ESIC Circular on Medical Care for Beneficiaries in Case of Non-availability of ESI Hospitals
In response to the circular issued by ESIC regarding beneficiaries' access to medical care from nearby ESIC empanelled hospitals when ESI hospitals are not available within a 10KM radius, it is crucial for individuals in Jaipur, India, to be aware of the following key points:
1. Understanding the Circular: The ESIC circular aims to ensure that beneficiaries can receive medical treatment promptly even when ESI hospitals or dispensaries are not within a convenient distance from their residence.
2. Eligibility Criteria: Beneficiaries who are unable to access ESI hospitals or dispensaries within a 10KM radius of their residence are permitted to seek medical care from nearby ESIC empanelled hospitals.
3. Procedure for Availing Medical Care:
- Step 1: Locate the nearest ESIC empanelled hospital within a reasonable distance from your residence.
- Step 2: Visit the hospital and present your ESIC beneficiary card along with any other necessary identification documents.
- Step 3: Inform the hospital staff that you are availing medical care under the ESIC scheme due to the non-availability of ESI hospitals nearby.
4. Document Verification: The hospital may verify your ESIC beneficiary details and eligibility before providing medical services. Ensure you have all relevant documents and information at hand.
5. Reimbursement Process: It is advisable to inquire about the reimbursement process for expenses incurred at the ESIC empanelled hospital. Keep all receipts and documentation for future claims.
6. Stay Informed: Stay updated on any further communications or updates from ESIC regarding this circular to ensure compliance with the guidelines and procedures outlined.
By following these steps and being informed about the ESIC circular, beneficiaries in Jaipur can access necessary medical care from ESIC empanelled hospitals when ESI facilities are not readily accessible within the specified radius.