The West Bengal Health Scheme (WBHS) is a government healthcare programme for eligible employees, pensioners and other notified beneficiaries of the Government of West Bengal. The scheme provides medical treatment and reimbursement facilities through recognised and empanelled healthcare organisations.
The official is the main online platform for enrolment, beneficiary services, hospital information, claims, permissions, certificates and other scheme-related services.
The current official site is available at healthscheme.wb.gov.in. It is operated under the Finance Department, Government of West Bengal, and is hosted and maintained by NIC.
It provides separate online facilities for government employees, pensioners, Grant-in-Aid beneficiaries and employees or pensioners of Panchayati Raj bodies.
Some of the major services available through the it include:
- WBHS online enrolment
- Employee login
- Pensioner login
- Enrolment certificate access
- Medical claim submission
- WBHS hospital list
- Beneficiary authentication
- Treatment permission
- WBHS rate information
- CARC-related services
- Circulars and government orders
- FAQs and contact information
What Is the West Bengal Health Scheme?
The West Bengal Health Scheme 2008 was introduced by the Government of West Bengal through the Finance Department to provide medical facilities to eligible government employees. The scheme was subsequently extended to superannuated employees and family pensioners.
The Government later introduced cashless medical treatment provisions, and the scheme is now administered through the WBHS online portal.
It is important to understand that WBHS is a government employee and pensioner healthcare scheme, not an ordinary private health insurance policy that anyone residing in West Bengal can purchase.
Who Can Use the WBHS Portal?
The portal provides different services according to the beneficiary category.
The portal currently includes enrolment options for:
| Beneficiary category | Portal facility |
|---|---|
| West Bengal Government Employee | Online enrolment/login |
| West Bengal Government Pensioner | Online enrolment/login |
| Grant-in-Aid College beneficiary | Online enrolment |
| Grant-in-Aid University beneficiary | Online enrolment |
| Panchayati Raj Body employee | Applicable online services |
| Panchayati Raj Body pensioner | Applicable online services |
The portal itself identifies its users as government employees, pensioners and beneficiaries of Grant-in-Aid colleges, universities and Panchayati Raj bodies of West Bengal.
Certain All India Services officers serving in the affairs of West Bengal can also be covered under the scheme according to applicable government orders.
WBHS Login
Existing employees and pensioners can access their WBHS accounts through the official login page.
WBHS Employee & Pensioner Login
The login page provides options for:
- Employee login
- Pensioner login
- New employee account creation
- New pensioner account creation
- Forgot password
For a new employee account, the portal provides an option to use the Application ID or HRMS ID. For pensioners, the application ID is used for account creation.
How to Login to the WBHS Portal
- Open the official WBHS website.
- Select Login.
- Choose the applicable employee or pensioner option.
- Enter your username.
- Enter your password.
- Enter the captcha shown on the screen.
- Submit the details.
- After successful authentication, use the required WBHS service from your dashboard.
If you have forgotten your password, use the Forgot Password option rather than creating another account.
WBHS Online Enrolment
Eligible beneficiaries need to complete the applicable enrolment process before using WBHS services.
The portal provides separate enrolment options depending on the beneficiary category. During enrolment and subsequent updation, information such as the beneficiary’s photograph, signature, blood group and Aadhaar details may be required according to the applicable government instructions.
The Government has also issued instructions concerning the updating of enrolment certificates and beneficiary information.
Therefore, beneficiaries should make sure that their personal and family information is accurate before depending on the certificate for medical treatment.
WBHS Enrolment Certificate
After successful enrolment and approval, beneficiaries can access their WBHS enrolment certificate through the online system.
The certificate is important because it establishes the beneficiary’s enrolment under the scheme.
The WBHS portal has a facility for viewing or downloading enrolment certificates. Government instructions have also provided mechanisms for beneficiaries to access their certificate when availing treatment from empanelled healthcare organisations.
Also Read: Generate & Download WB Health Scheme Certificate Online
Important Privacy Update
The official portal states that mobile numbers and Aadhaar numbers are masked in enrolment certificates generated from 5 October 2023 onwards for security reasons.
This means beneficiaries should not be concerned if these details appear partially hidden on a newly generated certificate.
WBHS Hospital List
One of the most useful features of the WBHS Portal is its hospital directory.
The portal provides separate options for:
- Private empanelled hospitals
- State-aided hospitals
- Speciality hospitals outside West Bengal
- Beneficiary authentication
- Treatment permission
The official portal currently displays 205 empanelled private hospitals and 30 empanelled diagnostic centres. These figures are dynamic and can change when empanelment information is updated.
Also Read: Check the WBHS hospital directory
State-Aided Hospitals Under WBHS
The official state-aided hospital directory includes institutions such as Ramkrishna Mission Seva Pratisthan, Islamia Hospital, Marwari Relief Society Hospital, Institute of Child Health, Chittaranjan Cancer Hospital and others. The portal assigns a specific hospital code to each listed institution.
Because the official directory is subject to updates, beneficiaries should check the portal before visiting a hospital rather than relying on an old list copied elsewhere.
WBHS Cashless Treatment
WBHS provides a cashless indoor treatment facility at private empanelled hospitals, subject to the applicable rules and conditions.
The official portal states that cashless indoor treatment is available up to ₹2 lakh per indoor treatment at private empanelled hospitals. Treatment expenses beyond ₹2 lakh may be considered for reimbursement according to the prescribed procedure.
The Medical Cell processes the claim submitted by the healthcare organisation and determines the admissible amount. It can also issue the applicable certificate for reimbursement of eligible expenses above the cashless limit.
Is the ₹2 Lakh Limit the Total WBHS Benefit?
No.
The ₹2 lakh figure refers specifically to the cashless indoor treatment facility at private empanelled hospitals.
Eligible expenses beyond this amount can be dealt with through the applicable reimbursement process. Therefore, it would be misleading to describe ₹2 lakh as the absolute maximum medical benefit available under every WBHS situation.
WBHS Treatment at Non-Empanelled Hospitals
WBHS also contains provisions for reimbursement of certain indoor treatment received at a non-empanelled hospital within West Bengal.
According to the official portal, the reimbursement is:
- 60% of the approved cost or actual amount paid, whichever is lower, in the applicable cases.
- 80% where the non-empanelled hospital has more than 80 beds, subject to the prescribed conditions.
The hospital must have a valid licence under the West Bengal Clinical Establishment Act and Rules on the date of treatment.
This is different from cashless treatment at a private empanelled hospital.
WBHS OPD Treatment
WBHS also provides reimbursement for certain outpatient treatment.
However, not every OPD consultation or medicine automatically qualifies for reimbursement.
The official portal maintains a specified list of diseases for which OPD treatment can be reimbursed. The current list includes conditions such as malignant diseases, tuberculosis, liver diseases, heart disease, neurological and cerebrovascular disorders, chronic kidney disease, rheumatoid arthritis, COPD and several other specified conditions.
The list has also been updated through government notifications, so beneficiaries should check the latest official provisions before making a claim.
OPD Expenses Related to Hospitalisation
There is also a provision for reimbursement of certain OPD expenses connected with indoor treatment.
The official WBHS facilities page states that related OPD treatment costs incurred during the 30 days before admission and 30 days after discharge can be considered for reimbursement, subject to the scheme’s conditions.
This is particularly useful to understand because pre- and post-hospitalisation expenses are not necessarily handled in exactly the same way as ordinary OPD treatment.
WBHS Follow-Up Treatment
Certain follow-up medical expenses are also eligible for reimbursement when the treatment relates to specified diseases and satisfies the applicable requirements.
The official portal lists follow-up treatment categories including:
- Neurosurgery
- Cardiac surgery, including coronary angioplasty and implants
- Cancer surgery, chemotherapy and radiotherapy
- Renal transplant
- Hip or knee replacement
- Accident cases
WBHS Treatment Outside West Bengal
The scheme also has provisions for treatment at certain specified speciality hospitals outside West Bengal.
The official directory includes institutions such as:
- AIIMS, New Delhi
- PGIMER, Chandigarh
- Tata Memorial Hospital, Mumbai
- NIMHANS, Bengaluru
- Christian Medical College, Vellore
- Apollo Hospital, Chennai
- Sankara Nethralaya, Chennai
and other specified institutions.
Treatment outside the state should not be assumed to be automatically covered. The applicable WBHS rules, hospital list and permission requirements need to be checked before treatment.
WBHS Medical Claims
The WBHS Portal provides online claim facilities for eligible beneficiaries.
The portal separates online claims into categories such as:
- Government beneficiary
- Grant-in-Aid beneficiary
The exact claim procedure depends on the nature of the treatment and whether the treatment was received at an empanelled or non-empanelled healthcare organisation.
Before submitting a reimbursement claim, beneficiaries should keep the relevant medical records, bills, prescriptions, discharge summary and other required documents ready.
WBHS Rate List
The official portal also provides access to WBHS treatment and rate-related information.
Approved rates are fixed by the Medical Cell for various surgical procedures and investigations. The Medical Cell can revise these rates from time to time.
This is important because the amount actually charged by a hospital and the amount admissible under WBHS are not necessarily the same.
WBHS Beneficiary Authentication
Hospitals have a facility to authenticate beneficiaries through the WBHS system.
WBHS Beneficiary Authentication
This facility helps the healthcare organisation verify the beneficiary’s WBHS details.
If a hospital asks for beneficiary verification during admission, the issue may relate to authentication, enrolment information or treatment permission rather than the validity of the entire WBHS enrolment.
WBHS Treatment Permission
Some treatments and procedures require specific permission under the scheme.
The Medical Cell states that the West Bengal Health Scheme Authority handles permissions for certain procedures and higher-value or specialised treatments. These include specified implants and devices, certain chemotherapy or immunotherapy cases and certain non-package treatments above prescribed thresholds.
Therefore, beneficiaries should not assume that every procedure at an empanelled hospital can be undertaken without prior permission.
WBHS for Pensioners
West Bengal Government pensioners can also use WBHS facilities subject to the applicable enrolment conditions.
The Government extended WBHS facilities to superannuated employees and family pensioners from June 2009, subject to the prescribed conditions.
Pensioners have a separate account-creation option on the WBHS portal.
WBHS for Family Members
Eligible beneficiaries may include family members according to the applicable government rules.
However, family coverage should be determined from the beneficiary’s approved WBHS records rather than assuming that every relative automatically qualifies.
The details of eligible beneficiaries and their supporting information should therefore be kept updated on the WBHS portal.
WBHS Portal Services at a Glance
| Service | Available through WBHS Portal |
|---|---|
| Employee login | Yes |
| Pensioner login | Yes |
| Online enrolment | Yes |
| Enrolment certificate | Yes |
| Hospital directory | Yes |
| Private empanelled hospitals | Yes |
| State-aided hospitals | Yes |
| Outside-state speciality hospitals | Yes |
| Beneficiary authentication | Yes |
| Treatment permission | Yes |
| Online claims | Yes |
| WBHS circulars | Yes |
| Rate information | Yes |
| FAQ | Yes |
| Contact information | Yes |
New WBHS Portal After 2025 Migration
The WBHS online system was migrated to a new portal address in February 2025.
The Government’s migration notice stated that the new portal at healthscheme.wb.gov.in would go live on 10 February 2025 from 12 PM onwards.
Therefore, beneficiaries who still have an old WBHS link bookmarked should update it and use the current official portal.
WBHS Portal Not Working: What Should You Do?
If the WBHS website or a particular service is not working, first check whether:
- The official website is accessible.
- Your username and password are correct.
- Your account is active.
- The problem occurs only with one particular service.
- Your beneficiary details are correctly updated.
- The hospital has completed the required authentication or permission process.
For technical problems, the official WBHS contact page provides separate contact channels for government employees/pensioners, Grant-in-Aid beneficiaries, Panchayati Raj Bodies and empanelled hospitals.
Important WBHS Documents
Depending on the service you need, you may encounter documents such as:
- WBHS enrolment certificate
- Medical claim forms
- Treatment permission documents
- Hospital bills
- Prescriptions
- Discharge summary
- Investigation reports
- CARC-related documents
- Annexure-II for applicable non-empanelled hospital claims
In 2025, the Government revised Annexure-II for IPD treatment at non-empanelled hospitals. The revised form can be downloaded from the WBHS portal without logging in, after which the beneficiary and hospital complete the relevant portions.
WBHS Portal: Latest Information
The WBHS homepage currently displays a notification regarding the revision of approved rates under the West Bengal Health Scheme, referring to Government Order No. 70-F(MED)WB dated 14 August 2026.
This is one reason beneficiaries should check the official portal for the latest circulars and rates instead of depending entirely on older WBHS articles. The information is written and verified from the official sources by Uttam Raheja.
Frequently Asked Questions
What is the official WBHS portal?
The official West Bengal Health Scheme website is healthscheme.wb.gov.in, operated under the Finance Department, Government of West Bengal.
Who can use the WBHS Portal?
The portal serves eligible West Bengal Government employees, pensioners and notified beneficiaries of Grant-in-Aid colleges, universities and Panchayati Raj bodies, subject to applicable rules.
How do I login to WBHS?
Open the official WBHS portal and select the Login option. Employees and pensioners have separate account/login arrangements.
Can I download my WBHS certificate online?
Yes. The WBHS system provides facilities to view or download the enrolment certificate after the applicable enrolment process has been completed.
How many private hospitals are under WBHS?
The official portal currently displays 205 empanelled private hospitals and 30 empanelled diagnostic centres. These figures can change as the official directory is updated.
What is the WBHS cashless treatment limit?
The official WBHS facilities page states that cashless indoor treatment is available up to ₹2 lakh per indoor treatment at private empanelled hospitals, subject to the applicable conditions.
Is treatment at a non-empanelled hospital reimbursed?
Certain indoor treatments at non-empanelled hospitals within West Bengal can qualify for reimbursement when the prescribed conditions are met. The official portal specifies different reimbursement percentages depending on the hospital’s bed capacity.
Does WBHS cover OPD treatment?
Certain OPD treatments are reimbursable for specified diseases. The applicable disease list and rules should be checked on the official portal because the provisions can be revised.
Can WBHS beneficiaries get treatment outside West Bengal?
Yes, the scheme has a list of specified speciality hospitals outside West Bengal. Treatment is subject to the applicable WBHS provisions and permission requirements.
Where can I check the latest WBHS rules?
The best source is the official WBHS portal’s Circulars and Memos section, where the Government publishes notifications and instructions.
The WBHS Portal is more than a login website. It is the central online platform through which eligible West Bengal Government employees, pensioners and other notified beneficiaries can manage important parts of their healthcare benefits.
From enrolment and certificate access to hospital searches, beneficiary authentication, treatment permission and medical claims, this portal brings many WBHS services together in one place.