West Bengal Health Scheme Cashless Limit Increased, 92F

The cashless limit for Inpatient Department (IPD) treatment under the West Bengal Health Scheme (WBHS) has been significantly increased.

Overview

WBHS previous Cashless LimitRs. 1,50,000/-
WBHS New Cashless Limit Rs. 2,00,000/-
Effective From On or after 01.07.2023
ObjectiveTo tackle inflation, rising healthcare costs,
and increased demand for medical services.
cashless limit of WBHS

Key Points:

  • Initial Limit: The previous cashless limit was Rs. 1,50,000/-.
  • New Limit: The enhanced limit is now Rs. 2,00,000/-.
  • Effective Date: This new limit is effective from July 1, 2023, or later.

Reason for the Increase:

To address rising healthcare costs, inflation, and increasing demand for medical services, the West Bengal government has decided to raise the cashless limit. This will provide beneficiaries with greater financial security and access to quality healthcare.

Benefits for Beneficiaries:

  • Increased Coverage: The higher limit ensures that beneficiaries can avail themselves of a wider range of medical treatments and procedures.
  • Reduced Out-of-Pocket Expenses: By covering a larger portion of medical costs, the enhanced limit reduces the financial burden on beneficiaries.
  • Improved Access to Healthcare: The increase in the cashless limit can also lead to improved access to healthcare facilities and specialists.
For more information on the West Bengal Health Scheme and its benefits, please visit the official government website or contact your local healthcare provider.
Official Source

Frequently Asked Questions

Who is eligible for West Bengal Health Scheme (WBHS)?

West Bengal State Government employees, pensioners and their families.

What is the coverage of West Bengal Health Scheme?

  • The initial cashless limit for IPD treatment under the West Bengal Health Scheme (WBHS) was set at Rs. 1,50,000/-. This limit was established as per Finance Department Notification No.73-F(MED) dated 28.04.2022.
  • The new cashless limit for IPD treatment under the West Bengal Health Scheme is Rs. 2,00,000/-, as per the recent decision by the Governor.
  • This represents an increase of Rs. 50,000/- from the previous limit of Rs. 1,50,000/-

Who are dependents in WBHS?

The employee/pensioner enrolled under WBHS, can include their dependent parents, son (without permanent disability up to the age of 25 years), son (with permanent disability irrespective of age), unmarried/widow/divorced daughter, unmarried/widow/divorced sister and minor brother up to the age of 18 years as dependent beneficiary subject to compliance of income and others eligibility criteria as per Notification No. 7287-F dated 19.09.2008 read with Nos. 6722-F dated 09.07.2009 and 10531-F(MED) dated 10.11.2010. Revision of maximum income ceiling and other eligible criteria were under active consideration for some time past.

Related Notifications: West Bengal Health Scheme Cashless Hospital List 

                                   West Bengal Health Scheme Hospital List, 34F (MED)