ESIC to cover beneficiaries’ costs at empanelled hospitals in areas lacking its own facilities

As of March 2018, ESIC had around 13 crore beneficiaries eligible to avail ESI benefits.As of March 2018, ESIC had round 13 crore beneficiaries eligible to avail ESI advantages.

The Employees State Insurance Corporation (ESIC) has mentioned that it’ll bear all bills for session, investigation and admission for insured individuals and their dependents at an empanelled hospital if the ESIC’s personal healthcare facility just isn’t out there inside a 10-km radius of the beneficiary’s residence.

“In cases where investigation or admission for indoor treatment is required, the empanelled hospital will obtain the permission from the ESI approving authority through an online system within 24 hours and provide cashless treatment to the beneficiary,” the ESIC mentioned in an announcement.

As of March 2018, ESIC had round 13 crore beneficiaries eligible to avail ESI advantages.

For getting cashless outpatient division (OPD) companies from such empanelled hospitals, the beneficiary has to carry the ESI e-pehchan card or well being passbook together with Aadhaar or any government-issued id card.

“Such beneficiaries may seek reimbursement of purchased medicines prescribed during OPD consultation through nearest dispensary-cum-branch office (DCBO) or regional office of the ESIC where DCBO is not available,” it mentioned.

ESIC mentioned efforts are always being made to strengthen the ESI medical care infrastructure in the neighborhood of beneficiaries’ residences, as there was a sizeable improve in the variety of ESI beneficiaries after the growth of ESI scheme in newer areas.

“To ease the hardship being faced by ESI beneficiaries in availing medical services in case of non-availability of ESIC’s health care infrastructure such as hospital or dispensary or insured medical practitioner within a radius of 10 km of their residences, such ESI beneficiary can now avail medical care services from nearby ESI empanelled hospitals (pan-India) without the need for any referral from ESI dispensary or hospital,” it mentioned.

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