West Bengal Health Scheme Hospital List Kolkata

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West Bengal Health Scheme Hospital List Kolkata: The West Bengal Health Scheme (WBHS) is a vital healthcare initiative by the Government of West Bengal. It aims to provide quality medical care to government employees, pensioners, and their dependents. The scheme includes cashless treatment at empaneled hospitals, reducing financial stress during medical emergencies. Kolkata, being the capital city, has several hospitals enlisted under this scheme, offering a wide range of treatments.

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What is the West Bengal Health Scheme?

The WBHS is designed to cover medical expenses for eligible beneficiaries. The scheme provides coverage for hospitalization, surgery, and specific outpatient treatments. Beneficiaries can avail of services in both private and government hospitals listed under the scheme.

Objectives of the Scheme

To ensure cashless medical treatment.
To reduce the financial burden during serious illnesses.
To make advanced healthcare accessible to government employees and pensioners.
To partner with reputed hospitals for quality services.

Facilities Available Under WBHS Cashless Hospitals kolkata

The West Bengal Health Scheme (WBHS) provides a comprehensive range of medical benefits for its beneficiaries. These benefits are designed to ensure financial relief and access to quality healthcare services. Below are the key facilities available:

Cashless Indoor Treatment
- Beneficiaries can avail of cashless treatment for hospitalization up to ₹2,00,000.
- This facility ensures that patients do not have to pay upfront for treatments.
- It applies to treatments undertaken at empaneled hospitals within the scheme.
- The limit and guidelines are specified in Order No. 92F(MED) dated 07/06/2023.
Reimbursement of OPD Treatment Costs
- Covers costs incurred during outpatient treatment.
- Includes follow-up medical consultations, diagnostic tests, and medications.
- Beneficiaries can claim these expenses by submitting the required documents to the concerned authority.
Reimbursement for Non-Empanelled Hospital Treatment
- If a beneficiary opts for treatment in a hospital not empaneled under WBHS, reimbursement is available.
- This applies primarily to indoor treatments for conditions that require immediate care.
- Beneficiaries must ensure they meet specific criteria and submit all necessary bills and reports for approval.
Reimbursement of Specific Investigations
- Certain diagnostic investigations are reimbursable even if conducted outside empaneled hospitals.
- These include advanced diagnostics such as MRIs, CT scans, and other specified tests.
- Details of reimbursable investigations are outlined in Memo No. 797-F(Med)/WB dated 31/01/2011.
Reimbursement for Treatment in Specialty Hospitals Outside West Bengal
- Beneficiaries requiring advanced treatments unavailable in the state can seek medical care in specialty hospitals outside West Bengal.
- The scheme reimburses the costs incurred during such treatments.
- Prior approval is usually required for planned treatments outside the state.