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.
What is the procedure for medical reimbursement?
Documentation:
- Duly filled claim form.
- Medical Certificate/ Form which is signed by the treating doctor.
- Discharge summary or card (original), availed from the hospital.
- All bills and receipts (original)
- Prescription and cash memos from pharmacies/ the hospital.
- Investigation report.
Is ESI amount refundable?
Is ESI contribution refundable? According to the provisions of Employees State Insurance Act, 1948, contributions towards Employees State Insurance Scheme are not refundable under any circumstance.
How much esic can I claim?
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 withdraw my ESI money?
Like EPF, can I withdraw the ESI amount? ESI is a premium paid for medical benefits. If no benefit is obtained from it, there is no option available to withdraw amount from ESI Account.
How can I claim my ESI bill?
To submit a re-imbursement claim bill/bills an IP has to write an application to the Administrative Medical Officer, ESI Scheme, Assam through the concerned Insurance Medical Officer i/c, ESI Scheme Dispensary along with the claim bill format which is available at Dispensary. They have to mention the cause of diseases.
What is the time limit for reimbursement of medical claim?
time limit for submission of such medical bills from 3 months to 6 months. The matter was examined in the Ministry and it has been decided that the period of 3 months for submission of medical claims be revised to 6 months.
Who is eligible for medical reimbursement?
Employee should have spent the amount on medical treatment. The amount should have been spent on his own or his family members’ treatment. Such amount should be reimbursed by the employer. Amount reimbursed by the employer does not exceed INR 15,000 in the financial year.
Which is better cashless or reimbursement?
Is Cashless better than Reimbursement? Overall, yes. A Cashless Claim Process is better than the Reimbursement Claim Process under health insurance because of the convenience attached to it. Health insurance is related to medical emergencies, which take a toll on the patient and the family members.
What is salary for ESIC?
All employees of a covered unit, whose monthly incomes (excluding overtime, bonus, leave encashment) does not exceed Rs. 21,000 per month, are eligible to avail benefits under the Scheme. Employees earning daily average wage up to Rs. 176 are exempted from ESIC contribution.
How can I get ESIC benefits?
Claims to get the relief can be made online at website www.esic.in along with submission of the physical claim with an affidavit, photocopy of Aadhaar Card and Bank Account details to the designated ESIC Branch Office by post or in person.
How do I check my esic balance?
Navigate to Revenue→Monthly Contribution →View History Page 2 Enter the Employer Code,Select the Period for which user wants to view the history and click on view button. On clicking view the contribution details are displayed.
What is covered under ESIC?
Cash benefits (which includes sickness, maternity, disablement (temporary and permanent), funeral expenses, rehabilitation allowance, vocational rehabilitation and medical bonus) and, Non-cash benefits through medical care.