Homoeopathy, as the case may be] 2 which shall be obtained before and unless the delay

involved entails danger to the health of the patient:-

1
Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 1983
2 Inserted in Notification No. DPAR 1 SMR 78 dated 21st September 1983

(a) send the patient to the nearest Specialist or the other Medical Officer as
provided in clause (d) of rule 3 by whom, in his opinion, medical attendance is required
for the patient or in the case of anti-rabic treatment, to the nearest place where such
treatment is available : or

(b) if the patient is too ill to travel, summon such Specialist or other Medical
Officer to attend upon the patient.

(2) A patient sent under clause (a) of sub-rule (1) shall on production of a
certificate in writing by the authorised medical attendant in this behalf, be entitled to
travelling allowance for these journeys and from the Headquarters of the Specialist or
other Medical Officer or the Place where he is sent for anti-rabic treatment.

3[(2A) If the patient who takes special medical treatment under sub-rule (1) is unable
to travel by himself and the authorised medical attendant considers that it is unsafe for the
patient to travel unattended, the person accompanying such patient shall, on production of
a certificate in writing from the authorised medical attendant in this behalf, be entitled for
the journey to and from the headquarters of the Specialist or other Medical Officer to
draw travelling allowance or the railway fare or the bus fare, as the case may be as
specified in clause (c) of sub-rule (1) of rule 11] 3
3
Inserted in Notification No.GAD 14 OMR 63 dated 29th February 1964.

(3) A Specialist or other Medical Officer summoned under sub-rule (1) shall, on
production of a certificate in writing by the authorised medical attendant, in this behalf be
entitled to travelling allowance for the journey to and from the place where the patient is
and also daily allowance according to rules.

13. Application of K.C.S.R:- The travelling Allowance admissible under

rules 11 and 12 shall be subject to the provisions of Part VIII of the Karnataka Civil
Services Rules, 1958.

14. Reimbursement of Medical Expenses:- (1) Where a Government

servant is entitled under rule, 7 free of charge to treatment in any hospital any amount
paid by him on account of such treatment shall on production of a certificate in writing by
the authorised medical attendant in this behalf be reimbursed to him by the Government.
(2) (a) The refund of the cost of preparations which are not medicines but are
primarily foods, tonics toilet preparations or disinfectants is not admissible under these
rules.
1[(b) List of items for which refund is not admissible under these Rules shall be
those published by the Director General of Health Service, Government of India, from
time to time] 1.
1
Substituted in Notification No.GAD 14 OMR 63 dated 29th February 1964.
 Provided that the cost of any therapeutic substance included in such list, which is
prescribed by the authorised medical attendant as absolutely essential for the recovery of
the patient shall be reimbursed by Government, if the State Government after
consultation with the Director of 2[Health and Family welfare Services]2 is satisfied that
such therapeutic substance was absolutely essential for the recovery of the patient and
makes an order to that effect.
2
Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 1983.

(c) Sales-tax paid by Government servants while purchasing special medicines

from the market is refundable under the rules. Packing and postage charges paid by
Government servants for purchasing special medicines from out stations are not
refundable.

(d) If an ambulance is used to convey a patient to a place of treatment or to

convey a patient from one hospital to another hospital for purposes of certain/medical
examinations, etc., the charges incurred by the Government servant on that account are
refundable.

(e) Charges for sterilisation of instruments used in connection with operation

performed on Government servants and their families are not payble by them, as it is the
duty of the Hospital authorities to keep all the surgical instruments sterilised and in order.

3[(f) In cases where, for lack of facilities at a Government hospital or in the

laboratory attached to it, skiagrams of ECG's are taken at a private laboratory or hospital,
the charges incurred thereon shall be refundable at the rates prevalent in Government
hospitals]3.
3
Substituted in Notification No.GAD 1 SMR 74 dated 28th October 1974.

(g) Charges recovered for operations performed on Government servants, who

get admitted to a ward higher than that what they are entitled to are reimbursable to them.

4[(h) the cost of Ayurvedic, Unani and Homoeopathy medicines is also

refundable. The lists of items for which refund is admissible under these rules in respect
of Ayurvedic, Unani and Homoeopathic medicines shall be those published by the
Director of Indian Systems of Medicine and Homoeopathy.

Provided that the cost of any therapeutic substance not included in such list but is
prescribed by the authorised medical attendant as absolutely essential for the recovery of
the patient shall also be reimbursed by Government, if the State Government after
consultation with the Director of Indian System of Medicine and Homoeopathy is
satisfied that such therapeutic substance was absolutely essential for the recovery of the
patient and makes an order to that effect] 4.
4
Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 1983.

(i) (A) Refund in respect of a full set of dentures where necessary shall be allowed
upto a maximum of one hundred rupees once during, the entire service of a Government
servant;
 (B) Refund in respect of replacement of teeth in cases other than those falling
under sub-clause (A) shall be allowed as and when necessary.

Provided that no refund under clauses A and (B) shall be allowed where the
dentures of or teeth are made of any material like Gold, Silver etc.

1
[(C) Refund in respect of scaling and filling of the teeth or for any treatment
taken for diseases connected with teeth shall be allowed]1.
1
Inserted in Notification No. DPAR 1 SMR 81 dated 29th October 1981

(j) In the case of 2[Government servants whose monthly pay does not exceed
Rs.8200/- in accordance with the Karnataka Civil Services (Revised Pay) Rules,
1999]2expenses incurred for procuring artificial appliances including travelling expenses
and hospitalisation charges, if any, are reimbursable provided that the officer-in-charge of
the medical institution where the Government servant has undergone the treatment
certifies that such appliances were absolutely essential for the treatment of the
Government servant.
2 Revised as per KCS (Revised Pay) Rules, 1999

3[(k) the cost of blood purchased for being administered to the patient on the
advise of the authorised medical attendant shall be refundable on production of a
certificate by the authorised medical attendant] 3
3Inserted in Notification No.GAD 18 OMR 63 dated 3rd March 1965

4[(1) Refund in respect of the cost of spectacles, where necessary, shall be

allowed thrice during the entire service of the Government servant, subject to the
condition that the amount claimed in each case does not exceed a maximum of three
hundred rupees]4.
4
Substituted in Notification No.GAD 2 SMR 75 dated 13th February 1976.

Explanations.- For the purpose of this clause 'artificial appliances' means"

(i) Prosthetic appliances of all kinds for the upper and lower limbs;
(ii) spinal braces or spinal supports including spinal belts;
(iii) cervical collars of all kinds, such as, of plastic, leather or stainless steel with
leather coverings;
(iv) leather and metallic splints devised for correction of deformities and providing
support for upper limbs;
(v) bracerage of all kinds including callipers, knee cage, knock knee and bow legs
splints made of metal and leather; and
(vi) orthopaedic shoes, boots and splints used for correction of deformities of feet
and legs.

1[(m) Refund in respect of the cost of Polio boots shall be allowed only at
intervals of not less than three years and may be claimed only three times in respect of an
individual. Refund in respect of machinery appurtenances like crutches, limb supports
etc., shall be allowed only if they are purchased from a Medical College/Hospital