ESIC to implement ESI medical health insurance scheme across nation by 2022-end: Govt

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The Employees’ State Insurance Corporation (ESIC) on June 19 announced to implement its medical health insurance scheme ESI throughout the country by the top of 2022.

Currently, the ESI Scheme is fully implemented in 443 districts, while it’s partially implemented in 153 districts. A complete of 148 districts are usually not covered under the ESI Scheme.

The choice to implement its medical health insurance throughout the country was taken in its 188th meeting held on Sunday, a labour ministry statement said.

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“It has been decided that the ESI Scheme will likely be implemented in all the country by the top of 2022”, it added. Adding more, the statement said that that those that are partially covered and never covered under the scheme will likely be fully brought under the ambit of the ESI Scheme by the top of 2022.

The medical care services will likely be provided through establishing recent DCBOs (dispensary cum branch offices), by empanelling mIMP (Modified Insurance Medical Practitioner) and tie-up hospitals of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY).

Aside from this, the ESIC decided to establish 23 recent 100-bedded hospitals across the country. These include six hospitals in Maharashtra at Palghar, Satara, Pen, Jalgaon, Chakan and Panvel; 4 in Haryana at Hisar, Sonepat, Ambala and Rohatak; two hospitals each in Tamil Nadu (at Chengalpattu and Erode), Uttar Pradesh (Moradabad and Gorakhpur) and Karnataka (Tumkur and Udupi).

ESIC will even arrange one hospital each in Andhra Pradesh (Nellore), Chhattisgarh (Bilaspur), Goa (Mulgaon), Gujarat (Sanad), Madhya Pradesh (Jabalpur), Odisha (Jharsuguda) and West Bengal (Kharagpur).

Also, ESIC will open dispensaries at 62 places — including 48 in Maharashtra, 12 in Delhi and a couple of in Haryana. These hospitals and dispensaries will make sure the delivery of quality medical care to the insured employees and their dependents, the statement noted.

Within the meeting, it was resolve to determine Radiation Oncology and Nuclear Medicine Departments at three ESIC Medical College and Hospitals at Sanathnagar, Faridabad and Chennai. It would e the for the primary time that such services will likely be made available at ESIC-owned facilities, it added.

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Amongst other details, the Ministry said two cath labs at ESIC Medical College and Hospital at Sanathnagar, Telangana and Alwar, Rajasthan will likely be established and upgrade of existing 200-bedded ESIC Hospital in Pune to a 500-bed facility will likely be done. This upgradation will profit 7 lakh employees and their relations in Pune.

The ESIC in its meeting also decided to permit insured employees and their relations to avail cashless medical care services through Ayushman Bharat PMJAY empanelled hospitals in all of the areas where the ESI Scheme is partially implemented or to be implemented, or where existing ESIC healthcare facilities are limited. The beneficiaries of ESI Scheme in 157 districts are already availing cashless medical care through this tie-up arrangement.

With agency inputs

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