Primary Treatment Care of ESI Beneficiaries

Primary Treatment Care is provided to ESI beneficiaries through 4 ESI Hospitals and 41 ESI Dispensaries. In addition Government had approved appointment of 17 nos. of clinical set ups/Allopathy Doctors as Insurance Medical Practitioners for providing Primary Medical Care to newly identified IPs staying 20 Kms. away from existing ESI Dispensaries.

Empanelment of Secondary Treatment Care through tie-up hospitals

During the year 2019-20, 10 (Ten) Private Hospitals have been empaneled with ESI Scheme to provide Secondary Treatment Care to ESI beneficiaries. The entire expenditure for the purpose is borne by ESI Scheme. Bills amounting to Rs.2,38,01,808/-have been paid to different tie up Hospitals during 2019-20.

Empanelment of Private Hospitals to provide Cashless Super Speciality treatment.

13 (Thirteen) number of Super Speciality Hospitals have been empanelled by ESI Corporation for providing cashless treatment to ESI beneficiaries. The hospitals are Ashwini Hospital, Cuttack, Care Hospital Bhubaneswar, Hi-Tech Medical College & Hospital Bhubaneswar, Kalinga Institute of Medical Sciences Bhubaneswar, Shanti Memorial Hospital Cuttack, Sparsh Hospital, Bhubaneswar, IMS & SUM Hospital, Bhubaneswar Ashwini Trauma Centre Cuttack, HCG Panda Cancer Hospital Cuttack, Sun Hospital, Cuttack, Medica TS Hospital Jajpur, Utkal Healthcare Pvt.Ltd., Bhubaneswar & Vivekanand Hospital Bhubaneswar. The payment in this regard is entirely borne by ESI Corporation which is beyond the ceiling limit.

Purchase of Medicine.

An amount of Rs. 26,96,95,310 has been utilised towards purchase of medicine, drugs & dressing, chemicals etc. during the financial year 2021-22.

Expenditure under Secondary Care Treatment

An amount of Rs. 5,13,54,259/- has been paid to Secondary Care Tie- up. Hospital towards cashless treatment of ESI beneficiaries for the financial year 2021-22.

Reimbursement of Medical Claim

An amount of Rs. 6.42,35,269/- has been paid towards RCM claims during the year 2021-22.

Expenditure under Super Speciality Treatment

An amount of Rs. 31.05 crores have been paid to the Super Speciality Hospitals towards treatment of ESI beneficiaries, which was borne by ESI Corporation.

Training/Health Camp

• Training programme for the Doctors and Staff under Dhanawantari are being conducted.
• Organization of Health Camp in different Dispensaries and Hospitals are being conducted from time to time.
• Organization of Awareness Camps among the ESI beneficiaries.
• Organisation of Health check-up Camps for Insured Women in the iconic week of Azadi ka Amrut Mahotsav-2022

Suvidha Samagam

A Public Grievance Redressal Forum for the ESI beneficiaries which is held regularly on 2nd Wednesday of every month at ESI Regional Office, Bhubaneswar.

Grievance

Grievance petition received from different sectors from time to time in various issues are uploaded in Janasunani Application basing on records, which are already been complied the grievance.