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Medical Benefit 
Change in dispensary

IP may desire change of dispensary/clinic on grounds of change of residence or on some other grounds. The required change has to be applied for in Form ESIC-53. The change applied for may be from full-time ESI dispensary to other full-time ESI dispensary or from full-time ESI dispensary to part time ESI dispensary/panel clinic/Employers Utilization dispensary or vice-versa.

Change of dispensary on grounds of change of residence
The Change from full-time dispensary to another full-time dispensary on grounds of change of residence can be sanctioned by IMO Incharge of the dispensary to which IP is attached or IMO In-charge of dispensary to which change is desired or by Manager, Branch Office. The change is intimated in form ESIC-54, copies of which are sent to the other dispensary, Branch Office(BO), Regional Office(RO), AMO/Director. If IP applies at the new dispensary, the IMO Incharge will call for MRE of the IP from the old dispensary. If he applies at the old dispensary IMO will send MRE to the new dispensary.

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Benefits at a glance
Claims
Forms
Standard benefit rate
Contribution period

Did you know?

Change in Name /Date of Birth of IP and family member can be got done through BO/RO in Form ESIC-53 and ESIC-54.

 

Grounds OTHER THAN change of residence:
Change from full-time dispensary to part-time dispensary / panel clinic / employer's Utilisation dispensary on any ground or from full-time dispensary to other full time dispensary on grounds other than change of residence are sanctioned only by Director/AMO. Form-ESIC-54 is sent to both the dispensaries, BO and RO. Besides this, in case of change to Employer's Facility Dispensary/IMP Medical Acceptance Card may be sent by Director/AMO to dispensary along with ESIC-54 for filling the particulars and returned to his office by Employer's dispensary/IMP In case of change from Employer's dispensary/IMP, Medical Acceptance Card is withdrawn from the cabinet of particular dispensary

Cross reference
Treatment of insured persons and their families working in one state and residing in the adjoining state
Treatment to IP who move to another place leaving his job  during the subsistence of his entitlement to Medical Benefit
Medical treatment to insured persons and family at outstations
Change in dispensary
 

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