if person met accident at outside while on duty, due to emergency he may admitted to private hospital, he can avail the benefits is possible ?
From India, Madras

how much claim dependent got in accident under esi schme ,accident occured outside the company
From India

how much claim dependent got in accident under esi schme, accident occured outside the company
From India

Hi Amit,

I am working in a service company. I got into a road accident (my bike slipped due to a puncture) on the company's bike on November 26, 2016, while returning to the company from the client site. I received treatment at a private hospital as I was not aware of the ESIC benefits. I have taken leave from the ESIC office by providing a medical certificate. I am still on leave. Our company has not reported the accident yet.

How do I register the accident in ESIC? What benefits will I receive if I register the accident after 2 months? Can I claim my medical expenses, and if so, to whom? What is the procedure for that?

Thank you.

From India, Vadodara

1. Sir, ESIC has its established procedure for the submission of accident reports as well as payments of Temporary Disablement Benefits (TDB) to employees/insured persons who met with accidents during and in the course of employment. I think you should have reported the matter to your employer about the accident that occurred, and an entry should have been made in the Accident Register maintained, if any, by your employer.

2. The appropriate office for the payment of TDB to you, if approved by said department, is the Branch Office of ESIC to which you are attached. Even if some permanent disability remains after your recovery, then if the accident is not approved by ESIC, you will not be entitled to Permanent Disablement Benefit (PDB) from said office. You can get the address of the concerned office from the ESIC Identity Card.

3. When you have obtained medical treatment from private sources, I am not sure whether you can get the reimbursement of said expenses at this stage because ESIC has its referral and medical reimbursement procedure. You can see the copies of such instructions on the website of ESIC.

4. I think at this stage, you can complain in writing to the Branch Manager, ESIC Branch Office with a copy to the Sub-Regional Office, ESIC, intimating that your employer had not submitted the accident report and further request them to ask the employer to submit the accident report immediately and pay you benefits (TDB as well as PDB) as admissible to you. You can also submit copies of details of medical treatment, if any, obtained. With best wishes.

From India, Noida

Dear Sir,

One of our employees has met with a road accident recently while going home. He is covered under the ESI Scheme. Is it possible to claim benefits in ESI? If 'yes', please guide me.

Regards,
Harish



Dear Harish, without wasting time, File Online Accident Report & follow up with your ESI Local office
From India, New Delhi

while going / returning from duty If one meet with an accident he will get accident benefit if reported so but within how many kilometres, BKNayak
From India

Dear All Our employee met with an accident out of premises he was not on official duty. he can got some esic benefits from ESIC hospital Please explain Thanks & Regards, Rajesh
From India, Indore

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