- (1.) This Letters Patent Appeal is directed against the order dated 8.7.2011 passed by the learned Single Judge whereby the writ petition (CWP No.19783 of 2010) filed by respondent No.1 for directing the appellant to reimburse the medical expenses incurred by him in getting his treatment from Fortis Hospital, Mohali, has been allowed.
(2.) Though this appeal is barred by limitation, and along with the appeal, the appellant has filed an application (CM No.6423 of 2011) for condonation of 101 days of delay in filing the appeal, however, without taking the said delay into consideration, we have heard the learned counsel for the appellant on merits and gone through the impugned order passed by the learned Single Judge.
(3.) It has not been disputed that respondent No.1 is the retired employee of the appellant and under the Central Government Health Scheme (hereinafter referred to as 'CGHS') he is eligible to avail the medical facilities being a pensioner. However, it has been argued that respondent No.1 cannot avail the benefit of the said Scheme because he neither get his name registered with any of the dispensary in CGHS covered dispensaries nor paid the requisite contribution. The learned Single Judge while following the decision of the Delhi High Court, where a similar controversy arose, has allowed the writ petition and directed the appellant to pay the medical reimbursement to respondent No.1 as per his entitlement under the CGHS. These judgments of Delhi High Court have been noticed in the latest Single Bench decision of Delhi High Court in Kishan Chand Versus Govt. of N.C.T. & Others [W.P.(C) No.889 of 2007, decided on 12.03.2010] where the legal position has been summarized as under:- "1) Even if employee contributes after availing medical facilities, and becoming member after treatment, there is entitlement to reimbursement (DB) Govt. of NCT Vs. S.S. Sharma, 2005 118 DLT 144. 2) Even if membership under scheme not processed the retiree entitled to benefits of Scheme - Mohinder Pal V. UOI, 2005 117 DLT 204. 3) Full amounts incurred have to be paid by the employer; reimbursement of entire amount has to be made. It is for the Government and the hospital concerned to settle what is correct amount. Milap Singh V. UOI,2004 113 DLT 473. 4) The pensioner is entitled to full reimbursement so long the hospital remains in approved list P.N. Chopra V. UOI,2004 DLT 190. 5) Status of retired employee not as card holder: S.K. Sharma V.UOI, 2002 64 DRJ 620; 6) If medical treatment is availed, whether the employee is a cardholder or not is irrelevant and full reimbursement to be given. B.R. Mehta V. UOI, 1999 79 DLT 388.";