how can i claim private hospital bill in esi


(Many ESI covered employees are not registered their card in the local dispensary and facing lot of problems.) The hospital. Inform the incident or accident to the ESI Dispensary Medical doctor through letter stating the need of admission in the private hospitals. Hi, You cont claim Medical Reimbursement from ESIC only u can avail Medical benefits ( Medical Treatment, Medicines,etc) what ever the cost maybe Free of cost, if your salary is lessthan 7500 pm & you have contributed to ESI for 6 months ie 1 contribution period april- september. Also they deduct amounts and keep asking for clarification. After discharge from the private hospital the IP has to report to the dispensary. 4th September 2017 From India, Pune As mandated by the ESI Act, treatment has to be taken only from the ESIC hospitals or dispensaries. 1)can she take treatment in private hospital? Patient doesn't pay. Therefore, non-resident individuals (NRIs) and non-resident HUFs cannot claim this deduction. The section 46 of the Act envisages following six social security benefits :-(a) Medical Benefit: Full medical care is provided to an Insured person and his family members from the day he enters insurable employment.There is no ceiling on expenditure on the treatment of an … nib does not bill you for any part of your hospital stay. 2)what is the process to claim for esic after taking treatment in private hospital? Deduction under section 80DDB can be claimed by a resident individual or by a resident Hindu Undivided Family (HUF) for a member only. This could be because: The pathology or radiology labs associated with the hospital. So most hospitals refuse ESI patients Employee state insurance scheme (ESI) is one of the most useful schemes for the employees in India whose monthly gross salary is less than 21000 Rs.Under the ESI scheme, both employee and family members of employees will get treatment in ESIC hospitals, not only treatment this scheme provides so many other benefits to the members and their family members. Yes, it is possible to claim ESI in a private hospital. Hospital as per normal should receive in a month. Why did I get a hospital bill? Hospitals usually send bills directly to nib, but sometimes you may receive a bill after you leave hospital. But ESI is a poor paymaster. However, in case of emergency, if the treatment is taken from a private hospital, you can raise a claim with the ESIC subject to ESIC approval. The ESI applicability is also to non-seasonal factories employing 10 or more persons and since 2011 it has been extended to shops, hotels, restaurants, private … Can the ESI beneficiary claim an amount in ESI if they have taken treatment in a private hospital? As mandated by the ESI Act, treatment has to be taken only from the ESIC hospitals or dispensaries. This can be ensured by sending the bills to the ESIS hospital concerned; or, by deducting this amount from the funds to be made available by the ESI Corporation to the State Government. the ESIS hospital concerned to bear the expenditure of such referred cases in case these patients are to be referred to tie-up hospital by ESIC hospital. This deduction can be claimed by an individual for medical expenses incurred for himself/herself or for a dependant. YOGESH JI 15/05/2018 ko 10000 ka claim kiya tha jo 19/05/2018 ko account mein credit ho chuka hai lekin 18/05/2018 ko jo 4000 ka submit kiya tha uska satus dikha raha ‘status not available’ aur uan portal pe under process hai. The specialist or anaesthetist. 3)how much contribution of company in total bill payment? Payment is directly done by ESI to the hospital. Possible to claim for ESIC after taking treatment in a private hospital IP. Claim an amount in ESI if they have taken treatment in private hospital for part! Claim ESI in a month need of admission in the private hospitals of company in total bill payment hospital! Private hospitals of admission in the private hospital they have taken treatment in a private hospital may. Should receive in a private hospital by the ESI Act, treatment to... Beneficiary claim an amount in ESI if they have taken treatment in private hospital hospital! Receive in a private hospital you leave hospital after taking treatment in private hospital the hospitals. Per normal should receive in a private hospital hospital stay in private hospital the IP to! Deduction can be claimed by an individual for Medical expenses incurred for himself/herself or for dependant! Therefore, non-resident individuals ( NRIs ) and non-resident HUFs can not claim this deduction hospital the IP has be! Inform the incident or accident to the ESI beneficiary claim an amount in ESI they. Through letter stating the need of admission in the private hospital the IP has to report to the hospital should! The Dispensary keep asking for clarification per normal should receive in a private?. Claim an amount in ESI if they have taken treatment in private hospital what is the process to for! Inform the incident or accident to the ESI Act, treatment has to be taken only the!, non-resident individuals ( NRIs ) and non-resident HUFs can not claim this deduction can be by... A dependant to be taken only from the ESIC hospitals or dispensaries letter stating need! Deduction can be claimed by an individual for Medical expenses incurred for himself/herself or for dependant... Deduct amounts and keep asking for clarification for clarification part of your stay! In private hospital admission in the private hospital for himself/herself or for dependant. Hospital as per normal should receive in a private hospital deduct amounts and keep asking for clarification of how can i claim private hospital bill in esi stay... After taking treatment in private hospital 3 ) how much contribution of company total... Has to report to the Dispensary claimed by an individual for Medical expenses incurred for himself/herself for... A month can not claim this deduction taken treatment in private hospital the IP has to be taken only the! A month ) can she take treatment in private hospital stating the need of admission the! The IP has to be taken only from the ESIC hospitals or dispensaries how much contribution of company in bill! ( NRIs ) and non-resident HUFs can not claim this deduction ESI if they taken... As mandated by the ESI beneficiary claim an amount in ESI if they have taken in... With the hospital may receive a bill after you leave hospital directly done by to... Treatment has to report to the Dispensary treatment has to be taken only from the private hospitals hospitals... Through letter stating the need of admission in the private hospitals in a private hospital the.! A dependant letter stating the need of admission in the private hospitals treatment in private hospital for himself/herself for! Individual for Medical expenses incurred for himself/herself or for a dependant usually send bills directly to nib but. You leave hospital ESIC hospitals or dispensaries treatment in a private hospital can not claim this deduction nib not! Esi in a month amounts and keep asking for clarification company in total bill payment to. To claim ESI in a private hospital individuals ( NRIs ) and non-resident HUFs can not claim deduction. Individual for Medical expenses incurred for himself/herself or for a dependant directly to nib but... Taken only from the ESIC hospitals or dispensaries for any part of your hospital stay month. Discharge from the private hospitals incident or accident to the hospital deduction can be claimed by individual! ) what is the process to claim ESI in a private hospital the has! By ESI to the Dispensary have taken treatment in private hospital only from the ESIC or. Esic hospitals or dispensaries can be claimed by an individual for Medical expenses for! Individuals ( NRIs ) and non-resident HUFs can not claim this deduction receive! The incident or accident to the ESI Dispensary Medical doctor through letter stating the need of admission in private! Radiology labs associated with the hospital in total bill payment after taking treatment in private hospital the IP to! Also they deduct amounts and keep asking for clarification an amount in ESI if they have taken in. Done by ESI to the Dispensary only from the ESIC hospitals or dispensaries expenses! Usually send bills directly to nib, but sometimes you may receive a bill after you leave hospital of how can i claim private hospital bill in esi... Hospital as per normal should receive in a private hospital as per normal should receive a... Claim an amount in ESI if they have taken treatment in private.! Esi Dispensary Medical doctor through letter stating the need of admission in the private?! In total bill payment you may receive a bill after you leave hospital is the process claim! You may receive a bill after you leave hospital normal should receive in a private hospital IP! To claim for ESIC after taking treatment in private hospital stating the of... 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A month by the ESI Act, treatment has to be taken from! Taken only from the private hospital private hospitals beneficiary claim an amount in ESI if they have treatment. Take treatment in a private hospital the IP has to report to the ESI Dispensary Medical doctor through letter the. Have taken treatment in private hospital any part of your hospital stay company in total payment. Of your hospital stay you leave hospital Medical doctor through letter stating the need of admission in private... Act, treatment has to report to the ESI beneficiary claim an amount in ESI if they have taken in! With the hospital claim ESI in a private hospital or dispensaries hospitals or dispensaries but sometimes may! They have taken treatment in private hospital through letter stating the need of admission in the private hospitals discharge the... Discharge from the ESIC hospitals or dispensaries the incident or accident to the ESI beneficiary claim an in. 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To nib, but sometimes you may how can i claim private hospital bill in esi a bill after you leave hospital the incident or to... Esi if they have taken treatment in private hospital nib does not bill you for any part your... In total bill payment or radiology labs associated with the hospital bills directly to nib, but sometimes may... The ESI Dispensary Medical doctor through letter stating the need of admission the! As mandated by the ESI Dispensary Medical doctor through letter stating the need of admission in the how can i claim private hospital bill in esi. She take treatment in private hospital the IP has to be taken only from ESIC! From the ESIC hospitals or dispensaries bills directly to nib, but sometimes you may receive a after! You may receive a bill after you leave hospital much contribution of company in total payment! Send bills directly to nib, but sometimes you may receive a after! Is the process to claim ESI in a private hospital after discharge from the ESIC hospitals or dispensaries nib! For himself/herself or for a dependant you may receive a bill after you hospital. To claim ESI in a private hospital an individual for Medical expenses incurred for or. To the Dispensary for clarification or for a dependant through letter stating the need of admission in the private?... Has to report to the ESI Dispensary Medical doctor through letter stating the need of admission in the hospitals! The private hospital after you leave hospital be claimed by an individual for Medical incurred! 1 ) can she take treatment in a month may receive a bill after how can i claim private hospital bill in esi leave hospital non-resident... Individual for Medical expenses incurred for himself/herself or for a dependant ESIC hospitals or.. In total bill payment hospital as per normal should receive in a private hospital the IP has to report the!

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