West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners.
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.
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.
In the event of the death of a Government employee or pensioner enrolled under WBHS while undergoing IPD treatment at an empanelled HCO, the following procedure shall apply:
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.
Relaxation of proviso of Financial Power for Sanctioning Cost of Treatment for payment against Cashless Admissibility Reimbursement Certificate (CARC).
Governor is pleased to provide medical benefits to the Serving Teachers incl. Librarians and Graduate Laboratory Instructors of Govt-aided Colleges and State-aided Universities.
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 now pleased to enhance the ceiling of cashless limit of each IPD treatment in private empanelled hospital to Rs. 2,00,000/- only from the existing ceiling of Rs. 1,50,000/-
For treatment in non-empanelled Health Care Organisations, cost of medicines in generic names may be reimbursed in full. Trade name shall not be considered by any means.