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Fixed Medical Allowance for Pensioners

August 19, 2019

Fixed Medical Allowance for Pensioners

Grant of Fixed Medical Allowance to the central Govt. Employees Pensioners residing in areas not covered under CGHS on the basis of recommendation of the 7th CPC

Fixed Medical Allowance (FMA) for Pensioners: Issue of Date of retirement or date of application

Medical Allowance for Pensioners: Issue of date of retirement or date of submission of application.

The Central Pension Accounting Office issued a clarification order about the issue of Fixed Medical Allowance in respect of pensioners who retired before 1st December, 1997.

Detailed instructions issued in the order that the pensioners may be allowed Fixed Medical Allowance with effect from the date of application for Fixed Medical Allowance, if Fixed Medical Allowance otherwise admissible to them.

Issue No.1:
Whether the effective date of payment of FMA in respect of the pensioners who retired before 01.12.1997 is the date of retirement or the date of submission of application.

Comments of DoPPW:
The order were issued vide this Department’s OM No. 45/57/97-P&PW (C) dated-19.12.1997 wherein FMA was granted . The existing pensioners had to opt for medical allowance and an undertaking was required to be submitted by the claimant.

Hence, the orders are being implemented from 01.12.1997. If a person has retired earlier and has opted for the FMA and given undertaking at the time of issue of OM, then the FMA should be paid from 01.12.1997.

After 19.12.1997, several further orders/ clarifications were issued regarding Fixed Medical Allowance (FMA). Therefore, it is difficult to accept that the pensioner was not aware of the admissibility of the FMA w.e.f.01.12.1997.

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In view of this, those pensioners who retired before 01.12 .1997 and did not exercised the option for FMA immediately after the issue of OM dated- 19.12.1997 would not be entitled to FMA w.e.f. 01.12.1997.

However, they may be allowed FMA w.e.f. the date of application for FMA, if FMA otherwise admissible to them.

Issue No.2:
Whether the effective date of payment of FMA in respect of the pensioners who retired after 01.12.1997 is 01.12.1997 i.e. date of implementation of order or the date of submission of the application by the pensioner.

Comments of DoPPW:
In the OM dated-19.12.1997, it has been mentioned that in case of future retirees, the option shall be obtained by the Head of Office along with the pension papers and in case the retiree opts for medical allowance, the FMA is payable from the following month after the date of superannuation. If the retiree opts later on or gives his option later, then the FMA is to be given from the date of application.

After 19.12.1997, several further orders/clarifications were issued regarding Fixed Medical Allowance (FMA). Therefore, it is difficult to accept that the retiree/ pensioner was not aware of the admissibility of the FMA.

In case of retirees/ pensioners who retired after 01.12.1997 did not exercise the option for FMA immediately on retirement, the FMA would not be admissible to them from the date of the month following the month of retirement.

However, they may be allowed FMA w.e.f. the date of application for FMA, if FMA otherwise admissible to them.

READ ALSO:

  • Eligibility & Procedure for Granting of Fixed Medical Allowance (FMA) November 8, 2018Read more…
  • Action taken on Reimbursement of Medical Expenses with FMA @ Rs. 100/- per month – BPMS September 28, 2014Read more…

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