West Bengal Health Scheme 2024, Features, Eligibility, Benefits, Hospital List & Helpline Number
West Bengal Health Scheme 2024
West Bengal Health Scheme 2024:- Government Beneficiary Login for Pensioners Under the West Bengal Health Scheme The federal and state governments provide numerous benefits to government workers and retirees. The West Bengal government launched one such program called the West Bengal Health Scheme, which provides health benefits to retirees and public employees. The state’s Finance Ministry launched this program, which will give seniors and employees complete health coverage.
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West Bengal Health Scheme 2024
To receive benefits from the West Bengal Health Scheme, which was introduced by the West Bengal government, you must submit a reimbursement form. The only way that all state pensioners and employees can benefit from this scheme is in this manner. The beneficiary of this scheme is eligible for treatment in any hospital up to a maximum of one lakh. On the official website, you can submit the West Bengal Health Scheme 2023 reimbursement form C1. Friends, if you wish to receive benefits under this program, you must visit the official website. This scheme is obligated to repay the OPD treatment cost to the beneficiaries within thirty days for the same reason that indoor treatment is done.
The West Bengal Health Scheme includes several essential components:
The plan includes dependent parents and siblings in addition to the employee and their family.
In addition to receiving benefits from the West Bengal Health Scheme, an employee enrolled under the West Bengal Services (Medical Assistance) rules, 1964, may also be entitled to other benefits.
Cashless cards are given to program participants, making it easier for them to access cashless medical care at participating hospitals.
It is advisable to pursue reimbursement for inpatient therapy no later than three months from the date of release.
Reimbursement is available for expenditures associated with treatment in specialized hospitals, including travel and accommodation expenses if the hospital is located outside the state.
Advantages of the Health Scheme for West Bengal:
The West Bengal Health Scheme’s beneficiary base has expanded over time. Created for retirees of the West Bengal government and their families, the updated program now includes retired AIS (All India Services) officials as well as officers of the Indian Administrative Services (IAS), Indian Forest Services (IFS), and Indian Police Services (IPS) in its medical facilities. But several restrictions are relevant to each category:
For IPS Personnel:
For IPS officials, participation in the West Bengal Health Scheme is voluntary.
Under the West Bengal Health Scheme, the Home Department Police Service Cell is in charge of administratively supervising IPS officials.
According to the All India Services (Medical Attendance) Rules, 1954, and the West Bengal Health Scheme, they are eligible for healthcare benefits.
Benefits under this WB government-sponsored program are not available to IPS personnel participating in the Central Government Health Scheme (CGHS).
Advantages for Officers of IFS
For IFS officers, taking part in the 2008 West Bengal Health Scheme is entirely voluntary.
For IFS officials, the appropriate administrative department is the Forest Department.
IFS officers and their families are eligible for services under the All India Services (Medical Attendance) Rules, 1954, as well as healthcare facilities under the West Bengal Health Scheme.
IFS officers who are currently receiving benefits from the Central Government Health Scheme (CGHS) are not eligible to get benefits from the West Bengal Health Scheme concurrently.
For IAS Officials:
IAS officers can sign up for the West Bengal Health Scheme.
within this arrangement, the administrative elements of IAS officers are within the purview of the Personnel and Administrative Reforms Department.
IAS officials and their families are eligible for benefits under the West Bengal Health Scheme in addition to medical services provided by the All India Services (Medical Attendance) Rules, 1954.
The West Bengal Health Scheme would not be available to IAS officers who are currently receiving healthcare services through the Central Government Health Scheme (CGHS).
West Bengal Health Scheme Eligibility Requirements
Anyone who wishes to benefit from this initiative must also meet the requirements established by the relevant authorities. Beneficiaries will only be able to access scheme-related benefits if they meet the eligibility requirements. The requirements are enumerated below.
Officers of Service at the All India Level.
State government employees, together with their family members who are State Government Pensioners and Non-Governmental Employees have chosen to participate in the medical allowance program.
The recipient, parents, spouse, and any dependent siblings or children are considered family members.
OPD Treatment Diseases list
Ankylosing Spondylitis
Renal failure
Rheumatoid Arthritis
Systematic Lupus Erythematosus (LUPUS)
Thalassemia/Bleeding orders/Platelet disorders
Tuberculosis
COPD (Chronic Obstructive Pulmonary Disease)
Crohn’s Disease
Endodontic Treatment (Root Canal Treatment)
Heart diseases
Hepatitis B/C and other liver diseases
Injuries caused by accident(including animal bites)
Insulin-dependent diabetes (Type-2 Diabetic Melitas is not considered insulin-dependent diabetes)
Heart surgery (including implant placement and coronary angioplasty)
Process for Registering Employees Under the West Bengal Health Scheme 2024
Go to the West Bengal Health Scheme website maintained by the West Bengal Health Department to begin the enrollment and registration procedure. To ensure a successful registration, adhere to these steps:
Click here to see the West Bengal Health Scheme Portal.
Choose “Government Employee” for Online Enrollment under the header section.
Input the necessary data after checking the “Yes” box to indicate that you have a PRAN or GPF number. Select “Non-GPF” and check the “NO” box if you don’t have this information.
Tell them things like your birthdate and where you live. Click “Next” to continue after saving this crucial information for registering on the WB Health Portal.
Provide your name, address, phone number, employee number, and any other details required for identification, along with any other personal information. Assure compliance with the requirements by attaching a photo and signing.
How to Download the West Bengal Health Scheme Application Form
Use these steps to download the WBHS application form from the official WBHS website:
Step 1: Navigate to the WBHS portal’s download section at https://wbhealthscheme.gov.in/Home/wbhs download.
Step 2: Click the “Select Category” drop-down menu on this page to choose the relevant category.
Step 3: From the list of forms that are displayed, download the application for the WBHS health scheme.
Step 4: Carefully print the document, then save a soft copy to your computer in case you need it later.
How Can I Receive my West Bengal Health Scheme Benefits?
The West Bengal Health Scheme offers a simplified method for claiming benefits. Because the program doesn’t need monetary payments, beneficiaries who receive treatment that fits within the predetermined package range won’t have to worry about paying hospital expenses. The system provides complete coverage for these therapies.
But if the cost of treatment exceeds the set package cap, the hospital and the recipient will split the additional costs; no claims will be accepted for the overage. The steps to file a claim for benefits under the West Bengal Health Scheme are as follows:
Present the Government Authorised Agency’s cashless card when requesting admission to a hospital with impaneled status (GAA).
Obtaining a GAA authorization is required before receiving medical treatment.
Before approval, GAA will confirm the information supplied.
The Healthcare Organisation (HCO) or the relevant hospital will provide GAA with the bills and pertinent medical records after the treatment plan is completed.
GAA will examine these documents thoroughly and certify them.
As agreed upon, GAA will send the agreed-upon amount to the HCO after verification.
Helpline Number:
The relevant contact information is listed in the table below.
The Medical Cell of the Finance Department of the West Bengal Government is responsible for managing the WBHS. The Cell is in charge of keeping an eye on the program, together with the state’s Department of Health and Family Welfare. Additionally, the Cell outlines operational protocols.
FAQ’s
Q.) In what manner can one apply for the West Bengal Health Scheme?
Ans. On the official West Bengal Health Scheme website, eligible beneficiaries can submit an online application. To get paid for their medical expenses, they can get the WBHS card and enroll on the official website.
Q.) Exists a cashless West Bengal Health Scheme?
Ans. The West Bengal Cashless Medical Treatment Scheme provides cashless medical services up to Rs. 1 lakh to pensioners, state government employees, and officers. The families of AIS officers are also covered by this program.
Q.) How can I send WBHS a request for reimbursement?
Ans. When processing certifications or reimbursement claims through the WBHS Portal, users can be classified into four main levels: Operator, Recommending Authority, Delegated Approver, and Head of Office (HOO)/Pension Sanctioning Authority (PSA) Level for final approval, checking, and verification.
Q.) Where can I find the most recent West Bengal Health Scheme impaneled hospital list?
Ans. The West Bengal Health Scheme Portal has the most up-to-date and thorough list of hospitals that are accredited under the West Bengal Health Scheme. To view the most recent list of medical facilities included in the network of the program, go to the portal. This guarantees that the hospitals covered by the West Bengal Health Scheme will provide you with high-quality medical care.
Q.) Where can I locate the hospital list for the West Bengal Health Scheme?
Ans. It is simple to obtain the list of hospitals taking part in the West Bengal Health Scheme. The official West Bengal Health Scheme website has a full list of hospitals covered by the program. This list makes it easy for beneficiaries to get the medical treatments they require by giving them important information about the healthcare institutions included in the program.