Finance Department

Government of West Bengal

West Bengal Health Scheme Portal

For Government Employees & Pensioners and Beneficiaries of GIA Colleges & Universities of West Bengal

Facilities Available

 
Cashless indoor treatment facilities upto Rs 1,00,000/- Cashless indoor treatment facilities upto Rs 1,00,000/-per indoor is available provided treatment done in Private Empanelled Hospitals. Reimbursement of indoor treatment cost beyond Rs 1,00,000/-is also available subject to submission of claim to DDO/PSA.
Reimbursement of related OPD treatment cost Cost of OPD treatment,relating to the Indoor treatment, incurred during the period of thirty days prior to admission as well as during the period of thirty days after discahrge is available for reimbursement.
Reimbursement of OPD treatment cost

OPD treatment cost is reimbursable in case of certain specified diseases provided treatment done in recognised hospitals .

For detailed list of specified disease Click Here

Reimbursement of the cost of follow-up medical attendance and treatment

Follow-Up medical treatment cost is reimbursable in case of certain specified disease provided treatment done in recognised hospitals as per clause-7(2) .

For detailed list Click Here

Reimbursement of indoor treatment cost in Non Empanelled Hospitals

60% (80% where number of bed is more than 80) of approved Cost or actual amount paid whichever is less is reimbursable when treatment is done in non empanelled hospitals within the State provided the hospital, on the date of treatment, had a valid license under West Bengal Clinical Establishment Act and Rules.

Reimbursement of cost of certain investigations as mentioned in point 10 of Memo No 797-F(Med)/WB Dt 31/01/2011

Cost of certain investigations as mentioned in point 10 of Memo No 797-F(Med)/WB Dt 31/01/2011 are reimbursable on the basis of OPD prescriptions of doctors, consulted in a recognised hospitals, in case of any disease provided the investigations are done in empanelled hospital/diagnostic centre.

For detailed list of investigations Click Here

Reimbursement of cost of treatment in certain Speciality Hospitals outside the State

Actual cost of treatment including cost of journey with one attendent is reimbursable provided treatment is done in certain specified Speciality Hospitals outside the State.

For detailed list of speciality hospitals Click Here