Archive · 16 Nov 2025
ESIC Patient Denied Cashless Treatment, Family Charged Rs 4.3 Lakh
Imagine you have a special card that means a hospital should treat you for free, like an insurance card.
A man named Jashanpreet got hurt while working and went to the hospital.
His family told the hospital he had this special insurance card.
But the hospital didn't give him the free treatment and asked his family to pay a lot of money.
First, they paid some money, then they paid a lot more, about $4.3$ lakh in total.
The hospital even asked for more money when it was time to go home.
Jashanpreet's father told the people in charge of the special insurance, and they told the hospital to give the money back.
The hospital said it was a misunderstanding because they didn't know about the card right away.
The people in charge of the insurance are making sure the hospital follows the rules so this doesn't happen to others.
An ESIC-insured patient, Jashanpreet Khan, was allegedly denied cashless treatment by Eden Critical Care Hospital in Chandigarh.
The patient's family claims they were charged Rs 4.30 lakh for medical services over 10 days, despite having ESIC coverage.
The hospital allegedly demanded an additional Rs 90,396 at the time of the patient's discharge.
An official complaint was filed with ESIC, which issued directions to the hospital to refund the amount and provide treatment as per standard operating procedures.
The hospital manager cited confusion regarding the patient's ESIC status at the time of admission as the cause of the issue.
- Who
- Jashanpreet Khan, an ESIC-insured employee, his family, Eden Critical Care Hospital, and ESIC officials
- What
- An ESIC-insured patient was allegedly denied cashless treatment and charged approximately Rs 4.30 lakh by a hospital, leading to a complaint to ESIC.
- When
- The incident occurred in early November, with the complaint filed on November 14 and ESIC issuing directions on the same day.
- Where
- Chandigarh, India
- Why
- The hospital allegedly denied cashless treatment to an ESIC beneficiary, violating an MoU, while the hospital cited confusion over the patient's insurance status at the time of admission.
Family's Allegations
Hospital's Defense
Cashless Treatment Denial
Family's Allegations
The family alleges that the hospital denied cashless treatment despite the patient being insured under ESIC, and was forced to pay a significant amount for medical bills.
Hospital's Defense
The hospital manager claims the family did not inform them about the patient's ESIC card at the time of admission, and the issue arose due to this initial lack of information.
Information Provided at Admission
Family's Allegations
The patient's father claims he informed the hospital about his son's ESIC entitlement at the time of admission.
Hospital's Defense
The hospital manager states that the family informed them about the ESIC cardholder status the 'next day' after admission.
Discharge and Further Billing
Family's Allegations
Despite ESIC directions to refund the collected amount, the hospital discharged the patient while still preparing a bill for nearly Rs 90,000.
Hospital's Defense
The hospital manager did not specifically address the additional billing at discharge, focusing on the initial confusion regarding ESIC information.
- Patient Name
- Jashanpreet Khan
- Employer
- Cosmo Automobiles
- Date of Injury/Admission
- November 5
- Hospitals Involved
- GMCH Sector 32 (Chandigarh), Eden Critical Care Hospital (Chandigarh)
- Amount Paid by Family
- Rs 4,30,000 (Rs 30,000 admission + Rs 4,00,000 medical bill)
- Additional Amount Demanded at Discharge
- Rs 90,396
- ESIC Complaint Filed
- November 14