{"id":195262,"date":"2018-04-16T12:22:08","date_gmt":"2018-04-16T06:52:08","guid":{"rendered":"http:\/\/www.scconline.com\/blog\/?p=195262"},"modified":"2018-04-20T11:36:35","modified_gmt":"2018-04-20T06:06:35","slug":"high-powered-committee-should-be-formed-to-dispose-of-medical-claims-under-cghs-supreme-court","status":"publish","type":"post","link":"https:\/\/www.scconline.com\/blog\/post\/2018\/04\/16\/high-powered-committee-should-be-formed-to-dispose-of-medical-claims-under-cghs-supreme-court\/","title":{"rendered":"High Powered Committee should be formed to dispose of Medical Claims under CGHS: Supreme Court"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>Supreme Court<\/strong>: Paying heed to the plight of the retired Government Servants who had alleged unfair treatment pertaining to reimbursement of medical claims under the Central Government Health Scheme (CGHS), the bench of R.K. Agrawal and Ashok Bhushan, JJ directed:<\/p>\n<ul style=\"text-align: justify;\">\n<li>with regard to the slow and tardy pace of disposal of MRC by the CGHS, all such claims shall be attended by a Secretary level High Powered Committee in the concerned Ministry which shall meet every month for quick disposal of such cases.<\/li>\n<li>the concerned Ministry to device a Committee for grievance redressal of the retired pensioners consisting of Special Directorate General, Directorate General, 2 (two) Additional Directors and 1 Specialist in the field which shall ensure timely and hassle-free disposal of the claims within a period of 7 days.<\/li>\n<li>There shall be a timeframe for finalization and disbursement of the claim amounts of pensioners. The Court, hence, said that after submitting the relevant papers for claim by a pensioner, the same shall be reimbursed within a period of 1 (one) month.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">The Court was hearing the matter where, out of the total bills amounting to Rs. 13,84,440, a 70-year-old pensioner was paid only Rs. 5,84,885. Hence, the petitioner was denied Rs. 7,99,555. The State had, on the other hand, contended that the rates charged by the hospitals were exorbitant whereas the rates charged for such facility shall be only at the CGHS rates and that too after following a proper procedure given in the Circulars issued on time to time by the concerned Ministry. The Court, however, noticed that the petitioner was taken to hospital under emergency conditions for survival of his life which requirement was above the sanctions and treatment in empanelled hospitals and hence, it directed the reimbursement of the due amount.<\/p>\n<p style=\"text-align: justify;\">The Court said:<\/p>\n<blockquote>\n<p style=\"text-align: justify;\">\u201cThe relevant authorities are required to be more responsive and cannot in a mechanical manner deprive an employee of his legitimate reimbursement. CGHS was propounded with a purpose of providing health facility scheme to the central government employees so that they are not left without medical care after retirement. It was in furtherance of the object of a welfare State, which must provide for such medical care that the scheme was brought in force.\u201d<\/p>\n<\/blockquote>\n<p style=\"text-align: justify;\">[Shiva Kant Jha v. Union of India, <a href=\"http:\/\/www.scconline.com\/DocumentLink\/zwMV22o5\">2018 SCC OnLine SC 370<\/a>, decided on 13.04.2018]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Supreme Court: Paying heed to the plight of the retired Government Servants who had alleged unfair treatment pertaining to reimbursement of medical <\/p>\n","protected":false},"author":121,"featured_media":154914,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[3,9],"tags":[29877,29878,5271,29876,6031,29796],"class_list":["post-195262","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casebriefs","category-supremecourt","tag-government-servants","tag-medical-claims","tag-pension","tag-pensioners","tag-retiral-benefits","tag-service-laws"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.4 (Yoast 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Such surgeries are expedited in the interest of human life without an embargo of an expenditure which is secondary to human life.\u201d","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"Bombay High Court","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/02\/Bombay-High-Court.webp?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/02\/Bombay-High-Court.webp?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/02\/Bombay-High-Court.webp?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/02\/Bombay-High-Court.webp?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":329128,"url":"https:\/\/www.scconline.com\/blog\/post\/2024\/08\/22\/rajasthan-high-court-quashes-medipulse-hospitals-de-empanelment-under-central-govt-health-scheme-scc-times\/","url_meta":{"origin":195262,"position":1},"title":"\u2018No power to de-empanel a hospital\u2019; Rajasthan High Court quashes Medipulse Hospital\u2019s De-Empanelment under Central Govt Health Scheme","author":"Ritu","date":"August 22, 2024","format":false,"excerpt":"The Court held that the de-empanelment order was issued in contravention of natural justice principles due to the lack of proper notice and opportunity for the petitioner to respond.","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"Rajasthan High Court","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/02\/Rajasthan-High-Court.webp?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/02\/Rajasthan-High-Court.webp?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/02\/Rajasthan-High-Court.webp?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/02\/Rajasthan-High-Court.webp?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":311375,"url":"https:\/\/www.scconline.com\/blog\/post\/2024\/01\/13\/supreme-court-accepts-snjpc-recommendations-directs-constituting-committee-for-service-conditions-district-judiciary\/","url_meta":{"origin":195262,"position":2},"title":"Explained | Supreme Court\u2019s verdict concerning allowances granted to judicial officers by Second National Judicial Pay Commission","author":"Apoorva","date":"January 13, 2024","format":false,"excerpt":"\u201cJudicial independence, which is necessary to preserve the faith and confidence of common citizens in the rule of law, can be ensured and enhanced only so long as judges are able to lead their life with a sense of financial dignity\u201d","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"National Judicial Pay Commission","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/01\/grand-3.webp?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/01\/grand-3.webp?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/01\/grand-3.webp?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/01\/grand-3.webp?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":231920,"url":"https:\/\/www.scconline.com\/blog\/post\/2020\/07\/08\/unmarried-disabled-sons-eligible-for-ex-servicemen-contributory-health-scheme-facilities-even-after-attaining-25-years-mod\/","url_meta":{"origin":195262,"position":3},"title":"Unmarried disabled sons eligible for Ex-servicemen Contributory Health Scheme facilities even after attaining 25 years: MoD","author":"Bhumika Indulia","date":"July 8, 2020","format":false,"excerpt":"Till now unmarried permanently disabled and financially dependent sons of ECHS beneficiaries after attaining the age of 25 years are not considered dependant and hence are not eligible for availing medical facilities under Ex-servicemen Contributory Health Scheme (ECHS). This is as per the Central Government Health Scheme (CGHS) Rules which\u2026","rel":"","context":"In &quot;Hot Off The Press&quot;","block_context":{"text":"Hot Off The Press","link":"https:\/\/www.scconline.com\/blog\/post\/category\/news\/hot_off_the_press\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":351695,"url":"https:\/\/www.scconline.com\/blog\/post\/2025\/06\/27\/himachal-pradesh-hc-medical-claims-under-beneficial-policy-not-be-denied-flimsy-grounds\/","url_meta":{"origin":195262,"position":4},"title":"Medical claims under beneficial State policy should not be denied on flimsy or irrelevant grounds: Himachal Pradesh HC","author":"Editor","date":"June 27, 2025","format":false,"excerpt":"\u201cOnce a medical reimbursement claim is admissible under a beneficial policy of the State Government, it cannot be denied or curtailed on flimsy or irrelevant grounds.\u201d","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"medical claims under beneficial State policy","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2025\/06\/medical-claims-under-beneficial-State-policy.webp?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2025\/06\/medical-claims-under-beneficial-State-policy.webp?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2025\/06\/medical-claims-under-beneficial-State-policy.webp?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2025\/06\/medical-claims-under-beneficial-State-policy.webp?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":326347,"url":"https:\/\/www.scconline.com\/blog\/post\/2024\/07\/11\/dhc-directs-union-release-pending-reimbursement-due-under-central-government-health-scheme\/","url_meta":{"origin":195262,"position":5},"title":"[Central Government Health Scheme] Delhi HC directs Union to release reimbursement of employee\u2019s medical bills who passed away after being diagnosed with COVID","author":"Editor","date":"July 11, 2024","format":false,"excerpt":"The Court was of the view that the only test in such extraordinary situations must be as to whether the medical treatment is actually availed of. 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