reimbursement system under APIMA Rules, 1972, with
additional benefits such as post-operative care andtreatment
of chronic diseases which do not require hospitalization and
treatment in empanelled hospitals.
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GOVERNMENT OF ANDHRA PRADESH
ABSTRACT
Health, Medical and Family Welfare - Employees Health
Scheme - Providing Cashless medical treatment to the State
Government Employees, Pensioners and their dependent
family members - Notification of the ‘Employees Health
Scheme (EHS) - Orders — Issued.
4. COVERAGE :
The coverage under the scheme is as follows:4.1 Beneficiaries Covered
4.1.1 In the first Phase the following categories of
beneficiaries will be covered.
a) Serving employees:
1. All regular State Government employees.
A State Government employee will have
the meaning as defined under Fundamental
Rules.
2.Provincialised employees of local bodies.
b) Retired employees:
1. All Service Pensioners
2. Family pensioners
3. Re-employed service pensioners
4.1.2.The following categories will not be covered
under the scheme.
a) Those who are covered under other insurance
schemes such as CGHS, ESIS, Railways,
RTC., Aarogya Bhadratha of Police Department
and Aarogya Sahayatha of Prohibition & Excise
Department;
b) Law officers (Advocate General, State
Prosecutors, State Counsels, Government
Pleaders and Public Prosecutors);
c) Casual and Daily paid workers;
d) Biological parents if adopted parents exist JH[[