Scheme for re-imbursement of expenditure as Financial Assistance to mine and Beedi workers suffering from Heart diseases.

 

Introduction  

The Scheme contemplates to provide reimbursement of the expenditure either to the workers or to the Hospital Authorities where the bonafide Iron Ore Mines, Manganese Ore Mines and Chrome Ore Mines, Limestone and Dolomite Mines, Mica Mines, Beedi Workers and Cine Workers and their dependents who undergo Heart Surgery or allied treatment.

 

How to Apply

Mine/Beedi/Cine Worker or his dependent who undergoes treatment in a recognized hospital for Heart Surgery 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 of 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.

 

Treatment Charges
The actual expenditure on the following items as charged by the hospital authorities in respect of beds in General Ward shall be computed by the Labour Welfare Organization of the purpose of determining. The amount payable is:

                        1. Hospital charges including diet etc.

                        2. Charges for heart valves etc, which are required to be purchased from the market/hospital.

                        3. Expenses for pre and post operation check ups. Financial assistance not exceeding actual cost or Rs. 1,30,000/- whichever is less may be paid.

 

Eligibility

  (i) A bonafide Mine/Beedi/Cine worker, who has put in at least three years continuous service in a Mine/Beedi establishment and draws wages not exceeding Rs. 10,000/- per month on the date he reports with heart 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 fully dependent on the entitled worker shall be eligible for the benefits except the subsistence allowance.

 

(ii) The workers who are eligible for reimbursement from their employees shall not be eligible for reimbursement under this scheme and every claim for reimbursement shall be accompanied by a certificate from the employer that the claimant is not eligible for reimbursement from the employer.

Subsistence Allowance:
The subsistence allowance @ Rs.750/- p.m. when the worker has no dependent or has one dependent and Rs.1000/- shall be paid to the worker undergoing treatment 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:
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 Medical officer that the Attendant s services were necessary and that he or she had accompanied the patient.

 

Scheme of expenditure
 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.  Form Download - Scheme for re-imbursement of expenditure as Financial Assistance to mine and Beedi workers suffering from Heart diseases.