West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners.
In the event of the death of a Government employee or pensioner enrolled under WBHS while undergoing IPD treatment at an empanelled HCO, the following procedure shall apply:
Revision of Guidelines for Advance Purchase of Medicines and Submission of OPD Claim for Reimbursement under the West Bengal Health Scheme (WBHS).
Governor is now pleased to enhance the ceiling of cashless limit of each IPD treatment in private empanelled hospital to Rs. 2,00,000/- only from the existing ceiling of Rs. 1,50,000/-
Governor is pleased to appoint West Bengal Clinical Establishment Regulatory Commission (WBCERC), as the arbitrator hereafter under WBHS for resolving disputes regarding West Bengal Health Scheme.
Inclusion of State Govt. pensioner/ family pensioner and retired member of AIS of the State Cadre who are parent of government employee, as dependent beneficiary under their in-service son/daughter in WBHS.
Dialysis is a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly. This procedure is done frequently as a life saving measures for the patient suffering from renal failure (CKD-V stage).
Discontinuation of Form-H and introduction of comprehensive Form-D4 & preparation of claims in progressive manner by the private hospitals under WBHS.
Governor is now pleased to revise the existing rate list for Tata Medical Center, Rajarhat only, for treatment of the beneficiaries under West Bengal Health Scheme.
New matrix of Approving Authority for all employees and pensioners of PW Department as well as Directorates and sub-ordinate Offices will be as follows:-
Revision of financial power for sanctioning of reimbursement claims for medical treatment and attendance under West Bengal Health Scheme.