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<h1>Central Government approval for overseas medical reimbursement required; ceiling fixed and essentiality certificate mandatory for managerial personnel</h1> Approval from the Central Government under section 310 is required for reimbursement of specialised medical treatment abroad beyond the limits of a managerial remuneration package; applications must be filed in the prescribed form, be accompanied by an essentiality certificate from the Director General of Health Services, relate only to the managerial person (not dependents), observe a maximum ceiling of Rs. 9 lakhs inclusive of travel and lodging, and be submitted within the tenure of the managerial personnel.