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Scale of Medical Benefit

Scale of Medical Benefit

The scale of Medical Benefit under section 57 of Act to be provided to the IPs and members of their families is to be prescribed by State Government in consultation with the Corporation under Section 58(1 & 3) of Act under State Medical Benefit Rules. An IP and/or a member of his family does not have the right to claim Medical Services over and above those which have been so prescribed. The beneficiaries are entitled to reasonable medical, surgical and obstetric treatment.
  • To Insured Persons:- IPs are entitled to avail treatment in ESI Dispensary/Hospital/Diagnostic Centre and recognised institutions, to which he is attached such as:-
    • Outpatient treatment
    • Domiciliary treatment by visits at their residences.
    • Specialists Consultation.
    • In-patient treatment(Hospitalisation)
    • Free supply of drugs dressings and artificial limbs, aids and appliances.
    • imaging and laboratory services.
    • Integrated family welfare, immunisation and MCH Programme and other national health programme etc.
    • Ambulance service or re-imbursement of conveyance charges for going to hospitals, diagnostic centres etc.
    • Medical Certification and
    • Special provisions.

  • To Family Members of Insured Persons:- While in all implemented areas, IPs are entitled to medical care as detailed above, members of a family of an IP are entitled to one or other of theThe family member of the insured person is eligible to take one or other medical under the following standards :-
    • "FULL" Medical Care i.e., all facilities as for IPs including hospitalisation.
    • "EXPANDED" Medical Care i.e., all facilities as for IPs except hospitalisation. A small number of IPs in the States of Gujarat and Bihar fall under this category.
The Corporation aims at providing Medical care according to uniform standards to the Family members in all implemented areas as the rates of the contribution paid by the employees and the employers are the same throughout the country.
 

 

Last updated / Reviewed : 2019-07-26

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निर्देश

आपको CPGRAM वेबसाइट पर निर्देशित किया जा रहा है। यदि आप पहले से पंजीकृत नहीं हैं, तो आपको CPGRAM पर पंजीकरण के लिए कहा जाएगा। पंजीकृत उपयोगकर्ता सीधे अपने CPGRAM यूजर आईडी और पासवर्ड का उपयोग करके लॉगिन कर सकते हैं।

  • 1. CPGRAM में लॉग इन करें
  • 2. "Grievance Detail"के तहत "Others/Not Listed/Not Known" का चयन करें
  • 3. "Ministry/Department" ड्रॉपडाउन में ESIC चयन करें
  • 4. "Subordinate Department/Office" में क्षेत्रीय कार्यालय का चयन करें
  • 5. शिकायत का विवरण दें .

Instructions

You are being directed to CPGRAM website. You would be asked to Register with CPGRAM if not already registered. Registered users can login directly using their CPGRAM user ID and password.

  • 1. Login into CPGRAM
  • 2. In section "Grievance Detail" select "Others/Not Listed/Not Known"
  • 3. In the "Ministry/Department" Drop Down Select ESIC
  • 4. In "Subordinate Department/Office" select the Regional Office
  • 5. Provide details of the complaint

Proceed