West Bengal Health Scheme: Good Health is the major concern of any individual and Government of West Bengal is doing enormous efforts in the betterment of the health of the citizens of the state. One such scheme called West Bengal Health Scheme is launched by State government of West Bengal. State Government employees and families of government employees who are getting pension from government of West Bengal can avail the benefit of this WB Health Scheme. Here in this post we will provide full information about how to get benefit from this health Scheme in very simple step by step form. So please read our post till the end for further information.
Table of Contents
West Bengal Health Scheme
The West Bengal Health Scheme is a state-level health welfare step from the Government West Bengal to provide medical assistance for the employees of West Bengal government. In this scheme, eligible people can get cashless treatment in the hospitals which are listed by state Government of Bengal. Eligible person can get cashless treatment of up to Rs 1lakh. Desirable applicants have to apply through the Official Website to avail themselves of the benefits of this scheme. Registered Hospital List under the scheme is provided below.
WB Health Scheme Details
| Name of Scheme | West Bengal Health Scheme |
| Launched By | Government of West Bengal |
| Eligible Candidate | Pensioners and Govt employees of West Bengal |
| Key feature of this scheme | Cashless medical Benefits |
| Official Benefits |
Scheme Facilities
Cashless Indoor Treatment
In this cashless Indore treatment beneficiary can get treatment of up to rupees 100000 in an empaneled hospital by State Government. If the treatment would cost more than rupees 100000 then the extra amount of bill will be settled by the beneficiary.
OPD Treatment
- In this OPD treatment, beneficiary can avail reimbursement for the OPD as per the terms and condition of this scheme.
- Treatment in non-empaneled hospital
- If beneficiary got their treatment done in non-empaneled Hospital then certain percentage of amount will be reimbursed by State Government as per the terms and conditions of the Scheme
Out of State Hospitalization
Beneficiary can get the treatment done in other state as well. Government of West Bengal had empaneled various hospitals in different states of India. All the expenses of treatment of beneficiary will be covered if treatment is done in an empaneled hospital.
West Bengal Health Scheme Benefits
- Under the WB Health Scheme more than 1000 medical procedure is covered for 807783 beneficiaries. In this scheme 148 private hospital is empaneled and also 600 treatment is ongoing. Here we are discussing key Benefits of this WBHC.
- According to this scheme beneficiaries can get cashless indoor treatment of up to Rs. 100000/- in empaneled hospital.
- If treatment is done in non-empaneled hospitals 60% (80% where a number of beds is more than 80) of approved Cost or the actual amount or whichever is less will be covered by state government
- Beneficiaries will get reimbursement of indoor treatment of up to one lakh based on a claim to DDO/PSA
- Beneficiaries will also get reimbursement of OPD treatment cost incurred during the period of thirty days for the same cause for which indoor treatment is taken
- Reimbursement for certain specific disease OPD treatment will also be provided
- Beneficiaries will also get reimbursement for certain specified follow-up treatment cost also
- Beneficiaries can get Reimbursement for the cost of treatment in certain Specialty Hospitals outside the West Bengal.
| Treatment/Surgeries | Extent of cover/Days |
| OPD | 1 day |
| Major Surgeries | Up to 12 days |
| Laparoscopic surgeries | 3 to 4 days |
| Endoscopic surgeries | 3 to 4 days |
| Specialized Surgeries | Up to 12 days |
| Minor surgeries | 1 day |
| Normal deliveries | 3 to 4 days |
West Bengal Health Scheme Hospitals List
Here we are providing complete list of hospitals, empaneled under the Health Scheme. Eligible candidates can find the name of empaneled hospitals from this list.
- All Government Hospitals, clinics, laboratories and diagnostic centers
- All hospitals, clinics, diagnostic centers managed by the Municipal Corporations/ Municipalities and the other Local Bodies
- Ramkrishna Mission Seva Pratisthan, Sarat Bose Road, Kolkata.
- Islamia Hospital, Kolkata.
- Marwari Relief Society Hospital, Kolkata.
- Institute of Child Health, 11, Dr. Biresh Guha Street, Kolkata-17.
- Balananda Brahmachari Hospital, Behala, Kolkata.
- Chittaranjan Cancer Hospital, Kolkata.
- Ramkrishna Sarada Mission Matri Bhavan, 7A, Sree Mohan Lane, Kolkata-28.
- Dr. M. N. Chatterjee Memorial Eye Hospital, Kolkata.
- Ramkrishna Matri Mangal Pratisthan and B.C. Roy Sishu Sadan, Ariadaha, North 24 Parganas.
- J.N. Roy Sishu Seva Bhavan, Kolkata.
- Chartoris Hospital, Kalimpong, Darjeeling.
- Kalimpong Leprosy Hospital, Kalimpong, Darjeeling.
- Sri Balaram Seva Mandir, Khardah, North 24 Parganas
WB Karmai Dharma Online Form 2022
Empaneled Hospitals List
- All India Institute of Medical Sciences, New Delhi
- Apollo Hospital, Chennai, Tamil Nadu
- Asian Institute of Gastroenterology, Hyderabad, Andhra Pradesh
- Christian Medical College, Vellore, Tamil Nadu
- L.V. Prasad Eye Hospital, Hyderabad, Andhra Pradesh
- 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
- Disease Covered under WBHS
- 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 Melita’s is not considered as insulin-dependent diabetes)
- Malignant diseases
- Malignant Malaria
- Neurological disorder/Cerebrovascular disorders
- Renal failure
- Rheumatoid Arthritis
- Systematic Lupus Erythematosus (LUPUS)
- Thalassemia/Bleeding orders/Platelet disorders
- Tuberculosis
Eligibility Criteria
Here we are providing complete eligibility criteria for the Yojana. You can follow below mentioned points to find your eligibility for the scheme.
- All the state government official in government employee who avail pension from government of West Bengal are eligible for this scheme.
- Government official who have opted for this scheme can also enjoy the benefit of this health Scheme.
- All India service official and pensioners of West Bengal are able to take advantage of this yojana
- WSBH provide coverage to spouse, parents, dependent children and dependent siblings of the beneficiary.
How to Apply for West Bengal Health Scheme
To avail benefit of Scheme one need to enroll and register on WB Health Department website from there you can choose to enroll and register as a government employee or government pensioner.
Here we are providing d step by step process to enroll and register on health department website. Please follow the below mentioned points carefully for successful registration.
- First visit the Scheme Official Portal with mobile or laptop.
- Click on Online Enrollment, from the above section and select government employee
- After selecting the government employee option, a new page will appear on the screen
- In this page you need to enter the date of entry into government service and then you will have PRAN/ GPF number.
- If you have PRAN/GPF number check the yes and enter the details
- If you don’t have the detail then check the no box and select non GPF
- Mention detail like residential district, birth date, and save the information to register in West Bengal Health portal.
- Click next for the rest of the process, then mention personal detail like name, address mobile number, employee number etc.
- Enter office details
- Mention Family details
- Upload photograph and digital signature. Please make sure that size of the photograph and signature is of specified size
- Upload the other remaining documents and review the filled details
- Click on submit option and submit the application form
- Save the details and take a hard copy of application form for future reference
Download Forms
- Go to the Scheme Official Portal.
- The homepage of the website will open.
- Click on the Download option.
- A list of various forms will open.
- Download the form which you want to download.
New Hospital Registration
- Go to the Scheme Official Portal.
- The homepage of the website will open.
- Click on the New Hospital Registration option.
- An application form will open where you have to provide all your details.
- After that, click on the submit option.
Get Doctor Details
- Go to the Scheme Official Portal.
- The homepage of the website will open.
- Click on the Doctor Details option in the Hospital section
- Search by Doctor Name or by Hospital Name.
- A list of doctors will open before you.
Govt. Pensioner Enrollment
- First visit the Scheme Official Portal with mobile or laptop.
- Click on Online Enrollment, from the above section and select Govt. Pensioner option.
- After selecting the Govt. Pensioner option, a new page will appear on the screen.
- If you already have a PPO Number then enter the PPO Number or click on the No option and take the PPO Number.
- Now choose your District/State where the Office Located and enter the date of birth.
- Click on the save option.