Healthcare Fees regulations, 2004.

L.N. 201 of 2004

FEES ORDINANCE.

(CAP. 35)

Healthcare Fees regulations, 2004.

IN exercise of the powers conferred by article 2 of the Fees

Ordinance, the Minister of Health, the Elderly and Community Care,

together with the Prime Minister and Minister of Finance, has made the

following regulations>-

(1) The title of these Regulations is Healthcare Fees

Regulations, 2004.

(2) These regulations shall come into force on 1 st May, 2004.

(1) These Regulations shall not apply in respect of

(a)

a person who is or who has been a citizen of Malta< or

(b) any child under the age of eighteen years, of a person

referred to under paragraph (a) of this regulation< or

(c) a person who is a citizen or national of a country outside

the European Union and who holds a licence of work issued under

article 11 of the Immigration Act, and who is paying the prescribed

contribution under the Social Security Act< or

(d) a citizen of a country which has a reciprocal health care

agreement in force with Malta, in respect of such care and treatment

to which such citizen would be entitled under the terms of such

agreement or any understanding or agreed minutes subsequent

thereto< or

(e) a person who is a citizen or a national of a country outside

the European Union who enjoy freedom of movement in terms of

article 44 of the Constitution of Malta< or

(f) a person who is a citizen or a national of a country outside

the European Union who is in Malta in an advisory or consultative

capacity to the Government on an invitation of the same or who is

otherwise rendering a service to a government department or to a

parastatal body and who is certified as such by the Minister,,

responsible for that department or body, as the case may be, and

any dependant of such person< or

(g) any person who is a citizen or national of a country

outside the European Union who is undertaking a course of studies

at any one of the following institutions> the University of Malta,

the Malta College of Arts, Science & Technology and the Institute

of Tourism Studies.

(2) Persons who produce the documentation required by

the Department of Health in terms of the Community Regulations on

the application of social security schemes in force, shall not effect any

payment of the fees referred to under this regulation

Provided that the Department of Health shall have the right

to obtain a full refund of all the fees from the Member State concerned

or an institution thereof.

(1) The fee which may be charged for the care and treatment Fees.

of in-patients or inmates in any hospital or other institution of the

Department of Health, shall be

(a) for a general ward bed………………………Lm110 per day

(b) for a high dependency care bed………………Lm210 per day

(c) for an intensive care bed……………………Lm400 per day

Provided that the fee referred to under this sub-regulation is not

inclusive of the cost of any surgical operation or of any extraordinary

medical investigation which may be carried out on the patient or inmate.

(2) The fee which may be charged for a surgical operation

shall be>

(a) for a minor operation under local anaesthesia ...........Lm110

(b) for a minor operation under general anaesthesia ...........Lm200

(c) for an intermediate operation ………………………Lm450

(d) for a major operation .................……………………Lm1000

(e) for specialised surgery, namely major neuro-surgical

operations, transplantation of organs other than skin and cornea, open

heart surgery, major vascular surgery and major plastic

surgery.....Lm2750>

Provided that the cost of any prosthesis or implant shall be charged

in addition to the relative operation fee.

(3) The fee for the following investigations, procedures shall

(a) CT Scan ................................................

Lm200

(b) Gamma Scan .........................................

Lm250

(c) cardiac angiography ..............................

Lm350

(d) peripheral arteriography ........................

Lm170

(e) MRI ......................................................

Lm300

(f) cardiac angioplasty ...............................

Lm1500

(g) for each stent ........................................

Lm675

(h) for normal pacemaker and leads ..........

Lm1500

(i) for dual chamber pacemaker (exclusive of leads)

................................... Lm3300>

Provided that any other extraordinary medical investigation

or procedure shall be charged at cost.

(4) The fee which may be charged for the care and treatment

of patients in health centre or ambulatory or emergency or day care

facilities in any hospital or other institution of the Department of Health,

(a)

for a health centre attendance ……………………Lm10

(b)

for a hospital outpatient attendance ………………Lm15

(c)

for an emergency department department …………Lm20

(d)

for chemotherapy session ……………………………Lm60

(e)

for a day care attendance ……………………………Lm75

(f)

for a renal dialysis sessions…………………………Lm105

(g)

for a radiotherapy sessions…………………………Lm105

Provided that the cost of any special medication or surgical

operation or medical investigation shall be charged in addition to the

relative attendance fee.

(5) The Minister responsible for Health may, in special cases, or

cases of genuine hardship, reduce or waive any fees which are to be

charged in accordance with the provisions of these regulations.

Mitbug[ fl-Istamperija tal-Gvern — Printed at the Government Printing Press