Can I Still Use ESIC Benefits for My Newborn After Leaving My Job in 2017?

samhkhan70
Hi, I left the organization in Feb 2017, and my wife delivered a baby girl in Dec 2017. Can I avail the benefits of ESIC? I have the ESIC card. If yes, what would be the procedure?
siddiquiasna
Hello,

Yes, you can claim the benefit of ESI. As you were relieved in February 2017, your contribution cycle for ESI was until March 2017, and cash benefits can be claimed until December 31, 2017.

Please contact the ESI office and claim the benefits.
samhkhan70
Hi Asna,

Thanks for the response, but I still have a question remaining. How can I avail? What documents do I need?

Please let me know.

Thank you.
Prashant B Ingawale
1. How many periods have you worked for ESI?
2. As of now, having an Epehchan Card linked with Aadhar Card is sufficient documentation to avail ESI benefits.

Ensure there is a single line break between paragraphs.
siddiquiasna
You need to visit the nearest ESI office with your E-Pehchan card, Aadhaar card, and all medical documents (Original) for the reimbursement. You have to fill in the required forms. Form 15-ESI FORM is the form for dependents' benefits claim. Please note, you will not be eligible to receive the benefits of ESIC if they have already been claimed under any other enactment.
samhkhan70
Is the card I have an E-Pehchan card, or is it something else? I never applied for any E-Pehchan card. I just had a photo session inside the organization by an ESIC camp, and they gave me the card. I have worked for almost 16 months.

How do I link my Aadhar with the E-Pehchan card? And how can I get it if I don't have one?
Srinath Sai Ram
Dear Samhkhan,

Please elaborate on your statement: "I left the organization in Feb 2017, and my wife delivered a baby girl in Dec 2017."

Who was covered under ESI, i.e., the Insured Person - you or your wife? What benefits do you want to avail from ESI?
samhkhan70
Hi Srinath,

I was the employee, not my wife; I was covered under ESIC. I am inquiring about any benefits I can receive. Additionally, I have already paid the hospital; can I still avail of any benefits from ESIC?
samhkhan70
Could anyone please explain!!

Hey Asna, I tried to get information at ESIC hospital, but the window boy said the card is invalid now and after 6 months of resignation, you cannot avail the benefits. Kindly help.
Srinath Sai Ram
You have confirmed that you were covered under ESI. Consequently, following your departure from service in Feb-2017, you are entitled to avail only medical facilities for yourself and family members. You will not receive reimbursement for expenses incurred for your wife in a private hospital. It would have been advisable to seek treatment at an ESI hospital. However, you remain eligible for medical benefits until 31/12/2017. Please contact the respective ESI local office affiliated with your employer.

Furthermore, when posing a question, it is important to provide all relevant information. Therefore, kindly log in to the ESI IP Portal using your insurance number for clarity. You could have also reached out to your former employer.

Thank you.
siddiquiasna
I agree with Srinath. Please contact your employer for details on the ESI office linked to your employer. You are eligible for all the benefits until 31st December 2017. It is advisable to meet them in person as explaining things over the phone might not be as effective.
samhkhan70
Thank you very much, Srinath and Asna.

As Mr. Srinath informed me that I can't get reimbursement for the expenditure I have incurred at a private hospital, I believe there is no point in discussing this matter with the ESI officers, even in person. Please correct me if I am mistaken.
rinson-m-d
Hi,

What about my case? I joined the resigned organization in October 2016 and contributed to ESI until November 2017 before resigning. My ESI card was registered in 2013. If I require super specialty treatment in April 2018, will it be possible to claim through ESIC? Please help.
akshay-khare
I left my job on 28th February 2018, and now I want to undergo an operation for my mother through Esic. Is this possible?

My actual question is, after the resigning period, how many months can I take advantage of Esic benefits?
Srinath Sai Ram
Dear Anamika from India & Thane, please log in to the ESI IP Portal with your ESI Insurance number to know your eligibility for various benefits provided under ESI.
bharathi-pattnasetty
Dear sir,

My name is Vedha. I have been working in a private company for the last six months. I am currently six months pregnant and due to the excessive pressure from my manager, I have decided to resign. My last working day will be July 25th, as my notice period will be completed by then. After resigning, am I eligible to receive ESIC hospitality and ESIC payment? Please guide me on the process of how I can avail these benefits.

Regards,
Bharathi
ranjitha-mary-madhu
Hi, I resigned from my job in October 2018 because of my marriage. Contribution for ESI started on the 1st of May 2007 and continued until October 2019, spanning two organizations.

Now that I am pregnant, I am wondering if I am eligible for any benefits from ESI at this time.
Mohan Kumar MK
Dear Professionals,

Can anyone clarify if an employee who has been covered under ESI, after his resignation, how long he is eligible for ESI treatment?
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