West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners.
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.
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.
With the inclusion of Pay Clinic of Government Hospitals and Tata Medical Centre, Rajarhat under WBHS and due to implementation of ROPA 2019, and as such it has been felt necessary to redefine the type of accommodation which the employees and pensioner may avail at the time of indoor treatment.
Now, the cost of medical treatment in non-empanelled private Health Care Organisation is also reimbursable under certain conditions. Request for clarifications of some points laid down in the said Scheme after its amendments are being received by this department from various corners.
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.
Governor is pleased to introduce the two new TR forms with number TR-68C and TR-31A for drawal of fund related to claims for Reimbursement/ Advance/ Advance Adjustment under WBHS in respect of Government employees/ pensioners and Teachers /Officers of GIA Colleges & Universities.
Condonation of delay beyond one year for both Indoor and OPD cases, proposal is to be submitted through the administrative department before the WBHS Authority under Finance Department.
For processing of claim of West Bengal Health Scheme (WBHS) through WBHS Portal, mapping of Payment Head of Account from the end selective users (Head of Office himself/ herself or Approver of User Administration) of a Head of Office, is mandatory.
For receiving treatment at Tata Memorial Hospital, Mumbai, prior permission of the West Bengal Health Scheme Authority and referral from recognized Health Care Organization will no longer be necessary.