West Bengal Health Scheme is to provide Medical Benefits to the State Government Employees and their dependent family members, State Government Pensioners.
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.
Considering the gravity of the disease/illness named ‘Covid-19’ the West Bengal Health Scheme Authority (WBHSA) has agreed to include the same as 17th (seventeenth) disease/ illness in the OPD List of WBHS.
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:-
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/-.
All WBA & AS cadre officers are requested to take prior permission before receiving treatment, in any recognized speciality hospitals outside West Bengal.
Revision of guidelines for seeking permission by the state empanelled private hospitals from West Bengal Health Scheme Authority for providing treatment under West Bengal Health Scheme.
Advance purchase of medicine for maximum period upto six months may be allowed when medicine are prescribed for indefinite period by outside hospitals.
Whether Government Employee/ Pensioner and their eligible dependent members of the family can avail reimbursement facility with the ‘Certificate of Enrolment’ generated from Health Scheme Portal?
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.