Indian Railway Establishment Code Chapter 6

The Railway Medical Officer responsible for a railway employee, based on the employee's location or specific nomination.

In-person consultation at a designated Railway hospital/Health unit consultation room.

Referral to another Railway facility if a consultation room isn't available.

Medical attention provided at the employee's residence when needed.

Diagnostic tests and procedures available at Railway Hospitals, if necessary.

Covers railway employees and their dependents residing within 2.5 km of the hospital/health unit/station.

Authorized medical officer can send patient to other medical specialists or hospitals.

Employees of the Commissioner of Railway Safety get free medical care for themselves and their families, regardless of if they transferred from the Railways or were hired directly by the Ministry.

Railway Audit staff get free medical care, comparable to the benefits of Railway employees with a similar position, for themselves and their families.

Railway employees on deputation to RITES/IRCON can keep their Railway medical benefits, but RITES/IRCON pays a contribution for this service.

Full-time union employees get free medical treatment, but only for themselves, while their families are limited to outpatient care at Railway hospitals.

The rules determine which groups qualify for Railway medical benefits, including employees of the Commissioner of Railway Safety, Audit staff, Railway employees deployed to RITES/IRCON, and full-time Union employees.

Payments made from a separate fund or source for unexpected expenses related to employee medical care, often used for specific situations like ambulance transport or blood transfusions.

The authority to approve specific medical expenses and care for employees can be delegated to Assistant Divisional Medical Officers (ADMOs) to streamline the process.

When employees use public transportation for medical care, the costs are reviewed by a higher authority to ensure appropriate utilization and cost control.

Ambulance transportation is often free for employees unable to return to work due to specific conditions, such as amputations or fractures, with written approval from the Medical Officer.

The railway covers the cost of blood transfusions provided at government institutions or recognized organizations.

If government blood isn't available, the railway may reimburse the cost of blood purchased privately, provided the medical officer certifies the need.

Railway employees receive free meals as part of their medical care, based on the specific medical needs and diet guidelines.

Dental care and artificial dentures are not generally covered by the railway, except for specific situations described in paragraph 608.

Eye exams for glasses are not covered, unless conducted at railway hospitals with eye care facilities.

Claims for medical expenses must be submitted in a specific form, including supporting documents, and the payment is made to the employee's nominated recipient. Refunds are not made in foreign currency.

The Head of the Mission/Post abroad is responsible for overseeing medical claims of railway employees serving in those locations.

Railway employees and their dependents are eligible for free medical treatment, which can be provided at designated railway hospitals or other government facilities.

Hospital room allocation in railway hospitals is based on the severity of the illness, not the patient's status or position.

Medical care includes consultation, treatment, and necessary facilities at railway hospitals, authorized government hospitals, or other contracted hospitals, depending on availability and suitability.

Apprentices under the Apprentice Act 1961 receive free medical treatment for injuries sustained during their training.

Railway employees serving in the Territorial Army receive military medical services during training and active duty. Their families access Railway medical facilities.

A railway employee's private servant (full-time, salaried) who is eligible for passes, gets free outpatient care and limited inpatient care at Railway hospitals.

Casual railway workers, both project and non-project, receive outpatient medical care at Railway hospitals. They can use their service cards as identification.

Casual laborers who experience complications after vasectomy receive free inpatient treatment, including dietary expenses, at Railway hospitals.

Railway employees are eligible for various medical benefits, ranging from free treatment for work-related injuries to care for their families and private servants.

A decision by the Ministry of Railways (MOR) regarding free medical treatment for apprentices injured during training.

Indian Railway Establishment Manual (IREM) contains regulations for railway employees, including medical attendance and treatment rules.

A list of charges levied for certain medical services, including specialized and indoor treatment, for non-railway employees.

Medical care provided at a Railway hospital or health unit for short-term illnesses, excluding prolonged conditions.

A railway employee can consult a specialist if their authorized medical officer certifies it's necessary. This can be a specialist in government service or a private specialist at the General Manager’s discretion but only if the cost does not exceed Rs.1000/- per case.

The railway employee's primary point of contact for medical advice, usually located at the employee's place of work. This officer decides whether the employee needs specialized care or referral.

Railway employees can receive medical treatment at railway hospitals, authorized government hospitals, or even private facilities under certain conditions approved by the Chief Medical Director.

If the AMO feels the employee needs immediate care, the Chief Medical Director must be informed beforehand, except in emergencies when delay is dangerous.

When the AMO decides the employee needs a specialist, they can send the patient to the nearest eligible medical professional for consultation or treatment.

If the employee is seriously ill, the AMO can request the specialist to visit the employee directly, instead of the employee travelling.

Consultations with specialists involve advice regarding medical management but not directly delivering treatment. For example, a specialist may recommend a certain treatment plan but not perform the procedure themselves.

Railway employees can consult with honorary specialists attached to Government hospitals for free, if no Government specialists are available in their area, with prior approval from the Chief Medical Director (CMD).

Medical care includes using all facilities available at railway hospitals, health units, or the authorized medical officer's consultation room.

Necessary diagnostic tests, such as pathology, bacteriology, radiology, etc., are provided under the authorized medical officer's guidance.

The authorized medical officer can prescribe commonly stocked medicines, vaccines, and sera for railway employees.

Special medicines, sera, etc. that aren't usually in stock can be provided if the authorized medical officer certifies them as essential for the patient's recovery or to prevent serious deterioration.

Suitable accommodation based on the employee's status is provided in the hospital during treatment.

Fees paid to honorary specialists for consultations at their private rooms are reimbursed to the railway employees in accordance with the rates prescribed for Government specialists.

Consultations with honorary specialists at their private rooms are allowed only in urgent cases.

Railway employees receive suitable accommodation based on their status while undergoing treatment in a railway hospital.

Patients can be moved to a higher class room in a Railway hospital if the appropriate class room is unavailable or the patient's condition prevents moving them.

A Government-recognized hospital's medical officer must certify that the appropriate class of accommodation was unavailable or the patient's condition prevented moving them to a lower class.

If a patient's illness is severe, they can be admitted to a Railway hospital even if the appropriate class room is unavailable, and moved later when possible.

Railway hospitals provide basic nursing care to all in-patients.

Railway employees are eligible for consultations with specialists, like surgeons or cardiologists, when needed.

Railway hospitals provide care for female employees and their dependents who need confinement, like during pregnancy or childbirth.

Railway hospitals provide medical care before and after childbirth for conditions related to pregnancy and delivery.

Railway hospitals cover sterilization procedures, whether for family planning or medical reasons.

Railway hospitals cover termination of pregnancy procedures according to the Medical Termination of Pregnancy Act and Rules.

Railway employees can access ambulance transport for medical emergencies, including moving between residences, hospitals, or for treatments.

Railway employees and their families are generally eligible for free medical care. However, specific groups like casual laborers, contractors, and commissioned vendors have limited or conditional access to these services.

Casual laborers with over three months of service are entitled to similar medical rights as regular railway employees. However, their families may not be included.

Contractors' staff and laborers aren't eligible for free medical treatment in Railway hospitals. However, they can access care if there are no other hospitals available, paying for costs like diet, medicines, and dressings.

Commissioned vendors/bearers working in railway catering have limited medical access. They get free outpatient care and inpatient treatment only for work-related injuries. Their families are not covered.

Central Govt employees can access railway hospitals, but they must pay the fees charged to outsiders. However, they are given preference over other non-railway patients.

Railway employees assigned to RITES/IRCON on deputation maintain access to Railway medical facilities but require RITES/IRCON to pay annual contribution based on the per capita expenditure of a Railway employee.

Full-time employees of recognized Railway Unions receive free medical treatment only for themselves. Their family members are eligible for outpatient care at Railway hospitals and health units.

The Railway medical care system provides benefits to a range of individuals, including Commissioner of Railway Safety staff, Audit staff, employees on deputation to RITES/IRCON, and full-time Union employees, based on specific rules and conditions.

Railway employees are entitled to free medical treatment, which can include consultations, treatment, and necessary facilities at Railway hospitals, authorized government hospitals, or other contracted hospitals, depending on availability and suitability.

A dedicated fund is used to cover unexpected expenses related to employee medical care, such as ambulance transportation or blood transfusions, ensuring prompt and adequate support for such situations.

Employees must submit a claim form with supporting documents for reimbursement of medical expenses. The payment is made to the employee's nominated recipient, and refunds are not issued in foreign currency.

The Head of the Mission/Post abroad is responsible for reviewing medical claims of railway employees serving in those locations, ensuring proper authorization and payment for their medical expenses while away from their home country.

Railway employees' dependents are eligible for free medical treatment at designated railway hospitals and other government facilities, ensuring they have access to quality healthcare.