WB Health Scheme 2025 – Full Guide with Benefits, Eligibility, and Online Application
The WB Health Scheme, officially referred to as the West Bengal Health for All Employees and Pensioners Cashless Medical Treatment Scheme, is a flagship initiative of the Government of West Bengal. It ambitions to offer cashless scientific treatment centers to nation government employees, pensioners, and their households. This scheme covers a extensive range of illnesses and gives treatment benefits at various empaneled hospitals across India.
In this text, we’ll dive deep into each component of the WB Health Scheme, together with:
- What is WB Health Scheme?
- Who is eligible?
- Benefits and insurance
- How to enroll?
- List of empaneled hospitals
- Claim manner
- Important hyperlinks & FAQs
What is the WB Health Scheme?
The West Bengal Health Scheme (WBHS) changed into added in 2008, and later revamped in 2014 to include cashless medical treatment for listed procedures. This scheme guarantees that eligible individuals get hold of nice healthcare with out the load of in advance prices.
Key Highlights:
- Offers cashless treatment as much as ₹1,00,000 according to indoor remedy.
- Covers state government personnel, pensioners, and their dependents.
- More than 1200 hospitals are empaneled across India, which includes reputed personal hospitals.
Objective of the Scheme
The key intention is to reduce economic strain on authorities personnel and retirees all through fitness emergencies. It ensures timely get entry to to right healthcare services through cashless or reimbursed remedy fashions.
Eligibility for WB Health Scheme
Here’s a breakdown of who is eligible beneath the scheme:
| Category | Eligibility Status |
|---|---|
| State Government Employees | Eligible |
| State Government Pensioners | Eligible |
| Family Members/Dependents | Eligible (as declared) |
| All India Service Officers | Eligible (under WB cadre) |
| GPF Holders (WB State only) | Eligible |
| Municipal Corporation Workers | Not Eligible (except specified cases) |
Eligible Family Members Include:
- Spouse
- Dependent parents (earnings much less than ₹3500/month if no longer pensioners)
- Children (single, unemployed, and financially structured)
- Siblings with disabilities (declared as dependents)
WB Health Scheme Benefits
Let’s explore what kind of blessings you get underneath the WB Health Scheme 2025:
Indoor Treatment (Cashless)
- Up to ₹1,00,000 in line with hospitalization for listed remedies
- Covered at empaneled hospitals
- No develop charge required at authorized hospitals
Outpatient Treatment (Reimbursement)
- Available for 20 chronic illnesses
- Requires submission of prescriptions, reviews, and bills
- Monthly/quarterly claims allowed
Reimbursement in Non-Empaneled Hospitals
- In emergencies or if empaneled hospitals are not available
- Subject to approval and report verification
WB Health Scheme Covered Diseases
The scheme covers a huge variety of remedies. Some essential classes include:
| Disease Category | Examples |
|---|---|
| Cardiology | Angioplasty, Bypass Surgery |
| Orthopaedics | Knee Replacement, Fracture Treatment |
| Oncology | Chemotherapy, Radiation |
| Nephrology | Dialysis, Kidney Transplant |
| Neurology | Brain Surgery, Stroke Treatment |
| Pulmonology | Asthma, TB, Lung Infections |
| Chronic Illness (OPD claims) | Diabetes, Hypertension, Asthma |
How to Enroll in WB Health Scheme?
Enrolling within the WBHS is straightforward and may be accomplished on-line. Below is the manner:
For Employees:
- Visit the reliable WBHS portal: https://wbhealthscheme.Gov.In
- Click on “Employee Login” or “Enrollment”
- Fill inside the required details: Name, Employee ID, Department
- Upload picture, signature, and ID evidence
- Declare circle of relatives contributors/dependents
- Submit the shape and take a printout for verification
- Get it accepted by means of your Drawing and Disbursing Officer (DDO)
For Pensioners:
- Visit https://wbhealthscheme.Gov.In
- Choose “Pensioner Enrollment”
- Enter PPO number, bank account info
- Add based information
- Submit and print the acknowledgment form
- Send the signed shape to the Pension Disbursing Authority
WB Health Scheme Hospital List (Empaneled Hospitals)
Over 1200 hospitals across India are a part of this scheme. Here are some top hospitals blanketed:
| Hospital Name | Location | Specialty |
|---|---|---|
| Apollo Gleneagles Hospitals | Kolkata | Multi-specialty |
| AMRI Hospitals | Salt Lake | Cardiology, Oncology |
| Medica Superspecialty | Kolkata | Neurology, Ortho |
| Fortis Hospitals | Mumbai, Delhi | Cancer, Heart, Kidney |
| CMRI Hospital | Kolkata | Surgery, Pediatrics |
| Tata Memorial Hospital | Mumbai | Oncology (Cancer) |
| AIIMS | New Delhi | All Major Treatments |
You can seek the full listing at: https://wbhealthscheme.Gov.In
WBHS Card – How to Download?
After enrollment, the health card can be downloaded and revealed for use:
- Login to the WBHS portal
- Go to “Download Health Card”
- Enter your registration range and DOB
- Download and print the card for each member
This card is obligatory for availing cashless blessings at hospitals.
How to Claim Reimbursement?
Here’s a way to declare fees in case you opt for remedy at a non-empaneled health center or for OPD treatment:
Documents Required:
- WBHS Claim Form (Form A & B)
- Discharge precis / Doctor’s prescription
- Original bills and receipts
- Test reviews and medicinal drug bills
- Copy of Health Card
Submission:
- For employees: Submit to DDO
- For pensioners: Submit to Pension Sanctioning Authority
- Claims ought to be submitted within three months from the date of treatment
WB Health Scheme Portal – Services Available
The online portal gives many useful offerings:
| Service | Description |
|---|---|
| Online Enrollment | For both employees and pensioners |
| Health Card Download | Digital cards for all members |
| Hospital List Search | Filter by location & specialty |
| Claim Status Check | Real-time status tracking |
| Grievance Submission | Online complaint system |
| Departmental Circulars | Notifications and latest updates |
Official Portal: https://wbhealthscheme.Gov.In
WB Health Scheme Contact Details
If you face troubles or have queries, you could reach out to:
Helpdesk Email: wbhealthscheme@wb.Gov.In
Helpline Number: 033-2254-4123 / 2254-4034
Office Address:
Finance Department, Medical Cell
Writers’ Buildings, Kolkata – 700001
Frequently Asked Questions (FAQs)
1. Is the WBHS obligatory?
Yes, for eligible employees and pensioners, it’s far exceedingly endorsed and normally obligatory until opted out.
2. Can I use this scheme outdoor West Bengal?
Yes, many reputed hospitals throughout India are empaneled below the scheme.
3. How lengthy does compensation take?
Generally, compensation is processed within 60–90 days of submission, depending on completeness of documents.
4. Is there any annual price?
No, the scheme is unfastened for employees and pensioners, with fees borne by means of the kingdom government.
5. What if my card is lost?
You can re-down load and print it from the portal at any time.
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Final Words
The WB Health Scheme 2025 is a effective healthcare initiative that guarantees peace of mind for West Bengal government employees and pensioners. From cashless remedies at pinnacle-tier hospitals to compensation for outpatient care, it offers a robust assist system for medical desires. It’s vital to enroll, hold your health card, and live updated through the portal to make the most of this facility.
