01Facts
The petitioner, an accredited journalist, sought reimbursement of ₹11,83,105.21 for his wife’s treatment at Sir Ganga Ram Hospital and Sir Ganga Ram City Hospital.
After she was examined at G.B. Pant Hospital, she was referred elsewhere because vascular-surgery facilities were unavailable there; the petitioner also relied on the designation of government hospitals as COVID-19 hospitals during the relevant period.
¶ 4–10The private hospital’s emergency certificate recorded that his wife required urgent admission and treatment.
¶ 4–10The respondent rejected the claim on the ground that the surgery was not emergent.
¶ 4–10It did not file a counter-affidavit, and its right to do so was closed.
¶ 4–1002Issues
i.1. Whether the petitioner’s wife’s treatment at a private hospital was necessitated by emergency circumstances within Rule 7 of the notification dated 15 November 2011.
¶ 3–5, 8–10ii.2. Whether the unavailability of treatment in government hospitals because they were designated COVID-19 hospitals could satisfy Rule 7’s condition concerning a strike in government hospitals.
¶ 11–1203Law Applied
Rule 7 of the notification dated 15 November 2011 entitles accredited press reporters and their family members to reimbursement for specified emergency or lifesaving treatment at recognised or empanelled private hospitals, in accordance with the applicable DGEHS provisions and subject to the listed conditions.
¶ 3Condition (d) applies where emergency treatment is obtained in a private recognised or empanelled hospital when there is a strike in government hospitals.
¶ 3The Court interpreted that condition functionally: the relevant consideration was the effect on the patient’s access to government-hospital services, rather than whether that unavailability resulted specifically from a strike.
¶ 12No judicial precedent was cited.
04Reasoning
The referral from G.B. Pant Hospital, together with the private hospital’s uncontroverted emergency certificate recording urgent admission and treatment, supported the petitioner’s case that his wife required emergency care and that the necessary facilities were unavailable at the government hospital.
¶ 8–10The Court rejected the respondent’s narrow reading of condition (d): although a strike and COVID-19 designation have different causes, both could result in the suspension or unavailability of ordinary services and compel a patient to seek care elsewhere.
¶ 7, 11–13Because the respondent filed no counter-affidavit to controvert the evidence, the Court accepted that the petitioner was constrained to obtain treatment at the private hospitals.
¶ 7, 11–1305Holding
The Court held that the petitioner was entitled to reimbursement and allowed the petition.
¶ 14–17It set aside the rejection letter dated 21 July 2025 and directed the respondent to reimburse ₹11,83,105.21 within eight weeks.
¶ 14–17The respondent was permitted to recover that amount from the officer responsible for failing to file the counter-affidavit.
¶ 14–17Original Court PDF
Ravinder GuptavsDirector, Health Services, Government Of Nct Of Delhi
Click to open original judgment
Original judgment, available to read, download and summarize on LawLens.in
