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Clarifications on West Bengal Health Scheme

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  • #61627
    WBXPress Team
    Keymaster

    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. https://wbxpress.com/clarifications-on-health-scheme-2008/

    #61628
    WBXPress Team
    Keymaster

    In case of OPD reimbursement is admissible for the following:
    (i) Malignant diseases,
    (ii) Tuberculosis,
    (iii) Hepatitis B/C and other liver diseases,
    (iv) Insulin-dependent diabetes,
    (v) Heart diseases,
    (vi) Neurological disorders/ Cerebrovascular disorders,
    (vii) Malignant malaria,
    (viii) Renal failure,
    (ix) Thallasaemia/ Bleeding orders/ Platelet disorders,
    (x) Injuries caused by accidents.
    Which category do you fall under? I think none. Then the answer is negative.

    #61629
    Anonymous
    Inactive

    I think endoscopy and usg are admissible. Please refer sl. no. 10 of the memorendum no. 797-F (MED) dated 31.01.2011 of WB Finance Deptt., Audit Branch (medical cell). It is available in website of wbfin.

    #61630
    Anonymous
    Inactive

    sir,
    memo no 9205-F (MED) dt 5/10/2009 clarify about medical allawnce deduction when one of in direct govt. employee & other in sposored school or any other where govt gives M.A. as a member of WBHS’2008. as per the order both of them have not to draw M.A.

    #61631
    Anonymous
    Inactive

    sir,
    Dr has provided an estimate of Rs100000 for ventral hernia repair (laproscopy), including disposal worth Rs57000. Will u kindly inform me about the amount reimbursable.

    #61632
    Anonymous
    Inactive

    To abhisek roy,
    govt approved rate for this is rs.18000/-(code:01023022). it is a package rate like all other surgery. an empanelled n.h is bound to operate in this rate according to order.

    #61633
    Anonymous
    Inactive

    A GOVT. EMPLOYEE ENROLLED HIS NAME IN THE WEST BENGAL HEALTH SCHEME, 2008. HIS PARENT IS A FAMILY PENSIONER WHOSE MONTHLY BASIC FAMILY PENSION IS RS. 3300/- WHICH IS THE LOWEST FAMILY PENSION IN THE GOVT. OF WEST BENGAL. NOW THE QUESTION IS ” MAY HIS PARENT BE ENROLLED HIS/HER IN THE WEST BENGAL HEALTH SCHEME, 2008 IN ACCORDANCE WITH THE MEMORANDUM ISSUED UNDER NO. 10734-F(MED), DT. 18-11-2010 OF FINANCE DEPTT., AUDIT BRANCH, MEDICAL CELL, GOVT. OF WEST BENGAL “?

    #61634
    Anonymous
    Inactive

    Sir,
    My heart by-pass surgery( CABG ) has been done on April’2010 at the Mission Hospital. Now Dr. Satyajit Bose advised me for Cardiac MRI .Will you kindly inform me about the amount reimbursable.under w.b health scheme & code no of the test. thanking you.

    #61635
    Anonymous
    Inactive

    Whether vaccination of children is reimbursable under wbhs2008?

    #61636
    Anonymous
    Inactive

    i enrolled under WBHS2008 on 1st November 2011, but after that i diagnosed rarest Neurological Disorder( multiple sclerosis) which required to take Inj. Interferon one per week for indefinite time. the cost of medicine is 21000 (approx) per month. i am under the treatment of Bankura S Medical College & Hospital. i have to take under the supervision of physician. So i have to be admitted once in a month at BSMC&H and three other inj. will be taken at home(dr. has prescribed as follow up treatment for a month). i hope i will be reimbursed.plz guide me procedure.plz also inform me, is it a package or non package treatment in FORM D2?

    #61637
    Anonymous
    Inactive

    What is the sanction power of District Magistrate of any district Collectorate in respect of Indoor treatment ?

    #61638
    Anonymous
    Inactive

    If any employee or beneficiary require to go outside of state for treatment and his/her treatment is to be done any governmental superspecality hospital such as JIPMER,BHU,SGPGI etc. which is not empannled (though these hospitals are decleared equivalent to AIIMS), and he/she apply for approval of the WBHS authority but can not wait for the approval , will his/her bill for the treatment be reimbursed or not?

    #61639
    Anonymous
    Inactive

    Sir,
    Employees/Pensioners enrolled under West Bengal Health Scheme-08 and suffering from diabetes melitus(Type-2)& fully dependent on Insulin. As per doctors advice (Dr.Sujan Sarkar,MD.attach to Chittaranjan Advanced Medical Referral Institute,Bamchandipur,G.T.Road,Burdwan,Empanelled Code No.0411021)needs to continue Insulin 3times per day(Injection-Insugen 70:30/Novomix 70:30-20units before breakfast, 20units before Tiffin(Evening), Injection-Lantus 26unit after dinner)to avoid devoloping diabetes complicacy & proper glycaemic control.
    Reimbursement cost of such medical treatment will be allowed or not?

    #61640
    Anonymous
    Inactive

    Sir,
    I am a State Govt.Employee (Deputy Ranger/Forester serving under Divisional Forest Officer,Burdwan Division, in the Directorate of Forests, Govt.of West Bengal)and am a beneficiary of WBHS’08.
    I have been suffering from Diabetes Melitus (Type-2)fully dependent on Insulin and am under treatment for a long time under Dr.Sujan Sarkar,MD. of CAMRI/Burdwan(an Empanelled Hospital under WBHS’08 Code No.0411021). As per his prescription I have been continuing intake of Insulin 3times per day, Injection-Insugen 70:30/Novomix 70:30-20units before breakfast, 20units before Tiffin(Evening), Injection-Lantus 26unit after dinner)to avoid devoloping diabetes complicacy & proper glycaemic control & to avoid crisis in my survival.
    The query is whether a diabetic patient like me fully dependent on Insulin (Type-2) is entitled for reimbursement as per WBHS’08 or not?

    #61641
    Anonymous
    Inactive

    Sir,

    my leparoscopic cholecystectomy operation had been done in a non-empanneled nursing
    home,at the time of discharge, it was found that the nursing home has applied for renewal of its license in right time with all relevant documents,But it is pending
    till now due to reluctance of the health dept. Will I get the benefit of reimbursement?

    #61642
    Anonymous
    Inactive

    Sir,
    I am an employee (West Bengal Legislative Assembly Secretariat, Assembly House, Kolkata). My daughter born with TUMOUR on 8th January, 2013. Now, Dr. Subhasis Saha (CMRI) operate her on 12th January, 2013. Please tell me, my daughters operation charges, will I get the benefit of reimbursement?

    #61643
    Anonymous
    Inactive

    Sir,
    I am an employee of education department under GTA,Darjeeling.we are facing problem in reimbursement of fund under WBHS 2008. Our applications for reimbursement have been lying pending since two years at our Head Office, i.e Education Department,GTA, Darjeeling.
    Could any body please guide us how reimbursement is made at the Head Office?

    #61644
    Anonymous
    Inactive

    I have already enrolled in wbhs’08 while in group c service in the kolkata police directorate. Hence I have 5 health cards. Now I have joined L and LR dept.,GoWB as a group A officer. what can I do to continue the scheme and to take facilities?

    #61645
    Anonymous
    Inactive

    whether Phaco with IOL having package rate of Rs.14500/-is reimbursed if done in nonempanelled private nursing home.

    #61646
    Anonymous
    Inactive

    Dear Sir,
    Treatment is going on for my mother .she is having health card.Can you please provide us with the codes of different tests like ketonebody test,w.b.c count,Amylase,Creatinine test etc.
    So sir can you please provide me the link from where I can find my required details.

    Pradipta Adhikari

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