Lok Sabha Question No. 91 (STARRED), answered on 2021-07-26
Subject: ESI Hospitals
Ministry: LABOUR AND EMPLOYMENT
Asked by: Prataprao  Jadhav, Chandra Sekhar Sahu

## GOVERNMENT OF INDIA

## MINISTRY OF LABOUR AND EMPLOYMENT

## LOK SABHA

## STARRED QUESTION NO. 91

## TO BE ANSWERED ON 26.07.2021

## ESI HOSPITALS

- *91.  SHRI PRATAPRAO JADHAV: SHRI CHANDRA SEKHAR SAHU:

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

- (a)whether  in  view  of  the  sizeable  increase  in  the  number  of  ESI beneficiaries  subsequent  to  expansion  of  ESI  Scheme  in  newer geographical areas, efforts are constantly being made to strengthen the  ESI  medical  care  infrastructure  to  provide  better  medical services in the vicinity of beneficiaries in the country;
- (b)the details in this regard along with success achieved so far;
- (c)whether the Government has made any study to find out the radius at which ESIC's Health Care infrastructure like Hospital or Dispensary or Insured/  Insurance  Medical  Practitioner  is  presently available in the country and if so, the details thereof;
- (d)whether  ESI  is  also  getting  assistance  from  private  hospitals  and medical practitioners in the country;
- (e)if so, the details of empanelled hospitals and medical practitioners, State-wise; and
- (f)the details of contracts/agreements signed by ESI with various such hospitals and medical practitioners?

## ANSWER

MINISTER OF LABOUR AND EMPLOYMENT

(SHRI BHUPENDER YADAV)

(a) to (f): A statement is laid on the Table of the House.

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STATEMENT  REFERRED  TO  IN  REPLY  TO  PARTS  (a)  TO  (f)  OF  LOK SABHA  STARRED  QUESTION  NO.  91  TO  BE  ANSWERED  ON  26.07.2021 ASKED  BY  SHRI  PRATAPRAO  JADHAV  AND  SHRI  CHANDRA  SEKHAR SAHU REGARDING 'ESI HOSPITALS'

- (a) to  (f)      Subsequent  to  increase  in  number of  beneficiaries  due  to expansion of ESI Scheme in newer geographical areas since 2015, efforts are constantly made by Employees' State Insurance Corporation (ESIC) to strengthen medical care infrastructure  in  the  country  for  providing  better  medical  services  in  the  vicinity  of beneficiaries.  In this regard, some of the initiatives  are as under:-
- i.  7 New ESI hospitals with a total of 1160 beds have been commissioned.
- ii.  Approval has  been granted for setting up of 50 new ESI Hospitals across the country with 4990 beds.
- iii.  Bed strength of other existing ESI hospitals has been enhanced.
- iv.  Approval has been granted for 92 new ESI Dispensaries.
- v.  68 new Dispensary Cum Branch Offices (DCBOs) have been made operational across the country.
- vi.  Ceiling  for  transfer  of  funds  to  State  Governments  has  been  enhanced  from Rs.2150/-  to  Rs.3000/-  per  Insured  Person  (IP)  per  annum  to  improve  and strengthen  medical  service  delivery.    This  includes  Rs.200  per  IP  per  annum under Project Implementation Plan (PIP) for incurring expenditure on equipment, medical  manpower,  building  infrastructure  and  strengthening  of  other  ancilliary facilities.

Considering beneficiaries' needs and on ground feasibility, ESIC from time to time, has  revised  its  norms  for  setting  up  of  ESI  hospital/dispensary  in  accordance  with minimum number of Insured Persons population required within  specified  radius  of  a location.

ESIC  has    allowed    beneficiaries  to  avail  medical  benefits  directly  from  ESI empaneled hospitals in case there are no direct medical healthcare facilities available within a radius of 10 K.M. from the residence of the Insured Person. Further, Insurance Medical Practitioner (IMP) are engaged at suitable locations where ESI dispensary is not available.

ESIC  has  empaneled  2270  tie-up  hospitals  and  1264  Insurance  Medical Practitioners  (IMPs)  across  the  country.  The  state-wise  details  of  such  hospitals  and IMPs are Annexure.

Contract agreement with tie-up hospitals and IMPs are entered into by Regional offices of ESIC based on a standard framework

In  addition,  ESIC  has  collaborated  with  Ayushman  Bharat-Pradhan  Mantri  Jan Arogya  Yojana  (PMJAY)  for  providing  medical  services  through  their  empanelled hospitals in 152 districts in the country.

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ANNEXURE REFERRED TO IN REPLY TO PARTS (a) TO (f) OF LOK SABHA STARRED  QUESTION  NO.  91  TO  BE  ANSWERED  ON  26.07.2021  ASKED SHRI PRATAPRAO JADHAV AND SHRI CHANDRA SEKHAR SAHU REGARDING 'ESI HOSPITALS'

## State-wise  details  on  No.  of  Empaneled  Hospitals  &  Insurance  Medical Practitioners (IMPs)

| Sl. No.   | STATE            |   Number of Empaneled Tie-up Hospitals(Private hospitals) |   Number of Insured Medical Practitioners(IMPs) |
|-----------|------------------|-----------------------------------------------------------|-------------------------------------------------|
| 1.        | Andhra Pradesh   |                                                       101 |                                              36 |
| 2.        | Assam            |                                                        26 |                                              16 |
| 3.        | Bihar            |                                                       120 |                                              13 |
| 4.        | Chandigarh       |                                                        13 |                                               0 |
| 5.        | Chhattisgarh     |                                                        55 |                                               0 |
| 6.        | Delhi            |                                                       108 |                                               0 |
| 7.        | Goa              |                                                         2 |                                               4 |
| 8.        | Gujarat          |                                                        92 |                                               1 |
| 9.        | Haryana          |                                                       964 |                                               2 |
| 10.       | Himachal Pradesh |                                                        15 |                                               0 |
| 11.       | Jammu & Kashmir  |                                                        21 |                                               0 |
| 12.       | Jharkhand        |                                                        71 |                                              12 |
| 13.       | Karnataka        |                                                       170 |                                               0 |
| 14.       | Kerala           |                                                       123 |                                               0 |
| 15.       | Madhya Pradesh   |                                                        92 |                                               3 |
| 16.       | Maharashtra      |                                                       254 |                                             817 |
| 17.       | Meghalaya        |                                                         2 |                                               0 |
| 18.       | Mizoram          |                                                         4 |                                               0 |
| 19.       | Manipur          |                                                         1 |                                               0 |
| 20.       | Odisha           |                                                        27 |                                              01 |
| 21.       | Puducherry       |                                                        11 |                                               0 |
| 22.       | Punjab           |                                                        73 |                                               0 |
| 23.       | Rajasthan        |                                                       281 |                                              52 |
| 24.       | Sikkim           |                                                         1 |                                               0 |
| 25.       | Tamil Nadu       |                                                       164 |                                               0 |
| 26.       | Telangana        |                                                       122 |                                              46 |
| 27.       | Tripura          |                                                         1 |                                               0 |
| 28        | Uttar Pradesh    |                                                       129 |                                               0 |
| 29.       | Uttrakhand       |                                                        18 |                                               0 |
| 30.       | West Bengal      |                                                       109 |                                             261 |
| Total     | Total            |                                                      2270 |                                            1264 |

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