Confused About ESI Medical Reimbursement Documents? Need Help with Forms A and B!

Hi Kirti,

I am a private employee and am availing ESI facilities. I am currently suffering from a kidney problem and undergoing treatment at PGI. I would like to apply for a claim for the treatment expenses. At PGI, they are requesting forms A and B. However, at my hospital, they are asking me to provide the information on a plain page, mentioning that forms A and B are meant for government employees. Could you please clarify which document is required for my case and kindly provide me with that information?

Thank you with regards.

Best,
Kirti

Understanding ESIC Reimbursement Process

I am sorry, but I am not able to understand your query. ESIC refers the IPs to private hospitals if the ESIC hospital couldn't provide the required treatment. Were you referred to a private hospital by ESIC, or did you go on your own and are now seeking reimbursement from ESIC?

Forms Required for ESIC Reimbursement

The forms you are talking about are IRDA-required to be filled by any insured to claim the expenses. Form A is to be filled by the insured, and Form B by the treating doctor. I couldn't find the link even in my answers, but I hope this solves your query.

What are the documents needed for an IP for treatment in ESIC in case of emergency or general treatment.

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Certainly! Here is the revised version of your text with corrected spelling, grammar, and paragraph formatting:

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Sir, I want to know how I can claim medical reimbursement. I took medical treatment from a private hospital on behalf of myself when my kidney was not working. The ESI was delaying the referral at that time, and I incurred a treatment cost of around 2.5 lakhs. Please advise me on how to proceed with the reimbursement process.

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I hope this helps! Let me know if you need any further assistance.