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

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

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break-word !important;" valign="top" width="40%">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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