Hi,

For the last two years, a component of ESI has been deducted from my salary. My salary increased in the month of August, and the ESI deductions will continue until October. My father is suffering from hepatitis C and is undergoing a costly 6-month treatment which is covered by ESI.

I am concerned about what will happen after October. Will the treatment still be covered, or will there be changes in coverage?

From United Arab Emirates, Dubai
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Hi,

Kindly refer to the link below: :: Welcome to ESIC ::

Contribution Period and Benefit Period

There are two contribution periods, each of six months' duration, and two corresponding benefit periods also of six months' duration as follows:

- Contribution period: 1st April to 30th Sept.
- Corresponding Cash Benefit period: 1st Jan of the following year to 30th June

- Contribution period: 1st Oct to 31st March of the year following
- Cash Benefit Period: 1st July to 31st December

Best Regards

From India, Mumbai
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Hi Akasri, Don’t worry, ESI is obligated by ACT and Govt to provide your parents with full treatment. Ukmitra
From Saudi Arabia, Riyadh
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Dear All,

An ongoing treatment can't be curtailed merely because of contributory norms. The ESIC will extend its help until the end of the treatment. Hence, there is no need to worry about this. We all here wish your father "good health and a long, healthy life."

S. Sethupathy
Excellent HR Services,
Erode

From India, Coimbatore
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Dear Akasari, As my dear friend Mr.Sethupathy advised, no need to worry....the treatment will continue.....
From India
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Are you sure about this?

ESIC is a contributory health cover. Once the person being treated is no longer a member of the scheme, how or why will they continue treatment? The doctor may still see and advise the patient (I have doubts since he needs to quote the ESIC number), but the medicines will definitely not be provided for free. Please tell me where in the ESIC rules it is stated that the treatment once begun must be continued.


From India, Mumbai
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Dear Saswata Banerjee,

I have read about this continued treatment some time ago, and I am confident about it. I researched and found the following information:

"Medical treatment for Insured Persons who are no longer covered by the scheme. During the treatment period, they are entitled to receive continued treatment once it has started, until the sickness ends or for long-term ailments as long as the Insured Person requires active treatment."

This information is sourced from the web page of ESIC, Coimbatore. I have attached a PDF copy for reference.

I must correct a mistake I made by stating that this also applies to dependents. I apologize for providing incorrect information.

Please be aware that this type of medical benefit is extended to Insured Persons until the end of their illness.

With Warm Regards,
S. Sethupathy
Erode

From India, Coimbatore
Attached Files (Download Requires Membership)
File Type: pdf Medical Benefits - Entitlement.pdf (18.0 KB, 540 views)

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Dear all,

To support my earlier response, I am attaching two files. Please refer to the highlighted portions in the files:

File 1 - Standard Note effective from 1st Jan 2013.
File 2 - ESIC Act 1948 - Section 56.

S. Sethupathy,
Erode

From India, Coimbatore
Attached Files (Download Requires Membership)
File Type: pdf ESIC-Standard Note 2013 -PAGE NO 31..pdf (1.39 MB, 306 views)
File Type: pdf TheEmployeesAct1948 (SEC 56).pdf (357.2 KB, 189 views)

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Thank you for the update. I was not aware of this. Logically, it should be extended to dependents as well. Anyway, I just received information that ESIC coverage is being increased to a salary of 25,000 per month. In that case, the original poster will still be covered after October and need not worry. However, thanks to his post, I learned something new.


From India, Mumbai
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Once an IP ceased to be so he/she and spouse can get medical benefit on payment of Rs120/-pa.This benefit is not available to other dependents. Varghese Mathew
From India, Thiruvananthapuram
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