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2007 Supreme(Mad) 160

P.JYOTHIMANI
K. Balswami – Appellant
Versus
Director of Pension, Anna Salai & Another – Respondent


Advocates:
For the Petitioner:Pon Senthilkumaran, Advocate. For the Respondents: D. Srinivasan, GA.

Judgment :-

The writ petition is filed challenging the order of the first respondent in any by which the claim of medical reimbursement made by the petitioner was returned stating that the "The Surgery/Treatment undergone is not found in the list of specialised surgery/treatment of the references cited."

2. It is the case of the petitioner that he was diagnosed on having Type 2 Diabetes mellitus and II degree moblitz Type 2 AV Block and he was advised to take Permanent Pacemaker Implantation. The petitioner underwent the said Implantation on 18.09.2004 in the Meenakshi Mission Hospital and Research Centre, Madurai and in that regard the petitioner incurred an expenditure of Rs.96,630.15/-.

3. As per G.O.Ms.No.562 Finance (Pension) Department dated 11.07.95 the petitioner will be entitled for reimbursement to get a sum of Rs.50,000/-or 75% of the actual cost of treatment whichever is less under the Tamil Nadu Government Pensioners Health Fund Scheme. In view of the same, the petitioner has made a claim on 110. 2004 to the second respondent seeking reimbursement, who in turn has forwarded the same to the first respondent in his proceedings KDIS 20915/04/J2 dated 110. 2004. While so,






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