical College Hospital in the State has given in written not to treat the patient, a patient can be admitted to private nursing homes / Clinic with prior permission of Chairman-Cum-M.D 27 (c) When permission has been given for medical treatment of a patient in private nursing home / clinic by the Chairman-Cum-M.D O.M.C, the expenditure would be reimbursed limiting it to the expenditure which would have been incurred for treatment in a Government Hospital, provided the claims for reimbursement of the admissible expenditure are submitted with the essential certificate in the prescribed form (i.e. Annexure-II appended in O.M.C M.A. Rules-(1976) through the concerned medical officer / Sr. Medical Officer of O.M.C) 15.AUTHORITY FOR ALLOWING REIMBURSEMENT: In respect of all Officers and members of the staff in head Office the authority to reimburse the medical bills not exceeding Rs1000.00 will be the assistant Accounts Officer and for moiré than Rs1000.00 the accounts Officer or chief Accounts Officer as the case may be in accordance with the power of delegation by the Chairman from time to time. In case of Camps; the medical bills of the following Officers are to be sent to the Head Office for necessary pass orders. 1.a) General Manager} Daitari b) Accounts Officer} Daitari 2. a) Regional Manager} J.K. Road (Chrome Region) b) Assistant Accounts Officer} J.K. Road (Chrome Region) 3. a) Regional Manager} Barbil Region b) Asst. accounts Officer} Barbil Region 4.a) Mines Manager/Agent} Gandhamardhan b) Asst. Accounts Officer} Gandhamardhan 5.a) Mines Manager/ Agent} Khandadhar b) Asst.Accounts Officer} Khandadhar 1.All Officers and members of the staff…………Paradeep 2.All Officers and members of the staff…………Nisikhal 3.Representative and members of the staff…..Calcutta 4.All Officers and members of the staff…………Sambalpur 16.OPTION OF THE EMPLOYEE ON DEPUTATION: Officers and members of the staff on deputation in the Orissa Mining Corporation will have their option for the duration of their deputation to avail of the benefits of medical attendance in the Corporation or to continue to be governed by the benefits for which they are eligible in their parent offices. 17.SUBMISSION OF MONTHLY RETURNS: Heads of establishments in the fields and concerned accounts Officers shall maintain a register (AnnexureIII) showing therein amount of expenditure incurred in respect of each employee on account of medical reimbursement and ensure that expenditure on account of medical reimbursement is promptly intimated to the Chief Accounts Officer each month in a monthly Statement (Annexure-IV). 28 18.INTERPRETATION: Notwithstanding anything contained in rule 3 above, the Board of Directors may by order, exclude or include any employees or class of employees from the operation of all or any of these rules. If any doubt arises as to whether any of these rules apply to any particular employees or class of employees in the service of the Corporation, or any matter not provided for in these rules the same be referred to the Board of Directors whose decision in the matter shall be final. 19.DELEGATION OF POWERS TO GM(P&A): The Board of Directors in their 339th meeting held on 26/08/2003, have approved (post facto) for delegation of the following powers to GM(P&A). This was circulated vide this Office Order No 21369 dtd 02/09/2003. 1.i He is delegated with powers to sanction medical advances for treatment of patients. 1.ii Reimbursement of accommodation charges and nurshing Home etc. 1.iii Approval for treatment of patients inside and outside the State. 1.iv Sanction of excess amount over the admissible medical expenses. (NB:The Board of Directors in their 304th held on 28/09/96 delegated the power for sanctioning the excess amount over the admissible medical expenses to the Managing Director) 2.i He is further delegated with powers to approve/sanction purchase of medicines for the Head Office dispensary subject to the recommendation of the Standing Medicine Purchase Committee and budgetary provision etc. The above powers shall be exercised by General Manager(P&A) instead of Managing Director with immediate effect in accordance with the provisions of O.M.C Employees Medical Attendance Rules, 1976 and its subsequent amendments. (This was circulated vide this office order no 20472 dated 16/08/2003) ****** 29