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WBHS
West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners.
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.
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.
Acceptability of online purchase for medicine and mandatory submission of Cash Memo/ Tax Invoice from GST registered pharmaceutical shops in case of offline purchase of medicine.
Yes, up to 60% or 80% (depending on the nos. of available beds of treating hospital) of cost for admissible medicines prescribed in Trade/ Brand name for indoor treatment is reimbursable.
Governor is now pleased to extend the last date for incorporation of the Aadhaar No. for the employees/ pensioners along with their beneficiaries above the age of five years up to 31.03.2023.