West Bengal Health Scheme, introduced by the Finance Department of the Government of West Bengal, aims to provide essential medical services for government employees and pensioners. This article details the features of the West Bengal Health Scheme, including registration steps, benefits available, and other important information you need to know. Please read the following sections to understand the key details of this scheme.
Overview of West Bengal Health Scheme 2025
- This scheme is available to all state government employees, pensioners, and their families.
- It also covers individuals who have chosen this option under medical allowances.
- All India service officers and West Bengal pensioners can benefit from this scheme.
- Coverage includes the employee, spouse, parents, dependent children, and dependent siblings.
Facilities Offered by West Bengal Health Scheme
- Beneficiaries are entitled to cashless indoor treatment expenses up to ₹1,00,000 at empanelled hospitals for each hospitalization.
- Treatment in non-empanelled hospitals provides reimbursement of 60% (or 80% if the hospital has more than 80 beds) of the approved cost or the actual amount paid, whichever is lower.
- Reimbursement claims for indoor treatment exceeding ₹1,00,000 can be made to the DDO/PSA.
- Costs incurred from OPD treatments within thirty days of hospitalization for the same condition will also be reimbursed.
- Reimbursement for OPD treatment related to specific diseases and follow-up treatments is included.
- Coverage is available for treatment in some specialty hospitals outside the state. Click here for PM Modi Health ID Card details.
Key Details of West Bengal Health Scheme
| Name of the scheme | West Bengal Health Scheme |
| Launched by | Finance Department, Government of West Bengal |
| Launched for | Government Employees & Pensioners |
| Benefits | Medical facilities |
| Application Mode | Online |
| Category | State government scheme |
| Official website | wbhealthscheme.gov.in |
List of Empanelled Hospitals Under West Bengal Health Scheme
- All Government Hospitals, clinics, and diagnostic centers.
- Municipal Corporations and other local body-managed facilities.
- Ramkrishna Mission Seva Pratisthan, Kolkata.
- Islamia Hospital, Kolkata.
- Marwari Relief Society Hospital, Kolkata.
- Institute of Child Health, Kolkata.
- Balananda Brahmachari Hospital, Kolkata.
- Chittaranjan Cancer Hospital, Kolkata.
- Ramkrishna Sarada Mission Matri Bhavan, Kolkata.
- Dr. M. N. Chatterjee Memorial Eye Hospital, Kolkata.
- J.N. Roy Sishu Seva Bhavan, Kolkata.
- Chartoris Hospital, Kalimpong.
- Kalimpong Leprosy Hospital, Kalimpong.
- Sri Balaram Seva Mandir, Khardah.
Statistics Under the West Bengal Health Scheme
| Beneficiaries Covered | 807,783 |
| Private Hospitals Empanelled | 148 |
| Ongoing Treatments | 600 |
List of OPD Treatment Diseases
- Ankylosing Spondylitis
- COPD (Chronic Obstructive Pulmonary Disease)
- Crohn’s Disease
- Endodontic Treatment (Root Canal)
- Heart Diseases
- Hepatitis B/C and other liver diseases
- Accident injuries (including animal bites)
- Insulin-dependent diabetes
- Malignant diseases
- Malignant Malaria
- Cerebrovascular disorders
- Renal failure
- Rheumatoid Arthritis
- Systematic Lupus Erythematosus
- Thalassemia and related bleeding disorders
- Tuberculosis
Follow-up Treatment List
- Cases of accidents
- Cancer treatment (surgery, chemotherapy, radiotherapy)
- Cardiac surgeries (including angioplasty)
- Hip and knee replacements
- Neurosurgery
- Renal transplants
Specialty Hospitals Outside the State:
- All India Institute of Medical Sciences, New Delhi
- Apollo Hospital, Chennai
- Asian Institute of Gastroenterology, Hyderabad
- Christian Medical College, Vellore
- L.V. Prasad Eye Hospital, Hyderabad
- Metro Hospital & Cancer Institute, New Delhi
- NIMHANS, Bangalore
- Post Graduate Institute of Medical Education and Research, Chandigarh
- Sankara Netralaya, Chennai
- Tata Memorial Hospital, Mumbai
Registration Process for Employees Under West Bengal Health Scheme
To register as an employee, follow these steps:
- Use a laptop or computer with an internet connection to access the official portal.
- On the homepage, click on the “online enrollment” option.
- Select “Govt. employee” from the dropdown menu.
- Enter the date you joined government service and your PRAN/G.P.F number, if applicable.
- After clicking “OK”, fill in your details like district, date of birth, name, gender, mobile number, email, address, ID proof, office location, department, etc.
- Upload your photograph and signature (10 kb to 50 kb in JPEG format).
- Upload any additional documents, review your details, and submit the application.
Registration Procedure for Pensioners
To register as a pensioner, follow these steps:
- Access the Health Scheme Portal using a laptop or computer with an internet connection.
- On the homepage, click on “online enrollment” and select “Govt. Pensioner”.
- Enter your P.P.O. No. if available and click “OK”.
- Then, complete the application form with your details such as district, date of birth, name, gender, mobile number, email, address, ID proof, retirement date, department, and last office location.
- Upload your photograph and signature (10 kb to 50 kb in JPEG format).
- Upload any other documents if needed, review everything, and submit the application.
Registration for College Beneficiaries
- Visit the official website of the West Bengal Health Scheme.
- Click on “online enrollment” and then select “beneficiaries of grant in aid college”.
- Enter your HRMS ID and click “OK”.
- A registration form will appear, fill in the details and click “submit”.
Registration for University Beneficiaries
- Go to the official website of the West Bengal Health Scheme.
- Click on “online enrollment” and select “beneficiaries of grant in aid University”.
- Enter your 10-digit PAN number, click “OK”, complete the registration form, and submit.
Procedure for New Hospital Registration
- Visit the official website of the West Bengal Health Scheme.
- Click on “online enrollment” and select “new hospital registration”.
- Fill in the required details such as organization types, system type, service provider, state, and district. Then click “submit” to complete the registration.
Obtain Doctor’s Details
- Visit the official website of the West Bengal Health Scheme.
- Click on the