OPD Treatment

Discussion in 'Health Scheme' started by Shib_slg, Jan 8, 2013.

  1. Shib_slg

    Shib_slg Novice

    Hi every body
    Do you guys have idea in detail what is OPD Treatment in WBHS 2008, please let me know in detail about it, it has confused me immensely.

    Waiting for your valuable inputs

    thanking you

    Shib
     
  2. Ray

    Ray Member

    OPD (Out-Patient Department) in a hospital is mostly known as ‘Outdoor’.


    An employee is entitled to reimbursement of the cost of his or his beneficiary’s medical attendance and treatment as an OPD patient in a hospital or institution in the following cases : –

    (i) Malignant diseases (Mainly Cancer cases are considered as Malignant diseases),
    (ii) Tuberculosis,
    (iii) Hepatitis B/C and other liver diseases,
    (iv) Insulin-dependent diabetes (Type-2 Diabetic Melitas is not considered as Insulin-dependent Diabetes),
    (v) Heart diseases,
    (vi) Neurological disorders/ cerebrovascular disorders,
    (vii) Malignant malaria,
    (viii) Renal failure,
    (ix) Thallasaemia/ Bleeding orders/ Platelet disorders,
    (x) Injuries caused by accidents (Animal Bite cases will come under the purview of “Injuries caused by accidents” under Clause-7(1)(x) of the West Bengal Health Scheme, 2008 for reimbursement of the cost of OPD treatment).


    An employee or his beneficiary is also entitled to reimbursement of the cost of follow-up medical attendance and treatment relating to Neuro Surgery, Cardiac Surgery (Including Coronary Angioplasty and implants), Cancer Surgery/Chemotherapy/Radiotherapy, Renal Transplant, Hip/Knee replacement Surgery and Accident cases received as an OPD patient in a hospital or institution.

    The sanctioning authority for reimbursement of the cost of medical attendance in OPD:

    (a) In the case of an employee working in the Secretariat -
    (i) Secretary – More than Rs. 5,000
    (ii) Special Secretary (if power is delegated by Secretary) - Rs. 5,000.

    (b) In the case of an employee working in the headquarters of a Directorate -
    (i)Secretary of the Department – More than Rs. 5,000
    (ii)Director - Upto Rs. 5,000.

    (c) In the case of an employees working in the High Court -
    (i) Registrar General – All cases.

    (d) In the case of an employees working in the Public Service Commission, West Bengal -
    (i) Chairman – More than Rs. 5,000
    (ii) Secretary – Upto Rs. 5,000.

    (e) In the case of other employees -
    (i)Secretary of the Department – More than Rs. 3,000
    (ii)Head of Office - Upto Rs. 3,000.



    Day Care/ Minor (OPD) Surgery is defined as treatment procedure where staying in a hospital is necessary for a minimum period of four hours and where surgeries are done using Anaesthesia. The package rates of Indoor Treatment are of following duration of hospitalization - 1 day for day care / minor procedures (OPD).
     
    Binoy Halder likes this.
  3. Shib_slg

    Shib_slg Novice

    Thank you very much for reply my query, expect to have this kind co-operating in future

    thank you

    s.s.prasad
     
  4. Sir, the amount of inhaler is reimbursed or not pls give me reply?
     

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