West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners.
To apply for the same to any office up to sub-divisional level of the department concerned nearest to the residence of the pensioner or to the office of the Sub-divisional Officer of the Sub-Division where pensioner resides.
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.
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.
Governor is pleased to prescribe the entitlement of accommodation for indoor treatment in different Hospitals including the Government Hospitals and Tata Medical Centre, Rajarhat to the beneficiaries under WBHS after ROPA-2019
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:
Governor is pleased to implement ONLINE functionality for discontinuation of Medical Allowance/ Relief from the Salary/Pension of the enrolled employee and pensioner with the following directives:
Prior permission of the West Bengal Health Scheme Authority will not be required for purchase of Digital Hearing Aid subject to the condition that the maximum reimbursable amount is limited to the rate mentioned under WBHS code No. 03003003.
The facility shall be restricted only for the treatment of one or more diseases/ illness mentioned in the Enrolment Certificate out of the above mentioned critical diseases/ illness.
Cashless medical treatment up to Rupees one lakh will be provided to the beneficiaries for undergoing treatment in private empanelled hospitals within the state including NCR.