Implementation of West Bengal Health for all employees and pensioners Cashless Medical Treatment Scheme.

H. K. Dwivedi

Principal Secretary

Finance Department

Government of West Bengal

NABANNA

325, Sarar Chanerjee Road

Howrah-711 102

No. 5395(6S).F(MED)

 Howrah, the 27th October, 2014

The AddI. Chief Secretary/ Principal Secretary/Secretary

.................Department

Government of West Bengal

Sir /Madam,

You are aware that Government has introduced ‘West Bengal Health for All Employees and Pensioners Cashless Medical Treatment Scheme, 2014’ for providing cashless indoor medical treatment facility upto Rs One lac only to the employees including AIS officers and pensioners / family pensioners and their dependant beneficiaries of the State Govt. vide Finance Department Notification No.4656-F(Med) Dt 05/09/2014 read with Notification No.5069-F(Med) Dt 26/09/2014 available in the Portal of Medical Cell of Finance Department www.wbfin.nic.in.

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Approval for home dialysis under WBHS 2008

GOVERNMENT OF WEST BENGAL
FINANCE(Audit) DEPARTMENT
MEDICAL CELL
G-BLOCK, GROUND FLOOR
WRITERS’ BUILDINGS
KOLKATA-700001.

Memo No.8371 - F (MED)

Dated: 21.11.2013.

NOTIFICATION

   At present members of the WBHS 2008 and their beneficiaries are allowed to get the benefit of all types of indoor and some types of Outdoor treatment in the empanelled HCOs in terms of provisions laid down under clauses 6 & 7 of FD Notification No.7287-F Dated: 19.09.2008.

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WBHS 2008: Notification regarding Digital Hearing Aid

Government of West Bengal
Finance Department
Audit Branch
Medical Cell

No. 3733-F (MED)

Dt. 10-05-2013

Notification

   Cost of Digital Hearing Aid (WBHS Code No. 03003003) is reimbursable under the West Bengal Health Scheme, 2008.

   As per provision of the West Bengal Health Scheme, 2008, prior permission of the West Bengal Health Scheme Authority is needed for purchase of this costly device.

   From some time past, requests are coming from various corners for waiving of the norm of obtaining prior permission of the West Bengal Health Scheme Authority for purchase of this device. West Bengal Health Scheme Authority has also
recommended in favour of abolishing this system considering the medical as well as technical superiority of digital device over the conventional analog one.

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Notification regarding treatment at Tata Memorial Hospital, Mumbai.

Government of West Bengal
Finance Department
Audit Branch
Medical Cell

No. 3731 F(MED)

Dt. 10.05.2013

Notification

   At present the State Government employees/ Government pensioners who are enrolled under the West Bengal Health Scheme, 2008 are entitled to receive treatment of Cancer at Tata Memorial Hospital, Mumbai (TMH, Mumbai) on fulfilment of such conditions as obtaining prior permission of the West Bengal Health Scheme Authority on the basis of submitting referral from any recognised HCO.

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WBHS, 2008 Regarding advance purchase of Medicines for Government Employees/ Government Pensioners.

Government of West Bengal
Finance Department
Audit Branch

No. : 2857-F(MED)

Kolkata, the 8th April, 2013

MEMORANDUM

   Government Employees/Government Pensioners who are enrolled under WBHS, 2008 and got treatment with prior approval from Government for treatment in recognised speciality hospitals out side the State face great difficulty in getting reimbursement under WBHS, 2008 for the cost of medicines prescribed by those hospitals for an indefinite period in compliance with Clause 12(2) of WBHS, 2008 and F.D. Memo No.2618-F(MED) dated 05.04.2011.

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Two private Health Care Organisations have been assessed under the West Bengal Health Scheme, 2008.

Government of West Bengal
Finance Department
Audit Branch

Notification

No. 619-F (MED)
FN/0/2/87/09

Date: 24.01.2013

   The following private Health Care Organisations have been assessed as Service Provider by the Health & Family Welfare Department on the basis of the facilities available there for rendering service to the Government employees/ Government
pensioners and their beneficiaries under the West Bengal Health Scheme, 2008. The Health Care Organisations have came into agreement with the Government of West Bengal on the basis of Memorandum of Agreement for a period of 2 (two) years or till they are modified or revoked whichever is earlier from the date of the notification.

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Reimbursement of Medicines of non-empanelled Health Care Organisations.

Government of West Bengal
Finance (A) Deptt., Medical Cell.

No. 8687-F(MED)                                                                                                         Date : 16.10.12.

MEMORANDUM

   The reimbursement of the cost of medical treatment in non-empanelled private Health Care Organisations was allowed under the West Bengal Health Scheme, 2008 under certain terms and conditions vide Finance Department Notification no. 10539-F (MED) dated 21.11.11. Thereafter, in terms of clarification under SI. No. 2 of Finance Department Memorandum no. 11254-F(MED) dated 16.12.11, reimbursement of the costs of medicines and consumables are allowed up to 80% or 60% of the actual costs, as the case may be depending on the bed capacity of that Health Care Organisation.

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Forms related WBHS,2008 as updated on 15.09.2011

Government of West Bengal

Finance Department

Audit Branch Medical Cell

No. 6953-F (MED)

 Dt. 11-07-2011

Memorandum

   In the process of implementation of the West Bengal Health Scheme, 2008 the Government from some time past was considering for amendment of Forms regarding enrolment under the Health Scheme and settlement of claims. Accordingly, the Governor is pleased to publish the following amended Forms under the West Bengal Health Scheme, 2008 and guidelines for settlement of claims.

   2. Under Clause-7 (1) of the West Bengal Health Scheme, 2008, costs of OPD treatment of ten listed diseases are reimbursable. Reimbursement of the cost of medical treatment of such diseases may be allowed when the attending physician of recognized hospital clearly certifies that the beneficiary was/ has been suffering from any of the listed diseases of Clause-7(1) of the Health Scheme. Essentiality Certificate for treatment under Clause-7 (1) of the Health Scheme should be furnished in Form-‘D1’/ Form-‘IV1’

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