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An
insured person intending to claim
sickness benefit has to submit a
claim for benefit in one of the
forms 12,13 or 14 appropriate to
the circumstances of the case to
the concerned branch
office.
A
claim for sickness benefit can be
made only on the basis of medical
certificates issued by the doctors
appointed for this purpose under
the Scheme.
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When claim becomes due
When claim is
payable
Eligibility
conditions
How
to claim
Certification
Download
forms
Extended
Sickness Benefit
Enhanced
Sickness Benefit
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However, the
Corporation may accept any other
evidence of sickness or temporary
disablement if in its opinion the
circumstances of any particular
case so justify. The certificates
issued by the Insurance Medical
Officers are the first, the
intermediate, the special
intermediate and the final
certificates. The claim form for
benefit is printed just below each
certificate.
An insured person may, if he so
desires, deposit the certificates
in the box, if any, provided for
the purpose at the dispensary or
at the Branch Office to which he
is attached, he may send them by
post or may present them in the
Local Office in person, or may
deliver the same at the Branch
Office through his agent or
messenger.
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