West Bengal Health Scheme

Facilities under West Bengal Health Scheme

• As per this scheme beneficiaries will get cashless indoor treatment up to Rs. 100000/- in empanelled hospital per indoor.
• In case of treatment is done in non empanelled hospitals 60% (80% where a number of bed is more than 80) of approved Cost or the actual amount paid whichever is less
• Beneficiaries will get reimbursement of indoor treatment to exceed one lakh based on a claim to DDO/PSA
• Beneficiaries will also get reimbursement of OPD treatment cost incurred during the period of thirty days for the same cause for which indoor treatment is taken
• Reimbursement for certain specific disease OPD treatment will also be provided
• Beneficiaries will also get reimbursement for certain specified follow-up treatment cost also
• Beneficiaries will get Reimbursement of cost of treatment in certain Speciality Hospitals outside the State.

West Bengal Health Scheme Cashless Hospital List

• All Government Hospitals, clinics, laboratories and diagnostic centres
• All hospitals, clinics, diagnostic centres managed by the Municipal Corporations/ Municipalities and the other Local Bodies
• Ramkrishna Mission Seva Pratisthan, Sarat Bose Road, Kolkata.
• Islamia Hospital, Kolkata.
• Marwari Relief Society Hospital, Kolkata.
• Institute of Child Health, 11, Dr. Biresh Guha Street, Kolkata-17.
• Balananda Brahmachari Hospital, Behala, Kolkata.
• Chittaranjan Cancer Hospital, Kolkata.
• Ramkrishna Sarada Mission Matri Bhavan, 7A, Sree Mohan Lane, Kolkata-28.
• Dr. M. N. Chatterjee Memorial Eye Hospital, Kolkata.
• Ramkrishna Matri Mangal Pratisthan and B.C. Roy Sishu Sadan, Ariadaha, North 24 Parganas.
• J.N. Roy Sishu Seva Bhavan, Kolkata.
• Chartoris Hospital, Kalimpong, Darjeeling.
• Kalimpong Leprosy Hospital, Kalimpong, Darjeeling.
• Sri Balaram Seva Mandir, Khardah, North 24 Parganas.

OPD Treatment Diseases list

• Ankylosing Spondylitis
• 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 bite)
• Insulin-dependent diabetes (Type-2 Diabetic Melitas is not considered as insulin-dependent diabetes)
• Malignant diseases
• Malignant Malaria
• Neurological disorder/Cerebrovascular disorders
• Renal failure
• Rheumatoid Arthritis
• Systematic Lupus Erythematosus (LUPUS)
• Thallasaemia/Bleeding orders/Platelet disorders
• Tuberculosis

Follow-up Treatment List

• Accident cases
• Cancer surgery/ Chemotherapy/ Radiotherapy
• Cardiac surgery (Including Coronary angioplasty and implants)
• Hip/Knee replacement surgery
• Neurosurgery
• Renal Transplant

Speciality Hospitals List outside the State:

• All India Institute of Medical Sciences, New Delhi
• Apollo Hospital, Chennai, Tamil Nadu
• Asian Institute of Gastroenterology, Hyderabad, Andhrapradesh
• Christian Medical College, Vellore, Tamil Nadu
• L.V. Prasad Eye Hospital, Hyderabad, Andhrapradesh
• Metro Hospital & Cancer Institute, New Delhi
• NIMHANS, Bangalore
• Post Graduate Institute of Medical Education and Research, Chandigarh
• Sankara Netralaya, Chennai, Tamil Nadu
• Tata Memorial Hospital, Mumbai

Employee Registration Procedure for West Bengal Health Scheme

• With the help of laptop / computer and working internet connection you need to open the West Bengal Health Scheme, the official portal of the Ministry of Finance, Government of West Bengal
• You need to go to the “online enrollment” option from the home page of the website
• A dropdown list will appear on the screen where you need to select “Govt. Employee ”option.

• A new page will appear on the screen where you need to enter the date you entered in Service and if you have PRAN / G.P.F No. then you must enter the number.
• Click “OK” and the application form will appear on the screen. You will need to enter details such as district, date of birth, name, gender, marital status, mobile number, email id, address, ID proof, office location. , Section name etc. .
• Upload your photo and signature in 10KB to 50KB format JPEG format
• Upload other documents (if any) and review the details you entered
• Click on Submit option to submit application form.

Registration Procedure For Pensioner

• With the help of laptop / computer and working internet connection you need to open the Health Scheme Portal of the Ministry of Finance, Government of West Bengal.
• You need to go to the “Online Enrolment” option from the home page of the website
• A dropdown list will appear on the screen where you need to select “Govt Pensioner ”option.

• A new page appear on the screen where you need to choose you to have P.P.O. No. or not if yes then you have to enter the number.
• Then click on “OK” and the application form will appear on the screen in which you have to enter the details like district, date of birth, name, gender, mobile number, email id, address proof, retirement date. Department name, last office position etc.
• Upload your photo and signature in 10KB to 50KB format JPEG format
• Upload other documents (if any) and review the details you entered
• Click on Submit option to submit application form.