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[wbhealthscheme.gov.in Registration] West Bengal Health Scheme: Online Enrollment of Employer & Pensioner, Hospital List, Rate Chart

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Short Info: সবার জন্য স্বাস্থ্য সাথী প্রকল্প – [Apply Online] West Bengal Health Scheme (WBHS) 2021 – WB Health Scheme Online Registration, WBHS Portal Application Form PDF Download, West Bengal Health Scheme reimbursement form c1, Eligibility, Beneficiary List, Hospital List, Rate Chart, Payment/ Amount Status, Features, Benefits and Check Online Application Status at Official Website wbhealthscheme.gov.in.

Short Scheme Details:
Name of Scheme West Bengal Health Scheme
Application Status Active
Scheme Benefit Provide Cashless Treatment
Scheme Published On 12/22/2020
Scheme Updated on  06/30/2021

Table of Content

Table of Contents

সবার জন্য স্বাস্থ্য সাথী প্রকল্প 2021: West Bengal Health Scheme List, Status News Update

Latest News Update: West Bengal Health Scheme: Online Enrollment of Employer & Pensioner
  • West Bengal Health Scheme has been launched by the Finance Department, Government of West Bengal for Government Employees & Pensioners. Under this scheme, certain medical facilities are provided to the beneficiaries.
  • Months ahead of the 2021 state polls, West Bengal chief minister Mamata Banerjee on Thursday expanded the state-run ‘Swasthya Sathi’ health scheme to cover the entire population of the state.

West Bengal Health Scheme WBHS 2021 Apply Online @wbhealthscheme.gov.in

Summary: The West Bengal Cashless Medical Treatment Scheme provides cashless healthcare services up to Rs.1 lakh to pensioners, officers, and employees of the West Bengal state government. AIS officers and their families are also covered under this scheme. An employee who has registered under the West Bengal Health Scheme can also claim benefits and shall be entitled to the benefits and facilities under West Bengal Services (Medical Attendance) rules, 1964.

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All Applicants who are willing to apply online application then download the official notification and read all eligibility criteria and application process carefully. We will provide short information about “West Bengal Health Scheme 2021” like Scheme Benefit, Eligibility Criteria, Key Features of Scheme, Application Status, Application process and more.

West Bengal Health Scheme 2021 – Overview
Name of Scheme West Bengal Health Scheme (WBHS)
in Language সবার জন্য স্বাস্থ্য সাথী প্রকল্প
Launched by State Government of West Bengal
Beneficiaries For Government Employees & Pensioners & Beneficiaries of GIA Colleges & Universities of West Bengal
Major Benefit Provide Cashless Treatment
Scheme Objective Provide Health Insurance to Employer & Pensioner
Scheme under State Government
Name of State West Bengal
Post Category Scheme/ Yojana/ Yojna
Official Website wbhealthscheme.gov.in
Important Dates
Event Dates
Starting Date to Apply Online
Last Date to Apply Online
Important Links
Event Links
Apply Online Registration Login
Notification Click Here
West Bengal Health Scheme 2021 Official Website

WBHS Online Registration Process: How to register in WBHS Portal

How to register in WBHS Portal & How to add beneficiary in West Bengal Health Scheme: The WBHS is a state-level health insurance welfare scheme. This scheme began in the year 2008. However, in 2014, it underwent a revamp and came to be known as the West Bengal Health for All Employees and Pensioners Cashless Medical Treatment Scheme. Both schemes have been merged.

As per this scheme, eligible people can avail cashless treatment in the stated list of hospitals, also known as empanelled hospitals and Health Care Organisations (HCO). Those who are eligible can avail a cashless treatment of Rs. One lakh.

All Eligible Applicants who want to apply to this scheme then read all instructions carefully and follow the given below steps to apply online application form:

Employee Registration Procedure: Online Application Form under West Bengal Health Scheme 2021

Employee Registration Procedure Under West Bengal Health Scheme:

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- On the Homepage, Click on the Option “online enrollment” option.

Step 3- A dropdown list will appear on the screen where you have to choose Govt. employee” option

Step 4- On this page, you need to enter the date of entry into govt. service and have PRAN/ G.P.F No if yes then you have to enter the number and click “OK” button.

Step 5- The application Form page will be displayed on the screen.

Step 6- Now enter the required details (Mention all the details such as district, date of birth, name, gender, marital status, mobile number, email id, address, ID Proof, office location, department name and other information).

Step 8- Upload your photo and signature in Size 10 kb to 50 kb Format JPEG form

Step 9- Upload the other documents (if any) and review the details you entered

Step 10- Click on Submit Button for the final submission of the application.

Pensioner Registration Procedure: Online Application Form under West Bengal Health Scheme 2021

Pensioner Registration Procedure Under West Bengal Health Scheme:

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- On the Homepage, Click on the Option “online enrollment” option.

Step 3- A dropdown list will appear on the screen where you have to choose Govt. Pensioner” option

Step 4- On this page, you need to choose you to have P.P.O. No. or not if yes then you have to enter the number and click “OK” button.

Step 5- The application Form page will be displayed on the screen.

Step 6- Now enter the required details (Mention all the details such as district, date of birth, name, gender, mobile number, email id, address, ID Proof, date of retirement, department name, last office location and other information).

Step 8- Upload your photo and signature in Size 10 kb to 50 kb Format JPEG form

Step 9- Upload the other documents (if any) and review the details you entered

Step 10- Click on Submit Button for the final submission of the application.

Online Registration Process For College

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- On the Homepage, you need to click on online enrollment and then select beneficiaries of grant in aid college

Step 3- ONLINE REGISTRATION FOR COLLEGE page will be displayed on the screen.

Step 4- Now, you have to enter your HRMS ID and you need to click on ok button.

Step 5- After this, a registration form will be displayed on your screen

Step 6- You need to enter all the required details in this registration form and then click on submit.

Online Registration Procedure For University

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- On the Homepage, you need to click on online enrollment and then select beneficiaries of grant in aid University

Step 3- ONLINE REGISTRATION FOR UNIVERSITY page will be displayed on the screen.

Step 4- Now, you have to enter your 10 digit PAN number and you need to click on ok button.

Step 5- After this, a registration form will be displayed on your screen

Step 6- You need to enter all the required details in this registration form and then click on submit.

Registration Process For New Hospital

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- On the Homepage, you need to click on online enrollment and then select new hospital registration

Step 3- ONLINE REGISTRATION FOR Hospital page will be displayed on the screen.

Step 4- Now, you have to enter enter all the important detail like organisation types, system type, service provider, state, district etc and you need to click on ok button.

Step 5- After this, a registration form will be displayed on your screen.

Step 6- You need to enter all the required details in this registration form and then click on submit. By following this procedure you can do new hospital registration.

How to Get Doctor’s Detail

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- On the Homepage, click on the hospital’s tab and select hospital/doctor detail

Step 3- Doctor Details page will be displayed on the screen.

Step 4- Now, you can enter the doctor’s name or hospital’s name and click on search

Step 5- By following this procedure you can extract doctors detail.

Procedure To Do Authentication Of Beneficiary By Hospital

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- On the Homepage, you need to click on the authenticate beneficiary link which is under the hospital tab

Step 3- Authentication of Beneficiary by Hospitals page will be displayed on the screen.

Step 4- Now, you have to select your search criteria.

Step 5- You can search by employee number, mobile number, or enrollment certificate number

Step 6- Select the category of your choice and enter the details

Step 7- Now you need to click on the search

Step 8- By following this procedure you can authenticate beneficiary by hospital

View Permission Of Hospital

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- On the Homepage, you need to click on view permission link under hospital tab

Step 3- View Permission page will be displayed on the screen.

Step 4- Now, you need to enter the required details and click on search

Step 5- By following this procedure you can view permission of hospital

Lodge Grievance

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- On the Homepage, you need to click on may I assist you link

Step 3- After that, you need to click on write us your query/ questions click here

Step 4- Now, you need to enter your query in detail

Step 5- After that, you need to click on submit

Step 6- By following this procedure you can lodge a grievance

Get Package Detail

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- On the Homepage, you need to click on the package details link

Step 3- After that, you can search the package detail by the treatment code or by treatment description

Step 4- Now, you need to enter your query in detail

Step 5- After that, you need to click on the search

Step 6- By following this procedure you can view package details

View Cashless Admissible Reimbursement Certificate

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- Now you need to click on the CARC status link

Step 3- Now you will be redirected to a new page where you have to select your search criteria that is either by beneficiary id or by inquiry number

Step 4- You need to enter the details and click on the search

Step 5- By following this procedure you can view cashless admissible reimbursement certificate

View Claim Reimbursement Details

Step 1- Visit the Official Website of West Bengal Health Scheme i.e. wbhealthscheme.gov.in.

Step 2- Now you need to click on the claim reimbursement link

Step 3- After that, you will be redirected to a new page where you have to enter your login ID and password

Step 4- Now you need to click on ok

Step 5- after that, you need to click on the claim reimbursement link

Step 6- Your claim reimbursement status will be on your computer screen

How to Claim the West Bengal Health Scheme

Step 1 – Submit the cashless card while getting admitted for treatment at an empanelled hospital.

Step 2  Health Care Organisation shall send an authorisation request to the Government Authorised Agency (GAA).

Step 3  GAA will check the details and approve the request.

Step 4 – Post the treatment, HCO or the hospital will send the bill to the GAA. The bill shall be accompanied by required documents like a medical report, doctor’s certificate, discharge summary, etc.

Step 5 – GAA will verify the sent documents.

Step 6 – GAA will transfer the amount to HCO.

Required Document for West Bengal Health Scheme

Important Document to Apply Online
  • Govt Documnets and IDs
  • Email ID
  • Mobile Number
  • Address

West Bengal Health Scheme Eligibility Criteria

Beneficiary Guidelines
  • The State Government employees, their dependents (fulfilling the criteria), state Government pensioners and their families stand the right to avail the facilities of the scheme.
  • The beneficiaries who have chosen the medical allowance are also deemed to enjoy the benefits of this scheme.
  • Service officers and Pensioners of West Bengal can claim these benefits and facilities.
  • Along with the cashless treatment, this scheme provides coverage for the employee and his family, parents and siblings that are dependent.

West Bengal Health Scheme 2021: Online Application Form

ABOUT SCHEME
West Bengal Health Scheme 2021: Online Application Form PDF Download – 

The West Bengal Health Scheme is administered by a medical cell formed under the Finance department of Government of West Bengal. This medical cell has been formed to regulate and monitor the West Bengal Health Scheme in collaboration with the health and family welfare department. The medical cell issues the operational guidelines for its implementation.

Thus, being the advisory body of the State Government, the area of medical cell is quite expanded. The policies for implantation, surgeries, treatments, approval for the rates of different processes, empanelment of various hospitals, laboratories and clinics.

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 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

Forms for State Government Employees:

The table below shows the different types of forms for State Government Employees

Type of forms Particulars
Form-A Enrolment application
Form-D1 Essentiality Certificate (OPD treatment)
Form-C Claim settlement for reimbursement
Form-E Checklist
Form-D2 Essentiality Certificate (Indoor treatment and OPD treatment
Form-D3 Essentiality Certificate (non-recognised HCOs)

Forms for State Government Pensioners:

The table below shows the different types of forms for State Government Pensioners

Type of forms Particulars
Form-I Enrolment application (West Bengal Health Scheme, 2008)
Form-III Claim settlement for reimbursement
Form-II Enrolment certificate
FORM IV2 Essentiality certificate-cum-statement of expenditure (duly certified by a specialist for Indoor and OPD treatment)
FORM IV1 Essentiality certificate-cum-statement of expenditure (duly certified by any OPD Treatment specialist)
Form-V Checklist for medical claims reimbursement
FORM IV3 Essentiality certificate-cum-statement of expenditure (duly certified by a specialist from any non-recognised private nursing home under WB Health Scheme)
Form-VI Family Permit (Temporary)

West Bengal Health Scheme Hospital list 2020: Empanelled Hospitals in Kolkata, West Bengal

The list of empanelled hospitals comprise of Government hospitals, Local body’s hospitals, State-aided hospitals and private aided hospitals. These categories of hospitals have been listed code wise under the West Bengal Health Scheme as well as the diagnostics centers, clinics, laboratories are mentioned, recognized for availing the benefits of this scheme.

List of hospitals under WB cashless health scheme: The following is the list of empanelled hospitals in the state of West Bengal and NCR

  1. The Calcutta Medical Research Institute
  2. Desun Hospitals and Heart Institute
  3. Nightingale Hospitals
  4. R N Tagore International Institute of Cardiac Sciences
  5. Apollo Gelneagles
  6. Ruby general hospital
  7. BM Birla Heart research centre
  8. Medica Superspecialty Hospital
  9. Rotary Narayana Nethralaya
  10. Silverline Eye Hospital
  11. B.P Poddar Hospital
  12. Mission of Mercy Hospital
  13. Dr.Nihar Munshi Eye Foundation
  14. Eye care and Research Centre
  15. D.M Hospital Pvt. Ltd
  16. Susrut Eye Foundation
  17. Bhattacharya Orthopedics
  18. Institute of Neuroscience
  19. Amri Hospitals
  20. Barrackpore Medicare
  21. Disha Eye Hospitals
  22. Belle Vue Clinic
  23. Fortis Hospital
  24. Kothari Medical Centre
  25. Peerless Hospitax Hospital
  26. Apex Institute of Medical Sciences
  27. Dafodil Hospitals
  28. Kothari Medical Centre
  29. Ekbalpur Nursing Home
  30. R.G Stone Urology and Laproscopy Hospital
  31. Nabajiban Hospital
  32. KPC Medical College
  33. Implant’s Better Sight Centre
  34. Eskag Sanjeevani
  35. Divine Nursing Home
  36. All Government Hospitals, clinics, laboratories and diagnostic centres
  37. All hospitals, clinics, diagnostic centres managed by the Municipal Corporations/ Municipalities and the other Local Bodies
  38. Ramkrishna Mission Seva Pratisthan, Sarat Bose Road, Kolkata.
  39. Islamia Hospital, Kolkata.
  40. Marwari Relief Society Hospital, Kolkata.
  41. Institute of Child Health, 11, Dr. Biresh Guha Street, Kolkata-17.
  42. Balananda Brahmachari Hospital, Behala, Kolkata.
  43. Chittaranjan Cancer Hospital, Kolkata.
  44. Ramkrishna Sarada Mission Matri Bhavan, 7A, Sree Mohan Lane, Kolkata-28.
  45. Dr. M. N. Chatterjee Memorial Eye Hospital, Kolkata.
  46. Ramkrishna Matri Mangal Pratisthan and B.C. Roy Sishu Sadan, Ariadaha, North 24 Parganas.
  47. J.N. Roy Sishu Seva Bhavan, Kolkata.
  48. Chartoris Hospital, Kalimpong, Darjeeling.
  49. Kalimpong Leprosy Hospital, Kalimpong, Darjeeling.
  50. Sri Balaram Seva Mandir, Khardah, North 24 Parganas.

West Bengal Health Scheme rate chart 2020: Revised Rate list

The West Bengal Health Scheme with the revised rate list and all the benefits, recognized hospitals, medical centers and rebates have been listed in the official website of the Finance department of the State Government. The medical cell has been formed to carry on and regulate the healthcare scheme in collaboration with the health care and family department.

The following table shows some rates* under the West Bengal Health for all Employees and Pensioners Cashless Medical Treatment Scheme, 2014, Finance Department, Government of West Bengal

Description Rate Package or non-package
Consultation by super specialists (indoor) (two visits per day) Rs.250 Non-package
Consultation by specialists (Indoor – two visits) Rs.200 Non-package
Consultation by super specialists (OPD) Rs.250 Non-package
Consultation by Medical Officer (OPD) Rs.150 Non-package
Excision of moles Rs.600 Package
Excision of Corns Rs.550 Package
Excision of Molluscum Contagiosum Rs.600 Package
Excision of Warts Rs.600 Package
Excision of Venerel Warts Rs.600 Package
Cyst under LA Rs.300 Non-package
Flap operation per tooth Rs.500 Non-package
Extraction of Tooth including LA Rs.120 Non-package
Gingivectomy per tooth Rs.300 Non-package
Complicated extraction per tooth including LA Rs.250 Non-package
Retrobular Injection (both eyes) Rs.300 Non-package
Lacrimal sac for one eye Rs.200 Non-package
Subconjunctival Injection -one eye Rs.200 Non-package
Subconjunctival Injection -both eyes Rs.300 Non-package

*List is not exhaustive. Rates vary according to the medical procedure

GST rate of 18% applicable for all financial services effective July 1, 2017.

Disclaimer: Premiums may vary depending upon factors like age, location and prevailing taxes/GST.

Objectives of West Bengal Health Scheme 2021

SCHEME OBJECTIVE
The West Bengal Health for All Employees and Pensioners Cashless Medical Treatment Scheme, notified in 2014 is a comprehensive health scheme which aims to provide cashless medical facilities to employees, officers and pensioners of state government (not excepting family pensioners) All India Service (AIS) officers and their family members across empanelled hospitals in West Bengal.

Major Benefits & Key Features of Scheme

BENEFICIARY BENEFITS & SCHEME FEATURES
  • Beneficiaries under this scheme can avail of cashless medical treatment for up to Rs.1 lakh.
  • The scheme should be affordable, accessible and providing high quality essential care in the field of health.
  • Focusing mainly on child and women health, elderly people especially living in underdeveloped areas.
  • More and more development of hospitals and healthcare facilities.
  • The WBHS 2008 has been merged with the Health for All Employees and Pensioners Cashless Medical Treatment Scheme, 2014 from September 15th, 2014.
  • Cashless Indoor Treatment/l The beneficiary can avail cashless indoor treatment up to Rs. One lakh in an empanelled hospital. If the cost exceeds the limit, the extra amount in the bill shall be settled by the beneficiary.
  • OPD Treatment: You can avail reimbursement for the OPD treatment as per the waiting period and other conditions of the scheme
  • Hospital That is Non-empanelled: If treatment is availed in a non-empanelled hospital, a certain percentage of the amount can be reimbursed as per the terms and conditions.
  • Out-of-state Hospitalisation: Expenses can be covered if the treatment is availed in a hospital belonging to a different state, provided it has been listed as an empanelled hospital.

Here are the key benefits of the updated WBHS scheme:

More than 1000 medical procedures are covered by the scheme. The following table is about the type of procedure and the extent of the cover.

Benefits Cover
Specialized surgeries Up to 12 days
Major surgeries 7 to 8 days
Laparoscopic or endoscopic surgeries, normal deliveries 3 to 4 days
OPD and minor surgeries 1 day

Helpline Number

HELPLINE NUMBER & CONTACT ADDRESS
  • For any technical query, you can contact on 033-2254-4123/ 4034 between 10.30 am to 5.30 pm or 18001028014 anytime.
  • You may also email for the help @[email protected] or [email protected]

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