Section 56:
Medical benefit.
(1) An insured person or (where such medical benefit is extended to his
family) a member of his family whose condition requires medical treatment and attendance shall be
entitled to receive medical benefit.
(2) Such medical benefit may be given either in the form of out-patient treatment and attendance in a
hospital or dispensary, clinic or other institution or by visits to the home of the insured person or
treatment as in-patient in a hospital or other institution.
(3) A person shall be entitled to medical benefit during any 1[Period] for which contributions are
payable in respect of him or in which he is qualified to claim sickness benefit or maternity benefit 2[or is
in receipt of such disablement benefit as does not disentitle him to medical benefit under the regulations:
Provided that a person in respect of whom contribution ceases to be payable under this Act may be
allowed medical benefit for such period and of such nature as may be provided under the regulations]:
3[Provided further that an insured person who ceases to be in insurable employment on account of
permanent disablement shall continue, subject to payment of contribution and such other conditions as
may be prescribed by the Central Government, to receive medical benefit till the date on which he would have vacated the employment on attaining the age of superannuation had he not sustained such permanent
disablement:
4[Provided also that an insured person, who has attained the age of superannuation, and his spouse
shall be eligible to receive medical benefit subject to payment of contribution and such other conditions as
may be prescribed by the Central Government.]
Explanation.--In this section, "superannuation", in relation to an insured person, means the
attainment by that person of such age as is fixed in the contract or conditions of service as the age on the
attainment of which he shall vacate the insurable employment or the age of sixty years where no such age
is fixed and the person is no more in the insurable employment.]
Notes:
1. Subs. by Act 45 of 1984, s. 8, for "week" (w.e.f. 27-1-1985).
2. Subs. by Act 53 of 1951, s. 17, for "or, as provided under the regulations, is in receipt of disablement benefit"
(w.e.f. 6-10-1951).
3. Ins. by Act 29 of 1989, s. 23 (w.e.f. 1-2-1991).
4. Subs. by Act 18 of 2010, s. 14, for "the proviso" (w.e.f. 1-6-2010).