In our establishment, one employee's wife is facing some maternity issues, and doctors have recommended a Laparoscopic operation. The employee, a male, joined the Employees' State Insurance (ESI) on 01/07/2016. However, the ESI department has stated that his wife is not eligible for the benefit. This is despite the fact that 14 months' worth of contributions have already been paid.

Could you please provide some guidance or suggestions on how to proceed in this situation?

From India, Karimnagar
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Dear Mr. Munnawar,

The wife of an insured person is eligible for treatment at the ESI Dispensary/Hospital. Please log in to the ESI IP portal with the ESI insurance number to check if the employee is eligible for "Specialized Treatment."

Thank you.

From India, New Delhi
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Laparoscopic operation may not be applicable for you. Try to ask ESI hospital members that whether I am not eligible or does it require more years of contribution period.
From India, Hyderabad
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