 |
Benefits |
|
Sickness Benefit:
|
|
Sickness Benefit represents periodical payments to an insured person during the period of certified sickness. To qualify for this benefit‚ contributions should have been paid for at least seventy-eight days in the relevant contribution period. The maximum duration of availing Sickness Benefit is 91 days in two consecutive benefit periods. There is a waiting period of 2 days that is waived if the insured person is certified sick within 15 days of the last spell for which sickness benefit was last paid. The sickness Benefits rate is roughly equivalent to 60% of the average daily wages of an insured person. |
|
|
After exhausting the Sickness Benefit payable up to 91 days‚ an insured person if suffering from ruberculosis/leprosy‚ mental and malignant diseases or any other specified long-term diseases is entitled to Extended Sickness Benefit at a higher rate of not less than 70% of average daily wages for a further period of 124 days/two years provided he has been in continuous services for a period of 2 years or more in a factory or establishment to which the provisions of the Act apply and fulfils the contributory conditions as per the Corporation's resolution. The list of there specified long-term diseases‚ is‚ constantly reviewed by the Corporation on the recommendations of the Medical Benefit Coucil and includes 34 diseases presently. |
|
|
Enhanced Sickness Benefit at double the ordinary Sickness Benefit rate, i.e. at about full average daily wage is also provided to insured persons eligible to ordinary sickness benefit, for undergoing sterilization operations for family planning. The benefit is payable for up to 7 days in case of vasectomy and up to 14 days for tubectomy, the period being extendable in case of post-operative complications etc. |
|
| |
Extended Sickness Benefit is a
Cash Benefit paid for prolonged illness due to
any of the 34 specified diseases as mentioned
below. |
|
| |
| |
Tuberculosis
Leprosy
Chronic
Empyema
Bronchiectasis
Interstitial Lung
disease
AIDS
Malignant
Diseases
Diabetes Mellitus-with proliferative
retinopathy/diabetic footl
nephropathy.
Monoplegia
Hemiplegia
Paraplegia
Hemiparesis
Intracranial
space occupying lesion
Spinal Cord
Compression
Parkinson's disease
Myasthenia
Gravis/Neuromuscular Dystrophies
Immature
Cataract with vision 6/60 or less
Detachment
of Retina
Glaucoma
Coronary Artery
Diseases
Congestive Heart Failure-Left,
Right
Cardiac valvular Diseases with
failure/complications
Cardiomyopathies
Heat
disease with surgical intervention along with
complications
Chronic Obstructive Long
diseases .(COPD) with congestive' heart failure
(CorPulmonale),
Cirrhosis of liver with
ascitis/chronic active hepatitis,
("CAH")
Dislocation of vertebra/prolapse of
intervertebral disc
Non union or delayed
union of fracture
PostTraumatic surgical
amputation of lower extremity
Compound
fracture with chronic
osteomyelitis
Schizophrenia
Endogenous
depression
Maniac Depressive Psychosis
(MDP)
Dementia
More than 20% Burns with
infection/complication
Chronic Renal
Failure
Reynaud's disease/Burger's
disease |
|
| |
| |
In addition, extended sickness
benefit may also be sanctioned by the prescribed
authority, in case of any rare disease or
special circumstances on the recommendation of
the specified authority. |
|
| |
|
...back |
|
