Hospital t 'ftS (F~1gro Palimb) RtgUlaliom . 1989

L.N. 147 or 1989

FEES ORDINANCE (CAP. 35)

Hospital t 'ftS (F~1gro Palimb) RtgUlaliom . 1989

IN EXERCISE of the powers con ferred by sect ion 2 o f the Fees

O rdi nance. the Minister fo r Social Policy, with the ooncu rrence of the

Ministe r of Finance . has made the following regula tions: -

These regulations ma y be ci ted as the H05pi tal Fees (Fo reign

Patients) Regul at ion~. 1989, and sh all be dee med to have come into

force on the 3rd March , 1989.

These regulations shall 1101 apply in respe<:t of -

(a)

a person who is or who has been a ci tizen of Malt a ; o r

(b) the wife or husba nd , or the widow or widowe r, or any

child under the age of eigh teen )'Can, of a pel1iOll re fe rred to under

paragraph (a) of thi, re gul ation : or

(c) the wife or husba nd and the children under the age of

eigh teen years, dependant of a person who ho lds a lkence of ..... ork

issued under section 11 of the Im migra tion Act , 1970 and ..... ho is

payi ng the prescribed co ntribution under the Social Security Act ,

1987; or

(d) a ci tizen o f a foreign country ..... hich has a reci procal

health ca re agreemen t in force ..... ith Malta , in respect o f such care

and treat ment to which such citize n ..... ould be e ntitled under the

terms of such agreement o r any understanding o r agreed minu te5

subseq uent thereto ; or

(e) any ot he r person ..... ho enjoys freedom of movement in

te rms of SCdion 44 of the Constitution o f Malta; or

(0 any person who is in Malta in a n advisory or consultative

capacity to the Gove rnment on an invi tation of the same or who is

otherwise ren de ring a service to a Government depart ment or to a

paraslataJ body and ..... ho is cert ified as such by the Min iste r

responsible for that departme nt or body. as the case may be, and

any dependant of suciJ pel"$Oll; 01'"

(g) any pe rson who is undertaking a course of studies at a

sehQ(J1 or institution falling within the scope of the Educat ion Act.

1988 or o the rwi se approved by Governme nt.

J . (I ) The fee which may be charged for th e care and treatment

of in-pa tients or inmates in any hospit al or ot her in5litution of the

Depa rtment of Heal th , shall be Lm60 per day for the first hundred da)'$

of stay and Lm3 pe r day the reafter.

(2) The fee re ferred to under paragraph (1) of this regulation

is not inclusive o f any su rgical ope ration or o f any extraordinary medical

inve$tigation which may be carried OIIt 00 tbe patient o r in mate.

(3) The fee which may be charged for a su rgical operation

sha ll be -

(a ) for a minor operati on unde r local anaesth.esia ... .

Lm40

for a mino r operatio n under gene ral anaesthesia

Lm75

(c)

for an in termediate operation ............. ... .... .....

LmIOO

(d)

for a major ope ra tion ........ ................... ........

LmI80

(e)

for specialised surge ry . namely major flC uro-

surgical operations, traru;plantation of orgall5

other than skin and eo rnea , ope n heart surge ry .

major vascular surgery and major plastic surgery

Lm500

Provided that the cost of any prosthesis Of implant shall becharged

in addition to the rel ative ope ration fee.

(4) The fee fo r any extraord inary medical investigation shall

be charged at cost.

(5) (a) Notwithstanding the provisions of the preceding

paragraphs of this regulation. the fee5 to be charged in respect o f a

patie nt to who m this paragraph applies. shall be as follows -

(i) for the care and trea tme nt of in-patienu or inmates.

Lm9 per day fo r th e first hundred days and Lm3 per

day the re after ;

(ii ) for a surgical ope ration, fiftee n per cent of the fees

re fe rred to in pa ragra ph (3) of this regulation

Provided that the cost o f a ny prosthesis o r impl ant or for a ny

ex traordi nary in ve$tigation shall be cha rged at cost in add ition to

th e fees refem:d to in items (i ) and (ii ) above.

(b)

This paragraph shall apply in respect of a patient -

(i)

to who m these regulations apply; and

(ii)

who is a citizen of a country which has a rro p-

meal heal th care agree ment with Mal ta wh ich

provides for the care and treatme nt of te mporary

visitors of e ither country when such care a nd

treatment is given o uuide the period specified

under such agree ment: and

<iii) woo:-

has a residence permit granted in accordance with

section 7 of the Immigration Act. 1970: o r

as a resul t Oflhc extension orhis permit to remain in

Malla granted in termsnf paragraph (c) ofsub!;ection

(1 ) of section 6 af lbe said Act , has resilied in Malta

fo r an aggregate period of two years during the last

th ree years preceding his becoming a patie nt or

inma te.

(6) The Ministe r responsible for heal th may also in respecto!

a patient or inmale who was already in a Government hospital or

istitution on the date o f coming into force of these regulat ions reduce as

he deems fit such fees if he is satisfied that genuine hardsh ip exists and in

such cases may even apply the lariff of fee s as was culTe nt ly in force

before the dale of the coming inlO force of these regulatiol\ll.

(7) The Ministe r responsible for health may in special cases,

or cases of ge nuine hardshi p , reduce or waive any fees which are 10 be

charged in accordance with the provisions o r th ese regulation$.

The Foreign Palient$ ( Hospital Fees) Regulations, 1989,

published on the 3rd March . 1989. are herehy repealed .

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