The Employees State Insurance Corporation vide its notification dated 17th February 2021 has allowed the beneficiaries of the ESI health insurance scheme to get medical care at nearby private hospitals empanelled with the Employees’ State Insurance Corporation in case of non-availability of ESIC hospitals within 10 kms of their residence, such ESI beneficiaries can avail medical care services 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 along with 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 shall obtain permission from the ESI approving authority through an online system within 24 hours and provide cashless treatment to the beneficiary.
