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2025 Supreme(Online)(CAT) 3362

CENTRAL ADMINISTRATIVE TRIBUNAL
SUNIL THOMAS, J
Karimshah – Appellant
Versus
Union of India – Respondent


Advocates:
For the Appellants/Petitioners: Mr. M. Paul Varghese, Mr. T. Koshy
For the Respondents: Mr. C. Rajendran, SPC

Table of Content
1. applicant's entitlement to medical benefits. (Para 1 , 2)
2. claims for reimbursement based on submitted bills. (Para 3 , 4)
3. essential facts not disputed. (Para 5 , 6)
4. legal arguments regarding applicability of cs(ma) rules. (Para 7 , 10 , 11)
5. interpretation of o.m. regarding medical rules. (Para 8 , 9)
6. clarification of administrative responsibilities. (Para 12 , 15 , 16)
7. court's view on the necessity of formal orders. (Para 17 , 18)
8. right to medical aid as a legal issue. (Para 19 , 20 , 21)
9. clarification on reimbursement rights. (Para 22 , 23 , 24)
10. available options for pensioners in non-cghs areas. (Para 25 , 26 , 27)
11. requirement of subscription for benefits. (Para 28 , 29)
12. final decision on the applicant's claims. (Para 30 , 31)

ORDER 

The applicant retired from the service of Department of Posts as Sorting Assistant on 31.12.2002. After retirement, he is residing in a non- CGHS area. He opted for Fixed Medical Allowance (FMA for short) in lieu of outpatient CGHS treatment and was drawing Rs. 1,000/- per month. The Government by Annexure A1 OM dated 5.6.1998 has extended the benefits of CS(MA) Rules to pensioners residing in areas not cover

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