[Resolved]  ESIC — Poor response from ESIC personnel / multiple visits at branches to get temporary disability benefit

Address:

Ahmedabad, Gujarat

My name is Krunal Savaliya. My insurance number is - [protected]. I met with an accident on 28th Jan 2014 while I was about to reach office as routine.There wasn't any external injury but I was not able to stand on my right leg due to internal injury. At that time I was taken to V S General Hospital.My x-ray report was normal so doctor suggested to do MRI report. In MRI report doctor found knee injury(ACL tear) and told that I do not need to go through any operation and suggested to take bed rest for at least for a month. They have given rest certificate also for the same. After few days back I visited ESIC Model Hospital(Bapunagar) on 3rd Feb to get temporary disability benefit. I shown them x-ray and MRI reports with medical rest certificate. Doctor checked me and approved rest for a month but ESIC personnel at DO16 insisted to give me rest certificate on the basis of ESIC doctor report card and told to get it approved from medical referee at Dariyapur.My wife and me went to Dariyapur and took approval of medical referee at dariyapur and submitted the same at DO16. But still DO 16 personnel gave me rest certificate for a week from 3rd Feb and told to come back after a week for extension of leave. My concern is that why I can not get temporary disability benefit from 28th Jan the date which I met with an accident. Government hospital certificate is no more valid for ESIC? If ESIC doctor is approving leave on the basis of the reports dated 28th Jan, then why they can not give me rest certificate from 28th Jan. Moreover while I visited ESIC - Paldi branch to submit documents to pass leave for a week thay told that accident report is not submitted by my company. I checked with my company and tried to resubmit accident report online but it is showing that accident report is already submitted for this person with reference number 277109. Also ESIC personnel told to get few more documents from ESIC Dariyapur branch. While my brother visited that branch Mr Gandhi (Medical referee) denied to give that documents stating that he had already given the same. Whereas in actual he hasn't give us any other document except RM 5 card while I and my wife visited the branch personally. I am not getting proper response from any branches. Every time they people ask to arrange one new document from another branch and while we ask that branch we get poor answer.Sometimes they misbehave also with us and tell to bring patient to ESIC branch and then only we give all certificates. I have also sent complaint mail to respective RO office as well as central contact person mail id but not getting any response from them also. Pls help