West Bengal Health Scheme WBHS: Eligibility & Benefits Explained

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Surgeries	Days Covered
Specialised surgeries	Up to 12 days
Major surgeries	7-8 days
Endoscopic or laparoscopic surgeries, natural childbirth	3-4 days
Minor surgeries and OPD	1 day

Types of Forms	Categories
Form-A	Enrollment application
Form-C	Claim settlement for reimbursement
Form-D1	Essentiality certificate (OPD treatment)
Form-D2	Essentiality certificate (Indoor treatment and OPD treatment)
Form-D3	Essentiality certificate (non-recognised HCOs)
Form-E	Checklist

Types of Forms	Categories
Form-I	Enrollment application
Form-II	Enrollment certificate
Form-III	Claim settlement for reimbursement
Form-IV1	Essentiality certificate-cum-statement of expenditure (certified by any OPD treatment specialist)
Form-IV2	Essentiality certificate-cum-statement of expenditure (certified by any Indoor and OPD treatment specialist)
Form-IV3	Essentiality certificate-cum-statement of expenditure (certified by any non-recognised private nursing home under WBHS 2008)
Form-V	Checklist for medical reimbursement
Form-VI	Family Permit (Temporary)

All about the West Bengal Health Scheme

West Bengal Health Scheme (WBHS) - A brief overview

Key features of West Bengal Health Scheme

Cashless indoor treatment

Off-state hospitalisation facility

OPD treatment

Treatment coverage in non-empanelled hospitals

Benefits of West Bengal Health Scheme

For IPS officers

For IFS officers

For IAS officers

Diseases covered under WBHS

OPD treatment list

Eligibility for West Bengal Health Scheme

Enrollment and registration process of West Bengal Health Scheme

Steps to download the West Bengal Health Scheme application form

For state government employees

For state government pensioners

Claiming process of West Bengal Health Scheme

Empanelled hospitals under West Bengal Health Scheme

Important contact numbers of West Bengal Health Scheme

Frequently Asked Questions

✓ Who monitors the WBHS?

✓ Does the Certificate of Enrollment help eligible individuals avail reimbursement?

✓ Is the cost of treatment for surgery reimbursable without a package rate?

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