The Employees State Insurance Corporation on 25th May 2021 has revised the guidelines on implanting the ESIC pensioner medical scheme. The Pensioner who opt for ESIC-PMS at the time of retirement can opt out once. After opting out, such pensioners can re-enter the scheme for only one more time after paying the registration fee of Rs.30 and refund of the FMA received by him.
The pensioners will be eligible for all kinds of medical treatment including SST from the date of entry/ re-entry into the scheme.
Further it has revised the existing provisions relating to entry to the ESIC-PMS, regulation of payment of fixed medical allowance, eligibility of super specialty medical treatment, modalities for providing medical treatment to the beneficiaries, provision of tie-up arrangement with private hospitals etc.
