WBHS

West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners.

Revised Financial Power for Sanctioning Cost of Medical Treatment, 2022

Finance

Revision of financial power for sanctioning of reimbursement claims for medical treatment and attendance under West Bengal Health Scheme.

Online Purchase of Medicine is Accepted for Reimbursement under WBHS

Finance

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.

Reimbursement of Medicine Cost in Non-Empanelled Hospital

Finance

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.

Last Date for Inclusion of Aadhaar Number of Beneficiary under WBHS

Finance

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.

Revision of Income Eligibility of Dependent Beneficiaries under WBHS

Finance

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.

Processing of OPD Claim for Heart Diseases Category in WBHS

Finance

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.

Enhancement of Cashless Limit for IPD Treatment in Private Hospital under WBHS

Finance

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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