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  • West Bengal Health Scheme Reimbursement Form For Pensioners

Get West Bengal Health Scheme Reimbursement Form For Pensioners

West Bengal Health Scheme 2008 FORM IV1 Essentiality Certificate Cum Statement of Expenditure Certified by Treating Specialist for OPD Treatment. See sub-para ii of para 11 of the memo no. 3475 F dt. 11. 05. 09. and clause-7 1 of the Health Scheme Name of the Govt* pensioner / family pensioner with identification No* Name of Office of the Office of the Ex-Govt* employee / Govt* Pensioner / Pension Sanctioning Authority Name of the patient relationship with Ex-Govt* Employee Identification No* Details of expenditure I II Name Code No* of the empanelled / Govt* recognized Hospital III Period of OPD treatment IV Total No* of original bills vouchers V Sl* No* Name of the diagnosed disease vide list enclosed Amount claimed for OPD treatment Description of items a Consultation fees indicate total no. of consultations b Pathological investigations give Break-up in a separate annexure with code no. c Radiological investigations attach separate list if required with code no. d Medicines give de....

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Benefits of West Bengal Health Scheme SurgeriesDays CoveredSpecialised surgeriesUp to 12 daysMajor surgeries7-8 daysEndoscopic or laparoscopic surgeries, natural childbirth3-4 daysMinor surgeries and OPD1 day

500/- per month w.e.f. 01.01. 2020, their retired counterparts (pensioners/ family pensioners) are also entitled to Medical Relief of Rs. 500/- alongwith their revised pension/ family pension w.e.f. 01.01.

With the WB Health Scheme, you can avail the benefits of cashless indoor treatment for up to Rs. 1,00,000 from hospitals including in the WBHS hospital list. If the bill amount exceeds Rs. 1,00,000, the additional amount must be settled by you.

State government employees, their dependents, state government pensioners, their families are eligible to avail of policy benefits. Those who have chosen medical allowance can also avail of policy benefits. All India Services pensioners and service officers of Best Bengal are eligible to avail of policy benefits.

Conscious enrolled employee/pensioner has to apply for such opting-out through WBHS Portal using his/her own credentials (login and password) in WBHS Portal. At the time of applying, s/he has to mention the cause of opting-out mandatorily. After online submission, s/he has to take a print out of such application.

Cashless indoor treatment facilities upto Rs 1,50,000/-per indoor is available provided treatment done in Private Empanelled Hospitals. Reimbursement of indoor treatment cost beyond Rs 1,50,000/-is also available subject to submission of claim to DDO/PSA.

The application made under Para-11 for reimbursement of the costs shall be processed by the concerned department, the Directorate or the office, as the case may be, under which the pensioner last worked. Provisions of the Clause-13 of the West Bengal Health Scheme, 2008 shall be applicable for the pensioners.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232