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Guidelines for Medical Treatment under W.B. Health Scheme

Discussion Forum of WBXPRESS › Forums › Health Scheme › Guidelines for Medical Treatment under W.B. Health Scheme

Tagged: Full refund in class 1 hospital ??

  • This Question has 24 replies, 6 voices, and was last updated 1 year, 1 month ago by Sailen Gope.
Viewing 10 posts - 11 through 20 (of 25 total)
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  • Author
    Posts
  • December 18, 2012 at 12:57 pm #62171
    unknown
    Participant

    My laparoscopic cholecystectomy operation had to be done in an unempanelled nursing home.After operation it is found that the nursing home authority has applied for renewal of their licence.Under this condition,can I get the 60% reimbursement benefit of the package rate.
    Kindly reply.

    December 18, 2012 at 12:57 pm #62172
    unknown
    Participant

    My laparoscopic cholecystectomy operation had to be done in an unempanelled nursing home.After operation it is found that the nursing home authority has applied for renewal of their licence.Under this condition,can I get the 60% reimbursement benefit of the package rate.
    Kindly reply.

    December 19, 2012 at 12:15 pm #62173
    WBXPress
    Keymaster

    You may get 60-80% reimbursement in case of non-empanelled HCOs. Please confirm whether the treatment is listed under approved package rate list or not.

    August 3, 2013 at 9:00 pm #62174
    unknown
    Participant

    my father is a pension holder.he didnt has wbhs.my mother is a chronic renal failure pation since nov 12.can my father apply for wbhs for her treatment purpose

    October 2, 2013 at 12:06 pm #62175
    unknown
    Participant

    My father is admitted to RN Tagore International Institute Of Cardiac Sciences. He is prescribed for Dual Chamber pacemaker implantation only.Because of emergency issue we need to undergo the process without the prior permission from the west bengal health authority. Hospital Authority is saying that they will not take any responsibility for reimbursement of at least single chamber pacemaker implantation and is telling to give a declaration that the patient is not under west bengal health scheme. Please help with a early reply.

    October 8, 2013 at 6:55 pm #62176
    unknown
    Participant

    My father was admitted in the Fortis Hospital, Anandapur kolkata on 23.8.2013 and was discharged on 2.09.2013 under WBHS. The hospital has stated the disease (1) Lower Respiratory Tract infection (2) dyselectrolytemia . Now I have submitted the bills for reimbursement . The establishment section is asking for the code numbers of the diseases . Can you please tell me if reimbursement is possible in this case and the code numbers of the diseases.

    January 14, 2014 at 11:41 am #62177
    unknown
    Participant

    my doctor at desun hospital prescribed me an anamally scan and follicular study (both are usg related to pregnancy).i did both the usg at desun hospital.the hospital authority had given code for both the usg(code 02009028 for follicular study and code 02009032 for congenital anomally) and charged accordingly the wbhs rate.now my question is whether i wll get reimbursement for this two USG and submit bill.the two usg costs with code number are available in revised rate list under wbhs 2008.and if i get reimbursement what disease should i mention in the opd list of diseases.

    May 15, 2014 at 1:38 pm #62178
    unknown
    Participant

    New born baby from a empannelled hospital by surgery done by package rate and already reimbursed. Checked up after four weeks as per doctor’s advice as OPD patient. Is it reimburseable?
    Please Reply.

    August 13, 2014 at 9:59 pm #62179
    unknown
    Participant

    Hello, my parents are under the wb health scheme. Now last my mother had a pain in her left knee and i taken her to the CMRI hospital outdoor department and the doctor prescribed a knee x-ray which cost 1350/- in the same hospital. Now after checking the doctor also prescribed for a MRI scan for the left knee. Now my question is should I get reimbursement for all this test charges under the WBHS?

    September 10, 2014 at 9:02 pm #62180
    unknown
    Participant

    After birth of a new born baby, it is required to give vaccine to the baby after 6 weeks, 10 weeks, 3 months, 6 months etc of his birth. Is the cost vaccine and visit of Dr’s fees, if done under empaneled hospitals, reimbursable ?

    Please give reply …..

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