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Type of Medical Services Provided
The state insurance scheme for employees provides comprehensive medical care through medical assistance, treatment, medicines and injections, specialized consultation, and hospitalization to insured persons and their relatives when the possibility of technical talk and hospitalization extends to families.
For families, this benefit has been divided into two categories as follows:-
Comprehensive Medical Care
These inpatient facilities include specialized services, medications, dressings, and diets based on the needs of the inpatients.
Extended Medical Care
This consists of a consultation with specialists and providing medicines and particular drugs that they can prescribe in addition to outpatient care. This also includes facilities for special laboratory tests and X-ray examinations. Apart from the curative services provided by hospitals and dispensaries, the Company also offers the following facilities: family welfare services.
Immunization
The Company has embarked on a vast immunization program for the young children of policyholders. This program includes preventive vaccinations against diseases such as diphtheria, whooping cough, poliomyelitis, tetanus, measles, mumps, rubella, tuberculosis, etc.
Family Wellness Services
Along with the immunization program, the Society committed to providing family welfare services to the program’s beneficiaries. The Society has organized these services in 180 centers in addition to reserving 330 hospital beds for tubectomy operations. So far, 828976, i.e., sterilization operation, 176,197 vasectomies, and 652,779 tubectomies, were performed up to 31.3.1999. ESI Corporation also provided an additional financial incentive to policyholders to promote acceptance of the sterilization method by providing sick pay equal to complete payment for 7 days for vasectomy and 14 days for tubectomy. The cash benefit entitlement period extends beyond the previous limits in case of potential complications following family planning operations.
Provision of Special Aids
Members and their families receive artificial limbs, hearing aids, and artificial devices such as spinal supports, cervical collars, walking stirrups, crutches, wheelchairs, and pacemakers as part of the plan’s medical care.
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