Dear Seniors,
Greetings for the day,
In my company, one worker took treatment for multiple sclerosis from a private hospital in February 2016 without referring to ESIC due to his ignorance towards ESI benefits, even though he is listed in ESIC. His medical expenses exceed his paying capacity.
Now, we want to claim his medical expenses from the ESI department as we have been paying his contributions. Is it possible to claim his expenses from ESIC in this case? If yes, what is the complete procedure for this?
Thank you.
Warm Regards,
Basavaraju
From India, Bengaluru
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Greetings for the day,
In my company, one worker took treatment for multiple sclerosis from a private hospital in February 2016 without referring to ESIC due to his ignorance towards ESI benefits, even though he is listed in ESIC. His medical expenses exceed his paying capacity.
Now, we want to claim his medical expenses from the ESI department as we have been paying his contributions. Is it possible to claim his expenses from ESIC in this case? If yes, what is the complete procedure for this?
Thank you.
Warm Regards,
Basavaraju
From India, Bengaluru
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Dear sir,
I hope you are fine. Every employee is eligible for reimbursement through ESI. I will tell you the procedures, hoping you will like it.
The insured person has to register his ESI card at his ESI branch office. In ESI specialty treatment, ESI has partnered with private hospitals. If your insured person receives treatment at an ESI tie-up hospital, the medical expenses can be reimbursed.
In case he has already received treatment at a private hospital, he has to submit all his medical expenses along with the discharge slip to ESI. After submission to the ESI office, they will examine and inquire about the details from the hospital. Approximately 90% of the bills will be reimbursed. I hope this information will be useful.
Thank you
From Kazakhstan, Aktau
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1I hope you are fine. Every employee is eligible for reimbursement through ESI. I will tell you the procedures, hoping you will like it.
The insured person has to register his ESI card at his ESI branch office. In ESI specialty treatment, ESI has partnered with private hospitals. If your insured person receives treatment at an ESI tie-up hospital, the medical expenses can be reimbursed.
In case he has already received treatment at a private hospital, he has to submit all his medical expenses along with the discharge slip to ESI. After submission to the ESI office, they will examine and inquire about the details from the hospital. Approximately 90% of the bills will be reimbursed. I hope this information will be useful.
Thank you
From Kazakhstan, Aktau
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Dear friends,
Please help me write a request letter to the ESIC manager for the correction of a change in the name of a witness. We mistakenly entered the name of one of the witnesses who had left our company one month before the accident.
Thank you for your assistance.
From India, Thrissur
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Please help me write a request letter to the ESIC manager for the correction of a change in the name of a witness. We mistakenly entered the name of one of the witnesses who had left our company one month before the accident.
Thank you for your assistance.
From India, Thrissur
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Hello Sir/Madam,
This is to bring to your kind notice that I, Subroto Bera, would like to reapply for a new card as the previous card was linked to my ex-spouse. What is the procedure to link my new card to my current spouse? Please let me know how to proceed.
Thank you.
From India, Kolkata
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This is to bring to your kind notice that I, Subroto Bera, would like to reapply for a new card as the previous card was linked to my ex-spouse. What is the procedure to link my new card to my current spouse? Please let me know how to proceed.
Thank you.
From India, Kolkata
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Pls send the esi 7b form pls arjent Pls send the this mail id Rajasheka.006@gmail.com
From India, Chityal
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From India, Chityal
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Form 7B is available at the employer portal, duly filled by ESIC. After logging in to the portal, the employer has to select "Print TIC/E-Pahchan." At the top of it, there is a link for the "Medical Acceptance Card (7B)" which should be downloaded and used.
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Pls share Esic New circular for make Challan & payment on or before 15th of every month. Thanks, Vinod.
From India, Kalyan
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From India, Kalyan
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ESIC is very frustrating. I am referring to the case of DEHRADUN. For whatever illness or complications you go there, the doctor will always give you painkillers or such medicines, even if you are suffering from cancer. If you are lucky and he refers you to a specialist, there are so many formalities that you will wish you had never come here.
So most of the ESI card holders never go to ESI dispensary. For one, if you are working in some far-away places, there is only one or two dispensaries. You will have to take leave from your work, which the employer grudgingly allows. Secondly, there are various formalities to fulfill.
Why doesn't the Govt introduce some bills that if a person doesn't go to an ESI dispensary, his accumulated money be returned to him so that at least he could go to a private hospital of his choice. Or a member may go to a private doctor and produce his bills to claim money - since it is his money that he is asking for.
From India, Lucknow
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So most of the ESI card holders never go to ESI dispensary. For one, if you are working in some far-away places, there is only one or two dispensaries. You will have to take leave from your work, which the employer grudgingly allows. Secondly, there are various formalities to fulfill.
Why doesn't the Govt introduce some bills that if a person doesn't go to an ESI dispensary, his accumulated money be returned to him so that at least he could go to a private hospital of his choice. Or a member may go to a private doctor and produce his bills to claim money - since it is his money that he is asking for.
From India, Lucknow
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You are right, Mr. Debendra. ESIC always takes care of its revenue rather than the patients/IPs. If any employee goes there, they have to face many formalities. Moreover, if any IP's family staying outstation is also unable to benefit due to various documentation requirements and ESI officials' lengthy advice for fulfilling their formalities.
There is always a queue to stand in, and if medicine is not available in ESI, regardless of the distance, the patient has to search for the medicine and then come to the dispensary to report the issue. IPs suffering from serious diseases, if they wish to seek better medical treatment, will not be referred by ESI. Despite the distance, the patient may be sent to a linked medical facility, albeit after significant suffering.
However, not all branch officials are helpful. The branch office falls under the central government, while the dispensary operates under the state government. IPs' contributions are paid to the central government and not to the state government. When an IP visits the dispensary for treatment, different rules and regulations are imposed by the dispensary and the branch office.
I believe the government should consider implementing a system where any unsatisfied employee regarding ESI's treatment or medicine facilities will not be required to make contributions to ESIC.
Thanks
From United States, Cambridge
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There is always a queue to stand in, and if medicine is not available in ESI, regardless of the distance, the patient has to search for the medicine and then come to the dispensary to report the issue. IPs suffering from serious diseases, if they wish to seek better medical treatment, will not be referred by ESI. Despite the distance, the patient may be sent to a linked medical facility, albeit after significant suffering.
However, not all branch officials are helpful. The branch office falls under the central government, while the dispensary operates under the state government. IPs' contributions are paid to the central government and not to the state government. When an IP visits the dispensary for treatment, different rules and regulations are imposed by the dispensary and the branch office.
I believe the government should consider implementing a system where any unsatisfied employee regarding ESI's treatment or medicine facilities will not be required to make contributions to ESIC.
Thanks
From United States, Cambridge
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ESIC Form-Medical Expense Reimbursement.p df
Medical Reimbursement Format.doc