Revised Guidelines for ESIC Pensioners Aged 80 years and Above | Labour Law News

Revised Guidelines for ESIC Pensioners Aged 80 years and Above

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Pensioners of ESIC aged 80 years and above covered under ESIC-PMS-2006

ESIC ,Guidelines for special provisions to ESIC pensioners aged 80 years ,ESIC Pensioners Medical Scheme 2006 , Revised Guidelines for ESIC Pensioners Aged 80 years

ESIC ,HG issued circular vide No. D-12/16/112017-E-VI dated  8.1.2018 regarding Guidelines for special provisions to ESIC pensioners aged 80 years and above under ESIC Pensioners’ Medical Scheme, 2006

With Reference to the ESIC Hqrs. office circulars dated 1311/06, 7/6/06, 15112106, 113107, 711108, 2716/08, 25/8/08, 2513109, 117109, 711110, 26/8/10, 111112010, 24/0512011, 11/102012, 11/412014, 291412014, 24/3/2015, 9/612015 and 26/912017 and consequent upon issuance of circular No. Z-16025/98/2017-CGHS-Ill dated 11.7.2017 by Ministry of Health & Family Welfare on the above subject, the issue was examined by this office for adoption of the same for the pensioners of ESIC aged 80 years and above covered under ESIC-PMS-2006. Accordingly, following guidelines are issued for ESIC Pensioners aged 80 years and above

  1. Consultation of Doctor at ESIC Dispensary I hospital without standing in queue.
  2. ESIC Doctors (who is on duty or available) shall enquire by phone, at least once in a month to enquire about their well-being l make a home visit if residing within 5 Kms of ESIC Dispensary hospital.

{Modalities may be decided by respective units depending upon the local conditions / requirements.).

  1. Settlement of medical claims on priority out of turn.
  2. Follow-up treatment from same specialist in non-empanelled hospital from where held e was earlier taking treatment as a special case in view of advanced age and difficulty to change physician subject to the reimbursement limited to CIS rates and collection of medicines as per ESIC 1 CGHS guidelines.

This issues with the approval of Director General.

ESIC instructed all the concern officers ,the contents of this letter may be sent to all pensioners individually and the pensioners association of your region. This may be placed in your websites also. The receipt of this letter may please be acknowledged.

Source: ESIC

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