Seeking Guidance: How Can I Get an Artificial Limb and Rehab Support from ESIC?

Jitendra Gaur
Hi, I am Jitendra from Rajasthan. I was working with Vodafone as a Store CCE. I met an accident while coming home from the office in a transport roadways bus on 16th Nov 2019 (the bus crashed with a truck). I lost my right leg from the knee with a significant fracture in the femur of the same leg, also a fracture in my right-hand side jawbone, my right eye was punctured by a piece of glass, and my right hand was imbalanced or crushed from the wrist.

I had ten critical operations after this, with the last operation in Oct 2020. I was working with Vodafone on the payroll of Ikaya for the last 5 continuous years. We were connected with ESIC and EPFO.

Now, I am feeling better health-wise, so I want to know about the detailed process of rehabilitation by ESIC. My case has been accepted by ESIC as an employment injury. I need to get an artificial limb as part of my rehabilitation.

What's the process to get an artificial limb by ESIC?
rkn61
Dear friend,

I am reproducing an update from ESI about their schemes. You may click on point no. 9 for more information.

Quote

Information-Benefits

The section 46 of the Act envisages the following six social security benefits:

(a) Medical Benefit: Full medical care is provided to an insured person and their family members from the day they enter insurable employment. There is no ceiling on expenditure on the treatment of an insured person or their family member. Medical care is also provided to retired and permanently disabled insured persons and their spouses on payment of a token annual premium of Rs. 120/-.

1. System of Treatment

2. Scale of Medical Benefit

3. Benefits to Retired IPs

4. Administration of Medical Benefit in a State

5. Domiciliary treatment

6. Specialist consultation

7. In-Patient treatment

8. Imaging Services

9. Artificial Limbs & Aids

10. Special Provisions

11. Reimbursement

(b) Sickness Benefit (SB): Sickness Benefit in the form of cash compensation at the rate of 70 percent of wages is payable to insured workers during the periods of certified sickness for a maximum of 91 days in a year. In order to qualify for sickness benefit, the insured worker is required to contribute for 78 days in a contribution period of 6 months.

1. Extended Sickness Benefit (ESB): SB extendable up to two years in the case of 34 malignant and long-term diseases at an enhanced rate of 80 percent of wages.

2. Enhanced Sickness Benefit: Enhanced Sickness Benefit equal to full wage is payable to insured persons undergoing sterilization for 7 days/14 days for male and female workers respectively.

(c) Maternity Benefit (MB): Maternity Benefit for confinement/pregnancy is payable for Twenty-Six (26) weeks, which is extendable by further one month on medical advice at the rate of full wage subject to contribution for 70 days in the preceding two contribution periods.

(d) Disablement Benefit

1. Temporary disablement benefit (TDB): From day one of entering insurable employment & irrespective of having paid any contribution in case of employment injury. Temporary Disablement Benefit at the rate of 90% of wage is payable so long as disability continues.

2. Permanent disablement benefit (PDB): The benefit is paid at the rate of 90% of wage in the form of monthly payment depending upon the extent of loss of earning capacity as certified by a Medical Board.

(e) Dependants Benefit (DB): DB paid at the rate of 90% of wage in the form of monthly payment to the dependants of a deceased insured person in cases where death occurs due to employment injury or occupational hazards.

(f) Other Benefits:

Funeral Expenses: An amount of Rs. 15,000/- is payable to the dependents or to the person who performs last rites from day one of entering insurable employment.

Confinement Expenses: An insured woman or an I.P. in respect of his wife in case confinement occurs at a place where necessary medical facilities under the ESI Scheme are not available.

In addition, the scheme also provides some other need-based benefits to insured workers.

Vocational Rehabilitation: To permanently disabled insured person for undergoing VR Training at VRS.

Physical Rehabilitation: In case of physical disablement due to employment injury.

Old Age Medical Care: For insured person retiring on attaining the age of superannuation or under VRS/ERS and person having to leave service due to permanent disability insured person & spouse on payment of Rs. 120/- per annum.

Rajiv Gandhi Shramik Kalyan Yojana: This scheme of Unemployment allowance was introduced w.e.f. 01-04-2005. An insured person who becomes unemployed after being insured for three or more years, due to closure of factory/establishment, retrenchment, or permanent invalidity are entitled to:

Unemployment Allowance equal to 50% of wage for a maximum period of up to two years.

Medical care for self and family from ESI Hospitals/Dispensaries during the period IP receives unemployment allowance.

Vocational Training provided for upgrading skills - Expenditure on fee/travelling allowance borne by ESIC.

Atal Beemit Vyakti Kalyan Yojana (ABVKY): This scheme is a welfare measure for employees covered under Section 2(9) of ESI Act, 1948, in the form of relief payment up to 90 days, once in a lifetime. The Scheme was introduced w.e.f. 01-07-2018 on a pilot basis for a period of two years initially. The scheme has now been extended for another one year i.e. from 1st July 2020 to 30th June 2021. It has also been decided to enhance the rate of unemployment relief under the scheme to 50% of wages from the earlier rate of 25% along with relaxation in eligibility conditions, provided the insured person should have been in insurable employment for a minimum period of two years immediately before her/his unemployment and should have contributed for not less than 78 days in the contribution period immediately preceding unemployment and a minimum of 78 days in one of the remaining three contribution periods in two years prior to unemployment. In a significant relaxation, relief shall become due for payment after 30 days from the date of unemployment and a claim can be submitted directly to the designated ESIC Branch Office by the worker. The enhanced benefit and relaxed conditions are applicable during the period 24th March 2020 to 31st December 2020. Claims to get the relief can be made online at the website http://www.esic.in along with the submission of the physical claim with an affidavit, photocopy of Aadhaar Card, and Bank Account details to the designated ESIC Branch Office by post or in person.

Incentive to employers in the Private Sector for providing regular employment to the persons with a disability:

The minimum wage limit for Physically Disabled Persons for availing ESIC Benefits is Rs. 25,000/-.

Employers' contribution is paid by the Central Government for 3 years.

Benefits & Contributory Conditions

An interesting feature of the ESI Scheme is that the contributions are related to the paying capacity as a fixed percentage of the worker's wages, whereas, they are provided social security benefits according to individual needs without distinction.

Cash Benefits are disbursed by the Corporation through its Branch Offices (BOs) / Pay Offices (POs), subject to certain contributory conditions.

Unquote
rkn61
For your reference, I am reproducing below information under Artificial Limbs & Aids.

Please find the helpline numbers also, and you can directly have your doubts cleared in your local language, Hindi.

Artificial Limbs & Aids

Artificial Limbs, Aids, and Appliances

Insured persons and their family members are provided the following artificial limbs, aids, and appliances as part of medical care under the E.S.I. Scheme:

- Artificial limbs
- Hearing aids
- Spectacles (frame costing not more than Rs. 100/- and replacement of frames not to be made earlier than 5 years) (To insured persons only)
- Artificial dentures, teeth (To insured persons only)
- Artificial eye (To insured persons only)
- Wigs (replacement not earlier than 5 years) to female beneficiaries only
- Cardiac pacemaker
- Wheelchair/tricycle
- Spinal supports (jackets, braces, etc.)
- Cervical collars
- Walking calipers, surgical boots, etc.
- Crutches
- Hip prosthesis, total hip
- Intraocular lens (IOL)
- Any other aid or appliances prescribed by the specialist as part of treatment

The expenditure on artificial limbs, aids, and appliances is met from the shareable pool of expenditure on medical care.

Help Desk - 1800-11-2526

Medical Helpline - 1800-11-3839
Jitendra Gaur
Thank you for your kind help. Actually, I want to know how to process this and whom I should meet, as my branch office isn't giving any satisfying answers.

ESIC Reimbursement for Artificial Limb

How much amount can ESIC reimburse or provide for an artificial limb? Is it reimbursement based on the bill of the artificial limb, or do they provide an amount based on the quotation of the artificial limb beforehand?
Glidor
External Treatment and ESIC Procedures

Any external treatment outside of an ESIC hospital, including an artificial limb or replacement, cannot be selected by the member himself. Instead, it should be discussed with the panel doctor at the ESIC dispensary and then forwarded to the AMO for onward recommendation. The medical team or board is entitled to evaluate the necessity of such supports and submit their reports after inspecting the member medically. Subsequently, ESIC refers the member for further processing, either to a panel specialized dispensary or requests the member to obtain the support and submit the invoice for reimbursement. However, they set a cost capping as fixed by the inspecting board.

If the member proceeds without a medical board inspection, it would become challenging to submit the claim.
rkn61
You may approach the ESI Dispensary near your house and check with the doctor. Before that, you can contact the helpline or medical helpline (toll-free) to gather the required information.
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