ESIC issues alternative provision for treatment of ESIC beneficiaries in terms of ESIC hospitals declared as COVID-19 hospitals

Apr 13, 2020 | by Avantis RegTech Legal Research Team

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Labour Compliance

The Employees’ State Insurance Corporation (ESIC) on April 08, 2020, issues alternative provision for secondary or SST treatment to ESIC beneficiaries in terms of ESIC Hospitals declared as dedicated Covid-19 Hospitals. 

The ESIC beneficiaries seeking non-Covid medical services will be provided services through Tie-up Hospitals as under:-

1. ESIC beneficiary may be referred by ESIC/ESIS Dispensary to Tie-up Hospital for providing prescribed secondary/SST consultation/admission/investigation.

2. ESIC beneficiary may also seek Emergency/non Emergency medical treatment from Tie-up Hospital directly without referral letter.

3. ESIC beneficiaries may be provided prescribed/required treatment by Tie-up Hospital if the same is available in the Hospital even if no ESIC tie-up exist for that specific treatment/procedure. In such case, details of such patients including complete diagnosis should be immediately emailed to concerned MS for information.

4. A separate record is to be maintained by concerned Tie-up Hospital for all such cases. The tie-up hospital shall raise bills of all such patients after treatment and send to concerned ESIC hospital for payment.

[Circular No. PT No. A/48/15/3/2017 Med-1]


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