1. Sir, even if any facility is not available online from ESIC at any time, the insured person should have immediately personally contacted his appropriate Branch Office of ESIC and get the name of his wife entered into the Identity Card as well as other records of ESIC. When the desired procedure was not followed, it is doubtful whether the said insured person will be reimbursed any expenses incurred for the treatment of his wife in private hospital.
2. ESIC has its own referral policy and before any insured person or his family member is allowed to avail treatment in any tie-up hospital, he/she is required to appear before appropriate Insurance Medical Officer of the ESI Dispensary to which he is attached and get his case referred to the said private hospital. Since in this case no proper compliance has been made, hence the chances to get reimbursement of medical expenses are very less.
3. However, the insured person after making compliance as mentioned in para 1 above may contact the concerned Insurance Medical Officer of ESIS Dispensary and discuss the issue.