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OFFICE OF THE STATE MEDICAL COMMISSIONERESI CORPORATION, REGIONAL OFFICE

5-9-23, HILL FORT ROAD, ADARSHNAGARHYDERABAD - 500 063

.......... e:-~~~:~~r:'c~~gtq?~~i~:n.ic::.!n!~le.~ax.:~~~3?~8~ .....

Dated: 11.09.2013No: 52-U/16/37/58)/2013/SMCO/voI.Y

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Sub:- Provision of Super Speciality Treatment to ESI Beneficiaries - Tie-uparrangements with DME/CGHS approved hospitals/institutions (public orprivate) in the State - fresh tie up - Reg.

Ref:- Letter No.Y-24/11/l0-2004-Med.1 dated:23.07.2008 received from theDeputy Medical Commissioner, ESIC, Hqrs. Office, New Delhi

ToThe Director,Insurance Medical Services,Opp: New Gandhi Hospital,Musheerabad,SECUNDERABAD-500 003

Sir,

*****

In order to make available super speciality treatment and investigations in a hassle

free and cashless manner, the Hqrs. Office, ESIC, New Delhi, vide their letter under

reference cited, directed this Office to make tie-up arrangements with DME/CGHS

approved hospitals/institutions in the State as per 20l0-Non-NABH rates. In accordance

with the instructions, this office has entered in to tie-up with the following hospital for

providing Super Speciality Treatment to ESI beneficiaries. The validity period of MOA

is mentioned in column No.4 and cases are to be referred up to validity period only.

SI. Name & Dtof Memorandu Treatment/Consultation Requirements' for availing0 address of the M.O.A for mof Services available the facility

empanelled empanel me Agreementhospitals nt (MOA)

valid up to-0'1''' AMERICAN 11.09.2013 10.09.2015 ONCOLOGY l.Referral letter from the

ONCOLOGY TREATMENT respective Superintendents,INSTITUTE, (Surgical Oncology, ESI HospitalsilMOsNallagandla, Medical Oncology. In-charge/Panel ClinicsSerilingam Radiation Oncology. 2.Eligibility Certificatepally, Nuclear Medicine, for Super Speciality

",".Hyderabad- Laboratory & Treatment frOIDthe500019 Radiology) Branch Managers,

ESIC (in original)3.Photocopy of ESI

~f1I~e ~ ~Identity Card (attested)

"1>-,"""" , ~ 'fa ~ ..-..- .....Websit~ C~nts Managt:w.l""L. ...........-fTor~' . /

3......5;.7...>..,,, '1 I 'f! Diery N,

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-t-' ". 'J,:"""'1, :.'

It is, therefore, requested that all the respective Superintendents of the ESI

Hospitals/Authorised IMOs Incharge/Panel Clinics may please be advised to refer the

ESI beneficiaries to the above mentioned empanelled hospital for Super Speciality

Treatment. Please ensure that only patients needing super speciality

treatment/procedure/investigations as mentioned in Hqrs. Office instructions dated

23.07.2008 are referred.

The entire expenditure for providing the above services shall be borne by ESI

Corporation,

Yours faithfully, c

\\ .r- / L' j~ \ '\ ••

( Dr. P.K. 1M1\!) \ v

Sr. STATE MEDICAL COMMISSIONER

Note: For patients needing dialysis, MRI, CT Scan, other Biochemical, Pathologicalinvestigations, instead of Eligibility Certificate for Super Speciality Treatment, only !!~eligibility certificate for medical benefit issued by lMO In-charge or Branch Manager,ESIC would suffice.

---- •••.~"'>.

Copy,to:- .".,'

~.JS.. I••.••• L.~ '~',.'

I. The Medical Commissioner, ESI Coporation, Hqrs. Office, New Delhi-02 forkind information.

2. The Director (Finance), ESI Corporation, Hqrs. Office, New Delhi-023. The Regional Director, ESI Corporation, Regional Office, Hyderabad4. The Dy. Director (Finance/Benefits Branch), ESI Corporation, Regional Officer

Hyderabad5. Tie-up hospital concerned6./The Website Content Manager, ESI Corporation, Hqrs. Office, New Delhi with aV request to upload this letter on ESIC website.7. The Principal Secretary to Government (Labour, Employment, Training &

Factories Department), Govt. of A.P. Secretariat, Hyderabad8. The Medical Superintendent, ESI Hospital, Visakhapatnam/ Vijayawada!

Sanathnagar/RC Puram/Sirpurkagaznagar/Rajahmundry/TirupatilWarangal.9. The Medical Superintendent, ESIC Model Hospital, Nacharam, Hyderaad-7210. The Medical Superintendent, ESIC Super Speciality Hospital, Sanathnagar,

Hyderabad. /",,\ \

\I (:\~I .:.\ , \

Sr. STATE MEDIC:'AL COMMISSIONER

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