Lok Sabha Question No. 3249 (UNSTARRED), answered on 2019-12-09
Subject: List of Empanelled Hospitals of ESI
Ministry: LABOUR AND EMPLOYMENT
Asked by: Sanjay Sadashivrao Mandlik, Prataprao  Jadhav, Gajanan Chandrakant Kirtikar, Sudheer Gupta, Bidyut Baran Mahato

## MINISTRY OF LABOUR AND EMPLOYMENT

## GOVERNMENT OF INDIA LOK SABHA

UNSTARRED QUESTION NO. 3249

TO BE ANSWERED ON 09.12.2019

## LIST OF EMPANELLED HOSPITALS OF ESI

3249. SHRI SANJAY SADASHIV RAO MANDLIK:

SHRI PRATAPRAO JADHAV:

SHRI GAJANAN KIRTIKAR:

SHRI SUDHEER GUPTA:

SHRI BIDYUT BARAN MAHATO:

Will the Minister of LABOUR AND EMPLOYMENT be pleased to state:

- (a)the details of list  of  hospitals empanelled under Employees State Insurance Corporation (ESIC) in the country, State/UT-wise;
- (b)whether  ESIC  reimburses  the  expenditure  incurred  by  the  beneficiaries  of ESIC  for  getting  treatment  in  the  ESIC  empanelled  hospitals  and  if  so,  the details thereof;
- (c)whether a large number of medical reimbursement claims are pending for a long period with ESIC where expenditure has been borne by the beneficiaries;
- (d)if so, the details of the pending cases during each of the last five years and the  reasons  for  the  same  particularly  of  Maharashtra,  Madhya  Pradesh, Jharkhand and Agra region in the Uttar Pradesh State;
- (e)the time by which the pending medical reimbursement claims with ESIC are expected to be settled particularly in the above States; and

(f)the action taken/being taken by the Government against guilty officers?

## ANSWER

## MINISTER OF STATE (IC) FOR LABOUR AND EMPLOYMENT (SHRI SANTOSH KUMAR GANGWAR)

(a): State/Union Territory wise detail of number of hospitals empanelled by the Employees' State Insurance Corporation (ESIC) is Annexed.

(b): ESIC  provides  medical  treatment  to  ESI  beneficiaries  from  ESIC empaneled hospitals in a cashless manner. Beneficiaries are required to follow referral procedure for availing treatment from such hospitals. Treatment availed directly  by  ESI  beneficiary  in  case  of  emergency  is  reimbursed  as  per  Central Government  Health  Scheme  (CGHS)  package  rates  or  ESIC  rates  or  State Government rates, as applicable.

(c) to (f): Information is being collected. *                                                          *******

STATEMENT  REFERRED  TO  IN  REPLY  TO  PART  (a)  OF  LOK  SABHA UNSTARRED  QUESTION  NO.  3249  FOR  09.12.2019  BY  SANJAY  SADASHIV RAO  MANDLIK;  SHRI  PRATAPRAO  JADHAV;  SHRI  GAJANAN  KIRTIKAR; SHRI SUDHEER GUPTA AND SHRI BIDYUT BARAN MAHATO REGARDING LIST OF EMPANELLED HOSPITALS OF ESI.

## State/UT wise detail of number of hospitals empanelled under ESIC, as on 30.11.2019, is as follows:

| Serial No.   | Name of the State/ UT   |   No. of Empanelled Hospitals |
|--------------|-------------------------|-------------------------------|
| 1.           | Assam (NER)             |                            18 |
| 2.           | Andhra Pradesh          |                            38 |
| 3.           | Bihar                   |                            78 |
| 4.           | Chhattisgarh            |                            20 |
| 5.           | Delhi                   |                            37 |
| 6.           | Gujarat                 |                            29 |
| 7.           | Himachal Pradesh        |                            11 |
| 8.           | Haryana                 |                            22 |
| 9.           | J&K                     |                            17 |
| 10.          | Jharkhand               |                            19 |
| 11.          | Karnataka               |                           183 |
| 12.          | Kerala                  |                            60 |
| 13.          | Madhya Pradesh          |                            26 |
| 14.          | Maharashtra & Goa       |                           262 |
| 15.          | Odisha                  |                            20 |
| 16.          | Pondicherry             |                            10 |
| 17.          | Punjab                  |                            54 |
| 18.          | Rajasthan               |                           214 |
| 19.          | Telangana               |                            31 |
| 20.          | Tamil Nadu              |                            79 |
| 21.          | Uttarakhand             |                            16 |
| 22.          | Uttar Pradesh           |                            58 |
| 23.          | West Bengal             |                           103 |
| Total        | Total                   |                          1405 |

********