ESIC Beneficiary Alert: Govt resumes medical services in non-Covid designated ESIC hospitals

ESIC Beneficiary Alert: Good news for all ESIC beneficiaries. The government has resumed medical services in all ESIC hospitals. These medical services were curtailed in view of the coronavirus pandemic. The services were resumed with effect from 5 May. In case you have postponed important medical treatments, you can now go ahead and get them in the nearest ESIC hospitals.

Employees' State Insurance Corporation (ESIC) has made this announcement on its official twitter handle. "Medical services from ESIC hospitals which are not designated to provide Covid treatment and medical services were earlier curtailed in view of corona pandemic resume to work w.e.f. 5th May 2020. The social distancing norms and safety precautions will be observed as per Instructions of Government of India," the tweet said.

See ESIC Tweet Below

As per the Guidelines issued by #MinistryofHomeAffairs ,GoI competent authority has decided that medical services from #ESICHospitals where medical services were earlier curtailed in view of #coronapandemic are to resume w.e.f 5th May ,2020.#CoronaVirusOutbreak #SocialSecurity pic.twitter.com/wZVP0Fsmmh

— ESIC #StayHome #StaySafe (@esichq) May 7, 2020

ESIC's insurance scheme is a self-financing social security and health insurance scheme for Indian workers which is managed by by the ESIC according to rules and regulations stipulated in the ESI Act 1948.

Earlier, the government had allowed beneficiaries to avail benefits of non-Covid  medical services through Tie-up Hospitals. The step was taken in the wake of "potential hardship" being faced by ESI Beneficiaries as some of the ESIC Hospitals were converted to function as dedicated  Covid-19 Hospitals. The beneficiaries have been allowed to take emergency,non-emergency treatment from the tie-up hospital without any referral letter in accordance with his entitlements.

The tie-up hospitals have been instructed to maintain a separate record of such ESIC beneficiaries. They were further instructed to raise bills of all such patients after the treatment and send it to concerned ESIC hospitals for payments.

Scale of Medical Benefit: Is prescribed by State Government in consultation with the Corporation under Section 58(1 & 3) of Act under State Medical Benefit Rules. Insured Persons (IPs) are entitled to avail treatment in ESI Dispensary/Hospital/Diagnostic Centre and recognised institutions, to which he is attached such as:-

-- Outpatient treatment
-- Domiciliary treatment by visits at their residences
-- Specialists Consultation.
-- In-patient treatment(Hospitalisation)
-- Free supply of drugs dressings and artificial limbs, aids and appliances
-- Imaging and laboratory services.

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-- Integrated family welfare, immunisation and MCH Programme and other national health programme etc
-- Ambulance service or reimbursement of conveyance charges for going to hospitals, diagnostic centres