Sanagapalli
Labour Laws And Financial Matters
Gayathri02nie@gmail.com
Office Assistant
+5 Others

Dear All, I am attaching the ESI Form for re-imbursement of medical expenses where an IP or dependent availed medical treatment in private hospitals without being referred by ESI MO. regards, Kamal
23rd August 2011 From India, Pune

Attached Files
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File Type: pdf ESIC Form-Medical Expense Reimbursement.pdf (1.47 MB, 14913 views)

Dear kamal, Is this form applicable for all states.and can you please suggest upto what duration after treatment this form can be used. Regards, Smriti
24th August 2011 From India, Mumbai
welcome Satish/ Sumit
@Smiriti, Its applicable to all ESI covered areas in the country. Only the first page , which is in marathi language is for Maharashtra only.
As told by a very senior ESI (H.O) official, one ESI hospital in every city has been authorized to accept such forms.
regards
Kamal
24th August 2011 From India, Pune
when an employee avails leave on esi certificate, he gets both the benefits as half salary and leave from company with full pay on debiting his SL on his leave account. what is the right method
24th August 2011 From India, Madras
Dear Narashimhan,
Its always better to go through proper channel, like getting the recommendation of ESI medical officer.
But in case of emergency where you are not able to visit a ESI doctor/hospital for whatsoever reasons, you can request the reimbursement of medical expenses from ESI dept.
regards,
Kamal
24th August 2011 From India, Pune
Dear Kamal, thanks for sharing such important issues with the members...........the same form will be available at each dispensary...Insured Persons/women can avail the same...........
24th August 2011 From India, Hyderabad
Dear Sir
No It is not permissible to claim both leave salary from the ESI Dept as well as sick leave salary from the Employer for the same period. It is an offence punishable under section 84 of the ESI Act. The right method is either to claim from the ESI or from your Employer. Any one only .You should not do for the both.
with regards
sanagapalli VR
Asst Director (Retd) ESIC
25th August 2011 From India, Hyderabad
This is not I sought information. How one employee can avail 50% wage on ESI and avail the company Sick Leave with full wages. The company cannot say no for leave as he was sick and submitting his medical certificate. They cannot avoid adjusting the leave on his credit, else he would have one day extra on his leave account.
26th August 2011 From India, Madras
kindly send me the gezzete which publish this information that ESI can re-imburse without referring by ESI. Because one of our employee took treatment by private hospital after circulation my mail about this information. now ESI refuse to re-imburse him. He is bleaming me. Plz help me.
Anindita
23rd September 2011 From India, New Delhi
Dear All, Kindly let us know the procedure to get the pehchan cards to our employees. Regards Lakshmi
25th January 2012 From India, Visakhapatnam
Dear Sir Can you provide Re-imbursement form in hindi of Medical Expenses in ESIC. Regards Anil Chaudhary
17th November 2016 From India, Mumbai
ESIC Form-Medical Expense Reimbursement.pdf - Sir, I am from karnataka (Mysore) is form is applicable to all states.
16th November 2017 From India, Mysore
Dear Sir,
pls provide the esic Re-imbursement form of telangana state.
3rd August 2018 From India, Hyderabad
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