West Bengal Health Scheme: Registration, Enroll, Claim Form PDF

West-Bengal-Health-Scheme-PortalWest Bengal Health Scheme has been launched by the Finance Department, Government of West Bengal for Govt Employees & Pensioners where certain medical facilities are provided to the beneficiaries. The WB Health Scheme is administered by a medical cell formed under the Finance Dept of Government of West Bengal. One of the most important and basic areas is healthcare which, if neglected, can lead to a drastic slowdown in the human resource growth rate, wherein the main sufferers are mostly women and children. West Bengal Government has worked tremendously in the field of healthcare and development sector.

Here check the complete details of West Bengal – WB Health Scheme Portal 2020 Online Enrollment / Registration Process | Check Rate Chart, Hospital List, Cashless Treatment Limit & Helpline Numbers | Download Claim Form & Guidelines PDF.  For more updates, kindly continue reading ahead.

Features of West Bengal Health Scheme Portal

The West Bengal healthcare scheme provides Cashless Treatment and aims to offer the best of support to the state govt employees and pensioners in the field of medical and health care.

  1. The scheme beneficiaries will get cashless treatment up to Rs 1 lakh in empanelled hospital per indoor.
  2. In case if the treatment is done in non-empanelled hospitals 60% (80% where a number of beds are more than 80) of approved cost or the actual amount paid whichever is less.
  3. Beneficiaries will get reimbursement of any indoor treatment that exceeds one lakh based on a claim to DDO/PSA.
  4. All existing members of the West Bengal Health Scheme will still receive benefits as per their original policy schedule.
  5. The implementation of this policy is with the help of a Government Authorised Agency (GAA) that is deemed fit to run the scheme.
  6. Beneficiaries will also get reimbursement of OPD treatment cost that is incurred during the period of thirty days for the same cause for which indoor treatment is taken.
  7. Reimbursement for certain specific disease OPD treatment will also be given.
  8. Beneficiaries will also get reimbursement for certain specified follow-up treatment costs as well. The cost of treatment in certain Speciality Hospitals outside the State.
  9. For members of the existing 2008 scheme, pre and post hospitalization expenses are covered for up to a period of 30 days.
Eligibility Criteria for the West Bengal Health Scheme-

All family members of the employees of the West Bengal State Government are financially dependent on an income of less than Rs Three thousand five hundred per month are eligible for the scheme. Here are a few more eligibility criteria provided for the scheme:

  • The State Govt employees, their dependents (fulfilling the criteria), state government pensioners and their families stand the right to avail the facilities of the scheme.
  • Beneficiaries who have chosen the medical allowance are also deemed to enjoy the benefits of this scheme.
  • All India Service (AIS) officers and AIS pensioners of West Bengal can claim these benefits and facilities.
  • Along with the cashless treatment, this scheme provides coverage for the employee and his family, parents, and siblings that are dependent.
Hospital/Doctor List on WB Health Scheme Portal-

If you want to check Hospital/Doctor Details on West Bengal Health Scheme official website then click on this link. Here enter the following details to search Hospital or Doctor information (Complete List).

  1. Search by Doctor Name
  2. Search by Hospital Name

WB-Health-Scheme-Hospital-Doctor-Details-List

Benefits of the West Bengal Health Scheme:
Benefits Extent of cover
Specialized Surgeries Up to 12 days
Major Surgeries 7 to 8 days
Laparoscopic or Endoscopic Surgeries, Normal Deliveries
3 to 4 days
OPD and Minor Surgeries 1 day
Facilities Available on WB Health Scheme Portal:
  • Cashless indoor treatment facility up to Rs 1,00,000/-
  • Reimbursement of related OPD treatment cost
  • Reimbursement of OPD treatment cost
  • The cost of follow-up medical attendance and treatment
  • Indoor treatment cost in Non-Empanelled Hospitals
  • Reimbursement of cost of treatment in certain Speciality Hospitals outside the State.
Enroll and Register in West Bengal Health Scheme-

You can visit the West Bengal Health Department’s website to begin the enrolment and registration process. From there, you can choose to enroll as a Government Employee, Govt Pensioner, Beneficiaries of Grant-in-Aid College, and Beneficiaries of Grant-in-aid University. It also facilitates the New Hospital Registration.

Here’s how you can enroll as a Government Employee:
  1. Visit the West Bengal Health Scheme Portal i.e. https://wbhealthscheme.gov.in/
  2. Then click on ‘Online Enrolment From’ the header section and select “Government Employee”.WB-Health-Scheme-Online-Enrollment-Govt-Employees
  3. In case you have a PRAN/GPF number, then check the ‘Yes’ box and enter the details. If you don’t have the details, then check the ‘NO’ box and select Non-GPF.
  4. Mention details like residential district and birth date.
  5. Save the information to register in the WB Health Portal and click ‘Next’ for the rest of the process.
  6. Afterward, mention personal details like name, address, mobile number, employee number, office details, family details, etc.
  7. Upload photograph and signature. Make sure to adhere to the specified rules regarding the dimensions.
  8. Now mention details pertaining to the beneficiary and head office details.
  9. Save the details and print the report for future reference.

Download: WB Health Scheme Guidelines for Online Verification

How to Download WB Health Scheme Application Form?

Wealth Bengal Health Scheme Forms can be downloaded from the official website. Here’s how you can do so for different sections:

The process to Download Forms for State Govt Employees:

Download-WB-Health-Scheme-Claim-Form-PDF

The process to Download Forms for State Govt Pensioners:

How to Claim the West Bengal Health Scheme?

The scheme works on a cashless basis. Therefore, if the treatment cost is under the stated package, the beneficiary does not have to settle the hospital bill as the treatment will be covered as per the scheme. If the cost exceeds the limit mentioned in the package allocated for the treatment, the additional expenses of the bill shall be settled by the beneficiary and the hospital, and there shall be no claim for the exceeding amount.

Click Here to Claim Reimbursement

West-Bengal-Health-Scheme-Portal-Registration-Login

Claim Reimbursement Process:
  1. Submit the cashless card while getting admitted for treatment at an empanelled hospital.
  2. Health Care Organisation shall send an authorization request to the Government Authorised Agency (GAA).
  3. GAA will check the details and approve the request.
  4. Post the treatment, HCO or the hospital will send the bill to the GAA. The bill shall be accompanied by required documents like a medical report, doctor’s certificate, discharge summary, etc.
  5. GAA will verify the sent documents and then transfer the amount to HCO.
WB Health Scheme Contact Details:

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In the end, we hope that now you have knowledge of the West Bengal Health Scheme, about its process of registration and claim, and what kind of benefits it provides. If you have any questions related to the above post then feel free to comment down below. We’ll assist you shortly. Thanks for visiting our website www.readermaster.com, stay tuned for more updates.

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