ESI, Ayushman Bharat Schemes Converged

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There is a piece of good news for beneficiaries of the Employees’ State Insurance scheme. The good news is of convergence of ESI and Ayushman Bharat. This scheme is beneficial in multiple ways. Therefore, in this article, we will learn about ESI, Ayushman Bharat schemes converged in detail.

The convergence of the ESI scheme with Ayushman Bharat PM-JAY

Under the Employees’ State Insurance Scheme (ESI), the people of the following states will now avail themselves cashless medical treatment at hospitals registered with the Ayushman Bharat scheme.

  • Chhattisgarh,
  • Karnataka,
  • Madhya Pradesh,
  • And Maharashtra.

Labour Ministry also announced The ESI registered employees would get cashless medical treatment at 15 ESIC hospitals and medical colleges. Bihar, Gujarat, Karnataka, Maharashtra, Rajasthan, and Uttar Pradesh will provide this cashless medical treatment.

Helping 1.35 crore insure workers under ESI

According to the Ministry, this convergence ensures that 1.35 crore ESI beneficiaries in such districts have access to cashless healthcare services through ESI Ayushman Bharat schemes PM-JAY. Moreover, they can avail these medical services at hospitals with no need for a referral.

Ministry also announced insured persons would need only to submit their ESIC e-pehchan card or health passbook and Aadhaar card. Besides, a list of districts and enrolled hospitals under Ayushman Bharat is available on the ESIC’s website.

Know About ESIC

ESIC, which the Ministry of Labour and Jobs governs, offers social security to employees, immediate dependents, and family members in the private sector.  Also, in the event of illness, pregnancy, death, or disablement resulting from an occupational accident or risk, employees get various supports.

Understand About ESI or ESIC Scheme

Employees State Insurance (ESI) is a self-funded social security and health insurance program for Indian employees. The ESI scheme is primarily funded by donations from covered workers and their employers, calculated as a fixed percentage of salaries.

Therefore, To avail of the benefits of the ESI Scheme, employees need ESI or ESIC Registration. Let us learn about ESIC Registration and its benefits.

Benefits of ESI Registration

There are multiple benefits of ESI Registration. Some of the most important ones are as follows.

  • If an employee dies while working, then 90 per cent of their salary is paid to dependents (Family members) every month after the employee’s death.
  • In the case of an employee’s injury, also, the same rules apply.
  • Healthcare expenses for the elderly
  • In the event of any certified illness lasting for 91 days in any year, the government will pay sickness insurance at a rate of 70% (in the form of salary).
  • Also, medical coverage for an employee and his family
  • Pregnant women receive a maternity allowance (paid leaves)

Eligibility for ESI Registration

ESI or ESIC Registration is mandatory for every factory and designated establishment with ten or more permanent employees and monthly wages of less than Rs. 21,000/-.

Documents Required for ESI Registration

To get ESI or ESIC Registration, the following is the documents requirement.

  • Registration Certificate
  • Address proof
  • PAN card
  • Cancelled cheque
  • Digital Signature of anyone Director.

All You Need to Know about ESIC

However, if you want any other guidance related to ESIC Registration, please feel free to talk to our business advisors at 8881-069-069.

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