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Eligo
Health InsuranceGovt / PSU BackedAll IndiaEst. 2020

ESIC Super Speciality Tie-Up Hospital Emergency Treatment

Cashless oncology, cardiology, organ transplant, and neurosurgery care at premier private tie-up hospitals for insured workers.

Sum Insured / Cover
100% Cashless Super Specialty Care
Annual Premium
100% Free / Government Funded
Claim Settlement
99.0% (Direct Government Grant)
Network / Scope
500 Empaneled

✦ Key Benefits & Policy Coverage

Cashless oncology, cardiology, organ transplant, and neurosurgery care at premier private tie-up hospitals for insured workers.
What is Missing: Critical Policy Exclusions & Limitations

Eligo disclosure: Private insurance agents and official ads rarely mention these limitations. Verify before relying on this coverage.

Requires online referral from ESIC hospital except in acute emergency admissions within 24 hours.

✦ Eligibility Requirements

Insured workers with 2+ years of continuous ESI contributions and active IP status.

✦ Application, Enrollment & Claims Process

1. Verify medical diagnosis at designated government medical college or Center of Excellence. 2. Submit medical committee recommendation and Aadhaar. 3. Financial clearance or cashless voucher issued.
Official Government / PSU Portal
Apply or verify on the official administrative domain
Official Portal

✦ Documents Checklist

Medical Board Certificate, Diagnostic Reports, Aadhaar Card, Income Certificate / Ration Card.

✦ Life Situations Where This Scheme Helps

Underwriting Entity & Public Grievance Contact

Administering Body:

Government of India