 Retired Employees Liberalized Health Scheme (RELHS-1997)

Facilities available

Retired Railway employees covered under RELHS-97 will be provided with all medical facilities as for
serving employees. This includes:

 Medical treatment.
 Diet.
 Reimbursement of claims for treatment in Govt. or recognized non railway hospitals.
 Ambulance services.
 Medical passes.
 Home visits.
 Medical attendance for first two pregnancies of married daughters at concessional rates.
Treatment of private servants as applicable to serving railway employees.

RELHS Identity card

 RELHS Identity card will be issued by the Personnel Branch of concerned Railways.
 RELHS Identity card can also be issued from the Personnel Department of division from which
the retiree is drawing post retirement passes. The way-side station supervisors from where such
retirees may be drawing post retirement passes can get such requests for RELHS Cards and
arrange to forward the same to Personnel Department of the Division for arranging a RELHS
Card. (Ref 8)
 Identity cards are issued with photographs of all the beneficiaries.
 In case of married daughters included in the card photos of them to be provided with marking on
the card as " ONLY FOR CONFINEMENT AND TREATMENT DURING ANTE-NATAL AND
POST NATAL PERIODS FOR THE FIRST TWO PREGNANCIES AT CONCESSIONAL RATES".

Availing Medical facilities without the card

 Retired railway employees/their eligible family members can use attested copies of RELHS
identity card when one of the family members moves out of station carrying RELHS card.
 Attested copy of the medical identity card will be considered a valid document, for availing outdoor
medical facilities at Railway Hospitals and Health Units for short duration up to 10 days .
 However, in case of emergency, indoor treatment will be allowed on basis of attested photocopy
of Medical Identity Card in Railway and private recognized hospitals but original medical identity
cards will have to be produced within 15 days. (Ref 5)
 In cases where split card is needed for different members of family for long term duration the
original medical card may be deposited with the issuing authority who may issue split medical
identity card to the beneficiaries as requested by them. (Ref 5)

Eligibility

 Mode of Joining All retired Railway employees and spouse of the Railway employee who dies in
harness.
 Employees who have completed 20 years’ service and fulfil other criteria to make them eligible
for post-retirement complementary passes only are eligible to become members of Retired
Employees Liberalized Health Scheme.
 RELHS-97 is mandatory for all retiring Railway employees for retiring employees from
31/05/2012. (Ref 9)
  Minimum 20 years of qualifying service in the Railways will be necessary for joining the scheme.
 Condition of minimum of 20 years of qualifying service for joining RELHS-97 is not applicable in
the case of medically invalidated employees and the spouses of employees who die in
harness.(Ref 13)
 50% of the period from the date of ‘Temporary Status’ to the date of ‘regularization’ in respect of
Ex-casual labours will be counted for the purpose of 20 years qualifying service for joining RELHS
– 97.(ref 6)
 Surviving spouses of the deceased retired railway employees who died after superannuation are
eligible to join RELHS-97, subject to fulfillment of other relevant conditions.(Ref 7 )
 RELHS is not open to Railway servants who resign from service.
 Resignation submitted by the Railway employees on permanent absorption in PSUs is to be taken
as “Technical Resignation” and that they should be permitted to join RELHS-97 subject to
fulfillment of the conditions prescribed in this regard. (Ref 10)
 Employees who are dismissed from service are not eligible to join RELHS -97. (Ref 15)
 Family/Dependents Family members and dependent relatives for who are eligible under Pass
Rules are eligible for treatment under RELHS.

Rate of contribution

 Retiring employees: For joining RELHS ’97, one time contribution equal to the last month’s basic
pay will have to be made at the time of retirement.
 For employees rejoining after retirement - A sum equivalent to double the amount of revised
basic pension after the implementation of VI CPC.
 Family pensioners rejoining - A sum equivalent to double the amount of revised family pension
after the implementation of VI CPC.
 SRPF optees rejoining - A sum twice the amount of ex-gratia monthly payment admissible on
the date of joining the scheme.

Admissibility of Fixed Medical Allowance

 Pensioners/family pensioners who possess RELHS card & avail OPD facility are NOT entitled for
Fixed Medical Allowance (REF 3).

Reopening of RELHS (Ref 9 & 20)

Railway Board has re-opened the RELHS scheme on 31.05.2012 with the following conditions:

 (a) For Pre-March 2009 retirees - The RELHS-97 will remain open-ended with a lock in period of
six months for referral outside the Railway Hospital. This lock-in period can be relaxed only in an
emergency provided the patient is either admitted or visits the Railway Hospital and the facilities
for the treatment are not available in Railway Hospital. Such referrals are to be processed only
on recommendation of a specially constituted Medical Board.
 (b) For March 2009 and onwards retirees - The RELHS-97 will remain open for a period of another
one year from the date of issue of the letter for all those retired Railway personnel who have not
joined the scheme for one reason or the other. The lock-in period of six months as applicable for
pre-March 2009 retirees shall be applicable for these retirees also.
 Henceforth joining RELHS-97 has been made mandatory for all retiring Railway personnel
without any exit clause whatsoever.
 Lock-in period to be clearly and prominently mentioned on the card.
==================================================

References:

1. Rule No. 612 of Indian Railway Medical Manual

2. Railway Board’s letter No. 2003/H/28/I/RELHS dated 16.03.2009

3. Railway Board’s ltr. No. PC-V/2006/A/Med/1 dated 15.09.09 [RBE No.168/09] [PC-V/503]

4. Railway Board’s ltr. No. 2005/H/28/1/RELHS dated 31.08.2009

5. Railway Board's letter No. 2004/H/28/1 RELHS/Card dated 22.3.05

6. Railway Board's letter No. 2004/H/PNM/NFIR dated 03-06-2005

7. Railway Board’s letter No.2003/H/28/1/RELHS dated 21.10.2005

8. Railway Board's letter No. 2005/H/28/1/RELHS dated 31-10-2005

9. Railway Board Letter No: 2011/H/28/1/RELHS/Court Case dated 31/05/2012 of ED/ Health

10. Railway Board’s ltr. No. 2007/H/28/1/RELHS/Misc dated 30.11.2009

11. Railway Board's letter No.2006/H/28/1/RELHS dated 18-05-2007

12. Railway Board's letter No. 2003/H/28/1/RELHS dated 10-1-2007

13. Railway Board's letter No.2003/H/28/1/RELHS dated 30-12-2005

14. Railway Board's letter No. PC-V/2006/PNM/NFIR/3 dated 20-07-06 (RBE No.96/06)

15. Railway Board’s letter No. 2002/H/28/1/RELHS dated 21.5.2002

16. Railway Board’s letter No. 97/H/28/1 dated 21.3.2001

17. Railway Boards letter No. 2000/H/28/1/RELHS dated 04-05-2001

18. Railway Board’s letter No. 2003/H/28/I/RELHS dated 08.04.2009

19. Railway Board Letter No: 2003/H/28/1/RELHS dated 08.07.2009

20. Railway Board Letter No: 2011/H/28/1/RELHS/Court Case dated 31/05/2012 of ED/ Health
 GOVERNMENT OF INDIA (BHARAT SARKAR)
MINISTRY OF RAILWAYS/RAIL MANTRALAYA (RAILWAY BOARD)

No. 97/H/28/1 dated 23/10/1997

Subject Retired employees liberalized Health Scheme - Further

Liberalization

Keeping in view the assurance given by the Hon'ble M.R, in his Budget speech for year 1997-98,
Ministry of Railways, in supersession of all previous instructions on this subject have now decided
that retired Railway Employees covered under the Retired Employees Liberalized Health Scheme
(RELHS) will be provided with full medical facilities as admissible to serving employees under the
Railway Medical Attendance Rules. The new scheme will be called RELHS-1997.
ELIGIBILITY A minimum 20 years of qualifying service in the Railways will be necessary for joining
the scheme and the following categories of persons will be eligible to join the same
i. All serving Railway Employees desirous of joining the scheme will be eligible to join it in
accordance with the procedure laid down herein under 'Mode of Joining'.
II. All retired Railway Employees who are presently members of the existing RELHS will
automatically be included in the RELHS-1997.
iii. Spouse of the Railway employees who dies in harness.

These orders are not applicable to those Railway servants, who quit service by resignation.

FAMILY/ DEPENDENTS:
.
Definition of the 'Family' for the purpose of this Scheme will be the same as in respect of the serving
Railway Employees. The definition of dependency will be the same as in the Pass Rules/IRMM-81.
RATE OF CONTRIBUTION:
.
For joining RELHS-97, one time contribution equal to the last month's basic pay will have to be made
at the time of retirement by those opting to join the scheme. The persons who are already members
of existing RELHS are not required to make any fresh payment. However, those who have joined the
existing RELHS after 1.1.96 will have to pay the difference of one time contribution on account of
introduction of fifth pay commission's revised pay scales w.e.f 1.1.1996. It will be the responsibility of
the Railway Administration to realize the amount due from the concerned RELHS members. Those
. who join the RELHS - 97 shall hold identity cards with photographs of all the beneficiaries.
MODE OF JOINING:
All retiring employees will have to give their option to join the RELHS-97 at least 3
month prior to their date of retirement. The option given once will be treated as
final. No further chance will be given subsequent to retirement.
All those retired employees/surviving spouses of deceased retirees who have not
yet joined, the RELHS can now join RELHS-97 by paying an amount equal to the
payment of all monthly contribution due under Railway Employees Contributory
Health Scheme from the date of Superannuation/retirement of the employees to
the date of joining RELHS, in addition to the equalized basic pay at the time of
their retirement, as a result of the recommendation of successive pay commission
after the date of retirement of the employees. This option is also available to all
those who have not yet joined the RELHS, as a last chance, only up to 31.1.1998.

Optees of RRECHS will also have the option to switch over to RELHS-97 by
making payments as advised above before 31.1.1998, after which RRECHS will
stand withdrawn and no fresh registration/ extension under RRECHS will be done.
Medical facilities as per rules under RRECHS will however continue to be
extended on the basis of valid RRECHS cards to those, who have already
renewed and subscribed under the scheme, till the date of current validity and no
further extension will be done after that.
Wide publicity should be given provisions of RELHS-97. In addition to publishing in
the gazette, a brief notification has given in Annexure (A) shall be inserted in the
newspapers.
This has the approval of the President and issue with the concurrence of finances
Directorate of the Ministry of Railways.

These orders will take effect from the date of issue of the letter and only the cases
of medical treatment taken on after this date will be covered under the new
scheme, viz. RELHS-97.
ANNEXURE *A'

PRESS NOTE

Railway Health Scheme for retired Railway Employees

Ministry of Railways has introduced a new health Scheme for the retired railway
employees titled as "Retired Employees Liberalized Health Scheme-97". The
medical facilities under this scheme will be admissible to those retired railway
employees, who have put in at least 20 years qualifying service on the Railways.
The scope of the facilities will be at par with the serving employees. A one-time
payment equal to the last month's basic pay drawn at the time of retirement will

1
have to be deposited. Under this scheme, the definition of family will be the same
as for serving employees and that of dependents as in the Pass Rules/IRMM-81.
The existing retired railway employees & surviving spouses of deceased
employees who have not joined RELHS can join RELHS-97 before 31.01.1998. In
this case, they will be required to make payment of an amount equal to the
payments under RRECHS from the date of superannuation to the date of joining
RELHS-97, in addition to the equalized basic pay at the time of their retirement, as
a result of the recommendations of successive pay commissions after the date of
retirement of the employee.
Full details of the scheme may please be obtained from the nearest divisional or
zonal railway hospital by sending self-addressed envelope size 22 cm. X 15 cm.
with postage affixed for.
 Nmf tt(¥f'(/GOVERNMENT OF INDIA
m liillflClIMINISTRY OF RAILWAYS
(tri' ~IRAILWAYBOARD)

No.2013IHJPNMINFIR. New Delhi, dated- OS .09.2015.

The General Managers,

All Indian Railway!,
(Including Production Unit! & RDSO).

Sub:- Retired Employees Liberalized Health Scheme (RELHS-97).

Ref:- (i) Board's letters No.20031H128/11RELHS dated 28.01.2005, 21.10.2005,

30.12.2005,10.05.2006,10.01.2007 & 16.03.2009.
(Ii) Board's letter No. 201l1Hl28/1lRELHS/Court case dated 31.05.2012 .

••••••
The question of extending RELHS 97 facility to those retired railway employees also
who joined Railways late but retired at the normal age of superannuation before completing 20
years of service i.e. the minimum qualifying service required for joining RELHS, has been
engaging attention of Ministry of Railways for some time. The issue was also been raised by
both the recognized employee Federations (AlRF & NFIR).

After careful consideration in the matter, the Competent Authority in tho Ministry of
Railways has decided to extend facility of joining RELHS 97 to all those railway employees who
retired at the normal age of superannuation irrespective of number of years of their service
before superannuation. If such employees have any previous service from any other Government
Department which makes them eligible for medical facility of that Department also, they should
opt for one of the two facilities viz. medical facility of the Department of previous service or
RELHS-97.

Other terms and condition of joining RELHS-97, mentioned in Board's letters cited under
reference, will remain unaltered.

This issues with the concurrence of Finance Directorate of Ministry of Railways.

Wide publicity should be given to the above position.

~.
.
(Dr. Amitavi Dutta)
Executive Director, Health(G)
Railway Board .

...... Cootd.
 GOVERNMENT OF INDIA -
MINISTRY OF RAILWAYS
'$ ,~, i I ~ r, \, ' ,,~ .',',
.~, (.:" :: '\.~J •• : • "':i;,~; ~
- RAILWAY BOARD

No.20171H128/1IRELHSlPt.1 ,- ,-

General Managers~
~" ....
"
- All Indian (~J!lt'~y~inclu~ing PUs and RDSO.
, 0

\ " _,' rates of RELHS - regarding.

Sub:~.'$~bsti'ipton
: , ',:Ref:~;Railway Board's letter No.2017/W28/11RELHS dated 23.02.2017.
, *.*.
','q;:'~,;)Vide .Board's sletter cited under ~eference, the subscription:'r~te.'to'joill RELMS tWas
revised with effect from 23.02.2017. Thus, the current rate of subscription tojoin RELHS for
'retiring railway employees is last month's.basic pay drawn. o'r the amount 'entihlerated in the table
belowfordifferent pay levels (as per th CPC), whichever is Jowerr- " , "/;,,, ,,:!'" - t'
q .' ~ ,('~ .... ~ ,o'j'; i :'; •
. .,
S.No. Leyel in ,the Pay Matrix as per 7m CPC Subscription rate - to jotn
RELHS (In Rupees).
Level: I-to 5 30,000/-

3 Level :7to 11 78,0001- .,;!}t ':q:' "

4 Level : 12 and above 1,20,OOQ/-
- .. .- .
, .. .
_- '.
,~
,'1_
.. ~
J. •
, ..

Various teptesefitations' have 'been -receivea for' irhpt(.hn~ntali'6n\'Of 'the ~&6~ej~tter ~.e.f.
~~l tr,':
ol.oLi01B'(thedate of implementation oF7th CPC)I~if~lace~o(2~·:Or~q.t'7~('!~2!'·' i
.. 4~ '\: '\,),,' ,z .. :'(;·~ :Jt:t1:_.~\.,:~. I J. -_: ...·'f1.. f~ ' . .1 ~h",,·r~,.>.

),After careful-ccnsideration in the maher/it'hiis TioY; l)~en decided that-thf rate of ~evtsed
, s(JbscriptiC)ii.'f()~ joirilltg' RELfIS Wouldbe effecH'v~:f\.bm'Oil:O i-~201'6tfR pi'~cieb'f'23;.Qi';io I 7. (The
excess amount, if any, deducted nom the railway. employees/ .f~!y' pensionex:Sdw~h retired!
sancti6tl-e<i~ert~io~-from :01:01.2016 to '22:02'.20 11':(b6th\ dafe's·;attin:cl~sive~;'.hta.y~lrefurlded.
It will be incumbent upon the departmentlbranch, ~hic!i. paid the s~~Jemenii'Hi.i~~"iQj.~4te
retired
employeesljfanuly pensioner,:be~e'eh oLoi.2010'f(6l~2~02:te>1o/ 16O:~d'afus"'a'n( iiiclusive), to
Jacd&uht ottHe"ehlplo}r~el family
credit the excess amount recovered, if any, 'in'~ri~ go'i'iFtne~ba~k
pensionerin'which the settlement dues was'credite&~-Th~' due'Jrn6Wii 'sh'All'h~lhil6$t~1i,by.thebill
preparing authority for the retired employee and shall. be passed by the Accounts: Q.¢PartInerit
after due internal-check. 'This would be done without
pensioner. -. .
applicatioIFfr6m'lh'e'emplo~~el
'(I ',:,< " - .:•• d c..!' , ;;1; .
any family
'.. . ~1~, ~:')i ','" t.;·r)~. : ., ~

This issues in consultation with Finance Dir~ctorate in'tne'MihistiydtRalfwitys:

l~'" : t' •• ~ ......,. ; • , ; ." ..) ~. : r...· ~ I .. '~,: "~:. c.". ":' ~, !or .:.. k~ .,;.It:;
1 {; f( j. ~"
, .~
. (R. S. Shukla)
Joint Director, Health
: ..... ' ..... ' t . 6~ ;.,' # " . ~ r:, / :'2,1 U!~) ,;;fB,3P'r,'Y ).l~Il,d
'. ' _ ' ;•••2/-
 ,.- ,', . :S.NoRllHealth2018
31R<i \fH~F((Q,OVERNMENT OF INDIJ_\

t;r ~511(if<Q~NISTRY OF.¥AJLWA YS

~iM/RAI~WAYBOARD)
-',
'"!,. 0'\
No. 20171H:"lhl13/SplitMedicalldentity~ard New .D~lbi,dated .02. 2018
.... ' '. ~': _ .. , " " '0.. . .:
. r~ege.e~l·M~I!~gers, Allln~ian Ra;hya)'~~.Us . .) .., .
The Cbief Administrative OfficerslDMWlPatialaJRwPlBelaIPatna .
-.'The Director Gene~IIImSO . , , .. .' ..'. : .: '" . .
":. '. : _!. : \' .' ,. • -.:' .'. '. _. '.; .~?; ',: ," ',i1!':" ~~.'. ~.' '''I''~':''' ... r.: .
Sub: Split Medical Identity Card to serving Railway employ.ees.

Ref: Railway.Boardts letter No. 20041H128/11RELHS/Card "a ted

22.03.2005. - .

In terms of provisions contained in Para·626 (1) of Indian Railway Medical

Mannual (IRMM) -2000, it is necessaryto produce medical identity card for availing of , ",
medical facilities in Railway Hospitals. It has been brought to the notice otBoai'd that' ':..
serving Railway employees/their eligible dependent family members find.'llifficult to'
avail of medical facilities whet} one of the family member niove}out of station carrying ,
Medical Identity Card. Provision for RELHS beneficiariesjhough exist vi~e·'lett~nllld.; ~r
reference but rio such facility existed for serving Rajlwa~s. The issue.;ha.s~ ."
therefore, been examined and
it has been decided to extend the facility of Split Medicai'
Card to serving ~ilway employees covered by RMA rules. "...

,. Original Medical Identity Card may be deposited with the issuing authority
who may issue Split Medical 'Identity Card to the beneficiaries as requested by them .. ' .. . ., ..'

Issuing authority of Split Medical. Card will be the office of controlling

authority where the employee is working and the registering authority of Split card will
be Authorised Medical OftleLY- LIJ
"'to) of nearest Health Unit! Hospitals whete the
dependengare staying. '.' . . J ~ \, . . :.
(~ Vir. ~.
-~---
"'\ .. ,..,,~ u-....:>c..-. ~
:e;:fi5I1i Mrs.lI~K.Sanhotr.)
3q" ~I"W, 'RT0 vcr 'Cfo itrol Dy.Di~ectorlH&FW . ' .
.
.brt 1i!i1 Rail~ay' Board I
No. 20171H-1/2/13/Spl~t~edicalIdelithyCard New Delhi, dated "'.02. 2018' ,
Copy foriDformatioD.~~d nece~acy actio.) t~: . " '" ' ' '
1. . The Principal Chief Medical Directors, The C MSs, The CMOs~ All Indian .
Railway~/f(Js. ,', -. '.
2. The PrinciplU thiefP~rsonnel Officers, All Indian Railways/PUs.. -
3. The Principal Finance Advisor, All Indian RailwaysIPU$.
4. The Principal Directors of Audit, All Indian Railways/Plfs. '.:." ., I

~) -: ....•...•. " . ForFin.n.eC~Dlm~lo~~JR~y~

Copy to:-F(E)Spl,tRB~3,Ranway Board ,
..•.
!
S.No: 01IHealth2018 '.

Adv,ance Correction Slip to Para 626 (ll of IRMM-2000

Original Medical Identity Card may be deposited with .the issuing

authority who may issue .Split Medical Identity Card to the 'beneficiaries as
requested by them.

Issuing authority of Split Medical Card will be the office of

controlling authority where the employee is working and the registering
authority of Split .card will be Authorised Medical 'Officer (AMO) of nearest
Health Unit! Hospitals where the dependents are staying.

(Authority Board's letter No. 20171H-112113/SpiitMedicaICard dated

05.02.2018) •
 jIiJI' H. 01m- 2018

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" '
-- --- --- ---

GOVERNMENT OF INDIA
MINISTRY OF RAIL WAYS
(RAIL '" A Y BOARD)

No.20111H/28/1IRELHS/Coul-t Case New Delhi, Dated-31.07.2018

,<).~ L·.
-z,'V Jl.cneral Managers,
All Indian Railways
Including PUs, RDSO ,$l NAIH.

Sub:- AIRF PNM Item No.] 9/20] 6 - Provision for exclusion of retiring railway
employees from mandatory joining of RELHS - 97.

Rcf:- Railway Board's letter of even number dated 31.05.2012.

****
'Est},., s ""~ '(\-11
r ."leJ I ~(J'~
Vide Board's letter cited under reference joining of Retired Employees Liberalized Health
Scheme (RELHS) -97 had been made mandatory for all retiring railway employees without any
exit clause whatsoever. However, repeated requests are being received from retiring railway
employees to provide an exit clause from joining RELHS - 97. In some cases Honble Courts
have also ordered for exclusion of certain retiring railway employees fr0111mandatory joining of
RELHS - 97.

The matter has been examined in consultation with Finance Directorate and it has been
decided with the approval of the Competent Authority that exclusion from mandatory joining of
RELlIS -97 may be given in cases of those retiring railway employees who are covered for life-
long comprehensive medical treatment facility for self and dependenus), if any, Oil the RELHS
or any other Central/ State Government medical facility on the strength of the medical card of
their spouse. However, such retiring railway employees will be required to submit a copy of
medical card of their spouse in which they have been included as a beneficiary for self and
dependenus), if any, for life-long comprehensive medical treatment facility on the RELHS or
any other Central! State Government medical facility on the strength of the medical card of their
spouse along-with an undertaking that the retiring employee wil] never request for issuance ~.
RELHS card in future.

This will take effect from the date of issue of these instructions.

This issues with the concurrence of Finance Directorate.

R. S. Shukla) •
.Joint Director, Health
Railway Board
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 GOVERNMENT OF INDIA/1lm1 ffiCfJR
MfNISTRY OFRAILWAYSRCVf ~
(RAILWAY BOARD)/~ mi

s No.PC-V.'So3 RBE No. ,,8/2009

'Jo.PC- V2006/.A.tMed/l New Delhi, dated 15 .09.2009

The General Manager

All Indian Railways & PUs
(:\$ per mailing list)

Sub: Grant of Fixed Medical Allowance @ Rs.I00 p.m, to the Railway

pensioners/family pensioners-Clarification-reg.

Subsequent to the issue of Board's letter No. PC-V/98/117/1/l dated 7-2-2008, references
were received from pensioners/family pensioners and banks seeking clarification as to whether
those pensioners/family pensioners who are members of RELHS and availing OPO facility are also
eligible for the Fixed Medical Allowance .

.., The matter has been examined and in reference to the Board's letter dated 7-2-2008 ibid, it is
clarified that since actual enrolment under the Health Scheme is not mandatory, those
pensioners/family pensioners who. in terms of Board's letter No.97/H/28/1 dated 23-10-97. are
eligible to become members of the Scheme but are not actually enrolled are also entitled for grant of
Fixed Medical Allowance. Pensioners/family pensioners who possess RELHS card & avail OPD
facility are NOT entitled for Fixed Medical Allowance, whereas those who possess RELHS card but
do not avail OPD facility (except in cases of chronic diseases, as defined in Board's letter
No.2006/H/DC/JCM dated 12-10-2006) are entitled for Fixed Medical Allowance.

3. Further, FMA and arrears of FMA would continue to be paid, as earlier, to pensioners/family
pensioners only after submission of the enclosed undertaking form to the Pension Disbursing
Authority (PDA) thereby implying that fulfillment of the following two conditions is mandatory [01'
becoming admissible for FMA:-
(i) the pensioner/family pensioner is residing beyond 2.5 kms from the nearest health unit;
(ii) the pensioner/family pensioner is not availing the facility of OPD (except in cases of chronic
diseases as mentioned in para 2 above).

4. Hindi version is enclosed.

OA: As above ~.
(N. P. Singh)
Dy. Director, Pay Commission - V
Railway Board
-

U1\l))ERTAKING FORM .'.

(ID N Ablldtttdia DUPUCATE by pealioaent family ,..ioDe~ IliAlher,PennoD DiJbanlng
A.daority (PDA) one copy m be .ret.med by PDA ud other co),)8to be fumbbed to PeDslOIl
Sanc:tioDln.c Authority by PDA)

I .~ a retired employee' family pensioner

whose --'_ (specify relation of Family pensioner with deceased
Railway employee) was an employee .of (Office address)
____ declare that I am residing at (residential
address indicated in PPO) • which
is beyond 2.5 l(Ms from the nearest Railway hospital/ health unit
(Name of the Hospital!Health Unit as
contained .in Annexure m to Rail~y Board's letter No~ PC-V/98fI/7JI/1 dated
2] A 99)

2. Accordingly, I hereby opt to claim fixed medical allowance of Rs.l 00/- per
month. Necessary endorsement may please be made in my PPO in this .regard.
Simultaneously, I undertake that I will not avail of OPD facilities at Railway
hospitals/health units from.the day I claim Medical Allowance. I also understand that
grant of Medical Allowance is subject to the terms arid conditions specified in Board's
letters No. PC-V/98!Jf7/Ifl dated 21.4.99 and 1.3.2004.

3. I also declare ~t I have not availed of any treatment as Out Door Patient for
the period from .; ., (indicate here the date of retirement or the date of
availing OPD facility .on the last occasion or 1.12.1997. whichever a later) to
. --"-__ (mdialtc ~ the date on which this declaration is signed). 1may
accordingly be paid arrear of Medical Allowance @ Rs.l 00/- per month for the period
mentioned above.

Signature, " ,.

Name in fulJ ,.
PPONo .
Issued by .
SB Ne No , , ,. , ,...
Post office/Bank , .. , ,. ,
Branch ,. '" , , , .
Place , , , .
Date .

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-4- -
 S.No. 1 Health 2009

GOVERNMENT.OF INDIA
MINISTRY OF RAILWAYS
(RAILWAY BOARD)

No:200S/H-I/2/15 New Delhi, dated 16 -2-2009.

The General Managers,

All Indian Railways and
Production Units.

Corrigendum·

Sub :Removal of age limit of 25 years in respect of

medical facilities for" dependent children of' serving
Railway employees and pensioners.

Ref: Board's letter No.2t)00/H/PNM/AIRF dated

05.09.2000 (S.No.Sof Health 2000).

Arising out of demands raised by AIRFand NFIRin the PNM

meetings, it is hereby clarified that the instructions contained in Para
601 (5)(b)(ii)of the Board's letter under reference regarding the above
mentioned subject may now be read.as.. under.-
"unmarried sons over 21 years of age without an upper age
limit, even if not a student or invalid, provided he is wholly dependent
on, and resides with the Railway employee".

The rest of the contents of the letter will remain unchanged.

Advance Correction Slip (S.No.S of Health 2000) Para 601 (S)(b)(ii) may
now be read as enclosed.

(Dr.(Mrs. ayashree Rana)

Executive Director Health (G.)
t

RaUway Board.
 .. -

/
S.No. 1 Health 2009

Advance Correction Slip to Para 601 (5) Ib' Ill) of IRMM.2000.

Para 601(5)

(b) (ii) unmarried sons over 21 years of age without an upper age'
limit, even if not a student or invalid, provided he is wholly dependent
on, and resides with the Railway employee.

( Authority: Boili'd'. letter No: 2008/H-I/2/15 datecl 16. 02. 09 }

 S.N,,! of BeaIth'QOOO

~ No.20001B1PNM-AIRF
,' . New Delhi, dated :$
. q•.2000
I .....
,: 4.'~.,
."
'

• •

/i
!.. ,r::-,~.", '.. ':='RaDways.1Manage:P..oouction Units,
. t Ds,~ ... ~ew Raihray Zones,
/:' ~'G-_; ,red.0i(~ RDSO, Ludmowu
~ /S.b.: RelDoval of .'Iimit of 25 yean in raped of lDediaI
fa~ for depmdeDt daiklren of ten'iDg Railway
Employees and PeIiuioDer. .
, .....J
j'
**..****** .
. Ministry of Railways have decided to elaborate/amend Para 601 (5) and
601(6) oflRMM, 2000 as under:- .

(5), "Family members", fur purposes of these rules, will JnOlude-

(a) CODIIOl't ...
(I) wife .of a Railway EmPloyee, whether she is earning or not;
(ll) husband of a Railway emp1oyee, whether .be is eamiog or not;
(b) IOns-
(i) sons under 21 years of age provided they are wholly dependent
on the Railway employee;
l\ (h") sons over 21 years of ase without an upper, age limit, even if
not. a student or ,Invalid, provided .be is wholly dependent on
and resides wkh __ Railway employee;
(c) daughters-
(i) unmarried daughters, hl~'1ive of whether they are eamiug
or not and irrespective of thea age;
f\(h") manied daughters UDder ,.,18 years of age and widowed
daughters, irrespective' of their age, provided they are wholly
dependent OD the Railway employee; ,
1- (d) step-SODS, unmarried step-daugbters, m8rried step.daugbters and OM
, adopted child, subject to the ase limit prescn'bed in (b) and (c) above,
provided they are wholly dependent on the Railway employee.'

Note:-In a ease where both husbaDd and ..wile are Railway

employees, the wife may be aDowed to avan IteneIf of the medical
attaadwn od t.. tIIleDt f'adIIties either aeeordiag to her OWD status or
aecorcUaa to the status of Iaer husband whichever is IIIOft favourable t the
ehJIdrm .. y aIIo be aIIoMd these eoDcessioas aeeonliag to the statu of
either or their parents aad the prefenntial claim of reimbunemeat of
medial espeuses.

vic...
 -2.- - ..

(6). " Depeoc.fent relatives" , for these rules, will include aU such persons
as are e1igible fur passes under tile 'Pass rules ,and wiD thus inchJde-
<a) mother/step-mather; ifa widow;
(b) umnanied or widowed'sisters or step-sisters iffather is
, notalive;
(c) brotberslstep-brothers ~ 21 years of age , if filtber is
DOt aHve; " "
provided that the above are wholly dependent on and reside with the Railway
emplOyee. The words "wholly dependeDt" meaD a person who does not have
independent income more than 15 % of the emolulnems of the Railway
servant ~ or Rs.l soo/~ plus dearness reHef thereon, which ever is
more. :....

Note:- (i) The ace Ibnit prescribed iD the ease of brotball step,-
brothen wiD not apply to bo1Ulj'ide studeDtI pt recopized edaational,
iDstitutiODS aad- to iavaIdI oa appropriate eertifieatiOD by Railway
Medieal 0fIker.
(Ii) Modaer ladudes adoptive mother only in C8IeS in whieb the
mother .... IepIIy adopted the RaIlway employee as • daiIcl .... d bas,
.siaee adOptioa, ..... ys beea neop .... ·u tile modi ... A, ralIway
employee "Y Dot obtaID free medical aueatiOD for his real DJther as
;" weIIulor aa adoptive mother. .
, ': .. ,_.' .

This issues with the concurrence ofFinanace Dte. of Railway Board.

An advance correction slip with ~ to 601 (5) and (6) of

IRMM, 2000 is also enclosed for ready reterence.
. " '

Pleue acknowJedge receipt.

DA:oaeACS

_ -- 3/-
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~~25~~~."ifi1~.
el;~ ~ .. ~ f~MI ~aif"
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.. 2000 ifiT lti'. ~. 8).

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t ~aq!CM ~fttd ~ el;~ 1l~ el; ~i4''''M~
*tu 601 (5) (lI) (ii) 1l ~ 3f1~(JfflfiT 3fiT P1.... ,1~1~~~:-

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