Employees’ State Insurance Corporation (ESIC) during its 183rd meeting held on Monday under the chairmanship of Santosh Kumar Gangwar, Minister of State for Labour & Employment (Independent Charge) has taken several significant decisions to improve its delivery of medical services and other benefits to workers.
Directly run new/approved ESIC hospitals
Medical services to the insured workers and their dependants under the ESI Scheme are provided primarily through hospitals and dispensaries run by the State Governments. There are, at present, around 1520 ESI dispensaries and 159 hospitals across the country, out of which 45 dispensaries and 49 hospitals are directly run by ESIC while remaining dispensaries and hospitals are run by the respective State Governments. Several representatives have received deficient services in ESI hospitals run by State Governments due to poor availability of equipment and doctors.
ESIC beneficiaries to get medical care from private empanelled or hospitals empanelled under Ayushman Bharat in areas where ESIC infrastructure is not available
Keeping in view the increase in ESI coverage over the recent years and the absence of its own medical infrastructure in several areas, the corporation has now decided that in areas where ESI infrastructure is not available within a radius of 10 kms, the beneficiary can avail medical consultation for OPD services directly from a hospital empanelled with ESIC or with Ayushman Bharat 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.
Strengthen its super speciality services in select ESIC hospitals in Delhi/NCR in first phase
Super speciality services in cardiology including nephrology, urology and oncology will be strengthened in select ESIC hospitals in Delhi/NCR and this will be extended to other hospitals across the country in a phased manner.
Engage hospital managers
The corporation will engage hospital managers with specialisation in hospital management or hospital administration or health care administration for maintenance, housekeeping, patient assistance, patient safety and other ancillary activities in ESIC hospitals across the country.
Engage the services of project management consultant
The corporation will also engage the services of project management consultant for monitoring and facilitating execution of hospital and dispensary construction projects of ESIC from the stage of concept plan to commissioning of the project.
Extension of relaxed conditions and enhanced benefits for further six months
The corporation has also decided to extend the relaxed conditions and the enhanced benefit of 50 per cent of the average per day earning upto a maximum of 90 days under the Atal Beemit Vyakti Kalyan Yojana to the insured workers who became unemployed due to COVID-19 induced lockdown for a further period of six months i.e. upto 30th June, 2021. The eligible workers can file their claims on the ESIC portal (www.esic.in) with the mobile number, Aadhaar and bank details.
