Employee state insurance scheme (ESI) is one of the most useful schemes for the employees in India whose monthly gross salary is less than 21000 Rs. Under the ESI scheme, both employee and family members of employees will get treatment in ESIC hospitals, not only treatment this scheme provides so many other benefits to the members and their family members. Here we will know about what are the ESIC benefits available for the family members of the insured person.
How many family members covered in ESI
There is no specific number for ESIC family members. The below-listed family members of insured persons who don’t have any income source are eligible for ESIC medical treatment.
- Spouse
- Minor Dependent Son Up to 25 Years
- Dependant Unmarried Daughter Up to 25 Years
- Dependant Infirm Son
- Dependant Infirm Unmarried Daughter
- Dependant Father
- Dependant Mother
- Minor Brother ( When there are no parents)
- Minor Sister (When there are no parents)
Family Definition As Per ESIC Act 1948
Eligibility Age for ESIC Family Members
The age limit of ESIC dependant children is increased from 18 years to 25 years w.e.f 01-06-2010 as per the ESIC amendment act 2010.
Also read: How to get ESIC Pehchan card
ESIC Benefits for Family Members / Dependents
i) Medical Benefits
From the first day of entering in ESIC scheme both insured person and family members will become eligible for ESIC medical treatment in ESIC dispensaries and hospitals. Even though employees get retired or permanently disabled still they can get medical treatment by just paying an annual token fee of 120 Rs to the ESIC.
How to Claim ESIC Medical Benefits
The family members of insured persons can get treatment in their ESIC dispensary by just showing the ESIC Pehchan card or ESIC temporary ID card (print counterfoil).
ii) Dependents Benefit
Whenever the death of the insured person occurs due to employment injury or occupational hazard then 90% of wage will be paid as monthly payments to the dependents of the deceased insured person.
How to claim ESIC Dependents Benefits
In order to claim ESIC dependents benefit the dependents of deceased member need to submit ESIC dependent benefit claim form to the ESIC branch office along with ESIC Pehchan card of the deceased member.
iii) Funeral Expenses
A funeral expense of 10000 Rs is payable to the dependents or the person who performs the last rites of an insured person
How to Claim ESIC Funeral Expenses
To claim ESIC funeral expenses the relatives of the deceased member should need to submit ESIC funeral expenses claim form 22 and ESIC Pehchan card of the deceased member to the ESIC branch office within 6 months after the completion of final rituals.
There are so many other benefits which ESIC is providing to the insured persons. But the above mentioned Three benefits are mostly related to the family members of the insured person.
My younger brother age is 13 is he eligible for my ESIC
Is spouse is eligible for benefits if she is earning ?
1st appointment 03 -may -2021 నేను super specialty eligibility అవుతానా plz
can i add my father in law in my esic
Sir he had Parkinson’s disease can I add him in insurance
For IP’s sister what criteria for benefits
Son & daughter above age from 18 to 25 . Eligible – In case any emergency treatment or medical reimbursement available or not.
Can i add my father in law in my
esic
Can I take medical benefits of my son his age of 23 in esic Dandeli
Can I add my 29 year old brother in esic benefit
Not possible.
Can I take medical benefits of my son his age 23 in esic
My Total job period 10 months can we eligibal for ESIC benifit for family member
check eligiblity through esic portal
मेरे लड़के 12 वर्ष की उम्र से ESIC हॉस्पिटल से रिफर RML हॉस्पिटल लगातार इलाज चल रहा है जों कि लड़के की उम्र अब 26 above है जो कि ESIC डिस्पेंसरी दवाई देने से मना कर दिया है मुझे इस बारे मे अवगत कराये कि मुझे दवाई मिल पाएगी या नहीं
DR sir my fathers brother not married they stay with us so can i add them to esi
Hi I wanted to know that can I add my mother as a dependent . She is a housewife but my sister and father also earn in my family will my mom will be eligible if I add her
IP Member’s Father and Mother are eligible for ESIC.
I m a married woman can I add my parents in esic card
Yes. But you tell to your employer add your parents name in your esic account. Only your parents eligible, not your husband parents. They have no income from govt.job pension
If parents died and grandparents only take care of the person means we can added their as a nominee?
IP Member’s Father and Mother are eligible for ESIC (IP is married or Unmarried That is not yet matter)
Whether any IPS have two wives will get medical benefits from esic
Kya Shadi ke bad dependent mother ko benefits mil sakte hai kya
Milega.
Hi, Is anyone clarify that father in law and mother in law to be covered under ESIc under the dependent parent
Kiya mai apne father-in-low& mother-in-low & brother ko esic mai jod sakta
Houn.
father-in-low& mother-in-low are not eligible as per esic rule.
Minor Brother ( When there are no parents) can be add in esic
divorced daughter can be added in esi family details
CAN I ADD MY DEPENDANT PARENTS IN ESIC , WHILE THEY ARE NOT IN RATION CARD LIST
Yes, you can add them.
Hai hello rajesh this is gaganashree I don’t have father and mother… So I need add my father in law and mother in law esi benefit it’s work r not
ESIC doesn’t have an option to add father-in-law and mother-in-law.
Health Insurance companies like Star Health , Medi Care, Kotak Life etc have this opportunity subject to payment of suitable premium as per the norms
Yes. Your employer will add your parents name in your account. After adding, you and all your family go to esic local office and take photo. You tell your parents have no income.
IP Member’s Father and Mother are eligible for ESIC
Dear sir
i need an information of eligibility of employees for Operational benefit
ESIC Benefits for Family Members & Eligibility Criteria plz sen F-no 15& 22