| Cashless indoor treatment facilities upto Rs 2,00,000/-
|
Cashless indoor treatment facilities upto Rs 2,00,000/-per indoor is available
provided treatment done in Private Empanelled Hospitals. Reimbursement of indoor
treatment cost beyond Rs 2,00,000/-is also available subject to submission of
claim to DDO/PSA. |
| Reimbursement of related OPD treatment cost
|
Cost of OPD treatment,relating to the Indoor treatment, incurred during the
period of thirty days prior to admission as well as during the period of thirty
days after discahrge is available for reimbursement. |
| Reimbursement of OPD treatment cost |
OPD treatment cost is reimbursable in case of certain specified diseases provided
treatment done in recognised hospitals .
For detailed list of specified disease Click Here
|
| Reimbursement of the cost of follow-up medical attendance and treatment |
Follow-Up medical treatment cost is reimbursable in case of certain specified disease provided
treatment done in recognised hospitals as per clause-7(2) .
|
| Reimbursement of indoor treatment cost in Non Empanelled Hospitals |
60% (80% where number of bed is more than 80) of approved Cost or actual amount
paid whichever is less is reimbursable when treatment is
done in non empanelled hospitals within the State provided the hospital, on the
date of treatment, had a valid license under West Bengal Clinical Establishment Act and Rules.
|
| Reimbursement of cost of certain investigations as mentioned in point 10 of Memo
No 797-F(Med)/WB Dt 31/01/2011 |
Cost of certain investigations as mentioned in point 10 of Memo No 797-F(Med)/WB
Dt 31/01/2011 are reimbursable on the basis of OPD prescriptions of doctors,
consulted in a recognised hospitals, in case of any disease provided the
investigations are done in empanelled hospital/diagnostic centre.
For detailed list of investigations Click Here
|
| Reimbursement of cost of treatment in certain Speciality Hospitals outside the
State |
Actual cost of treatment including cost of journey with one attendent is
reimbursable provided treatment is done in certain specified Speciality Hospitals
outside the State.
For detailed list of speciality hospitals Click Here
|