I am a state government employee posted in Purulia have a grievance regarding West Bengal Health Scheme 2008. Sir, I am covered by the West Bengal Health Scheme 2008. I need to regularly do medical check-ups of my wife in different empanelled private hospitals under the scheme. I have received reimbursements for such OPD check-ups before as well.
But, on the last occasion an objection was given on my reimbursement form by Purulia’s Treasury Officer and it was again put on stand the second time, even after I sent all the requisite documents and orders. The objection was given as : OPD Treatment should not be allowed as per order no. 10539 F[MED] dated 21/11/11 finance department by the Treasury Officer, Mr. Madhu Sudan Naskar.
But the said order is for non-empanelled hospitals only. But I did my wife’s check-up in Desun Hospital, Kolkata which is an empanelled hospital under West Bengal Health Scheme 2008. Desun Hospital’s empanelled code is: 0411001.
Thus, I am eligible for reimbursement as Desun Hospital is an empanelled hospital. Further Sir, the following link of the Order No 10539-F[MED] dated 21/11/11 gives a clear picture that the order is for non-empanelled hospitals only: