ESIC Coverage for Women: Can She Choose Private Hospitals for Treatment?

Dear all,

Can you please clarify for me: if a female employee who is covered under ESIC, should she seek treatment only at ESIC facilities, or can she choose to go to a private hospital? If she opts for treatment at a private hospital, would she still be eligible for medical claims?

Thank you.

NO, if she directly goes to a private hospital other than for emergency treatment or without a referral from ESIC, the first choice should be to go to an ESIC hospital or a local dispensary.