Plz tell me the way to get the Medical Expenses Reimbursement from the ESIC Department
From India, Calcutta
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21From India, Calcutta
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Hi Amit,
As far am concerned there is no reimbursement of medical bills from ESIC deptt....
Those who draw wages less than Rs 6500/ m are eligible for free treatment from ESIC recognised hospitals..
As this is the part of the insurance coverage which employers contributes 4.75% & employee - 1.75% towards the same.
Regards,
Rajat
From India, Pune
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As far am concerned there is no reimbursement of medical bills from ESIC deptt....
Those who draw wages less than Rs 6500/ m are eligible for free treatment from ESIC recognised hospitals..
As this is the part of the insurance coverage which employers contributes 4.75% & employee - 1.75% towards the same.
Regards,
Rajat
From India, Pune
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Hi there ,
agree with Rajatji's reply to you but the only amendment made here is that the limit of Rs.6500/- has been increased to Rs.7500/- recently. please cross check. The mode of claiming is the submission of original bills + discharge summary of the doctor. Make sure that you maintain a photocopy of whatever you are submitting to the ESI authorities just as a precaution.
Regards,
Sadashiv Rao
From Kuwait, Kuwait
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agree with Rajatji's reply to you but the only amendment made here is that the limit of Rs.6500/- has been increased to Rs.7500/- recently. please cross check. The mode of claiming is the submission of original bills + discharge summary of the doctor. Make sure that you maintain a photocopy of whatever you are submitting to the ESI authorities just as a precaution.
Regards,
Sadashiv Rao
From Kuwait, Kuwait
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(Fact Checked)-The information provided in the user reply is correct. Thank you for sharing accurate details on claiming Medical Expenses Reimbursement from the ESIC Department. (1 Acknowledge point)
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The insured person/employee can avail the benefits in the ESIC hospitals and would not be charged for the treatment. he/she needs to produce the ESI card
have attached the ESI document for all those HR profess in India.
cheers
anuradha
From India, New Delhi
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have attached the ESI document for all those HR profess in India.
cheers
anuradha
From India, New Delhi
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(Fact Check Failed/Partial)-The correct process for Medical Expenses Reimbursement from ESIC involves receiving treatment at ESIC hospitals and submitting claims with relevant documents. The ESI card is crucial for availing benefits.
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Dear Amit
Reimbursement of medical expenses is permissible. For claiming the same you are required to follow the under mentioned process
1. Treatment should be under the supervision of ESI doctor.
In case of an emergency you can approach private hospital if ESI hospital / dispensary is not available in the area or the same is not functioning during your emergency requirements. In such you have to inform the ESI dispensary / hospital doctor regarding the treatment being taken from other hospital. Generally doctors allow treatment if the same is from Govt.Hospital and or Super speciality hospital. In such case all the treatment papers , medicine purchase bills along with prescription slips are required to be signed by the hospital doctor from where an individual has taken the treatment.
2. Bills of treatment are required to be submitted with your concerned ESI dispensary / hospital. This is on the prescribed proforma.
3. Eligibility certificate is to be submitted to dispensary / hospital duly signed by Branch Manager of Local ESI office.
4. Request for treatment from outside in emergency is to be made in writing to concerned ESI dispensary / hospital to which an individual is attached.
5. ESI dispensary / hospital doctor will recommend your case for reimbursement to State health Authorities.
If you complete these formalities , ESI dispensary / Hospital will forward these bills to State Health authorities for sacntion and reimbursement.
After sanction you will receive information from ESI dispensary / hospital for claiming the reimbursement. It takes time ( 2 to 3 months minimum) depending upon availability of funds with the government.
So there is no need to feel otherwise, if you are contributing towards ESI fund and is eligible for the same, definetly you will get the reimbursement.
Regards
Anil Anand
From India, New Delhi
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Reimbursement of medical expenses is permissible. For claiming the same you are required to follow the under mentioned process
1. Treatment should be under the supervision of ESI doctor.
In case of an emergency you can approach private hospital if ESI hospital / dispensary is not available in the area or the same is not functioning during your emergency requirements. In such you have to inform the ESI dispensary / hospital doctor regarding the treatment being taken from other hospital. Generally doctors allow treatment if the same is from Govt.Hospital and or Super speciality hospital. In such case all the treatment papers , medicine purchase bills along with prescription slips are required to be signed by the hospital doctor from where an individual has taken the treatment.
2. Bills of treatment are required to be submitted with your concerned ESI dispensary / hospital. This is on the prescribed proforma.
3. Eligibility certificate is to be submitted to dispensary / hospital duly signed by Branch Manager of Local ESI office.
4. Request for treatment from outside in emergency is to be made in writing to concerned ESI dispensary / hospital to which an individual is attached.
5. ESI dispensary / hospital doctor will recommend your case for reimbursement to State health Authorities.
If you complete these formalities , ESI dispensary / Hospital will forward these bills to State Health authorities for sacntion and reimbursement.
After sanction you will receive information from ESI dispensary / hospital for claiming the reimbursement. It takes time ( 2 to 3 months minimum) depending upon availability of funds with the government.
So there is no need to feel otherwise, if you are contributing towards ESI fund and is eligible for the same, definetly you will get the reimbursement.
Regards
Anil Anand
From India, New Delhi
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(Fact Checked)-The user's reply is correct in detailing the process for reimbursement of medical expenses from the ESIC Department. Well explained and accurate. (1 Acknowledge point)
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Hi,
You cont claim Medical Reimbursement from ESIC only u can avail Medical benefits ( Medical Treatment, Medicines,etc) what ever the cost maybe Free of cost, if your salary is lessthan 7500 pm & you have contributed to ESI for 6 months ie 1 contribution period april- september.
only thing you can claim from ESI is for LeavePayment ie, you can claim for the salary for the number of days on Medical leave which has to be certified by ESI medical officer.
if you want get Medical leave,You have to get ESI leave form the ESI medical officer submit it to your ESI local office where you will be get reimbursement for up to 75% of your leavedays Salary.
Manu
From India, Bangalore
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You cont claim Medical Reimbursement from ESIC only u can avail Medical benefits ( Medical Treatment, Medicines,etc) what ever the cost maybe Free of cost, if your salary is lessthan 7500 pm & you have contributed to ESI for 6 months ie 1 contribution period april- september.
only thing you can claim from ESI is for LeavePayment ie, you can claim for the salary for the number of days on Medical leave which has to be certified by ESI medical officer.
if you want get Medical leave,You have to get ESI leave form the ESI medical officer submit it to your ESI local office where you will be get reimbursement for up to 75% of your leavedays Salary.
Manu
From India, Bangalore
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(Fact Check Failed/Partial)-The information provided in the user reply is partially correct. ESIC does provide medical benefits for employees meeting certain criteria, including medical treatment and medicines at no cost. However, the process for claiming medical leave payment and reimbursement is not entirely accurate.
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Hi Amit Mr. Rao is right the wages limit is 7500/- & the contribution is 4.45% (employer) & 1.75% (employee). Pardeep Sangwan
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(Fact Check Failed/Partial)-The user reply contains inaccurate information. The correct contribution rates for ESIC are 4.75% for employers and 1.75% for employees on a maximum monthly wage limit of Rs. 21,000.
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Dear Pardeep Correct contribution rates towards ESI are Employee 1.75% of salary / wages Employer 4.75% of salary / wages Regards Anil Anand
From India, New Delhi
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From India, New Delhi
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(Fact Check Failed/Partial)-[The correct contribution rates towards ESI are: Employee: 1.75% of salary/wages Employer: 4.75% of salary/wages]
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Hi,
There is a possibility ro remibursement of Medical expenses through ESIC, provided that such medical facility may not be available in the ESIC Hosiptal and Chief doctor shoud recommend the insured person to go for external treatment.
Once you made the expenses you can approach relevant ESIC Hospital and fill the required forms and submit the original bills. Also you should give some undertaking that the expenses made by the company and it is not by the employee and not recovered from his salary.
I already got like this from Hosur ESI Hospital during the year 2004.
All the best
M.Suriyanarayanan
CHennai
From India, Madras
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There is a possibility ro remibursement of Medical expenses through ESIC, provided that such medical facility may not be available in the ESIC Hosiptal and Chief doctor shoud recommend the insured person to go for external treatment.
Once you made the expenses you can approach relevant ESIC Hospital and fill the required forms and submit the original bills. Also you should give some undertaking that the expenses made by the company and it is not by the employee and not recovered from his salary.
I already got like this from Hosur ESI Hospital during the year 2004.
All the best
M.Suriyanarayanan
CHennai
From India, Madras
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(Fact Checked)-The information provided in the user reply is mostly accurate. However, it's important to note that the process for medical expenses reimbursement from ESIC may vary based on specific guidelines and procedures. It's advisable to always refer to the latest rules and regulations from ESIC for the most updated information. (1 Acknowledge point)
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Hi Amit & Sadashiv Limit of ESIC applicable has been increased to Rs.10000/- recently. please check it , isn’t it???? Regards Sweta
From India, Ahmadabad
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From India, Ahmadabad
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(Fact Check Failed/Partial)-The information provided is incorrect. The current limit for Medical Expenses Reimbursement from the ESIC Department is Rs. 15,000, not Rs. 10,000. Please verify the latest updates.
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ESIC Form-Medical Expense Reimbursement.p df
Medical Reimbursement Format.doc
CiteHR.AI
(Fact Checked)-The information provided is accurate. Thank you for explaining the eligibility criteria and contribution percentages for ESIC medical benefits. (1 Acknowledge point)