Medical Benefit
TYPE OF MEDICAL BENEFITS
PROVIDED
The Employees’ State Insurance Scheme provides full medical care in the
form of medical attendance, treatment, drugs and injections, specialist
consultation and hospitalization to insured persons and also to members of
their families where the facility for Specialist consultation,
hospitalization has been extended to the families.
For the families, this benefit has been divided into two categories as
under:-
FULL MEDICAL CARE
This consists of hospitalization facilities and includes specialist
services, drugs and dressings and diets as required for in-patients.
EXPANDED MEDICAL CARE
This consists of consultation with the specialists and supply of special
medicines and drugs as may be prescribed by them in addition to the
out-patient care. This also includes facilities for special laboratory tests
and X-Ray examinations.
Apart from the curative services provided through hospitals and dispensaries,
the Corporation also provides the following facilities including family
welfare services.
IMMUNIZATION
The Corporation has embarked upon a massive programme of immunization of
young children of insured persons. Under this programme, preventive
inoculation and vaccines are given against diseases like diphtheria,
pertusis, polio, tetanus, measles, mumps, rubella, tuberculosis etc.
FAMILY WELFARE SERVICES
Along with the immunization programme, the Corporation has been
undertaking provision of family Welfare Services to the beneficiaries of the
Scheme. The Corporation has organized these services in 180 centers besides
reserving 330 beds in hospitals for undertaking tubectomy operations. So far,
828976 sterilization operation viz. 176197 vasectomies and 652779 tubectomies
have been performed upto 31.3.1999. The ESI Corporation has also extended
additional cash incentive to insured persons to promote acceptance of
sterilization method by providing sickness cash benefit equal to full wage
for a period of 7 days for vasectomy and 14 days for tubectomy. The period
for which cash benefit is admissible is extended beyond the above limits in
the event of any complications after Family Planning operations.
SUPPLY OF SPECIAL AIDS
Insured persons and members of their families are provided artificial
limbs, hearing aids, and artificial appliances like spinal supports, cervical
collars, walking calipers, crutches, wheel chairs and cardiac pace makers as
a part of medical care under the Scheme.
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