I am now accessing as a :

Government Of Assam Labour and Welfare

Claim my medical reimbursement bills under ESI scheme

TO WHOM THE ESI SCHEME APPLIES?

 

The ESI Scheme applies to the persons who work in factories and other establishment’s viz. Road transport, Hotels, Restaurants, Cinemas, Newspaper, Shop and Educational/Medical Institutions wherein 10 or more persons are employed. The employees of the aforesaid categories of factories and establishments, drawing wages upto Rs.15000/- a month are entitled to social security cover under the ESI Act.

PROCEDURE FOR SUBMISSION OF MEDICAL RE-IMBURSEMENT BILLS OF INSURED PERSONS:

  1. To submit a re-imbursement claim bill/bills an IP has to write an application to the Administrative Medical Officer, ESI Scheme, Assam through the concerned Insurance Medical Officer i/c, ESI Scheme Dispensary along with the claim bill format which is available at Dispensary.
  2. They have to mention the cause of diseases.
  3. They have to submit a clear Xerox copy of Insured Person (IP) card, Bank Details i.e.–name of the bank, branch, IFSC code, Account number and the phone number of IP along with the bill/bills.
  4. The time limit for submission of claims of re-imbursement is 1 (one) year.

For more details about re-imbursement, Employer/Employees have to log in to ESIC Portal www.esic.in.

How do i