0304 medical attendance-n_treatment_rules

NTPC Limited
Corporate Human Resources Division
HR Policy Manual
Medical Attendance & Treatment Rules
Section:0304
Issue No: II Rev.No.:0
Issue Date: 26.09.2011
Updated as on: 01.12.2016
Page: 1 of 33
MEDICAL ATTENDANCE & TREATMENT RULES
1.0 SCOPE:
The NTPC Medical Attendance rules apply to:
1 . 1 All regular employees, Trainees and apprentices (other than Act apprentices) and their
families. Deputationists from Government Departments and other organizations are
entitled to medical attendance and treatment as specified in the terms and conditions of
their deputation. CISF personnel, employees of schools financially assisted by the
company will be dealt as per clause 14 of MAT Rules. Act Apprentices are entitled only
to emergency treatment for injuries sustained during and in the course of their duty or
training, as the case may be.
2.0 DEFINITIONS:
2.1 "Authorised Medical Attendant" means the doctor appointed by the Company who is its
own employee or one who is authorized under these rules to attend on the employees of
the Company. Until such time as an AMA is appointed or where there is no provision for
such an appointment in a place where company's Unit/Establishment may be located,
the controlling officer of the employee concerned will exercise the powers of the AMA.
2.2 "Government Hospital" includes a Military Hospital, a Hospital maintained by a local
authority and any other Hospital with which Central/State Governments have an
arrangement for treatment of Government servants.
Note: Hospitals run by Railway administration and other Public Sector Undertakings may
also be covered under the definition of "Government Hospital". Thus, medical expenses
incurred in connection with treatment taken at Railway Hospitals and Hospitals run by other
Public Sector companies can be reimbursed to the employees under NTPC medical
attendance Rules.
2.3 "Employee" means whole-time employee of NTPC including deputationists and trainees
and apprentices other than Act apprentices and casual employees on daily rates.
2.4 Definition of "Family" for Medical Attendance :
The facility of Medical Attendance & Treatment shall be restricted only for self, spouse
(only one), two surviving children below 25 years in the case of unmarried sons and upto
30 years in the case unmarried daughters and parents subject to family members being
dependent on the employee. The restriction regarding numbers of children shall not apply
in respect of employees who are availing the facility of Medical Attendance & Treatment
for existing numbers of children as on 06.07.2000 in case of executives, as on 2.3.2001
in case of workmen and as on 19.4.2001 in case of supervisors. However, the restriction
of age shall apply to the existing children. Further, the restriction of age for dependent
children will not be applicable for physically handicapped or mentally retarded children
dependent on the employee.

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For considering a physically handicapped/ mentally retarded child as dependent, beyond
the age of 25/30 years, the following criteria are to be adopted:
• The income of such child, from all sources, to be less than ` 3000/- per month as
in the case of other dependents.
• The employee has to provide a medical certificate from a Government hospital
stating that the child is suffering from Total Permanent Disablement or is Mentally
Disabled.
The Parents will be considered wholly dependent on an employee only if the monthly
income of the parents or the combined income of both parents (if both are alive) does not
exceed ` 3000/- per month. Parents wholly dependent on the employee shall be covered
under the definition of family irrespective of the pension they are drawing.
Female employees shall have the option to declare their parents-in-law as family
members, in lieu of their parents. The condition of dependant, as existing presently for the
parents shall remain unchanged. Option exercised by a female employee in this may be
changed only once during the entire period of services with the company.
2.5 "Medical Attendance" means attendance in hospital or at the residence of the employee
including such pathological, bacteriological, radiological or other methods of examination for
the purpose of diagnosis as are available at the company's Hospitals or failing that in any
Government hospital/laboratory/ any private hospital/laboratory and are considered
necessary by the AMA and such consultation with a specialist or other Medical Officer/Sr.
Medical Officer-in-charge to such extent and in such manner, within India as the
specialist or Medical Officer, may in consultation with CMO, ACMO-in-Charge determine.
2.6 "Pay" For purpose of these rules will be the amount drawn monthly by an employee as pay
which has been sanctioned for the post held by him. It will also include special pay,
personal pay .In the case of trainees and apprentices, pay would mean the actual stipend
drawn.
2.7 "Patient" means one NTPC employee or a member of his family to whom these rules
apply and such others as are provided for in these rules and who require medical attention.
2.8 "Treatment" means the use of all medical and surgical facilities essential for the recovery or for
prevention of deterioration in the condition of the patient.
Note:In the case of female employee and families of male employees, treatment includes
confinement at the hospital of the Company or at a Government hospital/Maternity Center as
well as pre-natal and post-natal treatment or in any private hospital.
2.9 “Health Card” means a card issued to each employee and his / her dependants, i
PRMS beneficiaries containing details like Name, (Ex) Employee No., Photograph, Date
of Birth, Finger prints and other details as prescribed by company from time to time,
which help establish the identity of the employee and his/ her dependant for availing
treatment in an empanelled hospital of the company.

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3.0 TREATMENT AT PLACES WHERE FULL-FLEDGED COMPANY DISPENSARIES /
HOSPITALS EXIST:
All employees and their families are entitled to free medical attendance and treatment in
NTPC dispensary/ hospital. In the case of severe illness, Company's ambulance van can be
utilized at the discretion of AMA for bringing the patient to the dispensary/ hospital.
Patients will not ordinarily be treated at their residence except in the case of acute disease
or when the AMA considers movement of the patient injurious to his recovery. Patients
requiring hospitalization will be admitted to the Company's hospital and will be entitled to
the following facilities at Company's expenses:
(a) Use of all medical and surgical facilities available at the hospital.
(b) the employment of such pathological, bacteriological, radiological or other methods as
are considered necessary by the AMA.
(c) Supply of such medicines, vaccines, sera or other therapeutic substances as are
ordinarily available in the hospital, Cost of medicines etc. prescribed by the AMA but
not available at the hospital will be reimbursed.
(d) such consultations with a specialist as the AMA may consider necessary;
(e) Such accommodation and such nursing as are ordinarily provided at the hospital to
the patients.
3.1 Diet charges will be recovered from the employees in the case of indoor treatment of the
employees and their families. Rates for the cost of diet to be charged will be published from
time to time by the Company/Head of the unit.
Note : (1) The minimum period for which diet charges recoverable is half-a-day.
(2) In the case of non-residents of township where attendance for a employee is
certified as essential, they are allowed to avail of the kitchen facilities (taking the
diet from the supply of hospital kitchen) with the recovery of diet charges.
4.0 THE TREATMENT AT PLACES WHERE FULL-FLEDGED COMPANY DISPENSARIES/
HOSPITALS DO NOT EXIST.
4.1 Out Patient Treatment:
4.1.1 Employees may receive medical attendance and treatment from private registered Medical
Practitioners of their choice and actual fees charged by the Doctors will be reimbursed
subject to the following limits:

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TYPE OF
DOCTOR
CONSULTATION CHARGES
For the Clinics For Domiciliary Visits
MBBS Rs. 200/- (each
consultation) subject to a
maximum of 4
consultations for the same
ailment.
Rs. 300/- (each visit /
maximum of 4 visits /
ailment.
Specialists
(M.S./M.D)
Rs. 400/- (each
maximum of 4
ailment)
Rs. 600/- (each visit /
maximum of 4 visits /
ailment
Note : (a) For visits between 10.00 PM and 6.00 AM, the charges will be 1.5 times the
normal charges.
(b) A certificate will also be required to the effect that the domiciliary visit was
essential in the interest of the health of the patient.
(c) For out-patient treatment obtained in notified hospitals, the consultation
charges as per agreement with notified hospital concerned shall be
reimbursed.
4.1.2 Any employee can directly consult the specialist, if required.
4.2. Indoor Treatment
4.2.1.1 In cases requiring hospitalization, the patient may report to any empanelled/ notified hospital of
the company with his/her Health Card . Admission will be made by the Notified/ Empanelled
Hospital after authentication of the patient by Health Card and Biometric verification. Employees
and their dependants must necessarily go through the set procedure before admission for
treatment. No admission slip shall be issued separately by the AMA.
In case of network problems, power failure, problems in central server, incapacitation, injury to
the hand, new born child etc., the data shall be captured manually.
In case of on-site accidents and emergencies/ critical cases like heart attacks etc, the company
shall provide for transportation of the patient to an empanelled hospital.
The latest list of notified/ empanelled hospitals is enclosed at Annexure-I
4.2.1.2 During the course of indoor treatment, actual charges in respect of medicines/ laboratory
tests and investigations/ operation charges etc. will be borne by the company. Charges for the
diet/personal expenses will, however, be borne by the employee.

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For certain Radiological investigations (like PER/CT/PETMRI), Endoscopy, ERCP,
Lithotripsy, Laser treatment (non-cosmetic), Cataract, Thallium Scan, Colour Doppler,
Oxygen Therapy, Radiation, Chemotherapy, Dialysis, EECP (Enhanced external Counter
Pulsation- Package), CT/MRI/USG-guided FNAC/ Biopsy, MRI (Plain & Contrast),
Colposcopy with/without Biopsy, Hysteroscopy/ Cystoscopy, CT Angiography, Urethral
Dilatation, Optha Surgery (RPC) Injection etc., taken in day care shall be treated as indoor
treatment and procedure laid down for indoor treatment shall be applicable. Such
procedure shall be notified by CMO, CC from time to time.
4.2.1.3 Treatment can be obtained by serving employees and their dependents from any other
Govt./Private hospital/ nursing home also. In case where treatment is obtained from any other
Govt./private Hospital/nursing home, the entitlement for major operation and diagnostic tests
etc. will be limited to those of Holy Family Hospital, Sir Ganga Ram Hospital or All India
Institute of Medical Sciences (AIIMS), whichever is higher subject to actual.
4.2.1.4 Accommodation entitlements in notified/empanelled hospitals will be regulated in terms of
the agreement with these hospitals from time to time and may vary from hospital to
hospital.
4.2.1.5 If treatment is taken in a non-notified hospital, reimbursement of actual accommodation
charges may be made limited to following rates:
Grade Rate / day (Rs.Rs.Rs.Rs.)
Executives Non-Executives
- W1-W4 300
- W5-W6 550
E1 W7 & above, all Supervisors 950
E2-E4 NA 1500
E5-E7 NA 1800
E8 & above NA 2000
4.2.2 Hospitals will be notified by the Executive Director of the concerned Region at various
places within the Region based on requirements.
4.2.2.1 Reimbursement of claims for non-notified hospitals preferred by the employees for
undergoing diagnostic tests/investigations which are not specified in the Schedule of charges
of Holy family Hospital will be regulated in accordance with the rates specified by Sir
Ganga Ram Hospital or All India Institute of Medical Sciences (AIIMS), whichever is
higher. The reimbursement of charges in these cases shall be limited to the specified
percentages, as stipulated below, depending upon the category of places where the
tests/investigation are performed.
*Classification of cities will be the same as followed for payment of HRA.
CLASSIFICATION OF CITIES PERCENTAGE
X 100%
Y 80%
Z 60%

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However, in respect of OPD consultation charges, Dental Treatment Charges, Injection
Fees/ Dressing Charges, reimbursement towards Glucostrips/ Glucosticks, Intraocular
lens, etc. where specific amounts are notified, OPD claims of employees may be
restricted to the notified amounts and are not to be restricted to percentages according
to classification of cities.
If the diagnostic tests/ investigations are not covered in the Schedule of charges of Holy
Family Hospital or Sir Ganga Ram Hospital or the AIIMS rate list, reimbursement for the
same may be regulated in accordance with the advice/recommendations of the AMA.
4.2.3 Homeopathy & Ayurvedic Treatment
Employees/their dependant family members will be entitled for reimbursement of
charges for treatment undertaken under Homeopathy & Ayurvedic Systems of Medicine
as under:
(a) Consultation Charges:
Consultation charges (if medicines
prescribed by doctor).
Rs. 100/- (each consultation) subject
to maximum of 4 consultations for the
same ailment
Actual consultation charges to be reimbursed, if the treatment is taken in a notified
Hospital.
(b) Medicines : When medicines are supplied by the Doctor, no separate consultation
charges would be paid, the reimbursement will be restricted to the amount calculated
@ Rs. 40/- per day for the period of treatment which will not exceed 30 days in any
case. In cases where Medicines are prescribed by the Doctor, the same will be
reimbursed only if the medicines are admissible under the Central Govt. list of
admissible medicines.
For reimbursement under the Indian system of medicine i.e. Ayurveda &
Homoeopathy, the qualification of the Ayurvedic & Homoeopathic doctors from whom
treatment may be taken shall be 'A registered medical practitioner holding degree
/diploma in Ayurveda / Homoeopathy from a university / statutory board / council /
Faculty of Indian Medicine & Homoeopathy'.
4.3 Injection Fee/ Dressing Charges etc.
The doctors will be paid administering charges and the medicines will be procured from the
chemists by the employees themselves. However, in emergent cases, injections can be
supplied by the doctor himself from the clinic and in that case the same will be reimbursed.
Injection Fee Rs. 40/-
Dressing Rs. 90/-
Stitches
(per stitch)
Rs. 60/- (for first 10 stitches)
Rs.150/- (above 10 stitches)

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4.4 Guidelines applicable for deciding entitlement of accommodation in empanelled
hospitals are as under:-
W1 & above Semi Paying Ward / Semi Private / 3 Bedded Room
W7 & above and all Supervisors Semi Paying Ward / Semi Private (Single Cabin) / 3
bedded Room / ‘B’ Class Room
E1 & above Private Room / ‘B’ Class Room / 3 Bedded Room / 2
Bedded Room (AC) / Non AC Room
E3 & above Private AC Room / ‘B’ Class Room / 1 Bed Room (AC)
/ (AC) room (Second highest)
E5 & above Private Deluxe Room / Deluxe Room / Private AC
Room (Highest) / 1 Bed Room (AC) / AC room (other
than Deluxe)
4.4.1 The aforementioned guidelines however cannot be treated as a standard or fixed for
deciding the entitlement of various categories of employees. This is because the
entitlements have to be based on the types of accommodation available in the respective
hospitals. The entitlements therefore differ from hospital to hospital. These guidelines shall
be used as a basis for working the entitlements in various empanelled hospitals.
5.0 ADMISSIBILITY OF CERTAIN SPECIALIST TREATMENT
5.1 Dental Treatment:
5.1.1 Dental treatment can be obtained from any Dental Surgeon and the actual fees charged by
the Dental surgeon shall be reimbursed subject to the following limits :-
Type of Dentists OPD Consultation Charges
a) Dental surgeons having Post Graduate
qualification in Dental Surgery
Rs. 300/- for each consultation subject
to a maximum of 4 consultations for
the same ailment.
b) Dental surgeons other than a) above i.e.
BDS
Rs. 200/- for each consultation subject
to a maximum of 4 consultations for
the same ailment.
5.1.2 Dental Treatment Charges
Notified / Government Hospitals: Other than cosmetic treatment & Dental procedures at
Annexure-II, actual charges to be reimbursed.

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Non-Notified Hospitals: As per Annexure-II.
5.1.3 Consultation charges as also the actual treatment charges for the items listed in Annexure II
shall be applicable to all notified/empanelled hospitals also for consistency & uniformity.
5.1.4 Charges for supply of denture cleaning / polishing of teeth, filling of teeth with gold,
orthodental treatment on account of cosmetics, will not, however be admissible. In other
cases, however for orthodental treatment, reimbursement will be made on the merits of each
case on the advice of AMA.
5.2 Ophthalmic Treatment
5.2.1 Employees and members of their family can have their eye sight tested for glasses once in
every three years and the fees incurred for this purpose will be reimbursed. The condition of
three years can, however, be relaxed on the advice of the AMA. A register would be
maintained to ensure that the employees do not get eye testing facilities on more than one
occasion in period of three years.
5.2.2 The above concession does not include provision of spectacles at the cost of the company.
5.3 Treatment for immunizing and prophylactic purposes
Reimbursement of charges incurred on treatment of the employees and their families for
immunizing and prophylactic purposes in a Government/recognized hospitals will be
permitted only in the case of communicable diseases viz. (a) Cholera (2) Typhoid group of
fevers (TAB) (3) Plague (4) Diphtheria (5) whooping cough (6) Tetanus (7) Polio and (8)
Hepatitis.
5.3.1 An amount of Rs 4,500/- per patient shall be reimbursed for swine flu testing on prescription
of Authorized Medical Attendant as per rules in respect of employees and their dependant
family members.
5.4 Vaccinations/Inoculations etc
The cost of vaccinations, inoculations and injections taken by the employee, his family and
servants for prophylactic and immunizing purposes to secure health certificates under
international travel regulations before commencement of such travel will be reimbursed by the
Company provided the journey is undertaken at the cost of the company.
5.5 Treatment of Diabetes & Mental diseases shall be regulated as per normal rules
applicable
5.5.1 Reimbursement towards Glucostrips/ Glucosticks shall be allowed to employees and their
dependants limited to an annual ceiling of Rs. 3000/- in totality. There shall be no
reimbursement of the cost of Glucometer.
5.6 Implantation of Pace Maker
Charges incurred towards implantation of pacemaker shall be reimbursed according to the
rates charged by AIIMS.

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5.7 Removal of Kidney stones by Lithography
Reimbursement of medical expenses incurred by the employees towards removal of Kidney
stones by Lithotripsy is allowed limited to the rates charged by the All India Institute of
medical Sciences (AIIMS) New Delhi. Charges towards accommodation, investigations,
medicines etc. shall be over and above the rates specified above and shall be limited to the
entitlement of the employee concerned.
Presently, the rates charged by AIIMS towards removal of Kidney stones by Lithotripsy is
Rs. 7,000/- (Rupees Seven thousand only).
5.8 Intra Ocular Lens
Expenditure incurred towards Intra Ocular Lens (IOL) may be reimbursed to the employees
upto a maximum of Rs. 3,000/- per lens subject to actual. In case the operation is carried
out at Notified/Govt. hospital and if Notified/ Govt. hospital includes cost of lens in its bill, the
actual amount may be reimbursed.
5.9 Reimbursement of Low Vision Aids/Hearing Aid to Employees and dependents of
employees who are visually Challenged/Hearing Impaired (On receipt of Disability
Certificate)
5.9.1 Low Vision Aids:
Reimbursement towards low vision aids, dark glasses etc. subject to a maximum of Rs. 2000/-
every year
5.9.2 Hearing Aid:
Hearing Aid: Behind the ear model for each ear restricted to Rs. 25,000 or actual cost whichever is
lower. It may be replaced every 4 years subject to certificates of condemnation by ENT specialist.
5.9.3 All requests for reimbursement of cost of hearing aid shall be routed through the CMO of respective
project/stations, on recommendation of the ENT specialist of Govt./ recognized hospital and on the
basis of audiogram of the employee/dependent concerned. Similarly all requests for reimbursement
of cost of low vision aids shall also be routed through the CMO of respective projects/stations, on
recommendation of the Eye specialist of Govt/recognized hospital.
5.9.4 There shall be no reimbursement towards the cost of cell/ battery for the hearing aid.
5.10 Reimbursement of 'COMBO' Pathological tests
'Combo' test undertaken by the employee and/or his/her dependants on the prescription of an
Authorized Medical Attendant at empanelled hospitals only shall be reimbursed.
6.0 REIMBURSEMENT OF MEDICINES ETC.
6.1 Cost of medicines which are required and recommended by AMA (Company's Doctor, Doctor
of a Government hospital or a registered private medical Practitioner as the case may be) will be
reimbursed on submission of claim as herein after prescribed. Medicines can be obtained

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from any chemist/druggist on the prescribed prescription by the Doctors. Wherever
convenient, medicines should be procured from Institutions like the Super Bazaar situated at
various places, specially in the case of chronic patients.
6.2 No medicine will be supplied by the Doctors from their clinics to the patients. However, in
emergent cases, where administering of any medicine is essential in the interest of ailment
by the patient, the same can be supplied by the Doctors.
6.3 Cost of such medicines listed as inadmissible by the Ministry of Health and so notified by
them from time to time shall not be reimbursed except with the specific approval of the AMA.
The cost of the following medicines is not reimbursable:
(a) Medicines which are of food value,
(b) Medicines in the nature of toiletries and
(c) Medicines which are of prophylactic nature except to the extent specifically provided for in
these rules.
Note : (a) Where cheaper substitutes of equal therapeutic value are available, the less
expensive one should be used as far as possible.
(b) The list of medicines not reimbursable is available in the Accounts Department.
Note: For detailed procedure in this regard, CHRC 791/2015, dated 06.10.2015 may be referred.
6.4 Normally the medicines may not be prescribed for more than One month at a time for Allopathic /
Ayurvedic treatment. In case, the medicines have to be prescribed for more than One month, the
consulting Doctor/ AMA shall record the reasons for the same. Once reasons are recorded by
Consulting Doctor/ AMA, bills may be settled accordingly.
6.5 The cost of supply items such as Urobag, ringer Lactate, venfloan No. 18, BT Test, TV Trip test,
disposable syringe etc. prescribed by the attending doctor/physician may be reimbursed in
consultation with the company's AMO/ AMA who should certify that the supply
items/accessories recommended for reimbursement are essential for treatment and
recovery of the patient.
7.0 PURCHASE OF ARTIFICIAL LIMBS/ APPLIANCES
7.1 Expenses incurred by the employees towards purchase/replacement/repair/ adjustment of
artificial limbs/appliances for self and/or dependent family members may be reimbursed for
such items as specified at Annexure-III.
7.2 The reimbursement, as above, shall be made to the concerned employee on the
recommendations of and consultation with the AMA.
7.3 Reimbursement towards expenses incurred on purchase of artificial limbs/ appliances will
be regulated as under:

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ARTIFICIAL LIMBS
& APPLIANCES
Notified Govt. hospitals: actual charges to be reimbursed.
Non-Notified hospitals- reimbursement subject to rate-list of
Artificial Limbs Manufacturing Corporation of India (A Govt. of
India Enterprise) published from time to time. Items to be
governed as per notification (CC:IOM No. 01: Pers:7(6) dated
12.04.89). Annexure III
8.0 PROCEDURE FOR REIMBURSEMENT OF MEDICAL EXPENSES
8.1 All payments of medical expenses (other than when IPD treatment is availed in an empanelled
hospital using Health Card) should be made by the employee in the first instance. Claims for
reimbursement of medical expenses should subsequently be submitted in the prescribed claim
form duly supported by the prescription, bills, cash receipts and cash memos.
8.2 The Medical claims should be preferred by the employee concerned through ESS.
8.2.1 The number of claims to be preferred by an employee should not exceed 2 in a calendar
month.
8.3 Claims for reimbursement of medical expenses should be submitted within three months of
the day of completion of the treatment. Provided that time barred claims may be admitted
beyond three months, but within one year from the date of completion of the treatment
provided that the controlling officer is satisfied in each case that the delay in submission of
claims is for reasons beyond the control of employees.
9.0 MEDICAL TREATMENT IN RESPECT OF EMPLOYEES/ THEIR FAMILIES IN SPECIAL
CIRCUMSTANCES
9.1 In respect of employees sent abroad for training/short term assignments (upto 90 days), Medical
Insurance Policy as currently in practice shall continue to be obtained. The deductibles of
first US $100 for hospitalization cases, in each case, not being payable under the
insurance policy and being borne by the employee shall be reimbursed by the Company
subject to the Medical Attendance and Treatment Rules. The said claims would be settled
based on the production of bills, final settlement certificate from the Insurance Company,
payment receipts etc.
Any amount paid by the employee (if not paid by the Insurance Company) towards OPD
treatment shall be reimbursed as per the Medical Attendance & Treatment Rules of the
Company subject to production of the original prescriptions, bills and payment receipts.
However, if this amount is expected to exceed US$100, prior approval of the Competent
Authority is required. The Competent Authority for this purpose shall be D(HR).
All reimbursement of the above expenditure shall be made in Indian Rupees only as per
the US$ exchange rate as on the date of expenditure and subject to production of proof of
the source of funding of the Foreign Exchange.

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Expenses incurred towards treatment of dependants visiting the employee at the place of
his assignment / training abroad shall be borne by the employee.
9.2 The families of employees who are deputed/posted by the company abroad for training or
any other purposes will continue to be entitled for free medical attendance and treatment at
the cost of the Company in terms of these rules if they do not accompany the employee
abroad, irrespective of the place they may be residing at in India.
.
10.0 PROCEDURE FOR IPD BILL SETTLEMENT
10.1 In case of IPD treatment at notified/Empanelled Hospitals using Health Card, the bills shall
be processed at the concerned Regional HQs/ Nodal Centre , where the employee and/or
his/her dependents have taken treatment and subsequently the same will be debited to the
Project/Station/Office concerned.
10.2 The Regional Medical Cell/Corporate Medical Cell shall monitor & review the IPD cases
admitted in their Region/CC and ensure that RMO submits report to RED/ED(HR), as and
when required, about the expenditure, reasons for continuation of treatment etc.
RED/ED(HR) shall review and monitor to ensure that there is no misuse of the facility. A
monthly Report may be sent to Corporate Medical cell by Regional Medical Cell indicating
the IPD cases details in their jurisdiction. Corporate Medical Cell shall extend the necessary
management support required and also generate MIS and engage in continuous review of
the process.
Corporate Medical Cell shall also monitor the receipt of such monthly reports and submit the
consolidated report to D(HR).
1 1 . 0 GRANT OF ADVANCE FOR MEDICAL ATTENDANCE AND TREATMENT
11.1 To enable the employees initially to meet the expenditure on their own medical attendance and
treatment (OPD, IPD) or that of their families, the powers to grant medical advance
including diagnostic tests within India, in consultation with Head of Health Centre and
Finance shall be as follows:-
Extent of Medical Advance Sanctioning Authority
(i) Upto Rs. 1 Lakh GM/BUH
(ii) Full Powers including self ED/RED
Adjustments of claims for the advance will be settled as per rules and entitlement of the employee.
11.2 The actual amount of advance to be granted shall be decided keeping in view the
recommendations of AMA as regards the nature of the disease, likely duration of hospitalization
and anticipated expenditure thereon vis-à-vis the amount reimbursable for
illness/hospitalization as per the entitlement of the employee concerned.
11.3 The advance would be admissible to the employees borne on the regular establishment of
the company including trainees recruited under the Company's own training schemes.

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11.4 The amount of advance granted shall be adjusted against the medical reimbursement claims
submitted by the employee for reimbursement of the expenditure, as admissible, and the
balance, if any, will be recovered from the pay/other dues of the employee concerned. In
case of failure to present the reimbursement claim/adjustment bill within the period of three
months from the date of discharge from hospital, the entire amount of advance will be
recovered in one installment.
1 1 . 5 An employee desirous of availing the facility of medical advance shall apply in prescribed
form. However, in case an employee's condition is such that he is unable to make the
application personally and receive the payment, another employee of the company may
present the application for advance on his behalf, depending upon the facts and
circumstances of the case and at the discretion of the Management. The advance will be
booked in the name of the applicant (employee concerned or some other employee on his
behalf, as the case may be and it shall be the responsibility of the applicant to arrange for
adjustment of the advance within the stipulated period.
13.0 MEDICAL TREATMENT TO NON ENTITLED PERSONS/ OUTSIDERS AT
DISPENSARIES/ HOSPITAL OF THE COMPANY
13. 1 Outsider means any person who is not an employee of the company or a member of the
employee's family as defined in these rules. This term will include relatives and servants of
the employees, contractors, and their workman working in the premises of the company,
employees of the banks, police, post office, schools, cooperative stores, clubs etc. For
treatment of the above categories of outsiders, the following rules shall apply:-
(a) Initial and subsequent consultations;
(b) Cost of medicines, prescribed, if dispensed from NTPC's hospitals/ dispensaries
including dressing;
(c) Cost of out-patient treatment/injections;
(d) Laboratory and radiological investigations;
(e) Cost of prophylactic treatment;
(f) Cost of all treatment rendered in hospital for inpatient, besides bed charges and
diet charges, wherever provided.
The cost to be recovered shall include the cost of drugs, dressings, blood transfusion fluids
and so on. The existing charges to be recovered from non-entitled persons/outsiders for
various treatments are indicated at Annexure-IV.
13.2 Wherever the charges prescribed are at per day rate, while the recovery at full prescribed
rate for every 24 hours is to be made, the charges for a fraction of a day (24 hours) are to be
calculated on the following basis:
Period Rate
Upto 12 hours Half the prescribed rate
More than 12 hours butupto24hours Full prescribed rate

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13.3 It may be pertinent to note here that the annexure generally prescribes the rates of recovery
to be effected for consultations, tests, and investigations, bed charges etc. Therefore apart
from recovery of these charges, cost of medicines dispensed from NTPC's
hospitals/dispensaries including dressings are also to be recovered at market prices.
13.4 The land oustees and their family as defined in CPC 53/80 dt. 19.06.1980 shall be
provided out door and Indoor treatments in Project Hospitals. All treatment including
operation, Hospitalization, Investigation etc, shall be provided on a nominal charges as
stipulated at Annexure-IV.
14.0 Medical treatment to CISF (Other than personnel on Deputation)/ NTPC Assisted
School personnel.
Treatment in respect of CISF (Other than personnel on deputation) and NTPC Assisted
School Staff.-
14.1 CISF Personnel and staff of NTPC assisted Schools may be allowed to avail of all the
medical facilities as are available in the project hospital. Cost of medicine which have been
prescribed by the Company Doctor and purchased from the market due to non – availability
of the same in the hospital pharmacy, may however be reimbursed.
14.2 Further, CISF personnel and their dependent family members on tour/ leave / not residing
either in NTPC Township or in nearby areas may avail of OPD facilities and hospital facilities
either in Government Hospitals or nearby Hospitals; however, reimbursement will be done at
the percentage of Holy Family Hospital rates, as per rules.
14.3 Project/stations where there is no in-house hospital facility, CISF / School personnel may be
allowed to avail OPD facilities in a notified hospital for the project / station. For inpatient /
hospitalization, they may go to the nearby Government hospital or hospitals under CGHS
Scheme where the Central Govt. employees are allowed to take treatment.
15 0 RULES FOR AMBULANCE SERVICE AT THE HOSPITAL
1 5 . 1 Ambulance service will be provided free of charge to cases eligible for free treatment
requiring admission as in-patients and in case of accident on site and critical cases like heart
attacks, etc only, as approved by BUH.
15.2 In case of patients eligible for free treatment other than those requiring admission as in patients,
ambulance service be provided free of charge if in the opinion of the attending doctor, it is
necessary to transport the patient by an ambulance on medical grounds, such as inability to
walk on account of fracture in the leg or blindness or very old age or mental illness etc.
15.3 If, after arrival at the hospital, the doctor finds that the use of the ambulance was not
warranted on any of the grounds mentioned in paras above, the ambulance charges will be
recovered from the employee.
15.4 Ambulance service will not be made available for dropping patients at their homes or at other
places after out-patient treatment. They will be required to make their own arrangements for
returning from the hospital.
15.5 Requests for ambulance to bring paying cases (ERNE cases) who are residing within the

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township will be complied with subject to availability of the ambulance. In other cases, the
employees will have to make their own arrangements. The only exception will be cases
arising out of accidents for which the Chief Medical Officer's approval will be required. After
arrival at the Hospital, if it is found that incorrect or misleading information has been
furnished in addition to recovering the ambulance charge, disciplinary action may also be
taken against the employee.
15.6 Use of ambulance for medico-legal cases connected with employees or their dependent
eligible for free treatment will be charged for except when in the opinion of the attending
doctor it is necessary to transport the patient by ambulance on medical grounds.
1 5 . 7 In case of accidents while on duty, ambulance will be provided free of charge.
15.8 The user of the ambulance will ensure that:
(a) for incoming cases the Doctor or the Nurse of the Maternity Ward or the Casualty
certifies the use of the ambulance as free or paid; and
(b) for outgoing cases an ambulance slip issued by the doctor treating the cases
should be obtained and presented to the casualty nurse.
15.9 When a patient eligible for free treatment is referred to the Government hospital, ambulance will
be provided only if a doctor of not less than the rank of a Medical Officer certifies that it is
not safe for the patient to travel by any other transport.
15.10 All cases brought by ambulance should present themselves at the casualty room and not at
the out-patient department (except in cases of confinement where the patient will be taken
directly to the Maternity Ward) and then directed to the Medical Officer in the out-patient
department after registering their names in the ambulance register. Likewise, all patients to
be dropped should present themselves at the casualty room with the necessary authorization of
the Medical Officer for registration before getting into the ambulance. In all paying cases, the
Casualty Nurse or the Receptionists/Nurse will record "TO PAY" in the ambulance register
and in the ambulance trip sheet.
15.11 The charges for ambulance trip will be as fixed by the Management from time to time.
15.12 The ambulance will not be used for transporting dead bodies.
15.13 Any matter regarding the use of the ambulance not covered by these rules will be referred to
the BUH.
15.14 Ambulance Rates for non-entitled category of patients:
In extreme situations, if the services of Ambulance has been provided to non-entitled
patients, ` 6.00 (Rupees Six only) per kilometer may be charged
15.15 Charges from Land outsees : In case of land-outsees for availing the services of
Ambulance, Land- outees may be charged at the rate of ` 1.65 per K.M for a distance Upto
50 K.M and ` 2.50 per K.M for distances beyond 50 kms.

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16.0 MEDICAL CERTIFICATES AND PRIVATE PRACTICE
The Company's Medical Officers will not issue any certificate other than what they are required to
do under the Company Rules or in the Company's interest. The only exception will be that
they may issue certificates for life Insurance policies and accept payment for them subject to
the relevant rules, but this should not interfere with their work under the company.
The rate of charges for other cases may be fixed by the company from time to time, and will
be available with the CMO. In the proceeding paragraphs wherever a doctor is permitted to
retain a part of the fees, specific mention about it has to be made. In all other cases, the fees
will be entirely credited to the Company.
17.0 COMPULSORY MEDICAL CHECK UP OF EMPLOYEES AND SPOUSES OF
EMPLOYEES
1 7 . 1 Considering the employee stress, its medical hazard and as a preventive health measure, all
employees and spouses of employees above 40 years of age are required to undergo
medical check up at company’s cost. This check up is required to be done once in a year for
all employees/ spouses of employees above 45 years age and once in two years in cases of
employees/ spouses of employees within the age group of 40-45 years.
17.2 The medical check-up should include Type-1/Type-2
(A) Type-1 examination : History and full general physical examination, routine Urine &
Stool examination, eye examination- Ophthalmology assessment, X-ray chest (P.A view),
Resting Electro Cardiogram, Hematology ( HB-TLC-DLC-ESR & Blood group), Bio-chemistry
(Blood sugar, Fasting, PP Cholesterol, Triglycerides, Uric Acid, Urea, Creatinine &Gamma
G.T)
(B) Type 2 Examination: Stress ECG (Tread Mill Test), in addition to the test at (A) above.
Type 2 examination is required to be done only once in 2 years. However in cases of
employees/ spouses of employees having cardiac problems, they may be referred for type 2
examination every year.
(C) For Ladies: Gynae check-up with Pap Smear, in addition to the above tests. In case
there is suggestion of any abnormality, the employee/ spouse of employee shall be
subjected to further detailed investigation and treatment as considered necessary.
17.3 In case of Employees posted at Project/ Stations, where Company hospitals/ dispensaries exist,
medical check-up will be done by these hospitals/dispensaries, and the Health card of the
concerned executive maintained and monitored by the CMO/In charge of the
Hospitals/Dispensaries.
17.4 For the employee posted at Project/stations, Regional Offices, Inspection offices etc, where full-
fledged company hospitals/ dispensaries do not exist, the Unit/ Establishment may tie up
arrangements with a hospital of repute, having complete facilities for thorough medical check-
up. The monetary ceilings with regard to medical check-up to be conducted at these
Hospitals should not exceed the rates of Batra Hospital for the items of Type 1 examination

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and the rate of Escort Hospital for Type 2 examination. The responsibility of maintaining and
monitoring the health status of the employees concerned shall be with the respective HR
Department in this case.
The current rates of Batra Hospital and Escorts Hospital for the above examinations are given
as under:-
Hospital Type of Examination Rate `)
(Rates inclusive of free pick – up
& breakfast)
Escorts Type II 1850 for males
2100 for females
Batra Type I 850 for males & females.
17.5 For the employees posted at Corporate Centre, the medical check up, as above, will be done
in Batra Hospital, New Delhi; Moolchand Hospital, New Delhi; National Heart Institute, New
Delhi or at Escort Heart Institute & Research Centre, New Delhi and any other hospital
notified by the Competent Authority. The health card of the employee of NTPC-SCOPE-
Corporate centre will be maintained by CMO, Scope and of the employees of EOC-Noida by
CMO - Noida.
17.6 Compulsory Medical Checkup can be got done by using Health Card.
17.7 GUIDELINES REGARDING TREATMENT OF INFERTILITY:
(i) Before availing IVF treatment in an empanelled hospital, NTPC CMO has to be
informed about the line of treatment and prior permission must be taken before
availing the IVF treatment. If no NTPC doctor is posted in the project/ unit, CMO of
any NTPC project/ unit in the region has to be informed about the line of treatment
and prior permission has to be obtained.
(ii) Prior permission of the concerned CMO is necessary to avail IVF treatment at a non-
empanelled hospital. The line of treatment with justification, the hospital where
treatment is to be taken and cost estimate should also be submitted to the CMO for
consideration for permission. If there is no NTPC hospital/ CMO in the project/ unit,
the details of IVF treatment proposed to be availed by an employee should be
forwarded to CMO of any project/ unit in the region for consideration for permission.
(iii) There should be clear evidence of failure of conventional treatment before permitting
IVF treatment procedure.
(iv) The age of the woman undergoing IVF treatment procedure should be between 21
years and 40 years.
(v) The woman has to be married and living with her husband.

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(vi) The IVF treatment procedure will be allowed only in cases of infertility where the
couple has no living issue.
(vii) The reimbursement would be allowed for one complete cycle of treatment only,
consisting of maximum 3 attempts. The applicant has to give an undertaking that he
/ she has not claimed reimbursement earlier from NTPC or any other PSU / Govt. of
India in the past and will not claim it in future.
(viii) As IVF treatment is a planned procedure, reimbursement towards this treatment will
be considered only subject to prior information and permission. In case of IVF
treatment taken in a non-empanelled hospital with prior permission, `65,000/- per
cycle or the actual cost per cycle, whichever is less, shall be reimbursed. This
amount will be inclusive of cost of drugs and monitoring cost during IVF procedures.
(ix) The cost of consultation / diagnostic tests for establishing infertility, not connected
with IVF, shall also be reimbursed, as per rules.
(x) There will be no relaxation whatsoever in the Guidelines regarding treatment of
Infertility as given above.
(xi) The details regarding IVF treatment facility taken by employee must be maintained in
the employee records i.e., personal file / SAP for records.
17.8 MISUSE OF HEALTH CARD BY EMPLOYEES OR THEIR DEPENDENTS:
Any misuse of Health Card by employee or his/her dependents either by way of
impersonation or committing any fraud for availing the medical facilities extended to the
employee or his/her dependents, would entail the employee for disciplinary action in terms of
NTPC CDA Rules. In such cases, the Health Card shall get cancelled permanently and the
records shall be deleted from the Master data. No future medical facilities shall be extended
to concerned employees/beneficiary/dependants.
18.0 CHECKLIST FOR MEDICAL REIMBURSEMENT/CLAIM:
Before forwarding the medical bills to the Accounts Departments, it should be seen that:
(a) The claim is submitted within three months from the date of completion of
treatment.
(b) The claim form is signed by the employee.
(c) The prescription/certificate is signed by the AMA with his qualification and Registration
Number.
(d) The prescription given by the AMA contains name of disease and period of
treatment, date of consultation and also the name of patient to whom prescription is
issued.

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(e) If professional charges for administration of injections are claimed, medicines being
supplied from Doctor's dispensary, the name, quantity and cost of the medicines are
also furnished in the prescription. If the injection medicine is supplied free of cost, the
same is specifically certified as such by the AMA.
(f) The claim for cost of medicines is supported by cash bills from the shops.
(g) Details of laboratory tests and X-rays etc. should also be categorically mentioned in the
prescription by the AMA and the claims for the same shall be duly supported by the
receipts/bills.
(h) Claims are not admitted when treatment for venereal diseases is undergone with the
private registered medical practitioner.
19.0 INTERPRETATION
1 9 . 1 In case of any doubt or dispute regarding the interpretation/application of these rules,
decision of CMD shall be final.

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ANNEXURE–I
List of Empanelled Hospitals updated as on 27.09.2016 (Only for
Allopathic Treatment)
S.No
S.No
(Region
wise)
Name of the Hospital
Pakri Barwadih, Chati Bariatu & Keredari Coal Mining Project
1 1 ORCHID MEDICAL CENTRE PVT.LTD. RANCHI
ER-I
2 1 NARAYAN MEDICAL COLLEGE & HOSPITAL SASARAM
3 2 MEDANTA ABDUR RAZZAQUE ANSARI, RANCHI
4 3 BHAGWAN MAHAVIR MEDICAL SUPERSPECIALITY HOSPITAL,
RANCHI
5 4 RUBAN MEMORIAL HOSPITAL, PATNA
6 5 FORD HOSPITAL, PATNA
7 6 SRI SAI HOSPITAL, PATNA
8 7 JAGDISH MEMORIAL HOSPITAL, PATNA
9 8 PARAS HMRI HOSPITAL, PATNA
10 9 BM BIRLA HEART RESEARCH CENTRE, KOLKATA
11 10 KOTHARI MEDICAL CENTRE, KOLKATA
12 11 APOLLO GLENEAGLES HOSPITAL, KOLKATA
13 12 MEDICA SUPER SPECIALTY HOSPITAL, KOLKATA
14 13 CMRI HOSPITAL, KOLKATA
15 14 RUBY GENERAL HOSPITAL, KOLKATA
16 15 DESUN HOSPITAL & HEART INSTITUTE, KOLKATA
17 16 PEERLESS HOSPITEX HOSPITAL & RESEARCH CENTER LIMITED,
KOLKATA
18 17 BELLE VUE CLINIC, KOLKATA
19 18 FORTIS HOSPITAL, KOLKATA
20 19 M/s Woodlands Multispeciality Hospital, 8/5 Alipore Raod, Kolkata-700027
ER-II
21 1 AMRI HOSPITAL, BHUBANESWAR
22 2 Apollo Hospital, Bhubaneswar
23 3 Kalinga Hospial, Bhubaneswar
24 4 Kalinga Institute of Medical Sciences, Bhubaneswar
25 5 Hemlata Hospitals & Research Centre, Bhubanewar

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26 6 Aditya Care Hospital, Bhubaneswar
27 7 Ayush Hospital, Bhubaneswar
28 8 Vivekanand Hospital, Bhubaneswar
29 9 LV Prasad Eye Institute*, Bhubaneswar
30 10 Sun Hospital, Cuttack
31 11 Downtown Hospital, Guwahati
32 12 Hayat Hospital, Guwahati
33 13 GNRC Hospital, Guwahati
34 14 Lower Assam Hospital, Bongaigaon
WR-I
Vadodara
35 1 Bhailal Amin General Hospital, Vadodara
36 2 Sterling Hospital, Vadodara
Bharuch
37 1 Sunshine Global Hospital, Bharuch
Kota
38 1 Bharat Vikas Parishad Hospital & Research Centre
39 2 Kota Eye Hospital & Research Foundation
40 3 Kota Heart Institute
41 4 Pmc American Hospital
42 5 Sudha Hospital
Jaipur
43 1 Narayana Multispecialty Hospital
44 2 Fortis Hospital
Nagpur
45 1 Evista Eye Care Centre
46 2 Orange City Hospital And Research Institute
47 3 Shri Radhakrishna Hospital & Research Institute
48 4 Meditrina Insitute Of Medical Sciences
49 5 Shri Krishna Hrudayala & Critical Care Centre
50 6 Spandan Heart Institute
51 7 Wockhardt Hospital, Nagpur

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Solapur
52 1 Ashwini Sahakari Rugnalaya Ani Sanshodhan Kendra
53 2 Yashodhara Super Specialty Hospital
Pune
54 1 Aditya Birla Memorial Hospital
Mumbai
55 1 Seven Hills Hospital
56 2 Jaslok Hospital & Research Centre
57 3
Hinduja Hospital & Mrc
58 4 Holy Spirit Hospital
59 5
Dr. L H Hiranandani Hospital
60 6 Tata Memorial Hospital
Surat
61 1 Baps Pramukh Swami Hospital
62 2 Mahavir Cardiac Hospital
63 3 Sunshine Hospital
64 4 Vasan Hospital
WR-II
65 1 Ramkrishna CARE Hospital,
66 2 MMI Narayana Multispeciality Hospital,
67 3 Bombay Hospital Indore,
68 4 CHL Apollo Hospitals, Indore,
69 5 Jabalpur Hospital & Research Centre, Jabalpur,
70 6
Chirayu Health & Medicare (P) Ltd., 6, Malipura, Bhopal
71 7 Metro Hospital & Diabetes Research Centre, Near Pahad Mandir,
Chakradharnagar, Raigarh
72 8 FORTIS O P Jindal Hospital & Research Centre, Kharsia Road, Raigarh
73 9 Apollo Hospital, Seepat Road, Bilaspur
74 10 KIMS Hospital, Masanganj, Agrasen Chowk, Bilaspur
75 11 Bansal Hospital, Shahpura, Bhopal (MP)

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SR
NTPC-Ramagundam/SRHQ Office/RIO Hyderabad
76 1 Apollo Hospital Jubilee hills, Hyderabad
77 2 Yashoda Hospital Raj Bhavan Road, Somajiguda, Hyderabad
78 3 Global Hospital Hyderabad
79 4 NIMS Hospital Punjagutta Market, Panjagutta Hyderabad
80 5 LV Prasad Eye Institute, Kallam anji Reddy Campus LV Prasad Marg, Banjara
Hills, Hyderabad
81 6 Continental Hospital Road No. 2, Financial District Nanakramguda, Hyderabad
82 7 Sunshine Hospital
83 8 Omega Hospital
84 9 Basavatarakam Indo American Cancer Hospital and Research Institute,
Road#10,Banjara Hills, Hyderabad.
85 10 Century Hospitals, Rod#12, Banjara Hills, Hyderabad
86 11 Maxcure, Madhapur, Hyderabad
87 12 PACE Hospitals, Begumpet, Secunderabad.
88 13 Apollo, Karimnagar (Telangana)
89 14 Adarsha, Beside Padmanayaka Kalyana mandapam, Karimnagar (Telangana)
NTPC-RGCCPP/Trivandrum RIO
90 1 Kerala Institute of Medical Sciences
91 2 Century Hospital
92 3 Medical Trust Hospital
93 4 Lakeshore Hospital
94 5 Amrita Institute of Medical Sciences
95 6 VSM Hospital
96 7 Baby Memorial Hospital
97 8 PRS Hospital
98 9 Matha Hospital, Kottayam
NTPC-Bangalore RIO
99 1 Sagar Hospital
100 2 Apollo Hospital
101 3 NIMHANS Hospital
102 4 Manipal Hospital
103 5 Columbia Asia Hospital
104 6 Health Care Global Enterprises Ltd
105 7 Narayana Hrudayalaya
106 8 BGS Global

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NTPC-Chennai/Trichy RIO
107 1 Christian Medical College
108 2
Apollo Hospital
109 3 Bilroth Hospital
110 4 MIOT Hospital
111 5 Sri Ramachandra Hospital
112 6 Global Hospital
113 7 Sankara Netralaya
114 8 Cancer Institute (WIA)
115 9 SRM Institute of Medical Science (SIMS) Hospital
NTPC-Simhadri/Pudimadaka
116 1 Apollo Hospital
117 2 Care Hospital
118 3 Indus Hospital
119 4 Lazarus Hospital
120 5 Manipal Hospital
121 6 Queens' NRI Hospital
122 7
RK Hospitals
123 8 Seven Hills Health Care Pvt Ltd.
124 9 Sankara Foundation
125 10 Visakha Netra Jyoti Pvt Ltd.
Hydro
126 1 Himalayan Hospital, Dehradun (UK)
127 2 Max Super Speciality Hospital, Dehradun (UK)
128 3
Fortis Hospital, Mohali (Punjab)
129 4 Max Super Speciality Hospital, Mohali (Punjab)
130 5 Mandav Hospital, Mandi (HP)
131 6 Neotia Getwel Healthcare Centre, Siliguri (WB)
132 7 Inscol Hospital Chandigarh
133 8 Ivy Hospital, Mohali
134 9 Shri Mahant Indresh Hospital, Dehradun

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135 10 Mukut Hospital Chandigarh
CORPORATE
136 1 Batra Hospital & Medical Research Centre, 1, Tughlakabad Institutional
Area,NEW DELHI – 110 062, (EXCLUDING DENTAL)
137 2 Holy Family Hospital, Okhla Road, NEW DELHI – 110 025 (CATHLAB &
CARDIAC SURGERY INCLUDED, EXCLUDING DENTAL)
138 3 Escorts Heart Institute & Research Centre, Okhla Road, NEW DELHI – 110
025 (Heart & Cardiovascular treatment)
139 4 National Heart Institute, 49, Community Centre, East of Kailash, NEW
DELHI- 110 065
140 5 R.G. Stone Urological Research Institute, F-7, East of Kailash, NEW DELHI –
110 065
141 6 VIMHANS, 1, Institutional Area, Nehru Nagar, NEW DELHI – 110 065
(NEURO-SCIENCES ONLY)
142 7 Saket City Hospital (GM Modi Hospital), Mandir Marg, Saket, NEW DELHI –
110 017
143 8 Deepak Memorial Hospital & Research Centre, 6, Institutional Area, Vikas
Marg, Extn. II, DELHI -110 092
144 9 Dharamshilla Cancer Hospital, Vasundhara Enclave, NEW DELHI – 110 096
145 10 St. Stephens Hospital, Tis Hazari, Delhi – 110054
146 11 Delhi Heart & Lungs Institute, 3, MM-II, Panchkuian Road, NEW DELHI –
110 055
147 12 Sir Gangaram Hospital, Sir Ganga Ram Hospital Marg, Rajinder Nagar, NEW
DELHI – 110 060
148 13 Jaipur Golden Hospital, 2, Institutional Area, Rohini, NEW DELHI – 110 085
(ALL TREATMENT EXCLUDING DENTAL)
149 14 Rajiv Gandhi Cancer Institute & Research Centre, Sector – V, Rohini, DELHI
– 110 085
150 15 NOIDA Medicare Centre Ltd. 16C, Sector-30, NOIDA – 201 303,
INCLUDING DENTAL
151 16 Kailash Medical & Research Centre, Sector-27, Behind Telephone Exchange,
NOIDA – 201301 (EXCLUDING DENTAL)
152 17 Dipakshi Nursing & Maternity Home Pvt. Ltd., Noida, C-53A, Sector-33,
NOIDA
153 18 Metro Hospitals & Heart Institute, X-1, Sector- 12, NOIDA – 201 301
154 19 Prakash Hospital, D12, D12A, D12B, Sector-33, NOIDA – 201 301
(INCLUSSIVE OF DENTAL)
155 20 Satya Medical Centre, A-98A, Sector – 34, NOIDA – 201 301 (INCLUSSIVE
OF DENTAL)

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156 21 Yasoda Hospital, III-M, Nehru Nagar, GHAZIABAD – 201 001, UP
157 22 Max Super Specialty (West Block), Saket, NEW DELHI -110045 (All
treatment including oncology excluding dental)
158 23 Fortis Hospital, Sector-62, NOIDA
159 24 MAX Super Specialty (East Block) (Devki Devi), Saket, New Delhi-110017
160 25 RLKC Hospital Metro Heart Institute, Naraina Road, Pandav Nagar, NEW
DELHI - 110008
161 26 Pushpawati Singhania Research Institute, Sheikh Sarai, NEW DELHI -
110017 (RENAL & GASTROENTEROLOGY PROCEDURE / TREATMENT
ONLY)
162 27 Paras Hospital, Gurgaon, C-1, Sushant Lok, Phase-I, Gurgaon-122002,
HARYANA
163 28 Ayushman Hospital, Sector-XII, Dwarka, New Delhi- 110075
164 29 Kailash Hospital, 23, Institutional Area, Greater Noida – 201308, Uttar
Pradesh.
165 30 Max Balaji Hospital, 108A, Indraprastha Extension, Opp. Sanchar Apartments,
PATPARGANJ, DELHI – 110 092
166 31 Indraprastha Apollo Hospital, Sarita Vihar, Delhi - Mathura Road, NEW
DELHI - 110076 ALL TREATMENTS INCLUDING ONCOLOGY
EXCLUDING DENTAL
167 32 B.L. Kapur Memorial Hospital, Pusa Road, NEW DELHI - 110005
168 33 Lft. Flt. Rajan Dhall Hospital, B-1, Aruna Asaf Ali Marg, Vasant Kunj, NEW
DELHI
169 34 ICARE Charitable Eye Hospital, E3A, Sector – 26, NOIDA – 201 301 (UP)
(PREVENTIVE & CURATIVE EYE TREATMENT)
170 35 Asian Institute of Medical Sciences, Badkal Flyover Road, Sector-21A,
FARIDABAD - 121001 (ALL TREATMENTS EXCLUDING DENTAL)
171 36 Artemis Health Institute, Sector-51, GURGAON-122001 (ALL
TREATMENTS, CATARACT SURGERY EXCLUDING DENTAL)
172 37 Medanta The Medicity, Sector-38, GURGAON-122001 (ALL TREATMENTS
EXCLUDING DENTAL)
173 38 Shanti Gopal Hospital, Plot No. NH-1, Ahinsa Khand-II, Indira Puram
GHAZIABAD (UP) (ALL TREATMENTS EXCLUDING DENTAL)
174 39 Yatharth Wellness Hospital & Trauma Centre, 32 , OMEGA-1, GREATER
NOIDA, (ALL TREATMENTS EXCLUDING DENTAL)
175 40 Rockland Hospital, SECTOR-12, HAF-B, PHASE-1, DWARKA, NEW
DELHI (ALL TREATMENTS EXCLUDING DENTAL)
176 41 Fortis Hospital, A BLOCK, SHALIMAR BAGH, DELHI 110088 (ALL
TREATMENTS EXCLUDING DENTAL)

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177 42 Jaypee Hospital, Sector -128, NOIDA (ALL TREATMENTS EXCLUDING
DENTAL)
178 43 Escorts Hospital, NEELAM BATA CHOWK, FARIDABAD, (ALL
TREATMENTS EXCLUDING AYURVED, BARIATRIC & COSMETOLOGY
& DENTAL)
179 44 Apollo Hospital, Seepat Road, Bilaspur, E2, Sector – 26, NOIDA 201301
180 45 Moolchand Hospital, Moolchand, Lajpat Nagar, NEW DELHI
181 46 QRG Central Hospital & Research Centre, Faridabad
Northern Region
Lucknow
182 1 Shekhar Hospital
183 2 K.K. Hospital
184 3 St. Joseph's Hospital
185 4 Ajanta Hospital & IVF Centre Pvt. Ltd.
186 5 Mayo Medical Centre
Kanpur
187 1 Regency Hospital
188 2 Kanpur Medical Centre (P) Ltd.
189 3 Chandni Hospital (P) Ltd.
190 4 Suraj Med. & Diagnostic Centre (P) Ltd.
Varanasi
191 1 Heritage Hospital
Allahabad
192 1 Jeevan Jyoti Hospital
DBF
193 1 Sarvodya Hospital, YMCA Road, Sector-08, Faridabad - 121003
194 2 Park Hospital, J-Block, Sector-10, Near Court, Faridabad - 121004
195 3 Fortis Escorts Hospital, Neelam Bata Road, Faridabad - 121001
196 4 Metro Heart Institute , Sector-16A, Faridabad - 121002
Note: Subsequent updation of Empanelled Hospitals shall be done by HR-EB, EOC from time
to time and the updated list shall be available at “Sanjeevani (Hospital Management System).

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ANNEXURE-II
RATES OF DENTAL TREATMENT IN NON-NOTIFIED HOSPITAL
Sl.No. ITEM RATES
(Rs.)
1.0
a)
b)
c)
d)
e)
f)
g)
MINOR – I
Extraction per tooth
Periocoronotomy
Apical Cuettage
Frenectomy
Biopsy
Abscess incision
Cleaning/ scaling of teeth
300
400
400
500
400
300
500
2.0
a)
b)
c)
d)
e)
f)
g)
h)
i)
MINOR - II
Gingivectomy per segment
Flap / gum treatment per segment
Alveolectomy
Fistulectomy
Sialelithetomy
Growth removal
Fistula closure
Pulpotomy
Root planning
-Anterior
-Posterior
600
1200
600
420
420
500
420
420
560
560
3.0
a)
b)
c)
d)
e)
f)
g)
h)
MAJOR – I
Removal of impaction Apectomy
Surgical Extraction
Root Amputation
Cystectomy
Sequestrectomy
Transplant
Replant
Implant
1000
1000
700
1000
420
700
700
4000

NTPC Limited
HR Policy Manual
Section:0304
Page: 29 of 33
Sl.No. ITEM RATES
(Rs.)
4.0
a)
b)
c)
d)
e)
f)
MAJOR - II
Fixation of fracture of Jaw
Fixation of fracture per segment
All extractions in one jaw
Gingivectomy full mouth
Tumor excision
Peripheral neurectomy
3000
2000
2500
2500
2500
2500
5.0
a)
b)
c)
d)
e)
MAJOR - III
Total extractions
Segmental resection of jaw
Ostectomy
Condylectomy
Root Canal
3000
3000
3000
3000
1500
6.0
a)
b)
SPECIAL PROCEDURES
Resection of jaw
Crown/Cap/Bridge/segment-Metal (after Root
Canal)
4000
2240
7.0
a)
b)
OTHER PROCEDURES
Tooth filling
(i) Amalgam
(ii) Light filling / composite filling
(iii) Glass lonomer filling
Desensitisation
i) Segment
ii) Full mouth
450
600
300
110
490
8.0
a)
b)
X – RAY
Single Plate
Full Mouth
150
700

NTPC Limited
HR Policy Manual
Section:0304
Page: 30 of 33
ANNEXURE – III
LIST OF APPLIANCES
1. Unilateral long leg brace without hip joint
2. Hip joint with pelvic band
3. Spinal Brace
4. Unilateral short leg brace
5. Shoe or Boot - Protective or aiding to paralysed or weak legs.
6. Bilateral hip joint with pelvic band/weak leg.
7. Bilateral long leg brace without hip joint.
8. Bilateral short leg brace
9. Lumbe-sacral or spinal support or back support
10. Taylors brace
11. Milwaukee brace
12. Mermaid splint
13. Posterior slab
14. Cervical brace four post
15. Rigid Cervical Collar with head extension
16. Cervical Collar
17. Dynamic splint (Aluminium)
18. Cock-up splint plain (Aluminium)
19. Cock.-up splint (plastic) or long opponens
20. Turn Buckle splint
21. Nuckle bender splint
22. Anterior Knee Guard splint
23. Densis brown splint
24. Congenital Talipus Equino Varus, Valgus splint
25. Short Opponens, PVC (Plastic)
26. Knee Cage
27. Long Opponens with M.P. ft. bar and finger
28. Extension (Plastic) Dynamic
29. boot with C and E heel and arch support
30. C and E heel
31. Arch Support
32. M.T. Pad
33. M.T.E. Raising 1"
34. T. Strap
35. Sponge heel
36. Wedge 1/8"
37. Universal Raising 1"
38. Foot drop splint
39. Below Knee prosthetics (P.T.S. type Prosehetics)
40. K. Prusthetics
41. Aluminium adjustable above knee right splint
42. Plastic shoulder aduetion splint
43. Plaster of paris of Gypsona cast
44. Modified shoes
45. Below Elbow Prosthetics
46. Hooks

NTPC Limited
HR Policy Manual
Section:0304
Page: 31 of 33
47. Cosmetic hand
48. Splint for C.D.H.
49. Splint for Elbow
50. Above Elbow and below elbow Prosthetics
51. Above Elbow and below elbow Orthotics
52. Corset
53. Wheel Chair
54. Protective shoes with micro cellular rubber without nails often with additional
gadgets like adjustable springs and rockets.
55 Crutches
56. Walking iron with Plaster Casts
57. Calipers
58. Braces
59. Artificial limbs
60. Illestomy Kit.

0304 medical attendance-n_treatment_rules

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