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ESIC's ESI health insurance scheme to be implemented all over India by 2022-end

Employees’ State Insurance Scheme is a social security program for workers which is fully functional in 443 districts at present, while it is partially implemented in 153 districts. 148 districts are not covered under the ESI Scheme. The decision to implement the scheme throughout the country was taken in its 188th meeting held on Sunday.

ET Now Digital

Updated Jun 20, 2022, 08:18 IST

New Delhi: To increase its coverage from the current 443 districts to all the districts in the country, the Employees' State Insurance Corporation (ESIC) on Sunday announced to implement its health insurance scheme - Employees’ State Insurance - throughout the country by the end of this year.

Employees’ State Insurance Scheme is a social security program for workers which is fully functional in 443 districts at present, while it is partially implemented in 153 districts. 148 districts are not covered under the ESI Scheme. A labour ministry statement said that the decision to implement the scheme throughout the country was taken in its 188th meeting held on Sunday.

The statement added that that those which are partially covered and not covered under the scheme will be fully brought under the ambit of the ESI Scheme by the end of 2022.

The medical care services will be provided through establishing new 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).

Moreover, the body has also decided to set up 23 new 100-bedded hospitals across the country, including six in Maharashtra at Palghar, Satara, Pen, Jalgaon, Chakan and Panvel; four 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 also set up one hospital each in Andhra Pradesh (Nellore), Chhattisgarh (Bilaspur), Goa (Mulgaon), Gujarat (Sanad), Madhya Pradesh (Jabalpur), Odisha (Jharsuguda) and West Bengal (Kharagpur).

Till the setting up of new hospitals, ESIC in its meeting also decided to allow insured workers and their family members to avail cashless medical care services through Ayushman Bharat PMJAY empanelled hospitals. This could be availed in all the areas where the ESI Scheme is partially implemented or to be implemented, or where existing ESIC healthcare facilities are limited.

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