West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners.
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.
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/-.
Governor is now pleased to revise the existing rate list for Tata Medical Center, Rajarhat only, for treatment of the beneficiaries under West Bengal Health Scheme.
The existing and retired employees not enrolling their names under West Bengal Health Scheme by 31.03.2013 shall not be eligible to get the benefits of the Scheme in future.
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.
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:
Scheme regulating the medical benefits on reimbursement mode for the serving employees and pensioners including family pensioners of Gram Panchayat, Panchayat Samiti, Zilla Parishad and Mahakuma Parishad and the dependent family members thereto.
Governor is pleased to decide that all existing staff members of work charged establishments under State Government establishments will be included under West Bengal Health Scheme.
Guidelines to be adopted for change of sanctioning authority in connection with medical benefits under the W.B.H.S. 2008 for the State Government Pensioners/ Family Pensioners.
New matrix of Approving Authority for all employees and pensioners of PW Department as well as Directorates and sub-ordinate Offices will be as follows:-