The Free Annual Health Check-Up for Workers Over 40: Your Entitlement Under the 2026 Labour Codes

The government has launched a nationwide free annual health check-up programme for workers aged 40 and above. This is not a pilot or a state-specific scheme. It is a mandatory provision under the new Labour Codes, rolled out from May 7, 2026.

If you are an insured worker under the ESIC scheme and have crossed the age of 40, this directly applies to you. Here is what you need to know about your entitlement and what it means for you.

The Legal Framework Behind Your Entitlement

The health check-up mandate is rooted in the four new Labour Codes that came into effect from November 21, 2025. These codes consolidated 29 central labour laws into four comprehensive pillars: wages, industrial relations, social security, and occupational safety.

Two specific provisions establish your right to this check-up:

  • OSH Code, 2020, Section 6(1): This provision requires employers to ensure health and safety measures, including medical examinations, for their workers.
  • Social Security Code, 2020, Section 29: This section establishes the framework for ESIC benefits, including the expanded scope of medical coverage under the new regime.

Where employees are engaged in hazardous processes, annual medical examinations are mandatory irrespective of age. 

How the Check-Up Applies to You

Eligibility CriterionProvision
Insured Persons (IPs) aged 40+Entitled to annual free comprehensive check-up 
Workers in hazardous occupationsMandatory check-ups regardless of age 
CostFully borne by the ESIC Fund; free for beneficiaries 
ScopeBlood work, ECG, chest X-ray, consultations 
TreatmentDetected illnesses treated free at ESIC hospitals 

The Employer’s Role: Not Optional

Employers have been officially requested by ESIC to spread awareness about the programme and encourage eligible workers to attend health check-up camps at nearby ESIC hospitals. This is a statutory obligation under the new framework.

The Operational Reality

The programme is being implemented through ESIC’s extensive network of hospitals and dispensaries across the country. The initiative was launched simultaneously at 11 ESIC hospitals nationwide on May 7, 2026.

The primary objective is early detection of non-communicable diseases such as diabetes, hypertension, and cardiovascular conditions. Regular screenings are expected to help identify these conditions at an early stage, enabling treatment and lifestyle modifications before complications develop.

Insured persons aged 40+ are entitled to annual check-ups; participation ensures compliance with preventive health mandates. For workers in hazardous occupations, these check-ups are not optional.