Scheme for re-imbursement of
expenditure as a Financial Assistance to Mine and Beedi
Workers for kidney Transplantation etc.
Introduction
The scheme
contemplates to provide reimbursement of the expenditure to the worker or to
the Hospital Authorities where the bonafide Iron,
Manganese Ore and Chrome Ore Mine, Limestone and Dolomite Mine, Beedi workers and Cine workers and their dependents who
undergo Kidney transplantation or allied treatment.
How to apply
Mine/Beedi/Cine worker or his dependent who undergoes treatment
in a recognized hospital for Kidney transplantation or allied treatment shall
seek permission from/inform the concerned Welfare Commissioner before getting
admitted in the hospital by submitting an application along with the
recommendation of the Medical Officer to the Labour
Welfare Organisation certifying that the patient
required specialized treatment in a Hospital. (to be
specified).
The request
from the worker should be submitted in Form A and the request for
reimbursement of treatment charges and subsistence allowance etc. should be submitted in Form B.
The actual expenditure on the
following items as charged by the hospital authorities in respect of beds in
General ward should be computed by the Welfare organisation
for the purpose of determining. The amount payable is:
1. Hospital
charges including diet etc.
2. Charges for
dialysis.
3. Expenses for pre and post operation
check ups. Donor‟s charges for the Kidney shall
also be taken into account. Financial assistance not exceeding actual cost or
Rs.2, 00,000/- whichever is less may be paid.
Eligibility
(i)A bonafide
Mine/Beedi worker who has put in at least three years
continuous service in mine, beedi establishment and
draws wages not exceeding Rs.10, 000/- per month on the date he reports with
Kidney ailment to Medical officer of Labour Welfare Organisation shall be eligible to get benefit under the scheme.
Wife/Husband solely dependent and un-married children up to the age of 21 years
and parents full depend out on the entitled worker shall be eligible for the
benefits except the subsistence allowance.
(ii)The workers who are eligible for
re-imbursement from their employers shall not be eligible for re-imbursement
under this scheme and every claim for reimbursement shall be accompanied by a
certificate from the employer that the claimant is not eligible fore
re-imbursement from the employer.
Subsistence Allowance:
4. The subsistence allowance @ Rs.600/-
p.m. when the worker has no dependent or has one dependent and Rs.750/- shall
be paid to the worker undergoing treatment after the kidney transplantation is
over for the period of actual treatment or for a period not exceeding nine
months whichever is less provided he has not been paid any wages during the
period for which subsistence allowance is claimed. This period can further be
extended at the discretion of the Welfare Commissioner in respect of deserving
cases on the recommendation of the Surgeon under whom the patient has been
taking treatment.
Conveyance Charges:
5. Actual second class Rail/Bus fare from
the place of residence of the patient to the hospital and back by shortest
route shall be reimbursed in respect of journeys certified as necessary by the
hospital authorities‟ concerned. The Attendant who accompanies the
patient shall also be entitled to the benefit if it is certify by the concerned
Medical Officer that the Attendant‟s services
were necessary and that he or she had accompanied the patient.
Scheme of
expenditure
6.Welfare Commissioner, Labour Welfare Organisation shall
sanction all the benefits under the scheme and incur the expenditure in the
sub-head Health-Other Charges after due
verification.