Employees’ State Insurance Corporation (ESIC) on has now allowed its beneficiaries to avail health services directly in any nearby private hospital in case of emergency.
As per the existing practice, the insured persons and beneficiaries (family members) are required to go to an ESIC dispensary or hospital to obtain referral for hospitalisation in empanelled as well as non-empanelled private hospitals.
What is the difference in facilities that ESIC subscribers can avail?
ESIC subscribers would be able to visit empanelled as well as non-empanelled private hospitals for emergency treatment. However, the only difference is that treatment will be cash-less in the empanelled private hospitals. There would be reimbursement as per Central Government Health Services (CGHS) rates in non-empanelled private hospitals.
What is the criteria for getting health services directly in any nearby private hospital?
Subscribers are allowed to get health services in non-empanelled private hospitals in case there is no ESIC or empanelled private hospital within 10 km range without the need for referral from an ESI dispensary or hospital.
In such cases if admission for indoor treatment is required, the empanelled hospital will obtain time bound permission from the ESI approving authority through an online system…..Read More>>
Source:- techiyogiz
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