ESIC Corporation approves to open ESIC Hospitals to provide in-house secondary and tertiary medical care services on user charges basis to PMJAY Beneficiaries
In collaboration with National Health authority managing, Ayushman Bharat/Pradhan Mantri Jan Arogya Yojana (AB- PMJAY) Scheme, ESI Corporation has approved to open ESI Hospitals to provide in-house secondary and tertiary medical care services on user charges basis. This decision was incorporated in ESI’s 178th meeting which was held on September 13, 2019.
The rate of user charges has been notified in the Gazette Notification. The Gazette Notification was made accessible to the public from November 3, 2020. On January 13, 2021 it was published in the Gazette of India (Extraordinary) Part III Section 4
A list of underutilized ESIC Hospitals is specified that can provide in-house secondary and tertiary medical care services to PM-JAY beneficiaries on availing user charges.
The other beneficiaries and members of their families Medical facilities Scheme, 2010 under the Ayushman Bharat/Pradhan Mantri Jan Arogya Yojana Scheme are subject to:
- Inpatient department care shall be as per the extant rates of Ayushman Bharat/Pradhan Mantri Jan Arogya Yojana,
- Employees’ State Insurance Corporation or Employees’ State Insurance Scheme Hospital is considered in the abovementioned notification as under utilized hospital; where during the last two financial years the bed occupancy was less than 60%.
- The Director-General, Employees’ State Insurance Corporation, should specify the Name of the ESIC/ESIS under utilised hospitals and the required operational modalities regarding Ayushman Bharat/Pradhan Mantri Jan Arogya Yojana, through executive orders from time to time.
Key Highlights of Aatmanirbhar Bharat Scheme 3.0
- Aatmanirbhar Bharat Rozgar Yojana Scheme (ABRY) aims to incentivize the creation of new employment opportunities in establishments that are registered under the Employees’ Provident Fund Organisation (EPFO). They will be benefitted from this scheme.
- On 1st October 2020, ABRY Scheme was commenced and registration under the same can be done till 30th June 2021 by eligible employers and new employees.
- On 12th November 2020, the Central Government introduced the ABRY 3.0 package. The package contained several incentive measures to revive the economy and provide relief to stressed sectors. As part of the package, ABRY Scheme was announced to incentivize the creation of new employment and restoration of loss of employment which happened due to the COVID-19 pandemic.
- The validity of the scheme on 1st October 2020 the Scheme was introduced and it shall remain open for eligible employers and new employees to get registered until 30th June 2021. For only a period of 24 months from the date of registration of a new employee, the benefits shall be available, not later than 30 June 2023 in any given circumstances.
- Under the Definition of The ABRY Scheme, New Employee is Defined as, any employee who receives a wage less than rupees 15,000 per month. And who was not working in any establishment and who does not have a universal account number before 1st October 2020 and they join employment in any other establishment on or after 1st October 2020 up to 30th June 2021 and who is allotted Aadadhar validated UAN.
- If an EPF Member allotted with Aadhar validated UAN, who left the employment between 1st March 2020 to 30th September 2020 from any establishment, such date of resignation or exit is recorded in UAN and if they join any establishment on or after 1st October 2020 and up to 30th June 2021 then they would be benefitted from the Scheme.
- Establishment, ownership returns, universal account number, wages, wage month is also defined under the definition of the scheme.
- Reference base of employees; ECR till November had to be filed before 15th December 2020, if not done then there will be an issue while obtaining the benefit. And if registration with EPFO is obtained by a new Establishment between 1st October 2020 and 30th June 2021 the reference base of employees shall be treated as zero.
- In an establishment, if there are employees less than or equal to 50 then to receive benefit two new employees should be employed. If in an establishment there are employees more than 50 then a minimum of 5 new employees shall be employed to receive the benefit of the scheme
- The reference base of employees shall be treated as zero in new establishments that are getting registered with EPFO.
- If there are less than 20 employees in an establishment who has voluntarily registered with EPFO and continue to maintain less than 20 employees during the validity of the scheme then this establishment would not be allowed to exit from statutory schemes under EPF & MP Act, 1952.
- Final withdrawals can’t be made until the expiry offer period of two years after the validity period of the scheme by the beneficiaries who received benefits in such establishments.
- The benefit under the scheme should not be claimed by establishments working as contractors engaged in providing manpower to one or more principal employers. If the principal employer receives or claims such benefits from the scheme then such number of employers shares which are claimed will be liable to be refunded to the Central Government.
- Eligibility criteria for employees, amount of benefit, and procedure of instructions for availing benefits under the scheme are also well explained under the scheme.
- Certificate/declaration of an employer is provided, it has to be read carefully. The guidelines and terms and conditions have to be followed.