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HIGH COURT OF RAJASTHAN (JAIPUR BENCH)
ANOOP KUMAR DHAND
Puran Mal Brahmbhatt – Appellant
Versus
State Local Self Bodiesors – Respondent
Order :
ANOOP KUMAR DHAND, J.
1. By way of filing this writ petition, a prayer has been made for issuing directions to the respondents to make full reimbursement of the treatment expenses i.e. Rs.4,86,603/- towards the expenses incurred in the treatment of petitioner’s wife.
2. Learned counsel for the petitioner submits that the wife of petitioner was suffering from Kidney problem for which she required Renal Transplantation. Learned counsel submits that looking to the critical condition of his wife, a treatment was taken at Institute of Kidney & Research Centre Civil Hospital Campus, Ahmedabad where the petitioner incurred expenses of Rs.4,86,603/-. Learned counsel submits that after recovery of his wife, the petitioner submitted an application for disbursement of medi-claim before the State Authorities for the aforesaid amount but the same has been declined by the respondents on a technical count that the wife of the petitioner was not referred for her treatment in a private hospital. This treatment was available at SMS Hospital, Jaipur hence the petitioner is entitled to get Rs.50,000/-. Learned counsel submits that even the aforesaid amount has also not been disbursed to the petit
Government employees are entitled to medical reimbursement for treatment in non-recognized hospitals at applicable rates for similar treatments in recognized hospitals.
The main legal point established is that the department is obligated to reimburse the amount for medical treatment undertaken in a private or unrecognized hospital, to the extent permissible under th....
The right to medical aid is fundamental under Article 21, and reimbursement for treatment at private hospitals during emergencies cannot be denied, upholding the principles of fairness and timely adm....
The right to medical reimbursement for government employees cannot be denied due to hospital non-recognition or exceeding package limits if treatment necessity is established.
The obligation of the department to reimburse medical treatment in a private or unrecognized hospital as per the applicable Rules, despite technicalities of the Medi-claim policy.
Government employees are entitled to medical facilities, and reimbursement cannot be denied solely based on treatment in non-recognized hospitals.
Government employees are entitled to medical reimbursement for necessary treatments, regardless of hospital empanelment, emphasizing urgency and proper documentation.
Government employees are entitled to medical reimbursement for emergency treatments, regardless of the treatment location, as long as proper documentation is provided.
Restricting medical reimbursements to predefined limits despite prior treatment approval is unreasonable when higher charges are incurred.
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