Fixed Medical Allowance to Ex-Servicemen Pensioners/Family Pensioners who are ECHS members and residing in district not covered by ECHS

Fixed Medical Allowance to Ex-Servicemen Pensioners/Family Pensioners who are ECHS members and residing in district not covered by ECHS

Office of The Controller General of Defence Accounts

Ulan Batar Road, Palam, Delhi Cantt. - 110010

(Audit - IV Section)

सं.: AT-IV/4918/XXXVI                                                                                                       दिनांक: 12/12/2018

सेवा में,

सभी संबंधित रक्षा लेखा प्रधान नियंत्रक, रक्षा लेखा नियंत्रक

विषय: Grant of Fixed Medical Allowance (FMA) to Ex-Servicemen Pensioners and Ex-Servicemen Family Pensioners who are ECHS members & residing in Districts not covered by ECHS Polyclinic/ Armed Forces Hospitals/ Ml Room Upgraded to accommodate ESMs.

इस विषय के संबंध में भारत सरकार, रक्षा मंत्रालय (पूर्व-सैनिक कल्‍याण विभाग) के दिनांक 01/11/2018 के पत्र क्रमांक 22(01)/2011/WE/D(Res-I) की प्रति सूचना, मार्गदर्शन एवं अनुपालन हेतु प्रेषित की जाती है। 

संयुक्‍त रक्षा लेखा महानियंत्रक (वे. एवं का.) महोदय के अनुमोदन से जारी।

ह./-

(एम के गुप्‍ता)

वरिष्‍ठ लेखा अधिकारी

No.22(01)12011/WE/D(Res-I)

Government of India

Ministry of Defence

(Deptt. of Ex-Servicemen Welfare)

Sena Bhavan,New Delhi

Dated: 01st November 2018,

To

The Chief of Army Staff 

The Chief of Naval Staff

The Chief of Air Staff \

Sub: Grant of Fixed Medical Allowance (FMA) to Ex-Servicemen Pensioners, and Ex-Servicemen Family Pensioners who are ECHS members and residing in Districts not covered by ECHS Polyclinic / Armed Forces Hospitals / MI Room upgraded to accommodate ESMs.

Sir,

In partial modification of Para 2(b) of Govt. of India, Ministry of Defence letter No.22(1)/01/US(WE)/D(Res) dated 30 December 2002, I am directed to convey the sanction of the Government to the payment of Fixed Medical Allowance to Ex-Servicemen Pensioners and Family pensioners, who are ECHS members and residing in Districts not covered by ECHS Polyclinic / Armed Forces Hospital / MI Rooms upgraded to accommodate ESMs as per terms & conditions covered in succeeding paragraphs.

2. Entitlement of FMA to Ex-servicemen (ESM) Pensioners and Ex-Servicemen (ESM) Family Pensioners will be governed by the instructions on the subject issued by Ministry of Personnel, Public Grievances & Pensions ( Deptt. of Pension Pensioners’ Welfare) vide their OM No.4/25/2008-P&PW(D) dated 19 Nov 2014, as amended from time to time.

3. Ex-Servicemen Health Scheme (ECHS) membership is compulsory for all ESM Pensioners and entitled ESM Family Pensioners, those retired, discharged and on death of the serving armed forces personnel which occurred on or after 01 April 2003. Their contribution to ECHS membership is non refundable . All pre 01 April 2003 retirees have the option of either joining ECHS scheme by remitting appropriate contribution and forfeiture of FMA or continue to draw FMA as hither to fore.

4. Despite, being an ECHS member, above mentioned ESM pensioners and ESM Family Pensioners residing in districts, where no ECHS Polyclinic or Armed Force hospital or Ml room upgraded to accommodate ESMs is available will be eligible for FMA as well as will be entitled for lPD treatment.

5. The residential address of the ECHS member for payment of FMA/ Cessation of FMA shall be the address indicated as the permanent address in his /her PPO.

6. The list of districts for which FMA is to be paid as on date of issue of this order is given in Appendix attached with this order. The list of districts for which FMA is to be paid will be issued on O‘lst January every year by MD, ECHS, to PCs/RCs and also uploaded in the ECHS website.

7. Commencement/ Restoration of FMA

As stated above, the ECHS member residing in a district where ECHS Polyclinic/ Armed Forces Hospital / Ml Room upgraded ‘to accommodate: ESMs is not available can seek commencement of FMA payment through his/her Pension Disbursing Agency (PDA) /Authorised Pension Disbursing Bank, by submitting an application in the prescribed format to the nearest; Stn. HQ in triplicate. The Stn HQ will scrutinize the residential address of the ECHS member and verify the applicability of District in the address for FMA and confirm the authorization of FMA on the application in the prescribed format. Distribution of ibid application, will be as under:

(a) Original Copy The Original Copy of the‘ application will be forwarded to O/o PCDA (Pension), Allahabad, O/o PCDA (O) Pune, O/o PCDA ( Navy & Coast Guard) Mumbai, O/o JCDA (AF) New Delhi-10 (“as applicable” and “similar office pertaining to the ECHS member of other services/establishment”) by Stn. HQ for endorsement in PPO/issue of corrigendum PPO/updating Pension Records of Pensioners/family Pensioners.

(b) Duplicate Copy The duplicate copy will be forwarded to the concerned Regional Centre ECHS by Stn HQ for uploading the same in PDF format in the data base and to thereafter forward the hardcopy to concerned Record Office as mentioned in the application form for retaining in Pensioners’ record.

(c) Triplicate Copy The triplicate copy will be returned to the ESM by the Stn HQ (ECHS Cell) duly endorsed with verification of district as per format.

8. Based on ibid original application, O/o PCDA (Pension ) Allahabad, O/o PCDA (Navy & Coast Guard) Mumbai, O/o JCDA (AF) New Delhi-10 (“as applicable and similar office pertaining to the ECHS member of other services/establishment”) will sanction FMA & endorse in PPO/ issue of corrigendum PPO for updating Pension Records of Pensioners/family Pensioners maintained by Centralised Pension Processing Centres of Banks/DPDO etc. The date of commencement of FMA will be the first day of the subsequent second month in which the Pensioner has submitted the application ( e.g. FMA will commence from 1st July for all applications submitted during 1st May to 31st May).

9. Cessation of OPD Facilities An ESM who is drawing FMA will not be entitled to OPD facility at ECHS Polyclinic and Armed Forces Hospital. He is also not eligible for referral to Empanelled facilities for treatment in OPD. The ECHS smart card of the ESM will be endorsed with such details regarding facility available to him / her. The date of Cessation of OPD will be the First day of the following second month in which the pensioner has submitted the application eg. OPD will cease from 1“ July for all applications submitted during 1st May to 31st May.

10. Cessation of FMA The cessation of FMA, in the event of opening a new Polyclinic in the District, by PDA/bank would be based on a certificate issued by CO, ECHS through existing chain of Command & Control regarding the operationalisation of ECHS Poiyclinic. With effect from following month in which ECHS Polyclinic is operationalised, the entitlement of FMA for the above pensioners residing permanently in that district will cease. Any FMA paid in excess will be recovered from his subsequent pensionary entitlements. The ECHS card of the ESM will be updated on the status of FMA and medical facility available to him.

11. These orders will be come into effect from 1st of subsequent month from the date of issue.

12. This issues with the concurrence of Ministry of Defence (Finance/Pension) vide their UO No.33(145)/12.FP dated 5-10-2018.

Yours faithfully,

Sd/-

(A.K. Karn)

Under Secretary to the Govt of India

APPENDIX TO MoD ORDER NO. 22(01)2011/WE/ D(Res-1) dated 01.11.2018

LIST OF DISTRICTS NOT COVERED BY ECHS POLYCLINICS/ ARMED FORCES CLINICS/ MI ROOMS UPGRADED TO .ACCOMMODATE ESMs

LIST OF DISTRICTS NOT COVERED BY ECHS POLYCLINICS/ ARMED FORCES CLINICS/ MI ROOMS UPGRADED TO .ACCOMMODATE ESMs

Sl No		Districts	State	No of DISTRICTS NOT COVERED BY ECHS POLYCLINICS/ ARMED FORCES CLINICS/ MI ROOMS UPGRADED TO ACCOMMODATE ESMs
1	1	Nicobar	Andaman & Nicobar	2
2	2	North and Middle Andaman
3	1	Vizainagaram	Andhra Pradesh	1
4	1	Anjaw	Arunachal Pradesh	18
5	2	Changlang
6	3	Dibang valley
7	4	East Kameng
8	5	East Siang
9	6	West Siang
10	7	Kra Daadi
11	8	Kurung Kumey
12	9	Longding
13	10	Lower Dibang Valley
14	11	Lower Subansiri
15	12	Namsai
16	13	Papum Pare
17	14	Siang
18	15	Lohit
19	16	Tirap
20	17	Upper Siang
21	18	Upper Subansil
22	1	Baksa	Assam	21
23	2	Barpeta
24	3	Biswanath
25	4	Charaideo
26	5	Chirang
27	6	Dhemaii
28	7	Dimahasao (North Cachar Hills)
29	8	Golaghat
30	9	Hailakandi
31	10	Hoiai
32	11	Kamrup
33	12	Karbi Anglong
34	13	Kokrafuar
35	14	Karimganj
36	15	Majoli
37	16	Mori Gaon
38	17	Nalbari
39	18	Sivasagar
40	19	South Salamara Mankachar
41	20	Udalgiri
42	21	West Karbi Anglong
43	1	Araria	Bihar	20
44	2	Arwal
45	3	Aurangabad
46	4	Banka
47	5	Begusarai
48	6	Gopalganj
49	7	Jamui
50	8	Jehanabad
51	9	Kaimur
52	10	Kisanganj
53	11	Lakhisarai
54	12	Madhepura
55	13	Nalanda
56	14	Nawada
57	15	Purnia
58	16	Saharsa
59	17	Sheikhpura
60	18	Sheohar
61	19	Supaul
62	20	West Champaran
63	1	Balod	Chattisgarh	23
64	2	Baloda Bazar
65	3	Balrampur
66	4	Bernatara
67	5	Bijapur
68	6	Dantewada (South Bastar)
69	7	Dhamtari
70	8	Durg
71	9	Gariaband
72	10	Janigir- Chamba
73	11	Raigarh
74	12	Kabirdham (Kawardha)
75	13	Kanker (North Bastar)
76	14	Kondagaon
77	15	Korba
78	16	Korea (Koriya)
79	17	Mahasamund
80	18	Mungeli
81	19	Narayanpur
82	20	Rajandgaon
83	21	Sukma
84	22	Surajpur
85	23	Surguja
86	1	Dadar & Nagar Haveli	Dadar & Nagar Haveli	1
87	1	Daman	Daman & Diu	2
88	2	Diu
89	1	South West Delhi	Delhi	5
90	2	North East Delhi
91	3	North West Delhi
92	4	East Delhi
93	5	North Delhi
94	1	Amreli	Gujarat	26
95	2	Anand
96	3	Aravalli
97	4	Banaskanath(Palanpur)
98	5	Bharuch
99	6	Bhavnagar
100	7	Botad
101	8	Chhota Udaipur
102	9	Dahod
103	10	Dangs (Ahwa)
104	11	Devbhoomi
105	12	Dwarka
106	13	Gandhinagar
107	14	Gir Somnath Junagadh
108	15	Kheda (Nadiad)
109	16	Mahisagar
110	17	Mehsana
111	18	Morbi
112	19	Narmada(Rajpipla)
113	20	Navsari
114	21	Panchmahal (Godhra)
115	22	Patan
116	23	Porbandar
117	24	Sabarkantha
118	25	Tapi
119	26	Valsad
120	1	Mewat	Haryana	1
121	1	Kinnaur	Himachal Pradesh	2
122	2	Lahaul and Spiti
123	1	Bandipora	Jammu & Kashmir	9
124	2	Budgam
125	3	Ganderbal
126	4	Kistwar
127	5	Kulgam
128	6	Pulwama
129	7	Ramban
130	8	Reasi
131	9	Shopian
132	1	Bokaro	Jharkhand	16
133	2	Chatra
134	3	Dumka
135	4	Garhwa
136	5	Giridih
137	6	Godda
138	7	Hazaribagh
139	8	Jamtara
140	9	Khunti
141	10	Koderma
142	11	Latehar
143	12	Lohardagga
144	13	Pakur
145	14	Sahibganj
146	15	Saraikela- Kharsawan
147	16	Simdega
148	1	Bagalkot	Karnataka	16
149	2	Bellary
150	3	Bangalore Rural
151	4	Chamarajnagar
152	5	Chickballapur
153	6	Chikkarnangaluru
154	7	Chitradurga
155	8	Davangere
156	9	Gadag
157	10	Haveri
158	11	Koppal
159	12	Mandya
160	13	Raichur
161	14	Ramnagara
162	15	Udupi
163	16	Yadgir
164	1	Lakshadweep	Lakshadweep	1
165	1	Agar(Malwa)	Madhya Pradesh	39
166	2	Aliraipur
167	3	Anuppur
168	4	Ashoknagar
169	5	Balaghat
170	6	Barwani
171	7	Burhanpur
172	8	Chhatarpur
173	9	Chhindwara
174	10	Damoh
175	11	Datia
176	12	Dewas
177	13	Dhar
178	14	Dindori
179	15	Guna
180	16	Harda
181	17	Jhabua
182	18	Katni
183	19	Khargone (West Nimar)
184	20	Khandwa(East Nimar)
185	21	Mandla
186	22	Mandsaur
187	23	Narsinghpur
188	24	Neemuch
189	25	Panna
190	26	Raisen
191	27	Rajgarh
192	28	Ratlam
193	29	Sehore
194	30	Seoni
195	31	Shahdol
196	32	Shajapur
197	33	Sheopur
198	34	Shivpuri
199	35	Sidhi
200	36	Singrauli
201	37	Tikamgarh
202	38	Umaria
203	39	Vidisha
204	1	Bhandara	Maharashtra	12
205	2	Chandrapur
206	3	Gadchiroli
207	4	Gondia
208	5	Hingoli
209	6	Jalna
210	7	Nandurbar
211	8	Palghar
212	9	Parbhani
213	10	Raigad
214	11	Yevatmal
215	12	Washim
216	1	Bishnupur	Manipur	13
217	2	Chandel
218	3	Imphal East
219	4	Jiribam
220	5	Kakching
221	6	Kamjong
222	7	Noney
223	8	Pherzawl
224	9	Tamenglong
225	10	Tangnoupal
226	11	Thoubal
227	12	Ukhrul
228	13	Imphal West
229	1	East Garo Hills	Meghalaya	10
230	2	East Jaintia Hills
231	3	North Garo Hills
232	4	Ri Bhoi
233	5	South Garo Hills
234	6	South West Garo Hills
235	7	South West Khasi Hills
236	8	West Jaintia Hills
237	9	West Garo Hills
238	10	West Khasi Hills
239	1	Chamohai	Mizoram	6
240	2	Kolasib
241	3	Lawngatlai
242	4	Mamit
243	5	Saiha
244	6	Serchhip
245	1	Kiphire	Nagaland	8
246	2	Longleng
247	3	Mon
248	4	Peren
249	5	Phek
250	6	Tuensang
251	7	Wokha
252	8	Zunheboto
253	1	Boudh (Baude)	Odisha	21
254	2	Bhadrak
255	3	Balangir
256	4	Bergarh (Baragarh)
257	5	Cuttack
258	6	Debagarh
259	7	Gaiapati
260	8	Jharsuguda
261	9	Jaipur
262	10	Jagatsinghapur
263	11	Kendujahr (Keonjhar)
264	12	Kandhamal
265	13	Kendrapara
266	14	Malkangiri
267	15	Mavurbhanj
268	16	Nabarangapur
269	17	Nayagarh
270	18	Nuapada
271	19	Rayagada
272	20	Subarnapur (Sonepur)
273	21	Sundargarh
274	1	Karaikal	Puducherry	3
275	2	Mahe
276	3	Yanam
277	1	Banswara	Rajasthan	11
278	2	Baran
279	3	Bundi
280	4	Chittorgarh
281	5	Dholpur
282	6	Jalaur
283	7	Jhalwar
284	8	Pratapgarh
285	9	Sirohi
286	10	Swai Madhopur
287	11	Tonk
288	1	North Sikkim	Sikkim	3
289	2	South Sikkim
290	3	West Sikkim
291	1	Arivalur	Tamil Nadu	8
292	2	Karur
293	3	Krishnagiri
294	4	Narnakhal
295	5	Perarnbalur
296	6	Pudukkottai
297	7	Tiruppur
298	8	Tiruvarur
299	1	Adilabad
300	2	Bhadrdari Kothagudem
301	3	Jagtial
302	4	Jangaon
303	5	Javashankar Bhoopalpally
304	6	Josmlamba Gadwal
305	7	Kamareddy
306	8	Komaram Bheem Asifabad
307	9	Mahabubabad
308	10	Mancherial
309	11	Medak
310	12	Nagarkurnool
311	13	Nirmal
312	14	Nalgonda
313	15	Nizamabad
314	16	Peddaoalli
315	17	Rajanna Sircilla
316	18	Sangareddy
317	19	Siddipet
318	20	Suryapet
319	21	Vikrabad
320	22	Wanaparthv
321	23	Warrangal (Rural)
322	24	Warrangal (Urban)
323	25	Yadadri Bhuvana
324	1	Dhalai	Tripura	7
325	2	Gomati
326	3	Khowai
327	4	North Tripura
328	5	Sepahiiala
329	6	South Tripura
330	7	Unakoti
331	1	Ambadakar Nagar	Uttar Pradesh	27
332	2	Amethi (Chatrapati Sahuji Maharaj Nagar)
333	3	Amroha (Jyotiba Phule Nagar)
334	4	Auraiya
335	5	Bahraich
336	6	Balrampur
337	7	Chandauli
338	8	Chitrakoot
339	9	Hamirpur
340	10	Hapur (Panchsheel Nagar)
341	11	Kannauj
342	12	Kanshiram Nagar (Kasgani)
343	13	Kaushambi
344	14	Kushinagar (Padrauna)
345	15	Lalitpur
346	16	Maharaj gani
347	17	Mahoba
348	18	Mau
349	19	Pilibhit
350	20	Sambhal (Bhimnagar)
351	21	Sant Kabir Nagar
352	22	Sant Ravidas Nagar (Bhadohi)
353	23	Shamli (Prabudhnagar)
354	24	Shravasti
355	25	Sidharth Nagar
356	26	Sitapur
357	27	Sonbhadra
358	28	Birbhum	West Bengal	8
359	29	Dakshin Dinajpur
360	30	Hoogly
361	31	Jhargrarn
362	32	Malda
363	33	Purba Budwan
364	34	Purba Midnapur
365	35	Puruli
				365

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