GOVERNMENT OF INDIA
 MINISTRY OF RAILWAY
 (RAILWAY BOARD)

No.2006/H/DC/JCM                                                                         New Delhi, Dated: 12.10.2006. 

General Managers,
All Indian Railways (including Production Units),
Chief Medical Officer, Konkan Railway Corpn Ltd.,
C.B.D. Belapur, Navi Mumbai; 
and Director General, RDSO, Lucknow. 
                
              Subject: Clarification of regarding chronic diseases in relation to Fixed Medical Allowance @Rs.100/‐ granted to Railway Pensioners. 
                                                                  ******** 
        As per Board’s letter No.PC/V/98/1/7/1/1 dated 21.4.99 a fixed medical allowance @Rs.100/‐  per month is granted to the Railway Pensioners/family Pensioners who are residing beyond 2.5 kms. From Railway Hospital/Health Unit/Dispensary. This fixed medical allowance is given to meet day to day medical expenses. They are not entitled to receive outdoor treatment from Health Unit/Railway Hospital etc. except in cases of Chronic Diseases. 
       Arising out of demand in the DC/JCM September, 2006, the definition of Chronic disease and some illness which are to be treated as Chronic ones are hereby stated.
        Any disease which persists for a period of approximately three months or more is defined as a chronic disease. Some of the common illness, which are treated as chronic diseases are given below:
1. Arthritis and related conditions. 
2. Cardiovascular disease. 
3. Cancer of any part of body. 
4. Diabetes mellitus.
 5. Epilepsy disorders.
 6. Obesity/chronic weight loss. 
7. Tuberculosis. 
8. AIDS.
 9. Oral Health Problem. 
10. Chronic skin disorders. 
Sd/‐ 
 (Dr. Pankaj Kapoor) 
Executive Director/Health (Plg.)
 Railway Board.


Note: As per VII CPC, FMA is equal to Rs.1000 /-