Finance (Salaries) Department G.O.Ms - No.280, Dated 24 June 2020

 MANUSCRIPT SERIES
Government of Tamil Nadu

2020
FINANCE [Salaries] DEPARTMENT
G.O.Ms.No.280, Dated 24th June 2020.

(Saarvari, Aani-10, Thiruvalluvar Aandu 2051)
ABSTRACT
NHIS – COVID-19 – Inclusion of New Packages for treatment of Critical and
Non-Critical care for COVID-19 positive cases covered under New Health Insurance
Scheme for Employees and Pensioners – Payment to the private hospitals – Fixation
of ceiling rates – Orders - Issued.
Read the following :-

1. G.O.(Ms).No.240, Health and Family Welfare (EAPI-1) Department,
dated:5-6-2020.
2. G.O.(D) No.247, Finance (Salaries) Department, dated:15-6-2020.
3. From the Commissioner of Treasuries and Accounts, letter
Rc.No.15357/NHIS-2/2020, dated 18-6-2020 and 22-6-2020.
-oOo-
ORDER:
In the Government Order first read above, due to the present pandemic
caused by COVID-19, the Health and Family Welfare Department has issued an
order for covering treatment of COVID-19 under Chief Minister Comprehensive
Health Insurance Scheme (CMCHIS). The above Government Order also states that
Finance Department is to fix the ceiling for treatment charges for COVID-19
positive cases, for New Health Insurance Scheme for Employees and Pensioners.
2. Consequently, in the Government Order second read above, an order was

issued to form a committee to determine the ceiling rates for treatment of
COVID-19 under the New Health Insurance Scheme for Employees and Pensioners
with the following members:-
Chairman: Dr. P.Umanath, IAS,

Managing Director,
Tamil Nadu Medical Services Corporation.
Members: 1. Thiru.C.Samayamoorthy, IAS,
Commissioner of Treasuries and Accounts.
2. Thiru. M. Arvind, IAS,
Joint Secretary to Government,
Finance Department.
3. Dr. T.S.Selvavinayagam,
Director of Public Health
3. Accordingly, a meeting was convened on 16-6-2020 under the

Chairmanship of Managing Director, Tamil Nadu Medical Services Corporation and
vide reference third cited, Committee recommended the ceiling rates for inclusion of
new packages for treatment of COVID-19 under New Health Insurance Scheme for
Employees and New Health Insurance Scheme for Pensioners.
P.T.O.
2
4. The Government after careful examination, have decided to accept the
same and accordingly issue the following orders:-
i). With respect to Critical care, (ICU Ventilated & ICU Non Ventilated):
(a) The United India Insurance Company Limited shall make

payments to all COVID positive cases that receive critical care as
per the package rates for existing procedures covered under the
New Health Insurance Scheme, subject to a ceiling of Rs.4 lakhs.
(b) In addition to the existing package rates, COVID-19 Management

charges as prescribed for the Chief Minister Comprehensive
Health Insurance Scheme (CMCHIS) in G.O.Ms.No.240, Health
and Family Welfare (EAPI-I) Department, dated 05.06.2020 shall
be provided by United India Insurance Company Limited as
follows:-
CRITICAL CARE – COVID 19
ICU Non Ventilated ICU Ventilated
Without With Sepsis / Without With Sepsis /
Sepsis/MODS MODS Sepsis/MODS MODS
Rs.6500/- Rs.6500/- Rs.8500/- Rs.8500/-
per day per day per day per day
ii). With respect to Non-Critical COVID care, the Government has fixed the
following as the ceiling for treatment cost of non-critical COVID
cases in empanelled hospitals:
1. A1 and A2 Category Hospital Rs.9500/- per day +

(for individual room) Pharmacy charges
2. A3-A6 Category Hospitals Rs.7500/- per day +
(for individual Room) Pharmacy charges
iii). Payments to empanelled Hospitals:-
(a) For critical care, United India Insurance Company Limited shall
make payments to empanelled hospitals as per the
recommended rates in para 4 (i) above from the New Health
Insurance Scheme account.
(b) For non-critical care, the Government has authorised the United
India Insurance Company Limited to form two separate Corpus
Funds – i.e. (1). Corpus Fund for COVID-19 treatment in
empanelled hospitals under New Health Insurance Scheme for
Employees - Rs.5 crore and (2). Corpus Fund for COVID-19
treatment in empanelled hospitals under New Health Insurance
Scheme for Pensioners/ Family Pensioners - Rs.2.5 crore. The
United India Insurance Company Limited shall make payments
for COVID-19 treatment as per the above recommended rates in
para 4 (ii) to the empanelled hospitals. Accordingly, the
Government hereby sanction a sum of Rs.5 crore (Rupees Five
Crore only) for New Health Insurance Scheme for Employees and
Rs.2.5 crore (Rupees Two Crore and fifty lakh only) for
New Health Insurance Scheme for Pensioners initially towards
contribution to the two Corpus Funds. The Corpus Funds will be
recouped from the Government as and when required.
3
iv) Payments to non-empanelled Hospitals:- United India Insurance
Company Limited shall make payments as per the above rates as per
para 4 (i) for critical care for COVID positive cases even in
non-empanelled hospitals, as these treatments will come under the
Emergency clause of the New Health Insurance Scheme, after getting
orders from the District level Empowered Committee on appeal
cases. With respect to non-critical care, Government employees and
pensioners shall restrict their treatments to empanelled hospitals for
the benefit of patient welfare.
v). The empanelled hospitals should not collect any amount in excess other
than the amount as prescribed above in para 4 (i) and 4 (ii). United
India Insurance Company Limited shall issue instructions to all the
empanelled hospitals in this regard.
vi). Government Employees/Pensioners who have already taken treatment

for Non-critical COVID care in empanelled Hospitals from 1.3.2020
to till date are directed to submit their claims for reimbursements by
appealing to the Commissioner of Treasuries and Accounts,
Chennai. The Commissioner of Treasuries and Accounts shall
recommend to the United India Insurance Company Limited to
reimburse the payment from the Corpus fund provided by the
Government.
vii). United India Insurance Company Limited shall provide a statement to

the Government on the utilization of the Corpus Fund at the end of
each quarter.
5. The contribution of Rs.5 crore to Corpus Fund for New Health Insurance
Scheme for Employees sanctioned in para 4 (iii) (b) above, shall be debited to the
following head of account:-
“2075 00 MISCELLANEOUS GENERAL SERVICES

800 Other Expenditure
State’s Expenditure
JI Corpus Fund for COVID-19 treatment in empanelled
hospitals under New Health Insurance Scheme for
Employees.
310 Contributions
01 Contribution to Specific Fund
IFHRMS (D.P.C. 2075 00 800 JI 31001)
Old (D.P.C. 2075 00 800 JI 1014)”
6. Necessary funds will be provided in Revised Estimates / Final Modified

Appropriation, 2020-21 to meet the expenditure sanctioned in para 4 (iii) (b) above.
Pending provision of such funds, the Commissioner of Treasuries and Accounts,
Chennai is authorized to incur the expenditure. However, the above expenditure
shall be brought to the notice of the Legislative Assembly by a specific inclusion in
the Supplementary Estimates for the year 2020-21. The Commissioner of
Treasuries and Accounts is directed to include the above expenditure while sending
the budget proposals for Revised Estimates / Final Modified Appropriation 2020-21
and also send draft explanatory notes for inclusion of this expenditure in the
Supplementary Estimates 2020-21 to Finance (Public) Department at an
appropriate time without fail.
7. The Commissioner of Treasuries and Accounts is the Estimating

Reconciling and controlling authority for the above new head of account. The Pay
4
and Account Officer/Treasury Officer concerned are directed to open the above new
head of accounts in their books.
8. This order issues with the ASL No.160 (One hundred and sixty)
(BY ORDER OF THE GOVERNOR)
S.KRISHNAN
ADDITIONAL CHIEF SECRETARY TO GOVERNMENT.
To
All Secretaries to Government, Chennai-600 009.
All Departments of Secretariat (OP/Bills), Chennai-600 009.
The Secretary, Legislative Assembly Secretariat, Chennai-600 009.
The Secretary to the Governor, Chennai-600 032.
The Comptroller, Governor’s Household, Raj Bhavan, Chennai-600 022.
The Governor’s Secretariat, Raj Bhavan, Guindy, Chennai-600 022.
All Heads of Departments.
All Public Sector Undertakings and Statutory Boards.
All District Collectors / All District Judges / All Chief Judicial Magistrates.
The Accountant General (A&E) Chennai-600 018.
The Accountant General (Audit-I) Chennai-600 018.
The Accountant General (Audit-II) Chennai-600 018.
The Accountant General (CAB) Chennai-600 009 / Madurai.
All Chief Educational Officers / All District Elementary Educational Officers.
All Pay and Accounts Officers / All Treasury Officers / Sub-Treasury Officers.
The Commissioner of Treasuries and Accounts, Chennai-600 035.
The Chief Internal Auditor and Chief Auditor of Statutory Boards, Chennai-600 002.
The Secretary, Tamil Nadu Public Service Commission, Chennai-600 003.
The Registrar General, High Court, Chennai-600 108.
All Commissioners of Tribunal for Disciplinary Proceedings.
The Registrars of all Universities.
The Project Co-ordinator, Tamil Nadu Integrated Nutrition Project, Chennai-600 018.
The Commissioner, Greater Chennai Corporation, Chennai-600 003.
The Commissioner, Corporation of Madurai / Coimbatore / Tiruchirappalli / Salem / Tirunelveli /
Erode / Tirupur / Thoothukudi / Vellore / Thanjavur / Dindigul/ Nagercoil / Hosur / Avadi.
All Municipalities. / The Tamil Nadu Science and Technology Centre, Chennai-600 025.
The Anna Institute of Management, Chennai-600 028.
The International Institute of Tamil Studies, Chennai-600 113.
The Tamil Nadu Energy Development Agency, Chennai.
The United India Insurance Company Limited, Divisional Office: 010600,
PLA Rathna Towers, 5th Floor 212, Anna Salai, Chennai-600 006.
The Managing Director, Tamil Nadu Road Sector Company Limited, Chennai-600 008.
The Managing Director, IT Expressway Limited, Chennai-600 008.
Copy to:
The Secretary to Hon’ble Chief Minister, Chennai-600 009.
The Deputy Secretary to Hon’ble Deputy Chief Minister, Chennai-600 009.
The Senior Personal Assistant to Hon’ble Chief Minister, Chennai-600 009.
The Chief Minister’s Office, Chennai-600 009.
The Private Secretary to the Chief Secretary to Government, Chennai-600 009.
The Principal Private Secretary to the Additional Chief Secretary to Government,
Finance Department, Chennai-600 009.
All Officers in Finance Department, Chennai-600 009.
All Sections in Finance Department, Chennai-600 009.
All Recognised Associations.
The Finance (Public / BG-I /BG-II) Department, Chennai-600 009.
Stock File / Spare Copies.
-/ Forwarded : By Order /-

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 MANUSCRIPT SERIES

Government of Tamil Nadu

FINANCE [Salaries] DEPARTMENT

G.O.Ms.No.280, Dated 24th June 2020.

Read the following :-

2. Consequently, in the Government Order second read above, an order was

Chairman: Dr. P.Umanath, IAS,

3. Accordingly, a meeting was convened on 16-6-2020 under the

(a) The United India Insurance Company Limited shall make

(b) In addition to the existing package rates, COVID-19 Management

1. A1 and A2 Category Hospital Rs.9500/- per day +

iii). Payments to empanelled Hospitals:-

vi). Government Employees/Pensioners who have already taken treatment

vii). United India Insurance Company Limited shall provide a statement to

“2075 00 MISCELLANEOUS GENERAL SERVICES

6. Necessary funds will be provided in Revised Estimates / Final Modified

7. The Commissioner of Treasuries and Accounts is the Estimating

(BY ORDER OF THE GOVERNOR)

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