The Madurai Bench of Madras High Court on 28 May 2012 has directed in it's Order that the District Level Empowered Committee, shall reconsider all the claims for medical reimbursement, made by the respective writ petitioners, individually and "shall not reject any claim merely on the reason of non network hospital or non listed disease."
It's further directed that, "The Committee, wherever possible, shall give suitable direction to the Insurance Company to reimburse the claim made by the respective claimant / employee / pensioner" in other cases, "suitable orders shall be
passed directing / recommending the State authorities to reimburse the claim
under Medical Attendance Rules."
It is also directed that, the Insurance Company shall, upon passing such orders by the Empowered Committee of the District concerned, immediately reimburse the medical claim with 6% interest from the date of due till date of payment, within a period of thirty days from the date of receipt of such order.
On receipt of such orders /recommendation from the Empowered Committee, the Order of the the Sanctioning authority / State authority / High Power Committee in the State Level shall pass necessary orders allowing the medical reimbursement claimed by the individual claimant / employee / pensioner under the Medical Attendance Rules.
Download HC Order
It's further directed that, "The Committee, wherever possible, shall give suitable direction to the Insurance Company to reimburse the claim made by the respective claimant / employee / pensioner" in other cases, "suitable orders shall be
passed directing / recommending the State authorities to reimburse the claim
under Medical Attendance Rules."
It is also directed that, the Insurance Company shall, upon passing such orders by the Empowered Committee of the District concerned, immediately reimburse the medical claim with 6% interest from the date of due till date of payment, within a period of thirty days from the date of receipt of such order.
On receipt of such orders /recommendation from the Empowered Committee, the Order of the the Sanctioning authority / State authority / High Power Committee in the State Level shall pass necessary orders allowing the medical reimbursement claimed by the individual claimant / employee / pensioner under the Medical Attendance Rules.
Download HC Order
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