IREC Rule No.644: Treatment For Special Diseases From Nearest Recognized Hospitals

644.  Treatment For Special Diseases From Nearest Recognized Hospitals:-

A railway servant or a member of his family or dependent relative (who is eligible to receive treatment in non-railway hospitals) may receive free treatment for cancer, poliomyelitis, cerebral palsy and spastics at the nearest recognized hospital providing such treatment subject to the condition that such if treatment recommended by the authorized medical attendant. If the Medical Superintendent of the recognized hospital to whom the patient is sent for treatment by the authorized medical attendant, recommends that special treatment is necessary at the Tata Memorial Hospital, Bombay, in the case of cancer, and the Children’s Orthopedic Hospital, Bombay in the case of poliomyelitis, cerebral palsy and spastics, such patient may also receive free treatment at these hospitals.

Note: For the purpose of this rule, cancer may be defined to include any malignant new growth. 

Railway Board’s Decision: Advances may be granted to those railway servants whose pay does not exceed Rs.900 per month in cases of specialized treatment for cancer, and Rs.500 per month in the case of Polio cerebral palsy or spastics Paralysis on the terms and conditions mentioned below;

 (1)  The advance would be admissible only in cases where a railway servant or a member of his family is being treated as an in-Patient in one of the recognized hospitals for cancer.

(2)   The application for an advance should be supported by a certificate from the medical officer-in-charge that the patient is being treated as an in-patient in the hospital such a certificate should also indicate the probable duration of stay of the patient in the hospital and the anticipated cost of treatment which would otherwise be reimbursable under the rules and be also countersigned by the authorized medical attendant.

(3)   The advances should not in any circumstances, be allowed in a case where treatment is being obtained at the residence of the railway servant or at the consulting room of the authorized medical attendant or as an out-patient at a hospital.

(4)   The amount of the advance will in each case be limited to four months pay of the railway servant concerned or Rs.500 in the case of cancer and two months pay of  the railway servant concerned or Rs.200 in the case of polio cerebral palsy or spastics paralysis or such other amount as the medical officer-in-charge of the hospital may recommend, whichever is the lowest.

(5)   Not more than one advance should be granted in respect of the same illness.

(6)   The amount of the advance should be adjusted against the subsequent claim for reimbursement of the expenditure as admissible under the medical attendance and treatment rules and the balance., if any, recovered from the pay of the railway servant concerned in two equals monthly installments after the discharge of the patient from the hospital.

(7)   An advance under these orders will be admissible only to those railway servants whose pay does not exceed Rs.500 p.m.  The term ‘Pay’ for this purpose shall be as defined in rule 103(35).

(8)   In the case of temporary railway servants the grant of an advance under these orders would be subject to the production of surety from a permanent railway servant not governed by the Payment of Wages Act.

       [Authority: No.E52ME1/19/Medical, 21.04.1956]