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

West Bengal Health Scheme

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.

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.

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.

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/-.

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:

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.

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.

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.

Revised Financial Power for Sanctioning Cost of Medical Treatment


All Head of the offices under Govt. of West Bengal have the financial power for sanctioning the reimbursement cost of medical attendance and treatment under West Bengal Health Scheme (WBHS).

Seeking Prior Online Permission for Treatment outside West Bengal


Introduction of online functionality for seeking prior permission of availing treatment in Enlisted Hospitals outside the State through West Bengal Health Scheme Portal.