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ESIC

ESIC provides comprehensive social security benefits including medical care to employees earning nominal wages. ESI beneficiaries can avail medical services at ESI dispensaries/hospitals and tie-up private hospitals when referred.

About

Scheme Details

ESIC provides comprehensive social security benefits including medical care to employees earning nominal wages. ESI beneficiaries can avail medical services at ESI dispensaries/hospitals and tie-up private hospitals when referred.

Coverage

Scheme Benefits

Full medical care for self and family.

Sickness benefit in form of cash compensation.

Referral to tie-up private hospitals for tertiary care.

Maternity and disablement benefits.

Coverage from day one of employment.

Provision for artificial limbs and aids.

Process

How to Avail Benefits

1

Visit the designated ESIC Dispensary/Hospital.

2

If specialized treatment is needed, get referral letter to a tie-up hospital.

3

Submit Referral Letter and ESI Pehchan Card at the hospital.

4

Hospital obtains sanction from ESIC/TPA.

5

Cashless treatment is provided.

Documentation

Documents Needed

  • ESI Pehchan Card (Magnetic Smart Card).
  • Referral Letter (P-1 form usually).
  • Aadhaar Card.
Questions

Frequently Asked Questions

Who is eligible for ESIC?▼
Employees drawing wages up to ₹21,000 per month functioning in implemented areas are covered.
Can I go to a private hospital directly?▼
Generally no. You need a referral from an ESI Institution unless it is a dire emergency.
Is eye checkup free?▼
Yes, basic eye checkups are free at ESI dispensaries and hospitals.
Next Steps

Find empanelled hospitals

Search for hospitals empanelled under this scheme in your city.