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Other Beneficiaries And Members Of Their Families Medical Facilities Scheme, 2008

The Other Beneficiaries And Members Of Their Families Medical Facilities Scheme, 2008

Published vide Notification G.S.R. 558(E), dated 28.7.2008, published in the Gazette of India, Extraordinary, Part 3, Section 3(i), dated 28.7.2008.

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In exercise of the powers conferred by section 73-B read with section 73-D of the Employees’ State Insurance Act, 1948 (34 of 1948), the Central Government hereby makes the following Scheme, namely:-—

FACT SHEET 6

 

Brought into force on 28.7.2008.
  1. Short title and commencement .—(i) This Scheme may be called the Other Beneficiaries and Members of their Families Medical Facilities Scheme, 2008.

(ii) It shall come into force on the date of its publication in the Official Gazette.

  1. Application .—This Scheme shall apply only to the persons registered under the Rashtriya Swasthaya Bima Yojana and members of their families.
  2. Definitions .—In this Scheme, unless the context otherwise requires,-—

(a) “Act” means the Employees’ State Insurance Act, 1948 (34 of 1948);

(b) “Corporation” means the Employees’ State Insurance Corporation;

(c) “person” means a person registered under the Rashtriya Swasthaya Bima Yojana and members of their families;

(d) all other words and expressions used and not defined in this Scheme shall have the meanings respectively assigned to them in the Act.

  1. Registration .—A person desirous of availing medical treatment and attendance under the Scheme shall be required to:

(a) fill a registration form containing such particulars in respect of him and members of his family as may be specified by the Corporation;

(b) produce the Identity Card issues to him under the Rashtriya Swasthaya Bima Yojana.

  1. Benefits .—Persons registered under this Scheme shall be provided medical treatment and attendance from the underutilised Employees’ State Insurance Hospitals.
  2. User charges .—(1) Persons availing medical treatment and attendance under this Scheme shall be required to pay user charges at such rates as may be notified by the Corporation in consultation with the Central Government.

(2) The user charges collected under sub-paragraph (1) shall be deemed to be contribution and shall form part of the Employees’ State Insurance Fund.

  1. Maintenance of register and records .—The concerned hospitals shall maintain separate register and record of the persons availing medical treatment and attendance under this Scheme and user charges collected from them.
  2. Power to remove difficulties .—If any difficulties arises in giving effect to the provisions of this Scheme, the Central Government may, by order published in the Official Gazette, make such provisions or give such direction, as appears to it to be necessary or expedient for removing difficulty.