एलिगो (Eligo) सरकारी योजनाओं की खोज हेतु भारत का स्वतंत्र नागरिक सूचना मंच है — किसी भी सरकारी निकाय से संबद्ध नहीं।

Eligo
स्वास्थ्य बीमा✓ 100% सरकारी समर्थितLadakhसत्यापित: 2026-09-18 (180-दिवसीय SLA)

Employees' State Insurance (ESIC) Medical & Cash Benefits — Ladakh

Statutory multi-dimensional medical and cash disability insurance for industrial wage-earners across Ladakh.

बीमा सुरक्षा कवरेज100% Comprehensive Cashless (No Financial Limit)
प्रीमियम दर0.75% of wages (Employee) + 3.25% (Employer)
दावा निपटान अनुपात (CSR)100% (Statutory Social Security)
आरंभ वर्ष1952

🛡️मुख्य लाभ एवं सुरक्षा विवरण (Key Benefits)

Complete outpatient, specialist consultation, surgical treatment, and maternity care across ESIC hospitals in Leh. Includes sickness cash benefit (70% wages up to 91 days), temporary disablement benefit (90% wages), permanent disablement lifelong pension, and dependent family pension.

📋पात्रता की शर्तें (Eligibility Rules)

Employees drawing wages up to ₹21,000 per month working in factories and notified commercial establishments with 10 or more employees in Ladakh.

📂आवश्यक दस्तावेज (Required Documents)

ESIC Pehchan Smart Card, Aadhaar Card of employee and dependents, Wage slip showing ESI contribution deduction.

⚠️क्या कमी है / महत्वपूर्ण चेतावनियां (Honest Caveats & Policy Exclusions)

Applicable only to employees in organized factories/establishments earning up to ₹21,000/month (₹25,000 for PwD). Unorganized informal workers not covered. If employment terminates, medical cover ceases after standard run-off period.

🚀आवेदन एवं दावा प्रक्रिया (How to Apply & Claim)

1. Employer registers establishment and generates IP (Insured Person) Pehchan Number on esic.gov.in. 2. Insured Person adds family dependents and seeds Aadhaar. 3. Download Pehchan e-Card via UMANG App or ESIC portal. 4. Walk into any local ESIC dispensary or hospital with Pehchan Card for cashless treatment.