WBHS
West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners.
WBHS beneficiaries often face a lot of problems e.g. Improper Medical facilities from empanelled hospitals nursing homes, difficulties while reimbursement of medical bill for final settlement.
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.
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.
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.
Revision of financial power for sanctioning of reimbursement claims for medical treatment and attendance under West Bengal Health Scheme.
Introduction of Government Employee/ Pensioners login in West Bengal Health Portal and uploading all beneficiaries’ photo, signature and blood group at the time of Online Enrolment.
(a) AIIMS, New Delhi, (b) PGIMER, Chandigarh, (c) Tata Memorial Hospital, Mumbai, (d) NIMHANS, Bangalore, (e) Christian Medical College, Vellore, (f) Apollo Hospitals, Chennai, (g) Sankara Netralaya, Chennai (h) L.V. Prasad Eye Hospital, Hyderabad, (i) Asian Institute of Gastroenterology, Hyderabad, (j) Metro Hospital & Cancer Institute, New Delhi.
Introduction of online functionality for Opt-out and Termination of enrolment from West Bengal Health Scheme through WBHS Portal.
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.
Revision of Guidelines for Advance Purchase of Medicines and Submission of OPD Claim for Reimbursement under the West Bengal Health Scheme (WBHS).