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MEDICAL FACILITIES

MEDICAL FACILITIES (SERVICE CIRCULAR NO. 4 OF 2001)

OBJECTIVE

1. This Service Circular is to explain the implementation procedure for medical facilities that are not provided at Government clinics/hospitals and allows Heads of Departments to approve applications and make reimbursements for the medical expenses.  

BACKGROUND

2. Federal Public Service personnel and pensioner receiving pension and their family members are eligible for free medical facilities at a Government hospital/clinic under General Orders Chapter 'F'.  Since 1 January 1992, medical treatment facilities were extended to the lawful parents of Federal Public Service personnel under  Service Circular Letter No. 1 of 1993. A

3. However there are instances where of a Government hospital/clinic is unable to provide or service certain medical facilities to the optimum. To overcome this, the Public Service Department (PSD) has approved the expenditure incurred for the facilities and the Department may make the reimbursement. Unfortunately, the detailed procedure for the implementation of this facility and several other medical facility is not provided. 

4. To increase the effectiveness of the administrative machinery and ensure the well-being of the personnel, pensioners and family including parents of Public Service personnel, the Head of Department must  comply to the procedure laid down in this Circular. 

IMPLEMENTATION

5. Those eligible for medical facilities are-

(i)

Federal Public Service personnel and pensioner receiving pension under General Orders  1(vi) Chapter 'F';

(ii)

Family members of personnel and pensioner of Federal Public Service receiving pension under General Orders  1(iii) Chapter 'F'; and

(iii)

Lawful parents of Federal Public Service personnel under Service Circular Letter No. 1 of   1993,  limited to specified medical facilities.

6. Application for the expenses for medicine, orthopedic equipment and artificial limbs, medical services and treatment of kidneys [Hemodialysis/Continuous Ambulatory Peritoneal Dialysis (CAPD)] is processed according to the following procedure-

(i)

received treatment at a Government hospital/clinic; and

(ii)

the required facility cannot be provided/serviced by a Government hospital/clinic; and

(iii)

recommendation and certification by a Government medical officer regarding (ii) above should be done using the Recommendation and Certification by Government Medical Officer form (Borang Perakuan dan Pengesahan Oleh Pegawai Perubatan Kerajaan

(iv)

application must use the Application for Medicine, Equipment, Service and Treatment form  (Borang Permohonan Perbelanjaan Ubat, Alat, Perkhidmatan dan Rawatan); and

(v)

Application is approved by the  Head of Department.

7. Application for expenses of infertility treatment at the Lembaga Penduduk dan Pembangunan Keluarga Negara (LPPKN) is done according to the following procedure-

(i)

received treatment at LPPKN clinic; and

(ii)

primary infertility treatment only; and

(iii)

certification of LPPKN medical specialist regarding (ii) above; and

(iv)

application using the Application for Medicine, Equipment, Service and Treatment form (borang Permohonan Perbelanjaan Ubat, Alat, Perkhidmatan dan Rawatan); and

(v)

Application is approved by the  Head of Department.

8. Application for expenses for emergency treatment at a private hospital/clinic must be done according to the following procedure:-

(i)

received treatment at a private hospital/clinic nearest to the incident of the emergency as there is no Government hospital/clinic nearby; and

(ii)

require immediate treatment that must not be delayed due to life-threatening situation; and

(iii)

patient is in emergency condition when brought to the  private hospital/clinic; and

(iv)

Emergency certification by a Medical Specialist of the private hospital/clinic regarding  (ii) above; and

(v)

application made using the Application for Emergency Treatment Expenses at a Private Hospital/Clinic form (borang  Permohonan Perbelanjaan Rawatan Kecemasan Di Hospital / Klinik Swasta) and

(vi)

Application is approved by the  Head of Department.

9. Application for the expenses of specialist treatment at private hospital must be done according to the following procedure:- 

(i)

received treatment from a Government hospital; and

(ii)

the specific specialist treatment is not provided at the Government hospital; and

(iii)

certification of a Government hospital Medical Specialist that specialist treatment is required and is available locally; and

(iv)

recommendation of the Director General of Health regarding (ii) above; and

(v)

application made using the Application for Specialist Treatment Expenses at a Private Hospitalform (borang  Permohonan Perbelanjaan Rawatan Kepakaran Di Hospital Swasta) and

(vi)

application is approved by PSD, Salary and Allowances Divison.

10. Application for treatment overseas is made according to the following procedure: -

(i)

receiveed treatment at a Government hospital; and

(ii)

special treatment required and is unavailable locally; and

(iii)

certification of Medical Board  regarding (ii) above; and

(iv)

recommendation of the Director General of Health that such treatment is unavailable from the Government; and

(v)

application is made using Application for Expenses of Overseas Treatment form (borang Permohonan Perbelanjaan Rawatan Di Luar Negeri) and

(vi)

application is approved by Officers Council for Overseas Treatment 

11. Free treatment facilities at the National Heart Institute Co. Ltd [Institut Jantung Negara Sdn. Bhd. (IJNSB)] may be obtained according to the following procedure:-

(i)

received treatment at a Government hospital; and 

(ii)

referred by a Government Medical Specialist to IJNSB; and

(iii)

in compliance to the rules and regulations in the "A Guide on the Facilities at IJNSB for Various Categories of Patients under the Dependancy of the Federal Government - Medical Facilities for Government Officer"  ("Panduan Mengenai Kemudahan Di IJNSB Bagi Pelbagai Golongan Pesakit Di Bawah Tanggungan Kerajaan Persekutuan Kemudahan Perubatan Bagi Pegawai Kerajaan")   according to a letter from Ministry of Health reef. (68) dlm.KKM.203/30 Bhg.5 dated 16 September 1997.

12. To facilitate the implementation of this Service Circular, and implementaion guide is provided in the appendix.

RESPONSIBILITY OF THE HEAD OF DEPARTMENT

13. With the effect of this Service Circular, the Head of Department is responsible to implement the regulations  stipulated in this Circular  and must approve application for the expenses wherever relevant and make the medical expenses incurred. 

14. For purposes of this Circular, the Director of Pension Division, Public Service Department is the Head of Department of Federal Public Service pensioner receiving pension. 

EFFECTIVE DATE

15. This Service Circular is effective as of 1 October 2001.

APPLICATION

16. Subject to the adoption by the respective authorities, this Service Circular is duly extended to all State Services, Statutory Authorities and Local Authorities. The Head of Department of the related authorities must approve and make payments for the medical expenses to their personnel and pensioners. 

FACILITIES UNDER GENERAL ORDERS 'B' AND 9 CHAPTER 'F' (1974)

Reimbursement of expenses for medicine and treatment services obtained based on prescription/letter from a Government Medical Officer or University Hospital Doctor but certified as unavailable from a Government or University Hospital :

  • The medicine listed in the Drug List of any Government of University Hospital. If the medicine is not in the Drug List, special approval must be obtained from the Ministry of Health.    

  • Artificial limbs and orthopedic equipment including equipment implanted in the body in life saving situation (and replacements of the equipments other than for cosmetic reasons)

  • CT Scan, MRI and Radiotherapy services.

  • Primary infertility treatment only at Lembaga Penduduk dan Pembangunan Keluarga Negara.

  • Haemodialysis 3 times weekly @ a maximum of RM200 per session, and Eprex as additional cost OR consumable equipment and CAPD treatment. 

  • Coronary treatment at the National Heart Institute (IJN)

  • Specialist Treatment at a private hospital.