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What is the West Bengal Health Scheme (WBHS)?

The central and state governments work in unison to provide advanced medical facilities to this country’s people. West Bengal Health Scheme (WBHS) is one such initiative by the Government of West Bengal.

The scheme offers pensioners, All India Services (AIS) officials, and state government employees a cashless medical treatment opportunity. It is a welfare scheme for health insurance at the state level. Willing to know about this scheme and what’s included in it?

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What is WBHS?
Features & Benefits of WBHS
Diseases Covered
Eligibility for WBHS
Registration Process
Steps to Download
Claiming Process of WBHS
How to Find Hospital Under WBHS?
Hospitalisation Process
Frequently Asked Questions

What is the WBHS?

The West Bengal Health Scheme is a state-level health insurance welfare policy introduced by the West Bengal government in 2008 and issued by its Finance Department. It came into effect on 1st June, 2009.

This scheme aims to provide enhanced medical facilities to state government employees, pensioners, and their families. The WB government has revised this health scheme from time to time 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 18 diseases (conditions apply).

Moreover, treatment under the WBHS can be availed in 11 impanelled hospitals outside West Bengal. In addition, 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 themselves of cashless medical facilities for up to Rs. 2 lakh per indoor treatment.

Key Features of the West Bengal Health Scheme

The West Bengal Health Scheme has many unique and important features. Below mentioned are some of the salient features of this scheme:

Features	Description
Cashless Indoor Treatment	One of the distinctive characteristics of the West Bengal Health Scheme is its cashless indoor treatment facility. It covers treatment of up to Rs. 2 lakh in empanelled hospitals. However, if the total cost of the indoor treatment crosses the specified limit, the respective individuals have to pay the remaining cost to the health care organisation (HCO).
Off-State Hospitalisation Facility	West Bengal Health Scheme extends treatment even in hospitals outside the state. However, to avail of healthcare facilities in these hospitals, it must be an empanelled one.
OPD Treatment	Beneficiaries can avail of OPD treatment based on the waiting period and related conditions of the scheme.
Treatment Coverage in Non-Empanelled Hospitals	WBHS further includes reimbursement of treatment expenses in non-empanelled hospitals. In cases like this, beneficiaries can avail reimbursement of a certain percentage of the treatment cost as per the scheme guidelines.
Pre-authorisation Requirement	For certain treatments or procedures, pre-authorisation from the WBHS authorities may be required to ensure that expenses are covered under the scheme.
Family Coverage	The scheme typically provides coverage for the employee's immediate family members, including spouses, children, and sometimes dependent parents.
Emergency Services	Coverage for emergency treatments is generally included, even if it is outside the state but in an empanelled hospital, subject to scheme guidelines.
Network of Empanelled Hospitals	The scheme maintains a list of empanelled hospitals and healthcare providers that beneficiaries must use for cashless treatment.

Benefits of West Bengal Health Scheme

WBHS covers approximately 1000 odd medical procedures. Read on to know the types of treatment and the number of days under this scheme:

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

These are some of the West Bengal Health Scheme benefits.

Initially, the West Bengal Health Scheme was solely offered to the West Bengal government's retired and family pensioners. However, the updated scheme intends to provide healthcare facilities to employees of the Indian Administrative Services (IAS), Indian Forest Services (IFS), Indian dialysis servicesPolice Services (IPS), and retired AIS officers.

Following is a detailed discussion of the benefits extended to IAS, IFS, and IPS officers.

For IPS officers:

West Bengal Health Scheme, 2008, is available to IPS officers plus their family members, subject to certain conditions. These are:

For IPS officers, enrollment under WBHS 2008 is optional.
Under WBHS 2008, the Home Department Police Service Cell is the concerned administrative department of IPS officers.
IPS officers can enjoy healthcare benefits under WBHS 2008 as well as the All India Services (Medical Attendance) Rules, 1954.
IPS officers enrolled under the Central Government Health Scheme (CGHS) cannot claim benefits under this WB government-sponsored scheme.

For IFS officers:

IFS officers and their family members can secure healthcare facilities under WBHS 2008 as per the following conditions.

Enrollment under the West Bengal Health Scheme, 2008, is optional for IFS officers.
The concerned administrative department for IFS officers is the Forest Department.
IFS officers and their family members can avail themselves of medical facilities from WBHS 2008 in addition to facilities provided under the All India Services (Medical Attendance) Rules, 1954.
While availing of healthcare benefits under the Central Government Health Scheme (CGHS), IFS officers cannot enroll under WBHS 2008.

For IAS officers:

West Bengal Health Scheme provides healthcare benefits to IAS officers under certain conditions. These include:

For IAS officers, enrollment under WBHS, 2008 is optional.
Under this scheme, the concerned administrative department for IAS officers is the Personnel and Administrative Reforms Department.
IAS officers and their families can enjoy the benefits of WBHS 2008 along with facilities under the All India Services (Medical Attendance) Rules, 1954.
IAS officers receiving healthcare facilities under the Central Government Health Scheme (CGHS) cannot opt for the same under WBHS 2008.

Diseases Covered Under West Bengal Health Scheme (WBHS)

West Bengal Health Scheme covers 1014 medical treatments. Below is the list of diseases covered under WBHS 2008:

Disease	Description
Endodontic treatment (root canal treatment)	This dental procedure involves removing infected or damaged pulp from inside a tooth. The space is then cleaned, disinfected, and filled with a material to prevent further infection, ultimately preserving the tooth.
Crohn’s Disease	Crohn’s disease is a chronic inflammatory bowel disease (IBD) that causes inflammation of the digestive tract, which can lead to abdominal pain, severe diarrhoea, fatigue, and weight loss. It can affect any part of the gastrointestinal tract, from the mouth to the anus.
COPD (Chronic obstructive pulmonary disease)	COPD is a progressive lung disease characterised by long-term respiratory symptoms and airflow limitation. The primary conditions within COPD are chronic bronchitis and emphysema, leading to breathing difficulties and reduced lung function.
Rheumatoid arthritis	Rheumatoid arthritis is an autoimmune disorder that primarily affects the joints, leading to inflammation, pain, and eventual joint damage. It can also impact other organs in the body and cause systemic symptoms.
Neurological disorders/cerebrovascular disorders	Neurological disorders affect the nervous system, including the brain, spinal cord, and nerves. Cerebrovascular disorders involve conditions that affect blood flow to the brain, such as strokes or aneurysms, leading to potential brain damage or dysfunction.
Malignant malaria	Malignant malaria refers to severe and potentially life-threatening forms of malaria, often caused by Plasmodium falciparum. It can lead to complications such as cerebral malaria, severe anaemia, and multi-organ failure.
Malignant diseases	Malignant diseases are cancers characterised by uncontrolled cell growth and the ability to invade other tissues or metastasise to distant body parts. Examples include breast cancer, lung cancer, and leukaemia.
Thalassaemia/bleeding disorders/platelet disorders	Thalassemia: A genetic blood disorder characterised by the body producing an abnormal form of haemoglobin, which leads to the destruction of red blood cells and anaemia. Bleeding Disorders: Conditions that impair the blood’s ability to clot, leading to excessive bleeding or difficulty stopping bleeding. Examples include haemophilia and von Willebrand disease. Platelet Disorders: Conditions affecting the number or function of platelets, which are crucial for blood clotting. Examples include thrombocytopenia (low platelet count) and thrombocytopathy (impaired platelet function).
Tuberculosis	A contagious bacterial infection caused by Mycobacterium tuberculosis. It primarily affects the lungs but can spread to other body parts. Symptoms include persistent cough, chest pain, weight loss, and fever.
Hepatitis B/C and other liver diseases	Hepatitis B: A viral infection causing inflammation of the liver, which can lead to chronic liver disease and increase the risk of liver cancer. Hepatitis C: Another viral infection that leads to chronic liver disease and can also increase the risk of liver cancer. It is often asymptomatic in its early stages. Other Liver Diseases: Includes conditions like cirrhosis, liver cancer, and non-alcoholic fatty liver disease (NAFLD), which affect liver function and health.
Insulin-dependent diabetes (Type-2 Diabetes mellitus is not considered insulin-dependent diabetes)	A chronic condition where the pancreas produces little or no insulin, a hormone necessary for glucose absorption by cells. It typically starts in childhood or young adulthood and requires lifelong insulin therapy.
Renal failure	A condition in which the kidneys lose their ability to effectively filter waste products and excess fluids from the blood. It can be acute (sudden) or chronic (progressive over time). Symptoms include fluid retention, electrolyte imbalances, and fatigue.
Injuries caused by accident (including animal bites)	Injuries resulting from accidents, such as falls, car crashes, or animal bites, can vary widely in severity. Animal bites may also pose risks of infection and transmission of diseases.
Systemic Lupus Erythematosus (LUPUS)	A chronic autoimmune disease is when the immune system attacks the body’s tissues, causing inflammation in various organs such as the skin, joints, kidneys, and heart. Symptoms include fatigue, joint pain, and a characteristic facial rash.
Ankylosing Spondylitis	A type of arthritis causing inflammation and stiffness in the spine and pelvis, leading to potential fusion of spinal vertebrae and a hunched posture.
Heart Disease	A broad term for conditions affecting the heart, including coronary artery disease, heart attacks, and heart failure, often linked to high blood pressure, high cholesterol, and lifestyle factors.

Note: WBHS 2008 does not cover cosmetic surgeries and non-medical treatment.

Eligibility Criteria for West Bengal Health Scheme

The following categories of individuals who are eligible for the West Bengal Health Scheme:

State government employees, state government pensioners, and their families*
Individuals who have selected this scheme as per their Medical Allowance
All India Services Officers and pensioners

*Refers to the dependant family member of the concerned government employee or pensioner and includes:

Husband/wife
Parents with monthly income less than Rs. 8500
Children (including step-children, unmarried daughter, adopted children)
Minor brother(s), minor sister(s)
Dependant, widowed, or divorced daughter(s)
Dependant, unmarried, divorced, or widowed sister(s)

Enrollment and Registration Process of West Bengal Health Scheme

To claim reimbursement under WBHS 2008, individuals must enroll in the West Bengal Health Scheme portal.

To enroll in the WBHS portal, follow the process mentioned below. This refers to the WB Health Scheme online registration procedure.

Step 1: Visit the official WBHS website
Step 2: Click on ‘Online Enrollment’
Step 3: Select ‘Government Employee’ from the drop-down list
Step 4: Enter information in the box containing ‘Date of entry into the Govt. Service’
Step 5: After that, check the ‘Yes’ or ‘No’ option under the section of ‘Already Have PRAN or GPF No.’? (If you have the number, select yes and enter the details, otherwise, click No and select Non-GPF)
Step 6: Next, enter details like birth date and residential district
Step 7: Save the document to register in the WB Health Scheme portal and select next to continue the process
Step 8: Enter personal details including name, address, mobile no, employee no., etc.
Step 9: Enter employment/office details
Step 10: Enter family details.
Step 11: Upload all the respective documents and signatures.
Step 12: Enter details regarding the beneficiary.
Step 13: Enter head office details.
Step 14: Save these and print them for future reference.

This completes the West Bengal Health Scheme registration process.

Steps to Download the West Bengal Health Scheme Application Form

Now that you know how to apply for the West Bengal Health Scheme, eligible applicants can download the WBHS application form from its portal.

The download processes for both state government employees and pensioners from the WBHS portal are discussed below:

For State Government Employees

The steps for downloading West Bengal Health Scheme Application Form for State Government employees are as follows:

Step 1: Visit the WB Health Scheme portal.
Step 2: Click on ‘Download’ on the dialogue box appearing on the left
Step 3: Select ‘Employee’ from the ‘Select Category’ drop-down menu
Step 4: Download the suitable form

Government employees can find various types of forms that are enumerated in the following table.

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-H	Cashless Indoor Medical Treatment Sheet

For state government pensioners

The steps for pensioners are different from state government employees. Follow the steps below for a better understanding:

Step 1: Visit the WB Health Scheme portal.
Step 2: Select ‘Download’ from the left dialogue box
Step 3: Choose ‘Pensioner’ from the ‘Select Category’ drop-down menu
Step 4: Download the suitable form

Pensioners can find different types of forms in the West Bengal Health Scheme portal. These are listed in the table below:

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)

Claiming Process of West Bengal Health Scheme

WBHS works in a cashless manner, where individuals can claim reimbursement for treatment costs specified in the scheme. However, if the cost exceeds the specified amount, the applicant must bear such additional costs. Beneficiaries must submit a WBHS claim form or a WBHS reimbursement form to acquire the benefits.

Here’s how one can claim benefits under WBHS:

First, provide the cashless card issued by the Government Authorised Agency (GAA) during admission in an empanelled hospital.
An HCO will need an authorisation from the GAA.
GAA will verify the details before approving the request.
On treatment completion, the HCO or the concerned hospital will remit the bills to the GAA and other essential medical documents.
After that, GAA will check and verify those documents.
Post-verification, GAA will wire the specified amount to HCO.

Empanelled Hospitals Under the WB Health Scheme

Having a clear list of the empanelled hospitals is helpful for the beneficiaries. Below is a list of empanelled hospitals under the West Bengal Health Scheme:

Hospital	Location
The Calcutta Medical Research Institute	7, 2, Diamond Harbour Rd, New Alipore, Kolkata, West Bengal 700027
BP. Poddar Hospital	71/1, Humayun Kabir Sarani, Block G, New Alipore, Kolkata, West Bengal 700053
DM Hospital Pvt. Ltd	113, James Long Sarani, Panchanan Tola, Thakurpukur, Kolkata, West Bengal 700063
BM. Birla Heart Research Centre	1, 1, National Library Ave, Alipore, Kolkata, West Bengal 700027
Susrut Eye Foundation	HB-36/A/1, HB Block, Sector 3, Bidhannagar, Kolkata, West Bengal 700106
Rotary Narayana Nethralaya	Street Number 18, CN Block, Sector V, Bidhannagar, Kolkata, West Bengal 700091
Silverline Eye Hospital	396, Prince Anwar Shah Rd, Lake Gardens, Kolkata, West Bengal 700045
KPC Medical College	Kpc, 20, Raja Subodh Chandra Mallick Rd, Jadavpur, Kolkata, West Bengal 700032
Implants Better Sight Centre	13A, Colonel Biswas Road, Near Mithai, Lower Range, Beck Bagan, Ballygunge, Kolkata, West Bengal 700019
Medica Superspecialty Hospital	127, Eastern Metropolitan Bypass Rd, Nitai Nagar, Mukundapur, Kolkata, West Bengal 700099
The Mission of Mercy Hospital & Research Centre	No. 125, 1, Mother Teresa Sarani, Dharmatala, Taltala, Kolkata, West Bengal 700016
RN Tagore International Institute of Cardiac Sciences	Premises No: 1489, Mukundapur Main Road, 124, Eastern Metropolitan Bypass Rd, Mukundapur, Kolkata, West Bengal 700099
Apollo Gleneagles	APOLLO GLENEAGLES HOSPITAL, Kadapara, Phool Bagan, Kankurgachi, Kolkata, West Bengal 700054
Ruby General Hospital	576, Anandapur Main Rd, Golpark, Sector I, Kasba, Kolkata, West Bengal 700107
Dr Nihar Munshi Eye Foundation	1/3, near Gariahat Pantaloons, Dover Terrace, Ballygunge, Kolkata, West Bengal 700019
Eye Care and Research Centre	12A, Eye Care and Research Institute, Biplabi Niketan, Dr Biresh Guha St, Park Circus, Ballygunge, Kolkata
Barrackpore Medicare	6/6, B. T. Road, Talpukur, 24-Parganas (North), Kolkata - 700 123
Disha Eye Hospitals	All Branches
Bhattacharyya Orthopaedics& Related Research Centre (P) Ltd.	Bus stand, 217, Borrc Rd, Narayanpur, Newtown, Kolkata, West Bengal 700136
Eskag Sanjeevani	All Branches
Desun Hospitals and Heart Institute	Desun More, 720, Eastern Metropolitan Bypass Rd, Golpark, Sector I, Kasba, Kolkata, West Bengal 700107
Nightingale Hospitals	11, Shakespeare Sarani Rd, Kankaria Estates, Park Street area, Kolkata, West Bengal 700071
Institute of Neuroscience	185, Acharya Jagadish Chandra Bose Rd, Elgin, Kolkata
AMRI Hospitals	All Branches
Belle Vue Clinic	Formerly, 9, Sir UN Brahmachari Sarani, Elgin, Kolkata, West Bengal 700017
Peerless Hospital	360, Panchasayar Rd, Sahid Smriti Colony, Pancha Sayar, Kolkata, West Bengal 700094
Apex Institute of Medical Science	1219, Sammilani Park Rd, near Big Bazar, Hiland Park, Survey Park, Santoshpur, Kolkata, West Bengal 700075
Ekbalpur Nursing Home	9, Ibrahim Rd, Ekbalpur, Khidirpur, Kolkata, West Bengal 700023
RG Stone Urology & Laparoscopy Hospital	Orbit Heights, 33, Gariahat Rd S, Dhakuria, Selimpur, Jodhpur Park, Kolkata, West Bengal 700031
Divine Nursing Home	11A, Abinash Chandra Banerjee Ln, Sura Cross Lane, Phool Bagan, Beleghata, Kolkata, West Bengal 700010
Fortis Hospital	730, Eastern Metropolitan Bypass Rd, Anandapur, East Kolkata Twp, Kolkata, West Bengal 700107
Daffodil Hospitals	276, Canal St, Sreebhumi, Lake Town, South Dumdum, West Bengal 700048
Kothari Medical Centre	8/3, Alipore Rd, Alipore, Kolkata, West Bengal 700027
Nabajiban Hospital	5, Sibdas Bhaduri St, Mohun Bagan Row, Fariapukur, Shyam Bazar, Kolkata, West Bengal 700004

Note: Many of the hospitals mentioned above may no longer be a part of the WBHS 2008. Therefore, individuals must check if the healthcare facilities covered under WBHS can be availed from the respective hospitals. You can cross-check the updated list on the WBHS portal.

Medical Packages Under the West Bengal Health Scheme

The West Bengal Health Scheme offers many packages that beneficiaries can avail themselves of. Here is a list of packages under the WBHS:

Code	Treatment / Procedure	Number of Packages
001	General	39
002	Skin	11
003	ENT	62
004	Ophthalmology	96
005	Biopsies, including Histopathological Report	6
006	Strapping (including Bandage and Materials)	12
007	Physiotherapy and Traction	44
008	Dental	75
009	ITU/CCU Charges (Special Care Cases)	7
010	Oxygen Charges	1
011	Burn Cases	7
012	Obstetrics and Gynaecology Cases	72
013	General Surgery	20
014	Injury of Superficial Soft Tissues	1
015	Interestical (Implant)	3
016	Gastroenterology	64
017	Head and Neck	58
018	Head and Neck Cancer	8
019	Breast	7
020	Cardio-Respiratory Procedures	41
021	Cardiac / Cardio Thoracic Procedures	58
022	Oesophagus	13
023	Abdomen	94
024	Nephrology/ Genitourinary	132
025	Plastic Surgery	37
026	Orthopaedic Surgery Procedure	92
027	Neuro-Surgery	106
028	Vascular Surgery	18
029	Paediatric Surgery	49
030	Laparoscopic/Endoscopic Operations in General Surgery/ Gastrohepatic	54
031	Nuclear Medicines- Radioisotope Therapy	6
032	Cobalt 60 Therapy	5
033	Linear Accelerations	20
034	Brachytherapy	4
035	Chemotherapy	10
036	Room Rent	4
037	Admissible Blood Charges (Govt. Hospitals)	3
038	Admissible Blood Charges (Private Hospitals/ Nursing Homes)	9

How to Find a Hospital Under the West Bengal Health Scheme?

To find a hospital under the West Bengal Health Scheme online, you can follow these steps:

Step 1: Visit the Official Website: Go to the West Bengal Health Scheme website or portal. The site often has resources or links to information about empanelled hospitals.
Step 2: Look for the Hospital List Section: Search for a section dedicated to hospital lists or empanelled hospitals. This section may provide a downloadable list or a search function.
Step 3: Use Online Portals: Check if the West Bengal Health Scheme has a dedicated online portal or mobile app for beneficiaries. These platforms may include features to search for hospitals.
Step 4: Contact Support Online: If you can’t find the information directly, use any available contact forms or support chat options on the website to ask for assistance.
Step 5: Check Health Department Websites: Sometimes, state health department websites provide lists or directories of hospitals under various health schemes, including the West Bengal Health Scheme.

Hospitalisation Process Under the West Bengal Health Scheme

Under the West Bengal Health Scheme, the hospitalisation process involves a few steps. First, the beneficiary must obtain a referral from a registered medical practitioner. Then, they need to identify an empaneled hospital by checking the official list provided by the scheme. Upon admission, the hospital will verify the beneficiary’s eligibility and process the claim.

The hospital will handle the documentation and claim submission to cover expenses according to the scheme's terms. Beneficiaries need to follow additional procedures specified by the scheme to ensure smooth processing and coverage.

Know about:

Important Contact Numbers of West Bengal Health Scheme

Take note of the West Bengal Health Scheme helpline details in case of any emergency.

Email Address of WBHS Portal: support.wbmedicalcell@nic.in
Contact Number: (033)2254-4123/(033)2254-4034

For Technical Help:

Email Address: support.hshed-wb@nic.in
Contact Number: 18001028014

The West Bengal Health Scheme intends to give state government workers, retirees, and their families easy access to reasonably priced healthcare. This initiative lowers the financial obstacles to vital medical care.

Now that you have come to know about the various aspects of the West Bengal Health Scheme, you can easily enroll and register under WBHS 2008 and reap its many benefits.

FAQs about West Bengal Health Scheme

All

Who monitors the WBHS?

The Medical Cell of the WB Government and the state’s Health and Family Welfare Department monitor activities under WBHS 2008.

Does the Certificate of Enrollment help eligible individuals avail reimbursement?

Yes, the Certificate of Enrollment helps eligible individuals get the reimbursement facility under WBHS 2008.

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

Yes, the cost is reimbursable. In such cases, the cost will be determined based on similar surgeries.

Can an employee choose not to participate in this program?

Yes, workers have the option to withdraw from the program. However, they must fulfill certain prerequisites to do so.

Can an employee covered by the West Bengal Health Scheme take advantage of the amenities provided under the West Bengal Services Rules?

Yes, an employee who is enrolled in the West Bengal Health Scheme may take advantage of the services provided under the West Bengal Services Rules.

Is the spouse of a scheme participant deemed a beneficiary?

Yes, the spouse of the member of the scheme is eligible to receive benefits of the scheme.

Is it possible to receive reimbursement for surgical treatment costs in the event that no package rate is applied?

Yes, it can be refunded. The total cost of a comparable procedure will be taken into account. You have to submit original bills and receipts from the hospital or medical service provider.

What is the Health Recruitment Board for West Bengal (WB)?

The State Government established the WB Health Recruitment Board. It engages in direct recruitment while hiring candidates, such as medical officials and nurses. The board's official website is www.wbhrb.in.

What WBHS advantages are available to IAS, IFS, and IPS officers?

Officers may choose to participate in the program as long as they are not covered by the Central Government Health Scheme (CGHS) and will use the services in accordance with the All India Services Rules, 1954.

Which illnesses and medical procedures are not covered by the WBHS?

Cosmetic surgery, non-medical treatments, experimental treatments not yet proven to be useful in medicine, substance misuse, self-inflicted injuries, expensive procedures, such as organ transplants, and other chronic diseases may be disqualified.

Who governs the West Bengal Health Scheme?

The Health and Family Welfare Department ensures that the healthcare infrastructure and medical services comply with the scheme's policies, while the Finance Department is crucial in overseeing the scheme's finances and policy framework.

Does the plan set a cap on the cost of a room?

No, but in accordance with the program's guidelines, cashless coverage is restricted to the usual fees for treatments and procedures.

Know about: Room Rent Capping

Does a cashless West Bengal Health Scheme exist?

Yes, the West Bengal Health Scheme provides cashless medical services up to Rs. 2 lakh to pensioners, state government employees, and officers. This program also covers the families of AIS officers.

How can I get the digital certificate for WBHS?

After creating an ID and password during registration, access the WBHS website. After logging in, choose the Download Enrollment Certificate option to download the WBHS digital certificate.

For whom is the WB Health Scheme eligible?

Policy benefits are available to state government employees, dependents, pensioners, and families. Benefits under the scheme are available to all India Services pensioners and Best Bengal service officials.