Is cancer treatment covered by ESIC?
E.S. 1. SCHEME: E.S.I. DISPENSARY COMPLEX, (NEAR WORKS DEPTT.: OPP.
Which treatment comes under ESIC?
In-patient treatment is provided at hospitals constructed by E.S.I.C or by reservation of beds in the hospitals owned by the State Government, local Fund Organisation or Private Bodies or by constructing annexes to such institutions. The E.S.I. Scheme pays for these beds on the basis of occupied bed days.
Which diseases are covered under ESI?
IV Disorders of Nervous System
- Monoplegia.
- Hemiplegia.
- Paraplegia.
- Hemiparesis.
- Intracranial Space Occupying Lesion.
- Spinal Cord Compression.
- Parkinson’s disease.
- Myasthenia Gravis/Neuromuscular Dystrophies.
How much is covered under ESIC?
ESI provides primarily sickness benefits and some other benefits to approximately thirteen crores (130 millions) Indians that include Insured Employees and their dependents. The existing wage limit for coverage under the ESIC scheme is Rs 21,000 per month and Rs 25,000 per month in the case of persons with disability.
Can I claim an amount in ESI if I take treatment in private?
As mandated by the ESI Act, treatment has to be taken only from the ESIC hospitals or dispensaries. However, in case of emergency, if the treatment is taken from a private hospital, you can raise a claim with the ESIC subject to ESIC approval.
Who can take benefits of ESIC?
Who are Eligible for ESI?
- An individual who is employed in a non-seasonal factory that has more than 10 employees. This criteria applies under Section 2 (12) of the Act.
- With effect from 1 January 2017, the wage limit of an employee is set at Rs. 21,000 per month for him/her to come under the coverage of the ESI scheme.
Can I claim ESI in private hospital?
NEW DELHI : The Employees’ State Insurance Corporation (ESIC) on Monday allowed its beneficiaries to avail health services directly in any nearby private hospital in case of emergency.
Does ESI cover surgery?
Expenses incurred for diagnostic test and medicines upto 1 day before the admission of the patient and cost of diagnostic test and medicine upto 5 days of the discharge from the hospital for the same ailment / surgery including Transport Expenses will also be the part of package.
How does ESI scheme work?
The ESI Scheme is financed by contributions from employers and employees. The rate of contribution by employer is 4.75\% of the wages payable to employees. The employees’ contribution is at the rate of 1.75\% of the wages payable to an employee. Employees, earning less than Rs.
Does ESIC cover family?
The insured person and his family are entitled to the Medical Benefit from the very first day of his/her joining the insurable employment. A person who is just covered under the scheme for the first time is eligible for primary and secondary medical care for self and family for three months.
How to get medical treatment under ESIC scheme?
From the first day of entering in ESIC scheme both insured person and family members will become eligible for ESIC medical treatment in ESIC dispensaries and hospitals. Even though employees get retired or permanently disabled still they can get medical treatment by just paying an annual token fee of 120 Rs to the ESIC.
What are the ESIC benefits available for the family members?
Under the ESI scheme, both employee and family members of employees will get treatment in ESIC hospitals, not only treatment this scheme provides so many other benefits to the members and their family members. Here we will know about what are the ESIC benefits available for the family members of the insured person.
What is the ESI scheme?
The ESI Scheme is administered by a statutory corporate body called the Employees’ State Insurance Corporation (ESIC), which has members representing Employers, Employees, the Central Government, State Government, Medical Profession and the Hon’ble Members of Parliament.
What is the ESIC fund?
ESI fund, maintained by ESIC, is applicable to employees earning ₹21,000 or less per month to provide the cash and medical benefits to them and their families. This fund is a contributory fund in which both the employer and employee contribute 3.25\% and 0.75\% respectively to make it a total of 4\%.