Hi all,
I have recently claimed ESI for a heart surgery. I underwent the surgery in the month of April when I was eligible for ESI. However, I have now received a salary appraisal, and my gross salary is more than 15000. Can I still claim the medical expenses for the surgery under ESI?
From India,
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I have recently claimed ESI for a heart surgery. I underwent the surgery in the month of April when I was eligible for ESI. However, I have now received a salary appraisal, and my gross salary is more than 15000. Can I still claim the medical expenses for the surgery under ESI?
From India,
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1. Sir, I understand that you will be eligible for medical facilities from ESIC until the close of the relevant benefit period. However, since the provisions of the ESI Act, 1948, and the rules/regulations framed thereunder are statutory in nature and not optional, I presume that (as mentioned by you regarding your wages exceeding Rs. 15,000), from the relevant benefit period, you will not be eligible for benefits under the said Act.
2. I suggest that you please contact your nearest Branch Office of ESIC to which you are attached, discuss the matter, and get an idea about the continuity of your eligibility until which period. It is only the Branch Office of ESIC that can provide you with the correct position based on records relating to your contributions under the said Act.
3. I hope for your speedy recovery.
From India, Noida
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9652. I suggest that you please contact your nearest Branch Office of ESIC to which you are attached, discuss the matter, and get an idea about the continuity of your eligibility until which period. It is only the Branch Office of ESIC that can provide you with the correct position based on records relating to your contributions under the said Act.
3. I hope for your speedy recovery.
From India, Noida
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Hi If at all the April month you were eligible then sure even now you will be eligible for ESI Benefits. Better check with your HR department & then approach ESI officials
From India, Bangalore
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From India, Bangalore
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Ya definately u can claim for medical expenses from Esic . For Ex :- If your salary is crossed 15000 in the month of April 2015, you can avail esi facilities for 6 months till october 2015.
From India, Belgaum
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From India, Belgaum
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Yes, Kavya, you are eligible for benefits even though your salary hike is from April to September because the contribution period is from April to September. So, if your salary increase is in May, then your E.S.I. contributions will continue until September. However, you must receive compulsory treatment at an E.S.I. hospital or consult with an E.S.I. doctor.
From India, Rajkot
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From India, Rajkot
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Yes, you are 100% eligible for claiming your medical expenses based on the below contribution and benefit periods:
Contribution Period:
1st April to 30th September
Benefit Period:
1st January of the year following to 30th June
Contribution Period:
1st October to 31st March of the year following
Benefit Period:
1st July to 31st December
Thanks & Regards,
Nabil Shaikh
From India, Mumbai
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Contribution Period:
1st April to 30th September
Benefit Period:
1st January of the year following to 30th June
Contribution Period:
1st October to 31st March of the year following
Benefit Period:
1st July to 31st December
Thanks & Regards,
Nabil Shaikh
From India, Mumbai
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Yes, you are 100% eligible for claiming your medical expenses based on the following contribution and benefit periods:
Contribution period:
- 1st April to 30th September
- 1st October to 31st March of the following year
Benefit Period:
- 1st January to 30th June of the following year
- 1st July to 31st December
Thanks & Regards,
Nabil Shaikh
From India, Mumbai
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Contribution period:
- 1st April to 30th September
- 1st October to 31st March of the following year
Benefit Period:
- 1st January to 30th June of the following year
- 1st July to 31st December
Thanks & Regards,
Nabil Shaikh
From India, Mumbai
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