HOSPITAL FEES FOR FOREIGN PATIENTS REGULATIONS *

HOSPITAL FEES FOR FOREIGN PATIENTS

SUBSIDIARY LEGISLATION 35.14

HOSPITAL FEES FOR FOREIGN PATIENTS

REGULATIONS *

3rd March, 1989

LEGAL NOTICE 147 of 1989, as amended by Legal Notices 53 of 1992,

18 of 1997, 147 of 2002, 407 of 2007 and XXIX of 2019.

The title of these regulations is the Hospital Fees for

Foreign Patients Regulations.

These regulations shall not apply in respect of -

(a) a person who is or who has been a citizen of Malta; or

(b) the wife or husband, or the widow or widower, or any

child under the age of eighteen years, of a person

referred to under paragraph (a); or

(c) a person 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, and the wife or husband and the children under

the age of eighteen years who are his dependants; or

(d) a citizen of a foreign 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) any other person who enjoys freedom of movement in

terms of article 44 of the Constitution of Malta; or

(f)

any person 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 undertaking a course of studies at a

school or institution falling within the scope of the

Education Act, or otherwise approved by Government.

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

treatment of in-patients or inmates in any hospital or other

institution of the Department of Health, shall be one hundred and

ninety-eight euros (198.00) per day, while the fee for recovery at an

intensive care unit shall be six hundred and ninety-eight euros and

eighty-one cents (698.81) per day, and in a high dependency care

unit the fee shall be three hundred and forty-nine euros and forty-

one cents (349.41) per day.

*These regulations have been repealed by Legal Notice 105 of 2024.

HOSPITAL FEES FOR FOREIGN PATIENTS

(2) The fee referred to under sub-regulation (1) is not inclusive

o f a n y s u rg i c a l o p e r a t i o n o r o f a n y e x t r a o r d i n a r y m e d i c a l

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

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

shall be -

(a) for a minor operation under local

anaesthesia ..............................................

L198.00

(b) for a minor operation under general

anaesthesia ..............................................

L384.35

(c) for an intermediate operation ...................

L815.28

(d) for a major operation ............................... L1,747.03

(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 ............................... L5,241.09

Provided that the cost of any prosthesis or implant shall be

charged in addition to the relative operation fee.

(4)

The fee for the following investigations, procedures shall

be -

(a)

CT Scan ...............................................

L349.41

(b)

Gamma Scan .......................................

L465.87

(c)

cardiac angiography .............................

L698.81

(d)

peripheral arteriography ......................

L349.41

(e)

MRI .....................................................

L698.81

(f)

cardiac angioplasty ..............................

L2,795.25

(g)

for each stent .......................................

L931.75

(h)

for normal pacemaker and leads ..........

L3,261.12

(i)

for dual chamber pacemaker (exclusive

of leads) .............................................

L6,988.12

while any other extraordinary medical investigation, procedure

shall be charged at cost.

(5)

(a) Notwithstanding the provisions of the preceding sub-

regulations of this regulation, the fees to be charged in

respect of a patient to whom this sub-regulation

applies, shall be as follows

(i)

for the care and treatment of in-patients or

inmates, twenty-seven euros and ninety-five

cents (27.95) per day for the first hundred days

and eleven euros and sixty-five cents (11.65) per

day thereafter;

(ii) for

surgical

operations

and

medical

investigations/procedures, fifteen per cent of the

fees referred to in sub-regulations (3) and (4)

Provided that the cost of any prosthesis or implant

or for any extraordinary investigation shall be charged

HOSPITAL FEES FOR FOREIGN PATIENTS

at cost in addition to the fees referred to in items (i)

and (ii) above.

(b) This sub-regulation shall apply in respect of a patient -

(i) to whom these regulations apply; and

(ii) who is a citizen of a country which has a

reciprocal health care agreement with Malta

which provides for the care and treatment of

temporary visitors of either country when such

care and treatment is given outside the period

specified under such agreement; and

(iii) who

-

has a residence permit granted in accordance

with article 7 of the Immigration Act; or

-

as a result of the extension of his permit to

remain in Malta granted in terms of article

6(1)(c) of the said Act, has resided in Malta

for an aggregate period of two years during

the last three years preceding his becoming a

patient or inmate.

(6) 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.