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Get Wbhealthscheme2008 Form
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How to fill out the Wbhealthscheme2008 Form online
Completing the Wbhealthscheme2008 Form online is a straightforward process. This guide will provide you with detailed, step-by-step instructions to ensure your application for claim reimbursement is filled out accurately and efficiently.
Follow the steps to fill out the form successfully
- Click the ‘Get Form’ button to acquire the Wbhealthscheme2008 Form and open it for editing.
- Enter your Identity Card number assigned to the scheme in the designated field.
- In block letters, provide the full name of the government employee along with their designation.
- Fill in the full address of the government employee, including details of both office and residence.
- Indicate the name of the patient and describe their relationship to the government employee.
- Document the total pay, including the basic pay and any dearness pay.
- Specify the name and address of the hospital where treatment was received.
- Detail the type of treatment received: outpatient department (OPD) treatment or indoor treatment, along with the corresponding dates of admission and discharge for indoor treatment cases.
- Record the total amount claimed, separating it into categories for OPD and indoor treatments.
- Outline any permissions obtained prior to treatment and include details of any medical advances received.
- Review your answers, ensuring all declarations are complete. Confirm that the statement made in the application is true and sign the form.
- Once all sections are complete, save your changes, and you may choose to download, print, or share the completed form.
Start filling out your Wbhealthscheme2008 Form online today for a smooth reimbursement process.
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.
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