ESIC Hospital in Jaipur

Everything about ESIC Scheme, Rajasthan  

ESIC is a social security and health insurance scheme for Rajasthan workers to provide them with medical and financial benefits in case of sickness, maternity, disablement, and death due to employee injuries.

The ESIC scheme in Rajasthan stands for Employees State Insurance Corporation and is implemented in the state of Rajasthan, India. The funds under the ESIC scheme are primarily built out of the contribution from the employees and employers payable monthly at a fixed percentage of wages paid. Currently, the employee contribution rate is 0.75% of the wages and that of employers is 3.25% of the wages paid in Rajasthan.

The fund is used to provide medical and financial assistance to employees and their families or dependents in case of medical emergencies. In Rajasthan, the scheme consists of various medical benefits, cash benefits, and other benefits such as rehabilitation, free supply of physical aids, and appliances with vocational rehabilitation. The state insurance corporation is a statutory body under the Ministry of Labor and Employment, Government of India.

Top Features Of The ESIC Scheme

The Top features of the Scheme include medical and financial benefits. Some of the Top features of the ESIC scheme are:

1.     The Scheme provides comprehensive medical allowance and benefits including hospitalization, medical consultation, diagnostic services, and medicines to the employee and their dependents.

2.     In case of employment injuries, the injured employee is entitled to cash benefits for sickness, maternity, disablement, and death.

3.     The scheme covers all kinds of employees earning up to a limit, including permanent, temporary, and contractual workers.

4.     The employee and employer contribute a certain percentage of the employee’s salary towards the ESIC funds. The employer pays a higher contribution as compared to the employee’s contribution.  

ESIC Official Website – https://www.esic.gov.in 

Eligibility Criteria of ESIC Scheme

All employees working and earning up to Rs. 21,000 per month are eligible for the ESIC scheme. This includes all sorts of workers: permanent, temporary, and contractual workers. All establishments having 10 or more employees need to register themselves with the ESIC scheme.

 The scheme applies to all types of employment businesses and is applied to the whole of Rajasthan. Employees who are covered under other health insurance schemes or any government-funded health insurance schemes are not eligible for the ESIC scheme. Employers are required to their employees and are required to pay their contributions. There is a regulation for voluntary coverage to cover employees who are not eligible for mandatory coverage under the ESIC scheme.

Required documents for ESIC registration

• ESIC Pehchan Card or Insurance number of the employee and their dependents.
• Medical certificate or prescription from an authorized medical practitioner.
• ESIC Claim Form signed by the employee or their nominee
• ESIC-insured person card certificate issued by the employer
• Identity proof of employee and their dependents such as National card
•  Bank account details of the employee for cash benefits claims
• Copy of ESIC contribution payment challan
• Hospitalization discharge summary and medical bills including medicines

Documents required for ESIC claim

      Employer’s registration certificate or license issued by the governing authority

• PAN Card of Employer
• PAN Card of Employee
• Bank account statement of the employer
• List of all employees with their salary details
• Photographs of all employees
• Proof of Address of establishment
• Copy of the State registration Certificate as applicable

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How to take advantage of ESIC Scheme case of illness

When going for treatment ESIC authorized medical practitioners and hospitals are available in all major cities and towns in Rajasthan. Provide your ESIC-insured person card which is given by the employer. The medical practitioner will diagnose and prescribe treatment for your illness.

They will issue a medical certificate or prescription which should be retained for claiming reimbursement of medical expenses. Submit a claim of reimbursement of medical expenses to the ESIC office within 15 days from the date of discharge or completion of treatment. Attach all the necessary documents which are essential for the claim of the ESIC scheme.

The ESIC claim should be submitted by the employer and the ESIC office will process the claim and reimburse medical expenses to the employee’s bank account.
  

ESIC Hospital In Jaipur

CKS Hospital is a hospital that comes under ESIC health and is very famous in Jaipur for heart treatment. ESIC Hospital in Jaipur also helps workers of various industries and sectors to be get treated by ESIC Jaipur Hospital.

ESIC Hospital in Jaipur Address – F98A VKIA Road No 6, Sikar Road, Jaipur Rajasthan, India 302013

ESIC Hospital Jaipur Timing: 9:00 AM to 9:00 PM

List of Hospitals in Jaipur offering treatment through ESIC Scheme:

• CKS Hospitals – best hospital in Jaipur
• EHCC Network Hospitals
• Bhandari Hospital & Research Centre
• Jain ENT Hospital
• N.K. Dental Hospital
• Dr. Virendra Laser & Phaco Surgery
• Mahatma Gandhi Medical College & Hospital
• Narayana Multispecialty Hospital
• S.K. Soni Hospital
• K.C. Memorial Eye Hospital
• S.R. Kalla Memorial Gastro & General Hospital

CONCLUSION

ESIC SCHEME is an essential employment benefit that each employee must cater to themselves for any unseen circumstances. Under the scheme, employees are eligible for various benefits including med medical care, sickness and maternity benefits, disability benefits, and dependent benefits. The ESIC Scheme in Rajasthan is an important social security scheme that provides valuable benefits to employees and their families. It is important for employees and employers to be aware of the eligibility criteria, registration process, and documentation requirements to take full advantage of the scheme.

The ESI Corporation is a self-governed statutory body under the Ministry of Labor, Government of India. The contribution by the employer and employees has been reduced to 3.25% and 0.75 % of the wages, respectively by the Government of India, the notification there of have been issued on 13th June 2022.