West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners.
Mandatory Surrender of Swasthya Sathi and/or Ayushman Bharat Cards by all Employees and Pensioners, including those from All India Service (AlS), and their Beneficiaries enrolled under WBHS.
Governor is pleased to prescribe the following guidelines in respect of enrolment & updation of Enrolment Certificate of beneficiaries in the interest of proper medical attendance & treatment under WBHS:
Pension Sanctioning Authority (PSA) shall issue the Enrolment Certificate under WBHS to the retiring employee on the date of superannuation, so as to ensure uninterrupted coverage under the Scheme.
Introduction of mandatory Annual Health Checkup for the WBCS (Exe) officers of the age of 40 years or above in line with the provisions made in this regard for AIS & Central Civil Service Officers.
Governor is pleased to introduce the modified TR Form 31A for drawal of fund related to claims for Reimbursement/ Advance/ Advance Adjustment under West Bengal Health Scheme for the beneficiaries of Grant-in-aid Colleges and Universities and Employees and Pensioners of the Panchayati Raj Bodies”
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:
Scheme regulating the medical benefits on reimbursement mode for the serving employees and pensioners including family pensioners of Gram Panchayat, Panchayat Samiti, Zilla Parishad and Mahakuma Parishad and the dependent family members thereto.
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.