ESIC beneficiaries to get medical care from nearby ESIC empanelled Hospitals

National Pharmaceutical Pricing Authority, price regulation, drugs, India, medicine

New Delhi, February 20, 2021: To ease the hardship being faced by ESI Beneficiaries in availing medical services in case of non-availability of ESIC’s Health Care infrastructure i.e. Hospital or Dispensary or Insured Medical Practitioner (IMP) within a radius of 10 KM of their residences, such ESI beneficiaries can now avail medical care services from nearby ESIC empanelled hospitals (pan-India) without the need for any referral from an ESI dispensary or hospital.

To avail medical services in such areas, the ESI beneficiaries of such areas may visit the ESI empanelled hospital with ESI e-pehchan Card/Health Passbook alongwith Aadhar/Govt. issued Identity Card and avail cashless medical consultation for OPD services directly from such hospital. Such beneficiaries may seek reimbursement of purchased medicines prescribed during OPD consultation through nearest Dispensary cum Branch Office (DCBO) or Regional Office of ESIC where DCBO is not available.

In cases where investigation or admission for indoor treatment is required, the empanelled hospital will obtain the permission from the ESI approving authority through an online system within 24 hours and provide cashless treatment to the beneficiary. A copy of the guidelines issued by the ESIC Hqrs. are available on the website www.esic.nic.in.