WBXPress
WBHS
West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners. WBHS, 2008
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Online Purchase of Medicine is Accepted for Reimbursement under WBHS
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.
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Reimbursement of Medicine Cost in Non-Empanelled Hospital
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.
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Last Date for Inclusion of Aadhaar Number of Beneficiary under WBHS
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.
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Revision of Income Eligibility of Dependent Beneficiaries under WBHS
An amount of Rs. 8500/- for parent and Rs. 5000/- for other members of the family has been fixed as the maximum ceiling of gross income/ earning for becoming the dependent beneficiary under the Scheme.
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Processing of OPD Claim for Heart Diseases Category in WBHS
If patient has a history of cardiac surgery like of Bypass Surgery, AICD, Valve Replacement or Implantation of Stent through Angioplasty or Implantation of Pacemaker, will get lifelong reimbursement of the cost.
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Enhancement of Cashless Limit for IPD Treatment in Private Hospital under WBHS
Governor is now pleased to enhance the ceiling of cashless limit of each IPD treatment in private empanelled hospital up to Rs. 1,50,000/- only from the existing ceiling of Rs. 1,00,000/-.
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Online Processing of Advance Claim through WBHS Portal
Governor is pleased to introduce the online processing of medical advance claim through WBHS Portal with the following guidelines, new set of Forms and Pro-forma Estimate from the Hospital for processing and settlement of the claim:
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Seeking Prior Permission by Private Hospitals for Providing Certain Category of Treatment
Revision of guidelines for seeking permission by the state empanelled private hospitals from West Bengal Health Scheme Authority for providing treatment under West Bengal Health Scheme.
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Inclusion of Covid-19 Disease/ Illness in the OPD List under WBHS
Considering the gravity of the disease/illness named ‘Covid-19’ the West Bengal Health Scheme Authority (WBHSA) has agreed to include the same as 17th (seventeenth) disease/ illness in the OPD List of WBHS.
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Mandatory Inclusion of Aadhaar Number in database of WBHS
Last date of incorporation of Aadhar Number of existing beneficiaries above the age five years is 30.06.2022 failing of which they may face inconvenience to avail uninterrupted benefit under this scheme.
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