247. Daily Rules Recap - Medical Advance
• Medical advance can be sanctioned by Divisional Heads only up to ₹10,000 (CPMG, Tamil Nadu No. APB/42-Medical Advance/14-15 dated August 25, 2014).
• Heads of Circles can sanction up to ₹2 lakhs under CS (MA) Rules (No. 14035/01/2014-MS dated June 5, 2014).
• If the beneficiary is covered by CGHS, Heads of Circles can sanction up to ₹5 lakhs, as per OM No. S.11011/20/2014-CGHS (P)/EHSS dated November 23, 2016 (DG (P) No. 6-1/2021 – Medical dated November 25, 2021).
• Cases exceeding these limits must be referred to the Directorate.
• 90% of the CGHS-approved package amount can be sanctioned as medical advance (OM No. S14025/18/2015-MS/EHSS dated October 17, 2016).
• For Outpatient Department (OPD) treatment, if the estimated cost, including tests and investigations, exceeds ₹10,000, medical advance may be granted (OM No. S14025/18/2015-MS/EHSS dated October 17, 2016).
• Cases exceeding ₹2 lakhs for CS (MA) beneficiaries and ₹5 lakhs for CGHS beneficiaries will continue to be referred to the Directorate for approval (DG (P) orders dated September 26, 2022).
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