West Bengal Health Scheme: Online Enrollment of Employer & Pensioner

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.  West Bengal Health Scheme and its related details are mentioned in this article. Here you may get the information related to the scheme such as how you can register, what facilities will be provided and other related details. Please have a look on the content mentioned below to grab the mandatory information.

Eligibility of West Bengal Health Scheme

  • All the state Government employees, pensioners and their family are eligible to apply for West Bengal health scheme
  • Other than State Government employees this scheme can be availed by those persons who have opted for this under medical allowance
  • All India service officers and pensioners of West Bengal can also take advantage of this scheme
  • Under this scheme, the coverage is provided to self, spouse, parents, dependent children and dependent siblings

Facilities under West
Bengal Health Scheme

  • As per this scheme beneficiaries will get cashless indoor treatment up to Rs. 100000/- in empanelled hospital per indoor.
  • In case of treatment is done in non empanelled hospitals 60% (80% where a number of bed is more than 80) of approved Cost or the actual amount paid whichever is less
  • Beneficiaries will get reimbursement of indoor treatment to exceed 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 will get Reimbursement of cost of treatment in certain Speciality Hospitals outside the State

Overview of West Bengal Health Scheme

Name of the scheme West Bengal Health Scheme
Launched by Finance Department, Government of West Bengal
Launched for Government Employees & Pensioners
Benefits Medical facilities
Mode of application Online
Category State government scheme
Official website http://wbhealthscheme.gov.in/

Empanelled Hospitals Under West Bengal Health Scheme

  • All Government Hospitals, clinics, laboratories and diagnostic centres
  • All hospitals, clinics, diagnostic centres 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.

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

Employee Registration Procedure Under West Bengal Health Scheme

To register as an employee you need
to follow the further mentioned steps:

  • With the help of laptop/ computer and working internet connection you need to open the West Bengal Health Scheme Official portal of Finance Department, Government of West Bengal
  • From the home page of the website you have to go to the “online enrollment” option
  • A dropdown list will appear on the screen where you have to choose Govt. employee” option
  • A new page appear on the screen where 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
  • Click “OK” and application form will appear on the screen you have to enter the details such as district, date of birth, name, gender, marital status, mobile number, email id, address, ID Proof, office location, department name etc.
  • Upload your photo and signature in Size 10 kb to 50 kb Format JPEG form
  • Upload the other documents (if any) and review the details you entered
  • Submit the application form by click submit option  

Registration Procedure For Pensioner

To register as a pensioner you need
to follow the further mentioned steps:

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  • With the help of laptop/ computer and working internet connection you need to open Health Scheme Portal of Finance Department, Government of West Bengal
  • From the home page of the website you have to go to the “online enrollment” option
  • A dropdown list will appear on the screen where you have to choose “Govt. Pensioner” option
West Bengal Health Scheme
  • A new page appear on the screen where you need to choose you to have P.P.O. No. or not if yes then you have to enter the number
  • Then click “Ok” and application form will appear on the screen you have to enter 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 etc.
  • Upload your photo and signature in Size 10 kb to 50 kb Format JPEG form
  • Upload the other documents (if any) and review the details you entered
  • Submit the application form by click submit option 

Procedure To Do Online Registration For College

  • First of all, go to the official website of the West Bengal Health Scheme
  • The home page will be open in front of you
  • On the home page, you need to click on online enrollment and then select beneficiaries of grant in aid college
  • Now you will be redirected to a new page where you have to enter your HRMS ID
  • After that, you need to click on ok
  • Now a registration form will be displayed on your screen
  • You need to fill all the required details in this registration form and then click on submit

Do Online Registration Of University

  • Visit the official website of West Bengal Health Scheme
  • The home page will be open in front of you
  • Now you need to click on the online enrollment tab
  • After that, you need to click on beneficiaries of grant in aid University
  • Now a new page will be open in front of you where you have to enter your 10 digit PAN number
  • Now you are required to click on ok
  • After that registration form will be open in front of you where you have to enter all the required details and click on submit

Do New Hospital Registration

  • First of all, go to the official website of theWest Bengal Health Scheme
  • The home page will be open in front of you
  • On the home page, you need to click on online enrollment and then select new hospital registration
  • After that registration form will be open in front of you where you have to enter all the important detail like organisation types, system type, service provider, state, district etc
  • After completing the form you need to click on submit
  • By following this procedure you can do new hospital registration

Get Doctor’s Detail

  • Visit the official website of of West Bengal Health Scheme
  • Home page will be open in front of you
  • Now you need to click on hospitals tab and select hospital / doctor detail
  • Now a new page will be open in front of use where either you can enter doctor’s name or hospital’s name and click on search
  • By following this procedure you can extract doctors detail

Procedure To Do Authentication Of Beneficiary By Hospital

  • Go to the official website of West Bengal Health Scheme. A Home page will be open in front of you
  • On the homepage you need to click on authenticate beneficiary link which is under hospital tab
  • Now a new page will be open in front of you where you have to select your search criteria
  • You can search by employee number, mobile number or enrollment certificate number
  • Select the category of your choice and enter the details
  • Now you need to click on search
  • By following this procedure you can authenticate beneficiary by hospital

View Permission Of Hospital

  • Visit the official website of of West Bengal Health Scheme
  • Home page will be open in front of you
  • Now you need to click on view permission link under hospital tab
  • A new page will be open in front of you where you have to select your search criteria that is either by beneficiary id or by employee ID number
  • Now you need to enter the required details and click on search
  • By following this procedure you can view permission of hospital

Lodge Grievance

  • Go to the official website of West Bengal Health Scheme. A Home page will be open in front of you
  • Now you need to to click on may I assist you link
  • After that you need to click on write us your query/ questions click here
  • Now you need to enter your query in detail
  • After that you need to click on submit
  • By following this procedure you can lodge grievance

Get Package Detail

  • Visit the official website of of West Bengal Health Scheme
  • Home page will be open in front of you
  • Now you need to click on package details link
  • After that you will be redirected to a new page where you can search the package detail by the treatment code or by treatment description
  • After that you need to click on search
  • By following this procedure you can view package details

View Cashless Admissible Reimbursement Certificate

  • Go to the official website of West Bengal Health Scheme. A Home page will be open in front of you
  • Now you need to click on CARC status link
  • 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 enquiry number
  • You need to enter the details and click on search
  • By following this procedure you can view cashless admissible reimbursement certificate

View Claim Reimbursement Details

  • Go to the official website of West Bengal Health Scheme. A Home page will be open in front of you
  • Now you need to click on claim reimbursement link
  • After that you will be redirected to a new page where you have to enter your login ID and password
  • Now you need to click on ok
  • after that you need to click on claim reimbursement link
  • Your claim reimbursement status will be on your computer screen

Helpline Number

  • 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 @support.wbmedicalcell@nic.in or support.hshed-wb@nic.in.