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How Can I Claim Medical Bill In ESIC?


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.

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.

How much can I claim on 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.

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.

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.

Who is eligible for ESI?

The ESI scheme is applicable to all factories and other establishments as defined in the Act with 10 or more persons employed in such establishment and the beneficiaries’ monthly wage does not exceed Rs 21,000 are covered under the scheme.

How do I claim ESI leave?

ESIC Form-9 to Claim for Sickness/Temporary Disablement/Maternity Benefit. You can get the ESIC Form-9 to make a Claim in case of Sickness/Temporary Disablement/Maternity Benefit as provided by the Employees’ State Insurance Corporation, Ministry of Labour and Employment, Government of India.

Which diseases are covered under ESIC?

IV Disorders of Nervous System

  • Monoplegia.
  • Hemiplegia.
  • Paraplegia.
  • Hemiparesis.
  • Intracranial Space Occupying Lesion.
  • Spinal Cord Compression.
  • Parkinson’s disease.
  • Myasthenia Gravis/Neuromuscular Dystrophies.

How can I check my esic eligibility?

How To Check Claim Status of ESIC Online?

  1. Step 1: Open the UMANG App or download it if you have not installed it on your smartphone.
  2. Step 2: Enter the IP number or the ESIC Insurance Number and click on ‘Get OTP’.
  3. Step 3: Enter the OTP and click on ‘Submit’.
  4. Step 4: Select ‘Claim Status’ under the services menu.

What is the age limit for ESI?

Candidates applying must be aged between 18 to 27 years old. The upper age limit is relaxed for persons belonging to reserved categories including SC/ST/OBC/PWD/Ex-Servicemen and for ESIC Employees, Government Servants. Ques.

What is the ESI limit in salary?

The existing wage limit for coverage under the Act effective from 01.01. 2017 is Rs. 21,000/- per month (Rs. 25,000/- per month in the case of Persons with Disability).

Is ESI calculated on basic salary?

ESI calculation comprises of various elements of an employee’s monthly salary such as Basic Pay, Dearness Allowance, City Compensatory Allowance, HRA, Incentives, Attendance and Overtime Payments, Meal Allowance, Uniform Allowance and other special allowances.

How do I claim medical reimbursement?

How to claim Medical reimbursement? One can claim reimbursement of medical expenses by submitting the original bills to the employer. The employer would accordingly reimburse such expenses incurred subject to the overall limit of Rs 15,000 without tax deduction.

How can I get ESI money?

ESIC Registration Process

  1. Step 1: Log in to ESIC Portal. An employer needs to get himself registered on the ESIC portal.
  2. Step 2: Confirmation Mail.
  3. Step 3: Employer Registration Form-1.
  4. Step 4: Payment for Registration.
  5. Step 5: Registration Letter.

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