Santipur College

WB Health Scheme

West Bengal Health Scheme portal

https://healthscheme.wb.gov.in/

Overview of the Scheme

The scheme is officially called “West Bengal Health Scheme for the Beneficiaries of Grant–in–Aid Colleges and Universities, 2017”.

Applicability

It is applicable to serving teachers, librarians of government-aided colleges and state-aided universities, as well as their dependents.

Enrolment Process

Enrolment is optional.

Interested faculty/officers must enrol online via the WB Finance Department’s WBHS Portal, specifically the higher education section. Applications require scanning and uploading a photo and signature for all beneficiaries. Once submitted, the Drawing and Disbursing Officer (DDO) reviews and either approves or rejects the application. Approved enrolees can download their Certificate of Enrolment.

Once enrolled, the employee forfeits the regular medical allowance. Opting out is allowed only if the employee (or their beneficiary) has not availed any benefit in the previous five years.

Year of introduction of the scheme in Santipur College

29.8.2018 View

WBHS College unit Committee members

Number of beneficiaries

18 (Year 2025)

Facilities available

https://healthscheme.wb.gov.in/Home/wbhs_facilty_available.aspx

Benefits

Treatment Access & Reimbursement

1. Indoor Treatment (Hospitalization)

1. Covered in empanelled hospitals (government, municipal, state-aided, or selected private institutions).
2. In non-empanelled private hospitals, reimbursement is available:
   1. Up to 80% of WBHS-approved rates if the hospital has more than 80 beds
   2. Up to 60% of approved rates if the hospital has 80 beds or fewer surendranathcollege.ac.in

2. OPD Treatment (Out-Patient)

1. Coverage for OPD visits related to certain specified diseases.
   1. o These include serious conditions like cancer, tuberculosis, hepatitis, insulin-dependent diabetes, heart diseases, neurological disorders, acute malaria, renal failure, autoimmune disorders (e.g., lupus), Crohn’s disease, COPD, rheumatoid arthritis, accident injuries (including animal bites), chronic OPD follow-ups for surgeries (cardiac, neuro, transplant, cancer treatments), etc. WBXPress
2. OPD costs are reimbursable for treatments at recognized/empanelled/enlisted hospitals or their clinics. WBXPress

Extended OPD Coverage

1. OPD charges incurred within 30 days before admission and 30 days after discharge (related to an indoor treatment) are also eligible for reimbursement. healthscheme.wb.gov.in

Summary Snapshot

How to Apply & Use the Scheme

1. Enroll online via the Finance Department portal for WBHS (Higher Education section).surendranathcollege.ac.in healthscheme.wb.gov.in
2. Stop drawing medical allowance upon successful enrollment.surendranathcollege.ac.in
3. Submit claims online through the portal, attach documents, and forward them to your head of office (e.g., Principal).surendranathcollege.ac.in
4. Approval process: Head of Office verifies → Sanction Order is issued → DDO processes payment. Reimbursement may involve multiple authorities for higher amounts.surendranathcollege.ac.in
5. Check empanelled hospitals list via the portal to choose facilities offering cashless or reimbursement services. surendranathcollege.ac.in healthscheme.wb.gov.in

Additional Resources

1. Official WBHS Portal: Explore sections like Facilities Available, Empanelled Hospitals, Online Enrollment, and Claim Process for detailed guidance. wbhealthscheme.gov.in+1healthscheme.wb.gov.in
2. Notifications and circulars about eligibility, income disclosure, and financial powers are published on the Banglar Uchchashiksha site