West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners.
Authority may condone the cases related to delay in preferring of indoor treatment claim beyond 3 months but within 1 year from the date of discharge on reasonable ground.
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:
Dialysis is a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly. This procedure is done frequently as a life saving measures for the patient suffering from renal failure (CKD-V stage).
Advance purchase of medicine for maximum period upto six months may be allowed when medicine are prescribed for indefinite period by outside hospitals.
All WBA & AS cadre officers are requested to take prior permission before receiving treatment, in any recognized speciality hospitals outside West Bengal.
Governor is pleased to introduce the modified TR Form 31A for drawal of fund related to claims for Reimbursement/ Advance/ Advance Adjustment under West Bengal Health Scheme for the beneficiaries of Grant-in-aid Colleges and Universities and Employees and Pensioners of the Panchayati Raj Bodies”
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 relax the income limit for parents, son, minor brother, unmarried/ widowed/ divorced daughters, unmarried/ widowed/ divorced sisters of the Government employee/ pensioner for medical treatment of Critical diseases.
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.
Cost up to 80% of the West Bengal Health Scheme approved rates may be reimbursed for the indoor medical treatment, if availed in a non-empanelled private hospital.