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Get West Bengal Health Scheme Form D1 Download Pdf
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How to fill out the West Bengal Health Scheme Form D1 Download Pdf online
This guide provides a clear and comprehensive overview for users on how to fill out the West Bengal Health Scheme Form D1 Download Pdf online. It breaks down the necessary steps to assist you in completing the form accurately and efficiently.
Follow the steps to effectively fill out the form
- Press the ‘Get Form’ button to download the form and open it in your PDF editor.
- Fill in the name of the government employee along with their identification number in the designated fields. Ensure to use accurate details to avoid any processing delays.
- Next, provide the name and address of the office where the government employee is stationed. This information aids in verifying the employment status.
- Enter the name of the patient, their relationship with the government employee, and the patient's identification number in the appropriate sections.
- Detail the expenses incurred by listing the name and code number of the empanelled or government-recognized hospital in the respective field.
- Indicate the period during which the outpatient department (OPD) treatment took place. Accurate dates are crucial for processing the claim.
- Document the total number of original vouchers and money receipts that accompany the claim to substantiate the expenses.
- In the section for diagnosed diseases, reference the appropriate classification from the attached list, and specify the amounts claimed for OPD treatment alongside a breakdown of costs for consultations, pathological investigations, radiological investigations, medicines, special devices, and miscellaneous expenses as required.
- After adding all details, review the form thoroughly for accuracy before signing it as the claimant.
- Ensure that the treating specialist certifies the information by signing and sealing the document, confirming that the provided treatment was necessary.
- Finally, save the changes you made to the form, then download, print, or share the completed form as needed.
Start filling out your West Bengal Health Scheme Form D1 online today for smooth processing of your health claims.
Swasthya Sathi is another healthcare initiative that complements the West Bengal Health Scheme. While both schemes aim to improve citizen health access, they have different eligibility criteria and coverage components. Understanding these distinctions helps users select the right scheme for their healthcare needs, and resources are available on the WBHS portal for further clarification.
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