Introduced in 2008 by the West Bengal government and issued by its Finance Department, the West Bengal Health Scheme is a state-level health insurance welfare policy.
This scheme aims to provide enhanced medical facilities to state government employees. From time to time, the WB government has revised this health scheme to include a broader segment of society.
Under this scheme, a beneficiary can obtain reimbursement of treatment costs in selected hospitals within this state. This scheme also reimburses costs of OPD treatment of 15 diseases (conditions apply).
Moreover, treatment under the WBHS can be availed in 9 empanelled hospitals outside West Bengal. On top of that, individuals can claim reimbursement for the cost of indoor treatment conducted in hospitals other than registered ones. In such cases, norms are subject to compliance with WBHS guidelines.
In 2014, the state government changed the name from West Bengal Health Scheme to ‘West Bengal Health for All Employees and Cashless Medical Treatment Scheme 2014’. This new scheme enables beneficiaries to avail cashless medical facilities up to Rs. 1 lakh per indoor treatment.