IREC Rule No.643: Treatment For Special Diseases

  643.  (SECTION-E): Treatment For Special Diseases viz. Tuberculosis, Cancer, Poliomyelitis And Mental Diseases:-

(i)    Railway servants and their families will received, free of charge, treatment for tuberculosis, to the extent facilities are available in railway hospitals.  Railway servants and their families may also receive, free of charge, treatment for tuberculosis, in non-railway institutions sanatoria where separate annexes or bed have been reserved for the purpose subject to the condition that the number admitted at any one time does not exceed the number of beds provided in the annexes or reserved beds in the sanatoria at the cost of railway revenues. 

Note: Cost of special medicines or extra diet should be borne by the Railway administrations if the cost of reservation per bed per annum does not include such charges.

(ii)    Such railway servants and their families may also be allowed re-imbursement, as admissible under the rules, when on the advice of their Railway authorized medical attendant, they go to and are admitted in non-reserved accommodation in the Tuberculosis Institutions recognized for the purpose of medical treatment of Central Government servants and their families suffering from tuberculosis subject to the following certificates being given by the authorized attendant;

(a)    Immediate sanatorium or hospital treatment is necessary.

(b)    No Railway reserved bed is available.

Note: For this purpose the Chief Medical Director of the Railway should contact the Medical Superintendents of the approved sanatoria and refer to them the cases of tuberculosis for admission and treatment subject to the conditions that;

(1)  The standard of treatment provided by them is good and efficient;

(2)  The patient should as far as possible be admitted to a free ward;

(3)  If (2) is not possible, the patient should be admitted to the lowest class of paying wards, where charges should be comparable to those paid for reserved beds, or up to Rs.2400 per bed, per annum, in other sanatoria;

(4)  In case the patient prefers to be in paying/costlier ward even when accommodation is available in a free/lowest class of paying ward, he may be allowed to do so but additional cost should not be borne by the Railway.

(iii)  In cases of post-treatment check-up of railway servants who were suffering from tuberculosis, the charges levied by the sanatorium should be borne by the Railway administration where it is considered by the District/Divisional Medical Officer concerned that the patient should be sent in person for a follow-up observation to the sanatorium, subject to the provision that  none of the beds reserved for railway servants was vacant; in the sanatorium at the time, to accommodate such a person.