Grant of Fixed Medical Allowance (FMA) to Pensioners/Family Pensioners covered under National Pension System

Postalguide
No. 04/07/2020-P&PW(D)
Government of India
Ministry of Personnel, Public Grievances and Pensions
Department of Pension & Pensioners’ Welfare


3" Floor, Lok Nayak Bhawan
Khan Market, New Delhi-110003
Dated :- 06" December, 2023


OFFICE MEMORANDUM


Sub:- Grant of Fixed Medical Allowance (FMA) to Pensioners/Family Pensioners
covered under National Pension System-reg


In accordance with the existing instructions, Fixed Medical Allowance (FMA) is
admissible to the Central Government civil pensioners/family pensioners (i) residing in areas
not covered under Central Government Health Scheme or any corresponding Health Scheme
administered by other Ministries/Departments and (ii) not availing OPD facility under CGHS.
FMA is disbursed to the pensioners by the Pension Disbursing Authorities/Banks along with
their monthly pension.

2. FMA is also admissible to retired National Pension System (NPS) employees who
are granted pension under Old Pension Scheme on account of invalidation/disability and to
the family members of deceased NPS employees, who are granted family pension as per the
Old Pension Scheme on death of NPS employee during service. Grant of FMA in such cases
is subject to fulfilment of the usual conditions therefor.

3. Ministry of Health and Family Welfare issued orders vide O.M. No S.11011/10/2012-
CGHS(PYEHS dated 28" March, 2017 extending the CGHS facility to Government servants
who retire under NPS, if they fulfil the following conditions:

(i) Minimum years of qualifying service for eligibility of CGHS membership after
retirement-10 years

(it) No minimum qualifying years of service for availing CGHS facilities in case of
death/disability.

(iii) In case of absorption in an Autonomous Body/Statutory Body, NPS subscribers
can avail CGHS after their retirement only if the Autonomous Body/Statutory
Body, where they are absorbed, is covered for their retired employees, subject to
condition (i) above.

(iv) In case of deputation to an Autonomous Body/Statutory Body, no CGHS
coverage till such period of deputation continues unless the entity to which the
employee has been transferred on deputation is covered by CGHS.

(v) Status quo to be maintained for serving NPS subscribers subject to conditions at

(iii) and (iv) above.

(vi) Other conditions such as definition of family, CGHS contribution, conditions of
dependency etc. will be applicable as per the existing rules.


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