What is the WB Health Scheme?
The WB Health Scheme (West Bengal Health Scheme) is a healthcare advantage program initiated via the Government of West Bengal. It presents cashless scientific remedy to state government personnel, pensioners, and their eligible family participants.
Launched in 2008, and later modified in 2014, the scheme lets in users to avail unfastened treatment as much as ₹1,50,000 according to indoor hospitalization, alongside extra economic aid for important remedies.
Objectives of the WBHS
The primary pursuits of the WBHS (West Bengal Health Scheme) include:
- 💉 Ensuring best fitness services to kingdom employees and their families.
- 🏥 Cashless treatment at empaneled hospitals (Govt. And Pvt.).
- 💰 Reducing the economic burden on personnel and pensioners at some point of scientific emergencies.
- 📄 Streamlining claim manner via an internet portal and transparency.
Eligibility Criteria
Here are the individuals who are eligible to enroll in the WB Health Scheme:
| Category | Eligibility |
|---|---|
| Government Employees | ✅ Yes |
| State Govt. Pensioners | ✅ Yes |
| Family Pensioners | ✅ Yes |
| Employees of Govt. Aided Institutes | ✅ Yes |
| IAS, IPS, IFS Officers under WB cadre | ✅ Yes |
| Employees of Urban Local Bodies | ✅ Yes |
Eligible Family Members:
- Spouse
- Dependent youngsters (till 25 years or unmarried)
- Dependent dad and mom or in-legal guidelines (if spouse isn’t a Govt. Worker)
Key Benefits of WB Health Scheme
1. Cashless Medical Treatment
- Up to ₹1,50,000 consistent with indoor hospitalization per member of the family.
- Cashless card-based total system across empaneled hospitals.
2. OPD Treatment Benefits
- Partial compensation of expenses for chronic sicknesses, consisting of:
- Diabetes
- Hypertension
- Cancer
- Asthma
- Renal failure
three. Coverage for Pre-Existing Conditions
- All sicknesses protected, which includes pre-current ones.
four. Emergency Treatments
- Available at non-empaneled hospitals all through emergencies (with earlier intimation).
5. Additional Reimbursement
- For essential illnesses where the cost exceeds ₹1,50,000, extra repayment can be claimed (up to ceiling limits).
Empaneled Hospitals List
Here is a sample of popular empaneled hospitals under the WB Health Scheme:
| Hospital Name | Location | Type |
|---|---|---|
| Apollo Gleneagles Hospital | Kolkata | Private |
| AMRI Hospital | Dhakuria, Kolkata | Private |
| Tata Medical Center | Rajarhat | Private |
| SSKM Hospital | Kolkata | Government |
| NRS Medical College & Hospital | Sealdah | Government |
| Medica Superspecialty Hospital | Mukundapur | Private |
| Peerless Hospital | Panchasayar | Private |
Full list available on official WBHS portal:
Documents Required
While making use of, maintain those documents prepared:
- ✅ Government Employee ID
- ✅ Aadhaar Card
- ✅ Pension Payment Order (for pensioners)
- ✅ Family Certificate or Marriage Certificate
- ✅ Dependent assertion shape
- ✅ Passport-size picture (virtual reproduction)
- ✅ Bank account info
How to Apply Online for the WB Health Scheme?
You can easily observe through the authentic WB Health Scheme Portal.
Steps for Government Employees:
- Visit Click on “Employee Login” and check in.
- Enter your HRMS ID, cellular number & OTP.
- Upload essential files.
- Submit the utility.
- Once validated, download your Health Scheme Card.
Steps for Pensioners:
- Visit the same portal.
- Select “Pensioner Enrollment”.
- Fill PPO quantity, Date of Retirement, Bank Account.
- Upload scanned copies of documents.
- Submit the shape and watch for card issuance.
Claim Process
There are two methods to claim clinical payments below the WBHS:
1. Cashless Mode (Empaneled Hospitals Only)
- Present the Health Card at the hospital desk.
- Hospitals are seeking authorization on-line.
- After remedy, payments are without delay settled by means of WB Govt.
2. Reimbursement Mode (in emergencies or OPD)
- Collect unique bills and discharge precis.
- Submit to DDO/ Head of Office within 3 months.
- Claim is processed and reimbursed into your financial institution account.
Downloadable Forms
Here is a list of important downloadable forms:
| Form Name | Purpose |
|---|---|
| Form A | Employee Enrollment |
| Form B | Pensioner Enrollment |
| Form C | Declaration of Dependents |
| Form D | OPD Reimbursement |
| Form E | Indoor Treatment Reimbursement |
| Form F | Medical Advance Claim |
Download from: Forms Page – WBHS Portal
Helpline Numbers & Support
For assist, touch the WBHS government:
- ☎ Toll-Free Number: 1800-102-8014
- 📧 Email: aid@wbhealth.Gov.In
- 📍 Help Desk Office: Swasthya Bhawan, Salt Lake, Kolkata – 700091
Frequently Asked Questions (FAQs)
Q2. Is the Health Card mandatory?
Yes, the e-health card is wanted to avail cashless facilities.
Q3. What is the most amount for a cashless remedy?
The cap is ₹1,50,000 in step with hospitalization, per member of the family.
Q4. Can remedy be taken out of doors in West Bengal?
Yes, but only in empaneled hospitals located outdoors the state or in emergencies.
Q5. How long does it take for claim reimbursement?
Usually inside 30-45 days, depending on report verification.
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Conclusion
The WB Health Scheme is a crucial social welfare initiative ensuring clinical safety for West Bengal authorities employees, pensioners, and their families. With features like cashless remedy, online claim processing, and getting admission to top hospitals, it offers comprehensive health safety.
To get maximum benefit, make sure to sign in online, preserve your files geared up, and use your card accurately for the duration of hospitalization.
Disclaimer:
The information provided in this article about the WB Health Scheme is for general informational purposes only. While we strive for accuracy, users are advised to verify details from the official WB Health Scheme website. We are not affiliated with any government body or health authority.
