Question : SUPER SPECIALITY TREATMENT FOR ESI BENEFICIARIES



(a) whether ESIC has requested State Governments/UTs to make contractual arrangements with local reputed medical institutions to ensure super speciality treatment to ESIC beneficiaries;

(b) if so, the arrangements made by ESIC for reimbursement to insured persons in lieu of getting the treatment in these hospitals;

(c) whether ESIC employees are facing difficulty in getting super speciality treatment due to delay in prior permission to them by ESIC; and

(d) if so, the steps taken or being taken by the Government to grant timely permission to ESIC beneficiaries to get super speciality treatment in time?

Answer given by the minister

MINISTER OF STATE IN THE MINISTRY OF LABOUR (SHRI VIJAY GOEL)

(a) & (b): Yes, Sir. The ESI Corporation has set up a Revolving Fund in each Regional Directorate for giving advance/reimbursement to eligible persons for super-speciality treatment on accord of the sanction by the concerned State Governments.

(c) & (d): There is no necessity of obtaining prior permission of ESI Corporation for obtaining super - speciality treatment by eligible persons. State Governments have been given the powers to sanction expenditure on such treatment.