(1) Any civil employee shall be entitled to the medical expenses in a sum equal to the current salary of Twelve months if he or she is an employee of gazette class and equal to the current salary of Eighteen months if he or she is an employee of non-gazetted first class and classless employee equivalent thereto, and equal to the
current salary of Twenty One months if he or she is an employee of other non-gazetted first class and classless employee, during his/her service period.
(2) If any civil employee or any member of his or her family falls sick, the Government of Nepal shall give the medical expenses incurred as follows, not exceeding the amount receivable pursuant to Sub-rule (1):
(a) The fees incurred for medical examination carried out by a recognized doctor and the expenses for medicines purchased as per the prescription after the examination, for the treatment of disease,
(b) The expenses incurred in the admission to or treatment in a health institution as per the bill,
(c) The expenses as certified by the Head of Department in respect of the other civil employees other than the Head of Department and by the Secretary at the concerned Ministry in respect of the Head of Department, incurred in the treatment in a place where any hospital and recognized doctor are not available,
Explanation: "recognized doctor" includes a doctor, Kaviraj, health assistant or Vaidhya incumbent in the government service or registered as a doctor pursuant to the laws in force.
(d) The expenses incurred in all kinds of operations (surgical operations) except plastic surgery, as per the bill,
(e) In the event of medical treatment in another district or abroad leaving home or rented house, total amount of transport expenses for the patient and one attendant, if the attendant is required, to go and back from such place and the amount of expenses for food equal to Seventy Five percent of the daily allowance receivable by the concerned civil employee as per the laws in force.
(3) If any civil employee wishes to get an advance of medical allowance receivable pursuant to this Rule and if the reason therefor appears to be reasonable, the amount may be given in advance on conditions of settling down the account lateron, subject to this Rule. While settling down the account of the amount taken as an advance exceeds the amount receivable for treatment, such amount of difference shall be deducted from the salary of the concerned civil employee by installments. If the concerned civil employee or the member of his or her family dies prior to the recovery of such amount of deduction, the amount due to be deducted shall be remitted.
(4) Departmental action may be taken against a civil employee who demands for or receives medical expenses under this Rule by submitting false details, including the recognized doctor (if he or she is an employee) who has certified such false details.
(5) While releasing the expenses for medical treatment in cases where any temporary employee falls sick, the period of Twenty years shall be regarded as the total period of service and the expenses for treatment shall be given under this Rule by calculating, in proportion
thereto, the period of service of such temporary employee who has fallen sick.
Provided that, medical expenses under this Rule shall not be given to any temporary civil employee when being relieved of the service.
(6) Except in cases of dismissal from the service disqualifying for the government service in the future, the civil employee who is detached from the service on whatsoever ground shall get the lump sum payment of such remaining amount of medical expenses, if due remains, out of the medical expenses to be received under this Rule for the entire period of service, with or without having received any portion of such amount.
Provided that, any employee detached from the service on pension shall be entitled to get a lump sum amount to be calculated by adding an additional Ten percent, Fifteen percent and Twenty percent to the remaining amount to be received for the medical expenses if the civil employee has completed the service period of Twenty years, Twenty-five years and more than that, respectively.
(7) While giving the medical expenses to any civil employee who has not completed a service period of Ten years, the amount prescribed in this Rule shall be regarded as an amount to be given for Ten years of service period and only the amount being calculated in proportion thereof shall be given.
(8) If any civil employee requesting for medical expenses under this Rule shall have to take the sick leave as long as the sick leave is due, in cases where he or she could not be present in the office as a result of falling sick. Other leaves may be requested only when the balance of sick leave is over.
(9) Except in cases where treatment has to be done in a health institution or abroad pursuant to this Rule, any civil employee may be given, in one year, the medical expenses equal to an amount not exceeding his or her current salary of One and half month.
(10) The records of medical expenses given to a civil employee under this Rule shall have to be maintained by the office maintaining such expenses and such details shall have to be sent to the concerned Department and the Civil Employees Record Office for the maintenance of records.
(11) If any civil employee serving in a remote area where means and facilities are not available has fallen sick and his or her disease could not be treated at the local health institution whereby putting his or her very life under threat, and if such a civil employee is carried to any other nearest well-equipped health institution within Nepal from that place for treatment by a fastest means, with the approval of the Secretary at the concerned Ministry, the transport expenses in carrying him or her to and from the health institution shall be borne by the Government of Nepal.