Seacare Medical Scheme (SMS) FOREIGN

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Transcription:

Seacare Medical Scheme (SMS) FOREIGN SMS Malaysia The Seacare Medical Scheme (SMS) for SOS Malaysian Members, introduced on 1st September 2009, by the Singapore Organisation of Seamen (SOS) is a special medical scheme to provide free or affordable forms of basic medical and dental benefits to SOS Malaysian members and their dependents at an appointed local medical provider. i. Eligibility For SOS Malaysian Member To be eligible, the SOS Malaysian member must be serving on board a vessel covered by the SOS Collective Bargaining Agreement and whose employer is participating in the SMS. A SOS Malaysian Member who meets these criteria will be termed as a Qualified SOS Malaysian Member For dependent Dependents of Married Qualified SOS Malaysian Member refer to: Legitimate wife Dependents of Single Qualified SOS Malaysian Member refer to Natural parents or, if legally adopted, legal parents ii. Benefits & Conditions A Qualified SOS Malaysian Member will be entitled to nominate one dependent to receive one free basic health screening package at Pantai Group of Hospitals in West Malaysia. The free basic health screening package is as follow: Package Code CP - 001 Description 1. Physical examination by Medical officer 2. Chest x-ray 3. ECG 4. Lung Function Test 5. General Screening including: Liver function test Full blood examination Gout screening Diabetes screening Renal Function test Lipid studies Urine examination 1 P a g e

VDRL (tire if reactive) TPHA (if VDRL reactive) Thyroid screening Hepatitis B screening Hepatitis A screening Alpha fetoprotein (AFP) Carcino embryonic antigen (CEA) Rheumatoid factor (RF) Blood group & rhesus iii. Conditions under the SMS The free medical benefits are subject to the following conditions: 1. A Qualified SOS Malaysian Member is entitled to nominate one dependent to receive one free basic health screening package 2. Only the nominated dependent whose name appears on the Notification Letter is entitled to the one free basic health screening package 3. The original Notification Letter is to be produced at and accepted by the participating hospitals. Photocopies of letters will not be accepted 4. No extension of the free health screening package beyond the stipulated validity date will be permitted 5. The free health screening package is non-exchangeable for cash 6. The free health screening package is not transferable to other dependents who are not nominated by the member 7. Any unconsumed benefits are not allowed to be carried forward iv. Procedures 1. A Qualified SOS Malaysian Member is required to complete a Nomination Form which is obtainable from the Crewing Agent or Employer, within one month of his sign-on date. The completed Nomination Form must be submitted to the Crewing Agent or Employer for endorsement and submission to SOS 2. Once the nomination is approved, the Qualified SOS Malaysian Member s nominated dependent will be notified by post via his family registered address as declared on the Nomination Form. The nominated dependent will receive a Notification Letter to utilize the free basic health screening package 3. The nominated dependent will call the appointed hospitals directly to book an appointment for the free basic health screening 4. The nominated dependent, whose name appears on the notification letter must produce the original Notification Letter and Photo Identification Card (MyKad) at the participating hospitals for verification and utilization of the free basic health screening package 5. The Qualified SOS Malaysian Member and his nominated dependent are to abide by the terms and conditions of the appointed hospitals 2 P a g e

v. Exclusion If the health screening benefit indicates a need for follow-up treatment and/or medication, such treatment and/or medication shall be absolutely and entirely at the nominated member s dependent discretion and own expenses. vi. Amendment The Singapore Organisation of Seamen reserves the right to repeal or amend in any way from time to time any or all of the medical benefits, criteria, conditions, procedures and participating medical providers relating to the SMS for SOS Malaysian Members at its absolute discretion. The Qualified SOS Malaysian Member and his dependents shall be jointly or severally bound by any variation or amendment or addition to or subtraction from the said SMS. vii. Interpretation If a query or dispute arises over the construction or interpretation of any provision in the SMS, the decision of the Executive Committee of SOS shall be final and binding on all Qualified Malaysian Members and their dependents. viii. Disclaimer Clause While every reasonable effort is made by the SOS to ensure that all information presented in all publications pertaining to this scheme is accurate, the SOS disclaims any liability for any injury, loss or damage whatsoever that may have arisen whether directly or indirectly as a result of any inaccuracy, error or omission. ix. Appointed Pantai Group of hospitals The free health screening package for a Qualified SOS Malaysian Member s nominated dependents are available at the following participating hospitals of the Pantai Group of Hospitals in West Malaysia. 1. Pantai Hospital Kuala Lumpur Pantai Medical Centre Sdn Bhd 8, Jalan Bukit Pantai, 59100 Kuala Lumpur Tel: 603-2296 0706 Fax: 603-2282 1557 2. Pantai Hospital Cheras Cheras Medical Centre Sdn Bhd 1, Jalan 1/96A, Taman Cheras Makmur, 56100 Kuala Lumpur Tel: 603-9145 2805 Fax: 603-9132 0687 3. Pantai Hospital Ampang Hospital Pantai Indah Sdn Bhd Jalan Perubatan 1, Pandan Indah 55100 Kuala Lumpur 3 P a g e

Tel: 603-4289 3278 Fax: 603-4289 2829 4. Pantai Hospital Klang Pantai Klang Specialist Medical Centre Sdn Bhd Lot 5921, Persiaran Raja Muda Musa, 41200 Klang Tel: 603-3258 5416 Fax: 603-3374 2010 5. Pantai Hospital Ayer Keroh Hospital Pantai Ayer Keroh Sdn Bhd No. 2418-1, KM 8, Lebuh Ayer Keroh, 75450 Melaka Tel: 606-232 1782 Fax: 606-231 3299 6. Pantai Hospital Batu Pahat (branch of Pantai Hospital Ayer Keroh) 9S, Jalan Bintang Satu, Taman Koperasi Bahagia, 83000 Batu Pahat, Johor Tel: 607-4338 811 ext 3309/3304 Fax: 607-4331 881 7. Pantai Hospital Ipoh Paloh Medical Centre Sdn Bhd 126, Jalan Tambun, 31400 Ipoh, Perak Tel: 605-540 5723 Fax: 605-545 1163 8. Pantai Hospital Sungai Petani Strand Hospital & Retirement Home Sdn. Bhd. 1 Persiaran Cempaka Bandar Amanjaya 08000 Sg Petani Kedah Darul Aman Tel: 604 442 8888 ext 1964 Fax: 604-442 8889 9. Pantai Hospital Penang Syarikat Tunas Pantai Sdn. Bhd. 4 P a g e

82, Jalan Tengah, Bayan Baru, 11900 Bayan Lepas, Penang Tel: 604-639 6506 Fax: 604-643 2888 10. Pantai Hospital Manjung Jalan PPMP1, Pusat Perniagaan Manjung Point 32040 Seri Manjung Perak Darul Ridzuan Tel: 605-685 8611 Fax: 605-689 8555 5 P a g e