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ESIC Medical Claim Assistance – by Kaagjee

ESIC Medical Claim Assistance – by Kaagjee

₹353.00

This is initiation payment now. Further charges apply only after document verification.

Description:-

If you or your family member is insured under ESIC and have incurred medical expenses for treatment, you can claim reimbursement under the ESIC medical scheme. Kaagjee simplifies this by handling the entire claims process remotely, so you don’t have to visit any ESIC office or stand in queues.

Our expert team ensures your claim is submitted accurately and swiftly, helping you get your rightful medical expenses reimbursed — all from your home.

Required Details & Documents:-

📂 Please keep these ready when our team contacts you:

Documents Required for ESIC Medical Reimbursement Claim:

  1. ESIC Insurance Card or IP Number

  2. Medical Bills and Receipts
    (Originals or scanned copies)

  3. Discharge Summary or Medical Certificate
    (From ESIC Hospital or Doctor)

  4. Prescriptions for Medicines or Treatment

  5. Aadhaar Card of the Insured Person

  6. Bank Account Details
    (Passbook or cancelled cheque)

  7. Form 31 (Medical Reimbursement Claim Form)
    (Duly filled — assistance available)

  8. Any Other Supporting Documents
    (As required by ESIC)

How It Works:-

1.Select “ESIC Medical Claim” service in the Kaagjee app.
2.Upload all required medical bills and documents.
3.Our team reviews and completes the claim forms for you.
4.We submit your claim online or to the regional ESIC office.
5.Follow-up is done by Kaagjee until claim approval.
6.Once approved, medical expenses are reimbursed directly into your bank account.
  • ⏱️ Processing Time: Approximately 15–30 days depending on claim complexity.

    • Data Privacy & Security:-

  • All documents and personal data are securely encrypted during upload and storage.
  • Only authorized Kaagjee staff access your data to process claims.
  • We do not share your personal information with any third party.
  • You can request data deletion anytime via your Kaagjee profile.
  • Full compliance with Indian data protection laws is ensured.

    • Frequently Asked Questions (FAQs):-

    Q1. What medical expenses are covered under ESIC claims?
    A: Expenses for hospitalization, medicines, diagnostics, surgeries, and approved treatments at ESIC or empaneled hospitals.
    Q2. Can I claim if treatment was done outside ESIC hospitals?
    A: Generally, claims are preferred for ESIC hospital treatments, but some non-ESIC hospital claims may be allowed with prior
    approval.
    Q3. How long does it take to get reimbursement?
    A: Usually 15 to 30 working days, depending on claim documentation and ESIC processing times.
    Q4. Do I need to visit the ESIC office in person?
    A: No, Kaagjee handles all submissions and follow-ups online or through ESIC regional offices on your behalf.
    Q5. Can family members claim medical reimbursement?
    A: Yes, dependents covered under the insured’s ESIC policy can claim medical benefits.
    Q6. What if my claim is rejected?
    A: Kaagjee assists in reviewing reasons and re-submitting with additional documents if required.

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