August 2023

West Bengal Health Scheme, 2008 : Checklist for enrolment (pensioners): This is a checklist for government pensioners in West Bengal to enroll in the West Bengal Health Scheme of 2008. You will need to provide your basic information and details about your last job and pension. If you are a family member of a deceased government employee, you will also need their date of death and pension details. You need to provide information about your residential address, bank account, and treasury. If your spouse is also a government pensioner, you need to inform them about discontinuing medical allowance and enrolling separately. You need to provide details about your dependent family members who are below 25 years, unmarried, widowed/divorced daughter, sister, or minor brother; and your dependent parents whose income is less than Rs. 3,500 per month. Take note that the enrollment deadline is until March 31, 2012.

West Bengal Health Scheme, 2008-Checklist for enrolment of Government employees: Government employees in West Bengal can enroll in the West Bengal Health Scheme of 2008 by completing all documents as per the checklist that includes their name, designation, and office address. They must also provide their GPF number and indicate the effective date of enrollment, as well as whether they have furnished option Form-A in duplicate. Other required information includes residential address, date of birth, date of entry into government service, date of superannuation, present basic pay, and family details. If the spouse of the employee is a state government employee, a joint declaration countersigned by the employer is also required. Enrollment is open until 31 March 2012, and new entrants have two years to enroll. Employees without a GPF number can apply for benefits using a Temporary Family Permit.

Guidelines for medical treatment & reimbursement under West Bengal Health Scheme 2008:
1. Use recognized hospital under Scheme
2. Show Identity Card & give copy to hospital
3. Give office address & number for indoor treatment
4. Inform office within 3 days of starting treatment
5. Check identification number on hospital bill
6. Check procedures/investigations coded on bill
7. Check surgical procedures charged at package rate
8. Claim within 3 months of discharge for indoor treatment
9. Claim within 3 months for OPD treatment
10. Permission needed for specific procedures/treatment
11. Permission needed for out-of-state specialty hospitals
12. Report over-billing or unnecessary procedures within 15 days
13. Use appropriate Essentiality Certificates forms for gov't employees
14. Sanctioning Authority to issue maximum amount per approved rates.