West Bengal Health Scheme Class '1' Hospital

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Cashless service means that patient will not have to spend any amount for taking the treatment and hospitalization. 

You do not have to worry about finances in case of a hospitalization, thus giving you peace of mind.

Jeevan Rekha Hospital is Class '1' Service provider accredited by West Bengal Health Scheme. All advanced treatment modalities under Medical management and Surgical Intervention are available at our hospital.

You can search for facilities available in the hospital through our website www.jeevanrekhahospital.com

Cost of OPD treatment, related to the Indoor treatment, incurred during the period of thirty days prior to admission as well as during the period of thirty days after discharge is available for reimbursement directly from the Government.

Deposit the West Bengal Health Scheme Card within 24 hours from admission, else the cost will have to be borne by the Beneficiary. 

Cashless indoor treatment facilities upto Rs 1,50,000/-per indoor treatment 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.

The scheme excludes cosmetic surgeries and non-medical treatments. Apart from these, major treatments are covered in a cashless manner in empanelled hospitals.

• This scheme is directed towards state government employees, government employees who avail pension, and their families.
• Those who have opted for this scheme as per Medical Allowance are also eligible for it.
• This cover can be availed by All India Services officers and pensioners.
• The cover mentioned for the family includes that for the spouse, parents, children who are dependant on the beneficiary and the siblings who are dependant on the beneficiary.

In case of Planned Admission:

• Arrive at the WBHS Desk at Ground Floor & submit the Cashless Card while getting admitted for treatment at an empanelled hospital.
• Bring documents like - WBHS Cashless Card, Patient’s government issued Identity Card (like Voter’s ID card, Aadhar Card, Driving License), Doctor’s prescription, and relevant supporting reports.
• Hospital will send an authorisation request to the Government Authorised Agency (GAA).
• GAA will check the details and approve the request.
• Post the treatment, HCO or the hospital will send the bill to the GAA. The bill shall be accompanied by required documents like a medical report, doctor’s certificate, discharge summary, etc.
• GAA will verify the sent documents & approve the claim.

In case of Emergency Admission:

If you are in need of urgent admission, get admitted in the hospital & then approach the Ground Floor WBHS Desk within 24 hours of admission with all requisite documents.

Non-Medical:

• WBHS Cashless Card
• Government Issued Photo Identity Proof of the patient (Voter Card, Aadhar Card, Driving license, Etc.)

Medical:

• Previous Medical Documents (if any)
• Doctor’s Prescription
• Past Investigation reports

WBHS Card is essential to get the service. If card is not available, contact WBHS desk.

At Jeevan Rekha Hospital, Specialist Doctors are available across various facilities who attends to patients immediately after Planned or Emergency admissions like Heart Attack, Brain stroke, Burns, Accidents etc.

Your room entitlement will be as per mentioned in your policy.

Yes, a request for authorization for WBHS may be declined if,

• Inadequate/wrong information is provided and the WBHS department is unable to get access to additional information.
• The ailment/disease for which hospitalization/surgery is required is not covered by the policy.
• The person does not have adequate insured amount in the WBHS account left to cover the hospitalization costs.

This only means that cashless access is declined, AND IS IN NO WAY TO BE CONSTRUED AS DENIAL OF TREATMENT. The beneficiary must obtain the treatment as per his/her treating doctor’s advice & settle all the Hospital Bills at the time of discharge through Cash & later apply for reimbursement.

All bills in original and discharge certificate are to be left with the WBHS Desk at Jeevan Rekha Hospital providing cashless treatment. The patient has to countersign all bills and fill the claim form and also leave the same with the hospital at the time of discharge.

A copy of the bills, Discharge Summary & Reports can be carried by you for your records.