OFFICE OF THE STATE MEDICAL COMMISSIONER

ESI CORPORATION, REGIONAL OFFICE

•
- 5-9-23, HILL FORT ROAD, ADARSHNAGAR
,
HYDERABAD - 500 063
.
. e-mail: ssmc-ap@esic.nic.in Tele Fax:23237382
•
.
No: 52-u/16/37/58)/2013/SMCONoI.V Dated: 13.03.2014

To
The Director,
Insurance Medical Services,
Opp: New Gandhi Hospital,
Musheerabad,
SECUNDERABAD0500 003

Sir,

Sub:- Provision of Super Speciality Treatment to ESI Beneficiaries - Tie-up

arrangements with CGHS approved hospitals/institutions (public or private)
in the State as per CGHS rates - Renewal - Reg.
Ref:- Letter No.V-24111110-2004-Med.l dated:23.07.2008 received from the
Deputy Medical Commissioner, ESIC, Hqrs. Office, New Delhi
*****
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 CGHS approved
hospitals/institutions in the State as per CGHS rates. In accordance with the instructions,
this office has renewed the M.O.A. 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 & Dt of Memorandu Treatment/Consultation Requirements for availing

No address of the renewal of mof Services available the facility
empanelled M.O.U. Agreement
hospitals (MOA)
valid up to
01 MIs. Prime 13.03.2014 18.03.2016 Cardiology, l.Referral Ietter from the
Hospitals, Cardio Thoracic and respective Superintendents,
Plot No.4, The period Vascular Surgery, ESI Hospitals/IMOs
Behind between Urology, In-charge
Mythrivanam, 19.01.2014 Neurology, 2.Eligibility Certificate
Beside Blue to Neurosurgery. for Super Speciality
Fox Hotel, 18.03.2014 Nephrology, Treatment from the
Ameerpet, extended - MRI, CT Scan, TMT, Branch Managers,
Hyderabad- vided letter 2D Echo, specialized ESIC (in original)
500038 Dt07.02.14 Bio Chemical and 3.Photocopy of ESI
Immunological Identity Card (attested)
investigations

,
• -
_0. ....,~ ,"
,';'~",~.~" .J,~ 14tltl-\i-,<\I
t
\,,','.~'t.;-'ij.G
COfltt'nt"
....~'...
!YI2n<'gement.._ .... · .....
•
~,) 4- .
'~-r, ~rt>~\
~
,
:-..: '~I (.j I
I • <4('\1
~'h,l' J
No
~..
..;:r: .
+-
,
j
n _,.".
,~ ••• '" ••••••
(j
,."
.t.!\l...
D.·/.·l .'..,
 2

It is, therefore, requested that all the respective Superintendents of the ESI
Hospitals/Authorised IMOs Incharge may please be advised to refer the ESI beneficiaries
to the above mentioned empanelled hospitals 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,

\/\,.1 ~'v~ \ .,~:~,

( Dr.~~. ,MIN) \'/ \ 'Zs .
Sr. STATE MEDIOO 'COMMIsS.toN R

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

Copy to:-

I. The Medical Commissioner, ESI Coporation, Hqrs. Office, New Delhi-02 for
kind information.
1. The Director (Finance), ESI Corporation, Hqrs. Office, New Delhi-02
3. The Regional Director, ESI Corporation, Regional Office, Hyderabad
4. The Dy. Director (Finance/Benefits Branch), ESI Corporation, Regional Office,
Hyderabad
~. j?,e-up hospital concerned
y :_he Website Content Manager, ESI Corporation, Hqrs. Office, New Delhi with a
request to upload this letter on ESIC website.
7. The Principal Secretary to Government (Labour, Employment, Training &
Factories Department), Govt. of A.P. Secretariat, Hyderabad
8. The Medical Superintendent, ESI Hospital, Visakhapatnarnl Vijayawada!
Sanathnagar/RC PurarnlSirpurkagaznagar/Rajahmundry/Tirupati/Warangal.
9. The Medical Superintendent, ESIC Model Hospital, Nacharam, Hyderaad-72
10. The Medical Superintendent, ESIC Super Speciality Hospital, Sanathnagar,
Hyderabad.