MEMORANDUM OF AGREEMENTS

MEMORANDUM OF AGREEMENT (MOA)

GOVERNMENT OF WEST BENGAL

FINANCE DEPARTMENT

ALL THE HOSPITALS / DIAGNOSTIC CENTRES WHICH WILL RENDER SERVICE TO THE BENEFICIARIES UNDER THE WBHS 2008 ARE ADVISED TO PREPARE THE AGREEMENT BETWEEN THE ____________________________ AND THE CONCERNED HOSPITAL /DIAGNOSTIC CENTRE ON A NON-JUDICIAL STAMP PAPER OF RS. 100/- FOR FURTHER NECESSARY ACTION.

AGREEMENT

This Agreement is made on the __________ day of ___________, ___________ between the Governor of West Bengal acting through West Bengal Health Scheme 2008, Government of West Bengal having its office at ___________________(hereinafter called WBHS 2008, which expression shall, unless repugnant to the context or meaning thereof, be deemed to mean and include its successors and assigns) of the First Part

AND

……………………………………….. (Name of the Hospital / Diagnostic Centre with Address) of the Second Part. WHEREAS the WBHS 2008 is providing comprehensive medical care facilities to the West Bengal Government Employees or Pensioners. AND WHEREAS WBHS 2008 proposes to provide treatment facilities and diagnostic facilities to the beneficiaries in the Private Recognized Hospitals or Diagnostic Centres AND WHEREAS (Name of the Hospital) has offered to give the following treatment or diagnostic facilities to the beneficiaries under the WBHS 2008 in the Hospital or Diagnostic Centre. .................................................................................................................................................................... .................................................................................................................................................................... ....................................................................

NOW, THEREFORE, IT IS HEREBY AGREED between the Parties as follows:

1. DEFINITIONS AND INTERPRETATIONS

1.1. The following terms and expressions shall have the following meanings for purposes of this Agreement:

1.1.1. “Agreement” shall mean this Agreement and all Schedules, supplements, appendices, appendages and modifications thereof made in accordance with the terms of this Agreement;

1.1.2.“Card” shall mean a card, issued by any competent authority under the WBHS 2008 ,

1.1.3. “Card Holder” shall mean a person having a card under the WBHS 2008;

1.1.4. “WBHS 2008 beneficiary” shall mean a person who is eligible for coverage of WBHS 2008 and hold a valid card for the benefit under the WBHS 2008;

1.1.5. “emergency” shall mean any condition or symptom resulting from any cause, arising suddenly and if not treated at the early convenience, be detrimental to the health of the patient or will jeopardize the life of the patient;

1.1.6. “Hospital” shall mean the (Name of the Hospital) while performing under this Agreement providing medical investigation, treatment and the healthcare of human beings;

1.1.7. “Package rate” shall mean and include lump sum cost of inpatient treatment / day care / diagnostic procedure for which a beneficiary under the WBHS 2008 has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge including (but not limited to) – (i) Registration charges, (ii) Admission charges, (iii) Accommodation charges including patients diet, (iv) Operation charges, (v) Injection charges, (vi) Dressing charges, (vii) Doctor / consultant visit charges, (viii) ICU / ICCU charges, (ix) Monitoring charges, (x) Transfusion charges, (xi) Anaesthesia charges, (xii) Operation theatre charges, (xiii) Procedural charges / surgeon’s fee, (xiv) Cost of surgical disposables and all sundries used during hospitalization, (xv) Cost of medicines, (xvi) Related routine and essential investigations, (xvii) Physiotherapy charges etc; and (xviii) Nursing care and charges for its services but excluding expenses on telephone, tonics, toiletries, cosmetics etc.

1.2. Annexure-I, consisting of the rate schedule for different packages, procedures and investigations shall be deemed to be an integral part of this Agreement.

1.3. Annexure –II having the proforma for the performance bank guarantee & required guarantee

2. CHARGES FOR SERVICE RENDERED

2.1 The Hospital / Diagnostic Centre shall charge from the beneficiary under the WBHS 2008 as per the rates for a particular procedure / package deal as prescribed by the WBHS 2008 and attached as Annexure 1(rate list), which shall be an integral part of this Agreement.

2.2 The charges for services rendered shall be computed as 100% of rates for Class 1 Hospitals and Diagnostic Centres, 80 % of rates for Class 2 Hospitals and Diagnostic Centres and 70% of rates for Class 3 Hospitals and Diagnostic Centres.

2.3 For surgical cases/ packages, where there are no WBHS 2008 prescribed rates, charges for services shall be arrived at by calculating admissible amount item-wise (e.g. room rent, investigations, cost of medicines, procedure charges based on similar types of cases etc) as per approved rates/ actual expenditure.

2.4 For medical conditions where no package is possible, charges for services shall be arrived at by calculating admissible amount item-wise (e.g. room rent, investigations, cost of medicines, procedure charges etc) as per approved rates/ actual expenditure, in case of investigations/ medicines.

2.5 The rates as given in Annexure I shall be the maximum rate and such rate may be charged from a Beneficiary under the WBHS 2008, for a particular service rendered. However, the rate being charged shall not be more than what is being charged for same procedure/ facility from other (non-WBHS 2008) patients or institutions. An authenticated list of rates being charged from any person other than beneficiaries shall be displayed in the hospital in conformity with the West Bengal Clinical Establishment Rules 2003. Any additional charges, if paid by a beneficiary under the WBHS 2008, shall have to be refunded if detected subsequently.