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MEDICAL BENEFITS |
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TYPE OF MEDICAL BENEFITS PROVIDED:- |
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The Employees’ State Insurance Scheme provides full medical care in the form of
medical attendance, treatment, drugs and injections, specialist consultation and
hospitalization to insured persons and also to members of their families where the
facility for Specialist consultation, hospitalization has been extended to the families
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For the families, this benefit has been divided into two categories as under :-
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FULL MEDICAL CARE
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This consists of hospitalization facilities and includes specialist services, drugs
and dressings and diets as required for in-patients.
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EXPANDED MEDICAL CARE
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This consists of consultation with the specialists and supply of special medicines
and drugs as may be prescribed by them in addition to the out-patient care. This
also includes facilities for special laboratory tests and X-Ray examinations.
Apart from the curative services provided through hospitals and dispensaries, the
Corporation also provides the following facilities including family welfare services.
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IMMUNIZATION
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The Corporation has embarked upon a massive programme of immunization of young children
of insured persons. Under this programme, preventive inoculation and vaccines are
given against diseases like diphtheria, pertusis, polio, tetanus, measles, mumps,
rubella, tuberculosis etc.
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FAMILY WELFARE SERVICES
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Along with the immunization programme, the Corporation has been undertaking provision
of family Welfare Services to the beneficiaries of the Scheme. The Corporation has
organized these services in 180 centres besides reserving 330 beds in hospitals
for undertaking tubectomy operations. So far, 828976 sterilization operation viz.
176197 vasectomies and 652779 tubectomies have been performed upto 31.3.1999. The
ESI Corporation has also extended additional cash incentive to insured persons to
promote acceptance of sterilization method by providing sickness cash benefit equal
to full wage for a period of 7 days for vasectomy and 14 days for tubectomy. The
period for which cash benefit is admissible is extended beyond the above limits
in the event of any complications after Family Planning operations.
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SUPPLY OF SPECIAL AIDS
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Insured persons and members of their families are provided artificial limbs, hearing
aids, and artificial appliances like spinal supports, cervical collars, walking
calipers, crutches, wheel chairs and cardiac pace makers as a part of medical care
under the Scheme.
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