Utilizing ESI Card in Private Hospitals: Procedures and Requirements

• Eligibility Check – Ensure that the ESI cardholder is registered under the Employees’ State Insurance (ESI) scheme.

• Private Hospital Empanelment – The private hospital must be empanelled under the ESI scheme to provide benefits.

• Medical Benefit Access – Present the ESI card at the hospital to access medical services under the scheme.

• Required Documentation – Carry additional documents like identity proof, prescription and referral letter, if needed.

• Direct Billing – In certain cases, hospitals will bill the ESI directly, reducing the patient’s out-of-pocket expenses.

• Follow-up and Approval – For non-emergency treatments, prior approval from the ESI office may be necessary.