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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-
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(i) |
Federal Public Service personnel and pensioner receiving
pension under General Orders 1(vi) Chapter 'F'; |
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(ii) |
Family members of personnel and pensioner of Federal
Public Service receiving pension under General Orders 1(iii)
Chapter 'F';
and
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(iii) |
Lawful parents of Federal Public Service personnel under
Service Circular Letter No. 1 of 1993, limited
to specified medical facilities.
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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-
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(i) |
received treatment at a Government hospital/clinic; and
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(ii) |
the required facility cannot be provided/serviced by a
Government hospital/clinic;
and |
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(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) |
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(iv) |
application must use the Application for Medicine,
Equipment, Service and Treatment form (Borang
Permohonan
Perbelanjaan Ubat, Alat, Perkhidmatan dan Rawatan); and |
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(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 |
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(iii) |
certification
of LPPKN medical specialist regarding (ii) above; and |
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(iv) |
application
using
the Application for Medicine, Equipment, Service and
Treatment form (borang
Permohonan
Perbelanjaan Ubat, Alat, Perkhidmatan dan Rawatan);
and |
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(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 |
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(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 |
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(iv) |
Emergency certification by a Medical Specialist of the private
hospital/clinic regarding (ii) above; and |
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(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 |
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(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:-
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(i) |
received
treatment from a Government hospital; and |
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(ii) |
the specific specialist
treatment is not provided at the Government hospital;
and |
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(iii) |
certification
of a Government hospital Medical Specialist that specialist
treatment is
required and is available locally; and |
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(iv) |
recommendation
of the Director General of Health regarding (ii) above; and |
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(v) |
application
made using
the Application for Specialist Treatment Expenses at a Private
Hospitalform (borang
Permohonan
Perbelanjaan Rawatan Kepakaran Di Hospital Swasta) and |
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(vi) |
application
is approved by PSD, Salary and Allowances Divison. |
10. Application for treatment overseas is made according to
the following procedure: -
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(i) |
receiveed
treatment at a Government hospital; and |
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(ii) |
special
treatment required and is unavailable locally; and |
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(iii) |
certification
of Medical Board regarding (ii) above; and |
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(iv) |
recommendation
of the Director General of Health that such treatment is
unavailable from the Government; and |
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(v) |
application
is made using Application for Expenses of Overseas Treatment form
(borang
Permohonan
Perbelanjaan Rawatan Di Luar Negeri)
and |
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(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:-
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(i) |
received
treatment at a Government hospital; and |
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(ii) |
referred
by a Government Medical Specialist to IJNSB; and |
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(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 :
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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.
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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)
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CT
Scan, MRI and Radiotherapy services.
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Primary infertility
treatment only at Lembaga Penduduk dan Pembangunan Keluarga
Negara.
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Haemodialysis 3
times weekly @ a maximum of RM200 per session, and Eprex as additional
cost OR consumable equipment and CAPD treatment.
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Coronary treatment
at the National Heart Institute (IJN)
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Specialist Treatment
at a private hospital.
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